I get that differentiation is an operation used on a function, so if a function is defined $x\mapsto x^2$, the derivative is $$ (x\mapsto x^2)' = x \mapsto \lim_{h\to 0} \frac{x^2+2xh+h^2-x^2}{h} = x\mapsto 2x. $$
But how can you extend the definition $f' = \dfrac{f_h-f}{h}$ in such a way that it works with implicit functions/multifunctions? I know that it works, but I don't understand how it works for equations like $y^2 = 4-x^2$.
It seems to me this is just a direct use of chain rule. Differentiating the LHS by chain rule you would get $2y y'$ and RHS yields $-2x$, so you can solve for $y'$ directly using algebra: $$ y' = \frac{-2x}{2y} = \frac{-x}{y} = \frac{-x}{\pm\sqrt{4-x^2}} $$
In other words, you can prove from your definition above that $$ f(g(x))' = \ldots = x \mapsto f'(g(x)) g'(x) $$ and use that to deal with implicit differentiation.