While these factors are suspected and in no means an all-inclusive list, it gives you an idea of potential reasons for developing capsular contractures.
Once a capsular contracture develops, Treatment depends on the severity of your capsular contracture. If you implants are only mildly firm, you may be ok with the mild stiffness and nothing needs to be done. If the stiffness bothers you, the capsule may need to be divided and released so that is becomes larger and softer. The implants should also be changed out for new implants incase the contracture is due to implant related issues, such as a low-grade bacterial contamination, biofilm formation, or structural implant defects. On the other side of the spectrum, with severe Grade III or Grade IV capsular contractures, the entire capsule may need to be taken out, the implants exchanged, and acelluar dermal matrices (e.g. Stratice, Alldoerm, or FlexHD) placed as an internal bra to help prevent future or recurrent capsular contracture.
Other than replacing the implants, alternative therapies include removing your implants and the associated capsule, allowing your breast to heal, and performing a autologous fat grafting to rebuild your breasts. This option is only possible if you have sufficient fat to donate towards making the size of breast you would like. Other autologous options include pedicled flaps (e.g. TRAM, or Latisimus Dorsi Flap) or free tissue transfers (e.g. DIEP, SGAP, IGAP).