Breast implant capsular contracture occurs when scar tissue tightens around the implant, causing pain, hardness, or distortion. Common causes include infection, hematoma, radiation, or implant rupture. Risk factors may involve poor surgical technique, genetics, or autoimmune reactions. Symptoms range from mild firmness to severe discomfort and shape changes. Early diagnosis and choosing a skilled surgeon help reduce risks and improve outcomes, ensuring a safer and more natural-looking result.