In many cases, the formation of this condition is random and could be considered “bad luck.”  However, there are many steps that can be taken to reduce the risk of developing the condition.
Careful patient selection.  Patients that have a history of severe scar formation or adhesion formation after abdominal surgery should be counseled on the increased risk of developing capsular contracture.  Additionally, patients at high-risk for developing hematomas such as those with bleeding disorders or patients that are actively smoking should be screened appropriately.
Meticulous sterile technique in the OR.  It is important to have minimal handling of the implant during the operation.  Precautions are taken to assure that the pocket is irrigated with antibiotic solution to help decontaminate the pocket and minimize the amount of residual bleeding in the implant pocket.  I use a device called the Keller Funnel which allows me to insert the implant through a tiny 3-cm incision without directly touching the implant.
Textured Implants.  It has been reported that there is a lower-incidence of capsular contracture when textured implants are used.  The texturing on the implants (versus smooth implants) makes it more difficult for the body to form scar tissue around the implant.
Sub-Muscular implant position.  The breast gland is inherently non-sterile.  Placing the implants under the muscle isolates the implant from the breast gland which theoretically can lead to a lower chance that the pocket becomes contaminated with bio-film.  Having said that, there are some cases where placing the implant in from of the muscle is preferable.  Every patient is different and the risks and benefits of each type of implant position should be discussed during a consult with a Board-Certified Plastic Surgeon.