Breast capsular contracture occurs when scar tissue around a breast implant tightens, causing discomfort, firmness, or distortion of the breast shape.In mild cases, nonsurgical options like massage, ultrasound therapy, or medication to reduce inflammation may help. Advanced cases often require surgery, such as capsulotomy (releasing the scar tissue) or capsulectomy (removing the scar tissue entirely). Implant replacement or removal may also be necessary. Early intervention improves outcomes, so consult a specialist if symptoms arise.