Breast implant capsular contracture occurs when scar tissue hardens around the implant, causing firmness, pain, or breast distortion. It’s identified by changes in shape, tightness, or discomfort. Diagnosis is typically through physical exam and imaging. Treatment options include massage, medication, ultrasound therapy, or surgery such as capsulectomy or implant replacement. Regular follow-ups after breast augmentation help monitor for signs of capsular contracture and ensure proper implant health.