I'm sorry to hear that you are experiencing this problem. I think most of my colleagues here that do good amount of breast augmentation would agree that for patients and doctors alike it is probably one of the most frustrating problems we still encounter, and if we could find a way to solve this one issue, our lives would be wonderful. The first thing to tell you is that capsule contracture, as you likely already know, is not a dangerous condition, in that it doesn't risk your general health or your life, it doesn't make you sick or lead to worse conditions; it is really just an intense inflammatory response to a foreign body (breast implants) in contact with your tissues. There are lots of theories around to try to explain why this happens, so for the purposes of this answer, let's suffice it to say that it's an inflammatory condition related to the presence of a foreign body, and it is not a "rejection" or other type of reaction to silicone rubber, silicone gel, or any other known component of the breast implant. If we identify the condition early enough, there is evidence in the literature that shows that treatment for a few months with one of the medications in a class of drugs called "leukotriene inhibitors" may be beneficial at arresting or reversing the effects of the process. These drugs are typically used to treat asthma and asthma-like conditions, but plastic surgeons for years have been using them "off-label" to treat capsule contracture with pretty good, not perfect, but pretty good results. They are a different type of anti-inflammatory medication, so like ibuprofen they will help the burning pain and the other effects of inflammation, like tissue contraction. In some instances they will lead to softening of the breast if it has become firm, but if the implant has already become displaced upward, as happens often with capsule contracture, this may not change much, and surgery may still be necessary. At this stage, based upon my own experience with these medications as well as the reports published in the literature, I almost always give a trial of at least 3 months to my patients with early capsule contracture. We have little to lose if it doesn't work, and everything to gain if it does. I typically combine this with fish oil or vitamin E capsules and we might add another class of anti-inflammatory medication, such as Celebrex or ibuprofen too, if warranted. That's the general run-down of how I do things. Please check in with your surgeon and get his or her advice and guidance before making any interventions, as your surgeon will need to closely monitor your progress and advise you along the way as to what, if anything else, may need to be done to correct the issue. I hope this helps and that you won't need surgery. Best of luck.
