The underlying causes of Capsular Contracture are not completely known. However, one of the best steps for preventing it is with a surgical technique that I employ using the Keller Funnel. It is a no-touch technique that helps to prevent the transfer of any bacteria to the implant. We know that this radically reduces the incidence of capsular contracture as well as other post-operative complications. Since smokers are at a much higher risk of developing post-operative complications in general, I require that all of my breast augmentation patients be nicotine free for at least 6 weeks prior to surgery.