Capsular contracture is abnormal tightening of scar tissue around an implant. Although we don't fully understand all of the reasons capsular contracture occurs, the leading cause seems to be a bacterial biofilm that induces an inflammatory reaction. Generally, the solution is to exchange the implant, remove the scar tissue and irrigate the pocket with antibiotics. Sometimes a material like Strattice can be added to reduce the risk of a recurrence. Surgical correction is usually done for grade 3-4 contractures, and most surgeons do not treat grade 2 contractures with surgery.As far as I know, there is no strong evidence to show that hyperbaric oxygen will correct a contracture after routine breast augmentation. Hyperbaric oxygen can be helpful when increased oxygen delivery to the tissues is needed (such as with wound healing problems due to poor blood supply). However, hyperbaric oxygen is time consuming and expensive, and in a situation where it is unclear whether it will help, you may go through this process and still have a contracture at the end. There is some evidence that certain asthma medications like SIngulair can help with milder contractures, but the evidence is unclear with this approach as well.If your surgeon can refer you to published literature where hyperbaric treatment helped, and you don't mind the cost and time, it could be worth considering. Since you have a milder contracture with no visible changes, you might simply start with aggressive breast massage and see if that improves things. Good luck!
