Are Any Ligaments Cut When Cheek Implants Are Placed?

Q: Dr. Eppley, I am interested in cheek implant removal and willing to fly over to USA for it. But I have 2 questions 

1) WIll cheek go back to normal after removal of small implants, it has only been in for 1 year and its silicone based implantech 

2) Are any ligaments cut during placement and removal of an implant like osteocutaneous ligaments? 

As some doctors here claim ligaments are NOT cut? Is it possible?

A:By definition placing a cheek implant requires the release of osteocutaneous ligaments. Thus when removing cheek implants there will be some soft tissue sag. The only question is whether it will be particularly noticeable or not.

Dr. Barry Eppley

World Renowned Plastic Surgeon