How Long Does It Take Capsular Contracture to Occur?

The exact cause of capsular contracture, or firmness and rounding up of the breast implant after augmentation is not clearly understood. The incidence can be affected by the type of implant used, and the location of the pocket. We know the saline implant has a lower capsule contracture rate than the silicone gel implant, and that submuscular placement has a much lower capsular contracture rate than a subglandular implant. Over long periods of time such as several years, again the saline implant stays softer while the rate of capsular contracture for the silicone gel implant continues to rise.
When contracture does occur it is often seen within two to three months, often on one side only. We generally see contracture develop within the first two years and if not patients will not develop the problem except after many years in the case of the silicone gel implant.
The contracture rates for the saline implant is about 2%, and for the silicone gel implant 10%. The number will vary depending on the particular sudy, or perhaps on a particular surgeon's experience.
Once a patient develops a contracture massage may be beneficial, though open capsulotomy or cutting the capsule may be needed. The recurrence rate after cutting the capsule is 50%. Yes one out of two! Other options to consider may be replacement of a gel implant with a saline one, or placing a subglandular implant into a submuscular position. There are no effective medication to treat contracture at this time which has been shown safe and effective.
Massage, and be hopeful, and best of luck,
peterejohnsonmd

Because of your previous capsular contracture after breast implants you risk of a recurrant capsule is about 50% compared to 10-13 % for first time breast augmentation.
Breast massage or displacement exercises are very important as they stretch the normal capsule that forms and can keep the implant moving freely in the pocket.
Ibuprofen has smooth muscle relaxant properties and can be used during the first few weeks and may help, anecdotally.