Cheek Implant Removal After 2 Years, Will There Be Sagging?

You can remove the implants and the tissue may need to be tacked up to prevent sagging.You can fat graft later to plump them up and make them look better.

Thanks for your interesting question. It is hard to predict what things will look like after your surgery. Since it has only been 2 years, you would not expect too much fat loss in that area, which would contribute to sagging. Also, the skin in that area is quite lax to begin with and so the implants should not have stretched the skin out to the point where it should now sag. Again, predicting results without seeing before and after pictures and knowing the size of the implants would be difficult to do.
If you are unhappy with the appearance after removal of the implants, you may want to consider fat transfer to this area. It is a safe, short surgical procedure with very little downtime and much less invasive than the implant procedure. It may help give you the natural cheek augmentation you are trying to achieve. If you would like to know what that procedure may yield, you can have cheek filler done first to see if you like the result. If you do, you could then get the fat transfer once the body has dissolved the filler. Best of luck.