Botched capsular contracture occurs when a previous breast implant surgery leads to excessive scar tissue, causing pain, tightness, and deformity. Treatment options depend on severity. Non-surgical approaches include massage, ultrasound therapy, and medications like leukotriene inhibitors. Severe cases often require corrective surgery, such as a capsulectomy (scar tissue removal) or implant replacement with advanced techniques to prevent recurrence. Choosing an experienced, board-certified plastic surgeon is crucial for successful correction.