Silicone implants in general look and feel more natural. But you can get another capsular contracture with any kind of implant, and the risk is more like 5%.
How the surgery is done is more important than what implant you use. Even without seeing you, I can tell you that going smaller is a good idea. You need to have part of the capsule removed to release the contracture (called a capsulectomy) and you also need the pocket made smaller to accomodate the smaller implant (called a capsulorrhaphy).
Even a tiny amount of bleeding can cause capsular contracture, so control of bleeding has to be meticulous. I would consider using drains for you.
Also, even a very low grade infection that you cannot detect can cause capsular contracture. So, the wounds need to be irrigated with antibiotic solution, and you need to get antibiotics by vein.
These are just a couple of examples of surgical details that matter so much.
Contact the doctor
