Confirmed capsular contraction 6 months post op. What are the chances of it happing again? (photo)

Thank you for your question.
With implants, there is always a risk of capsular contracture. Replacing the implants is a suitable option to remove the capsule; however, you should keep in mind that is always the risk. I recommend speaking with a board certified plastic surgeon to discuss your concerns.

One of the inherent risks of breast implants is the development of capsular contractures. Although the risks are low, this definitely occurs in a percentage of patients. Once patients have developed a significant capsule, the data suggests that the risks of recurrence following a second surgery are slightly higher. Many things have been tried to reduce the risks of recurrence including: following multiple defined steps for the surgery, changing pockets, replacing the implants, reducing potential bacterial contamination, use of ADM's, use of singular, and temporary explantation. None of these have been shown to reduce the risk to zero. Discuss all of your treatment options with your surgeon before making a decision regarding further care.

Just based on the photos alone (without a physical exam) it is difficult to fully determine that problem. You may have capsular contracture on the right but you may also have a bottom out implant on the left. You need to see an expert in breast surgery that can do a correct physical exam and evaluate you. I would recommend seeing a board-certified or board-eligible plastic surgeon with aesthetic surgery training and experience to tackle this type of problem in a safe and efficient manner. Best of luck!