Real vs Fake Breasts
Unnatural shape
Most breasts aren't perfect orbs and they usually aren't identical. Be on the lookout for the way they hold in place as she moves around (especially her arms), and how they stay almost the same dimension -- instead of flattening out -- whether she reaches back or even stretches. Furthermore, when she bends over, you should see them fall if they're real.
Watch out for women wearing a constrictive bra to make them come together. The overall shape will still not look right. With such a bra, you won't be able to notice the outer circles contouring the breasts.
Bubbly look
On the topic of odd breast shapes, the top of her breasts are bubbled up -- just like bubble butts. Fake boobs defy gravity, so they might look like they're bubbling up. Natural breasts follow a more natural sliding curve line from top to bottom.
Overly firm
Real breasts are mostly fat, which gives them a jiggle quality; if they look more like solid muscle, you may be in the presence of a pair of fake ones.
If they look like balloons that are about to burst, beware. Real boobs do grow with weight gain, but the skin has time to grow with the fat.
High up (if she's not wearing a bra)
Breasts should be at about armpit height. But some bad breast jobs start them way too high on the chest, as if she has two flotation devices strapped to her chin.
If a woman is not wearing a bra and sports C-sized orbs that stand up, then it's pretty easy to figure out. The hard ones to pick out are the B cups. They can look real but then you need to spot small abnormalities that a normal breast wouldn't have.
Too far apart
If you can fit your fist between her
breasts, they're probably fake (think
Tori Spelling). The doctor should have scraped the pectoral tendons to give them a more natural emplacement, but he didn't.
Asymmetrical nipples
True, you don't always see nipples through clothes, but if she's wearing a see-through top, a really tight shirt or even if it's just a little cold out, take a glance at them. Nipples are seldom perfect, but a bad boob job may put them too high, too low, or not pointing in the same direction.
Stretch marks
This usually stems from the surgery. Skin stretches as we grow, but stretched skin can also leave marks -- usually little red lines. If she went too big or her doctor wasn't that great, you might spot the stretch marks.
However, if she's a yo-yo dieter, she may have gained and lost a bunch of weight, which would also cause stretch marks. Watch out for this.
Disproportional body
You can usually tell if her breasts are fake by comparing them to the rest of her body. Although there is the rare woman who has a smoking body and unusually
large natural breasts, more than a few women make the mistake of going too large. Fortunately, these women are easy to spot. If she has a dancer's body and breasts like a porn star, that could be a good indication. If you have your doubts, check them out while she's moving. If they're fake, they won't follow her body movements. For example, if she waves to a friend, they stay put.
Ref:
Real vs. fake chest - AskMen.com
My Conclusion:
They look like real ones, but maybe it was such a good job that they look real? I honestly can't tell. It is difficult to tell because there have been no nude photo of those breasts. 
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Also, you'll find pictures of her pre nose job and chin job.
Real vs Fake Breasts
