How Early Can Capsular Contracture Start? (photo)

Capsular contracture occurs when scar tissue begins to form around breast implants and tightens the pocket which the implant resides.  Encapsulation can begin very early, I would estimate within 3 to 4 weeks.  The key to treatement in my experience is to vigorously massage the breast implant and to start medication such as Singulair or Accolate.  These medicines can help by reducing the contraction effect and giving some relaxation of the pocket.  In the pictures which are evaluated, it appears the the left implant began early after surgery in a higher position.  Your surgeon may not have dropped the implant enough or the tight tissues of the left lower breast area displaced the implant upwards and it never dropped; capsular contracture than began and prevented the implant from being able to drop and settle.   Surgical correction is likely needed to give better symmetry.   

I'm sorry to hear about the issues that you have been experiencing. In the early stages of capsular contracture, medication may be helpful. I would suggest talking with your surgeon about nonsurgical options to attempt to improve the contracture. If the contracture cannot be improved then surgery may be need to removal the scar tissue and place a new implant. 

It could have happened very early on, but it could also have been an uneven pocket from the beginning.  Capsular contracture is a clinical diagnosis and the pictures dont really show any severe degree of contracture. You could be experiencing uneven breast implant pockets. It's best to follow up with your plastic surgeon.