Earlier quoted context omitted.
They are bigger, but most people aren't exactly using their ceiling space anyway so that isn't really the downside. The downside is the installation.
A lot of ceiling fans can easily be installed on to an existing light fixture by anyone who knows how to connect a few electrical wires together. I'd say the bigger downside is that it's fixed in one location.
The fact that it's fixed in one location often isn't that much of a problem, given that ceiling lights are traditionally mounted in the center of the room, which is just where you want the fan.
(Traditionally: if you have recessed LED or halogen lighting that would of course be a different matter.)
One warning: if you don't use it all winter, make sure you clean it before you switch it on the first time in spring...