Can an accident that may have caused internal trauma cause capsular contracture? (Photo)

In general capsular contracture is a permanent hardness of the implant and does not come and go.  It can be caused by trauma, for example a capsule tear that causes some bleeding that may then result in a contracture around your implant.  It may be a good idea to get an MRI to evaluate your implant.  

Thank you for your question and photo. It is important that you seek the advice of an experienced board certified plastic surgeon (or two) in your area. A face-to-face consultation is necessary to diagnose a capsular contracture. That being said, it is certainly possible for you to develop a capsular contracture after trauma to  the breast. If the capsule  is torn during the accident the resulting inflammation can start this process. Also, the accident may have damaged your implant. On the bright side you may be having some post-traumatic muscle spasm that is giving you these symptoms. See what a surgeon has to say after examination. Good luck