Any Chance of Capsular Contracture Getting Better on Its Own?

I agree with Dr. Hayn, if you have had surgery recently, and the CC is diagnosed early, then accolate, ultrasound and compression can help and sometimes reverse a grade 2 CC.  If you have had it for a while, it is unlikely to improve.  In California, we do not see insurance covering this an longer.  Good luck!

One of the most common problems is breast capsular #contracture or the development of thickening, and contracture of the capsule that exists around the breast implants. Severe capsule contracture probably occurs in less than 15% of augmentation patients. Every woman has a breast capsule around their implant and this is a normal phenomenon. The capsule itself could be as thin as Saran Wrap but may also become calcified and thickened. As it thickens and shrinks, the patient may develop a feeling a firmness of the breasts and in its worst situation, the breast may become painful and abnormal in appearance, achieving a very round, hard, and uneven appearance. There may be distortion and possible breakage and leakage of an older implant, but may also include a newer #implant. Nicotine users, such as smokers, have up to a 30x increased risk of #capsular contracture.

Saline implants may deflate spontaneously. When the patient has significant #symptoms, complete or partial leakage of their saline implant, or concerns regarding silicone leakage, it is recommended that the implant is removed and exchanged. Frequently, this is performed on both sides depending upon the age of the implant. Capsulotomy or opening of the capsule may be required or frequently capsulectomy, which is removal of the scarred capsule, is recommended to ensure adequate pocket dimensions.

New implants may then be placed in the same existing position or may undergo a change of #placement frequently from submammary to subpectoral position and, on occasion, the other way around.

Massage may help and certainly will do nothing to worsen your problem so it is worth a try.  I am not aware of the anti-inflammatory effects of NSAIDs like Motrin having any effect on capsular contracture.  You could try Accolate although I think the data on its effectiveness is not really that strong.  Surgery does not need to be done unless the contracture is bothering you.  If you have surgery, I believe that placing new implants is the right approach often utilizing a new implant position.  Even in the most experienced hands, and doing everything right, your risk of recurrent CC is high enough that I wouldn't recommend the procedure unless your CC was severe.  I have never had insurance cover any of the proposed procedure.

Good Luck