Also, this scar may become thickened and quite noticeable when the arms are raised. Options are available as to the nature of the implant. There are smooth shells and textured shells. My experience suggests that there is increased risk of rippling of the skin with textured implants. I have not found this to be the case.
Implants are available in different shapes and sizes.
I have found that the round implants work quite well and do not have the risk of altering the appearance of the breast with minor shifts in position. The appearance of the breast does not seem to be less attractive with round implants. As to size, it is important to discuss with your surgeon your wishes and expectations. It is your surgeon's responsibility to discuss the benefits and risks. Together you come to a consensus of what can and will be done.