Capsular contracture can occur when everything is done right, so one never really knows if their contracture is due to something their surgeon did differently. And not all surgeons agree with one another about the factors that contribute to contracture. Furthermore, some things that might help with contracture, such as avoid the periareolar incision, are felt by some surgeons to not be worth the trade-off. Finally, you must recognize that whatever your surgeon did, he or she probably does that on most of their patients, yet still infrequently has patients develop contracture. Indeed, capsular contracture is ultimately the way your own tissue reacted to the breast augmentaiton.