What are the challenges of removing cheek implants after 2 years?

Thank you for your question.Cheek implant are fairly easy to remove. The fact that you have had 2 sets of implants, does mean when the implants are removed you are going to have some scar tissue in the area. To what extent, you cannot determine until the implants are out and the swelling is down.

Silicone cheek implants are usually fairly simple to remove.  Implants made from other materials can be more difficult.  Having had the implants for 2 years should not be a determining factor in removing them.  

You bring up a very important point regarding the flexibility and adjustability of injectable fillers in addition to the fact that all hyaluronic acid fillers are reversible versus implants which are fixed and permanent. Fortunately silastic or silicone implants are easy to remove although it does require a second procedure. Check with your surgeon to verify the type of implant used in your procedure. Another option to consider before removing the implant is to modify the shape and contour of your cheeks by adding fillers over and around the implants. This can be very successful and eliminate the need of removing the implant.