Top 5 signs of breast implant capsular contracture include: noticeable hardening of the breast, discomfort or pain, changes in breast shape, visible distortion or asymmetry, and tightness around the implant. These symptoms may develop gradually and indicate that scar tissue is tightening around the implant. If left untreated, it can lead to increased discomfort and aesthetic concerns. Early recognition and consultation with a specialist are essential for managing and treating capsular contracture effectively and safely.