After 4 times having capsular contraction with shooting pains, burning and itching, what do you suggest?

Hello Amy,Capsular contracture can present a real problem, because it is caused by the formation of scar tissue around the implant and the more operations you have, the more scar tissue is created and so it gets worse and comes around quicker the more operations that you have.  For this reason, you should limit the amount of operations that you have as much as possible.It is really tough if you have had four operations already.  I am not sure what you are asking with your questions, because if you are having pain and burning and itching, then I would recommend that you go back to your surgeon to check that it is all OK.If you are concerned that you are getting another capsular contracture and are considering further surgery, then you could consider polyurethane foam coated implants, as these have a much lower rate of capsular contracture compared with silicone implants and you can read more about them on my website.Good luck and I wish you all the best.

Hello, I am so sorry you've had to struggle with this issue. Capsular contracture is a known complication of having breast implants and unfortunately, with each revision surgery your risk of repeat contracture just about doubles!
Knowing that you have had multiple recurrences, even without knowing exactly how they were treated before, many surgeons will tell you that the best course of treatment may be to completely remove the implants and the capsules and allow your body to heal. You may choose to re-do your breast augmentation 6 months to 1 year later or you may decide you don't want to risk this again and have a breast lift with or without fat grafting to shape your breasts.
If your previous treatments did not fully remove the capsule or use acellular dermal matrix or create a brand new pocket for your implants (which should also be changed every time you are treated for capsular contracture - all the manufacturers have warranties and financial assistance that should help defer some of the costs), you may be a candidate for this which would allow you to keep implants in. HOWEVER, that is up to your surgeon after a thorough clinical exam and possibly some imaging.
It's best to present for your consultation with the operative notes from your previous capsular contracture treatments because this will help guide your surgeon. 
Best of luck with this! - Dr. Leong