After 3 capsular contractures, plan D should NOT be the same as plans A, B, and C. Externally-applied laser energy will not penetrate deep enough to cause ANY effect at all, but as Dr. Whitt has indicated, may be helpful with surface scars in select situations. Even a laser used intra-operatively within the pocket will be of no value for capsular contracture.
Infrared and external ultrasound have been helpful modalities in some capsular contracture patients, as has use of leukotriene inhibitors (Accolate or Singulair) and oral Vitamin E. The operative word in the last sentence is "some." No more than 50% of patients may receive any benefit from either of these options you can discuss with your surgeon.
When confronted by this degree of severity and recurrence, sometimes implant removal for a period of many months to "sterilize" any bacterial component to your capsular contracture, and then consideration (in some cases) of tissue expander placement to create a pocket that is larger than your final implant choice and stable as far as scar maturity, may be necessary. This involves several operations, but then again, this is already a 4-time repeat with failure each time.
Something different needs to be tried, and there is no magic. Good luck and best wishes.