The capsular contracture that you had initially was likely the result of a small amount of bleeding after the initial surgery. You appropriately waited 6 months and had a capsulectomy performed. Unfortunately, you bled again. If the other side is fine, I wouldn't touch it. I would wait, at least 6 months, after your last procedure and have another procedure. If you capsule is thin, but tight, you should have a capsulotomy. If there is a thick and tight capsule, then you should have a capsulectomy. Some people believe that capsules are caused by smoldering infections and the implant should be changed as well. I think that if people really think that is what is going on, then the implant should be removed and nothing should be put back in until complete healing has occurred.