Not fake, reduced. I’m not a fan either, especially considering other potential means of reshaping the breast, after removing the excess fat & tissue, which leaves scars around the areola and a line of scars underneath the boob. Very huge difference, and to someone who obviously likes natural boobs such as myself, is to take the fact that they are still “real”, just altered usually as a result of Breasts which cause backaches & pain, versus a woman who is simply vain.