Its disadvantage is that the scar lies on the normal skin and may be more noticeable. It does, however, lie on the lower portion of the breasts which is somewhat concealed when the breasts are enlarged. This has the advantage of concealing the scar in an area outside of the breast area. It has the disadvantage of being distant from the operative site, possibly making it difficult to visualize the site and control bleeding. 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.