Ersek 2 attempted to alter the physiological response in patients with evidence How to soften breast capsular contraction capsular contracture by treating these individuals with localized steroid irrigation. The patient then informed him that in the interim since her last visit, the breast capsule had softened significantly after her primary care physician had initiated treatment with zafirlukast, 20 mg by mouth, for her asthma. We believe that both myofibroblast smooth muscle contractility and prolonged collagen deposition may be involved in the development of capsular contracture. While there is a method to measure adequacy of breast massage pressure, it is not widely utilized. How can it be prevented and managed?