Good surgeons will go in through the belly button and work the implant up and into place.i can't see any scars. normally hidden in crease at bottom of breasts. if fake, well done! or, well-hidden. damned pixels!
A friend of mine had hers done this way and they are AMAZING!!! They fall naturally, are exceptionally perky, and most importantly feel real. They are spectacular for a 25 year old. And she's 44.