Breast augmentation capsular contracture occurs when scar tissue tightens around implants, causing discomfort and distortion. Effective treatments range from non-surgical options like massage, ultrasound therapy, and leukotriene inhibitors to surgical solutions such as capsulectomy or implant replacement. En-bloc capsulectomy and acellular dermal matrix (ADM) placement help minimize recurrence. Early intervention with medications or external therapies can prevent progression, while advanced surgical techniques restore natural softness and shape.