Capsular contracture after breast reconstruction causes tightness, hardness, pain, and breast distortion. It occurs when scar tissue around the implant thickens and contracts. Symptoms range from mild firmness to severe discomfort and misshapen breasts. Treatment includes massage, medication, ultrasound therapy, or in severe cases, surgical intervention like capsulotomy or implant replacement. Early detection is key—if you notice increasing tightness or changes in shape, consult your surgeon.