2 months post op. Please don't tell me I have Capsular constriction? (photo)

It is possible to have capsular contracture at this stage.  From your photograph, the contracture does not look too visible, which is a good sign.  I would continue massage.  We do not recommend Vitamin E, but it couldn't hurt.  We do start patients on Accolate or Singulair, with good results.  This is an asthma prescription medication which has some studies to suggest that it can soften capsules. 

You seem to have a great result.  It is not uncommon for one breast to feel a little firmer than the other side.  I also find that the right side (the dominant hand - tighter pec muscle) does feel tighter and takes longer to settle down.  In my clinic I get my patients to massage both breasts, plus the firmer/higher breast a little extra to get them settled down and soft.  This can take a few months, so don't panic

Hello,I am sorry, but you have capsular contracture, until proven otherwise.  I am going to contradict the two previous surgeons to tell you with no uncertainty that this is the most common time to see this phenomenon, as you are forming your capsule from the initial surgery.  Capsular contracture is most likely caused by implant contamination (bacteria from your skin) at the time of surgery, and this leads to excessive inflammation and formation of thickened, less elastic scar tissue. Other known risk factors are excessive bruising after surgery, very large implants relative to your breast dimensions(like yours), and periareolar incisions.Mechanical manipulation like implant massage and breast bands to push the implants down have no documented positive effects on you ultimate outcome, and many surgeons like myself have abandon these techniques and still have below average rates of capsular contracture.  Unfortunately, a vast majority of surgeons still recommend this as part of their post operative regimen. Similarly, vitamin E and leukotriene inhibitors like Singulair have failed to show a statistically significant treatment value for patients with capsular contracture, despite occasional positive outcomes. On the other hand, use of Singulair after surgical treatment for capsular contracture (capsulectomy) has shown to have a small positive effect in lowering recurrence rates.My recommendation is to do nothing, or go on a 3 to 6 month regimen of vitamin E and Singulair, if you absolutely must feel like you are doing something proactive. There is a good possibility that the asymmetry in position and firmness will improve with time, regardless of what you do, assuming it is not too hard now.  If, on the other hand, you develop worsening of your condition by that time, you may then proceed with a capsulectomy.Best of luck.