Will cheek implants start to look unnatural as I age? (Photo)

Cheek implants look great if done by an expert, but so do fillers.  Both do not affect how the face sags, if anything they hold it up longer as you age.  Best, Dr. Emer.

You will not end up with an unnatural look if you see a very experienced cheek implant surgeon. They should be not too large and appropriate sizing for your face. 

Good question.   You are correct that some cheek implants may become more visible as time passes.  The visibility issue is not predictable.  Cheek implants come in different shapes and sizes, some are better in avoiding this issue. In your case you may consider buccal fat removal to decrease the fullness you have below the cheek area ( cheek area to the side of the mouth).   There are other things you can discuss with your surgeon in detail to move in the direction you desire without looking like you had something done.