Breast reconstruction capsular contracture occurs when scar tissue around an implant hardens, causing pain, distortion, or asymmetry. Common causes include infection, hematoma, or radiation therapy. Symptoms may involve breast firmness, tightness, discomfort, or a misshapen appearance. Solutions range from non-surgical treatments like ultrasound therapy to surgical options such as capsulectomy or implant replacement. Early diagnosis and consultation with a board-certified plastic surgeon are essential to manage the condition and achieve optimal results in breast reconstruction.