I don't think you're a misogynist, but I think the picture can certainly come off that way. Here are a few reasons why:

1. It's misrepresentative. Silicone lip implants are not common and obviously never that big. No woman has these; it's an exaggeration that has the effect of equating women with something ridiculous that doesn't exist. (The common injectable lip fillers are temporary and don't remain long after death.)

2. No one else gets to decide for someone else what makes any procedure -- and in this case breast augmentation -- valid vs fake. Breast cancer survivors, trans people, and other patients getting reconstruction to live happy full lives would rightfully have something to say if you are implying that part of them is fake.

We all alter our bodies in all kinds of ways, both temporary and permanent, in an attempt to look and feel better about ourselves.

3. The picture focuses only on depicting a woman, even though men get calf implants, veneers, nose jobs, chin implants, etc. The image isn't being fair or insightful, but it is ridiculing and criticizing women who are different in certain ways; these are ways that men are different too, making the message hypocritical.

I appreciate the respectful nature of the discussion and hope it continues.