Understanding Breast Implant Capsular Contracture: Causes, Signs, and Treatment Options: Capsular contracture occurs when scar tissue tightens around a breast implant, causing firmness or distortion. Common causes include infection, inflammation, or implant leakage. Signs range from mild tightness to pain and visible changes in shape. Treatment options vary from non-surgical therapies in early stages to surgical correction in advanced cases. Early diagnosis helps improve outcomes and maintain natural-looking results.