When a breast implant is placed in the body, the immune system responds by forming a protective lining of scar tissue around it. This lining is called the .

Capsular contracture is a frustrating complication, but understanding the grading system empowers patients to communicate effectively with their surgeons. While Grade I is the goal for every patient, early detection of Grade II or III allows for less invasive management before the condition progresses to the painful Grade IV stage.

Capsular contracture is the most common long-term complication following breast augmentation or reconstruction. While the body naturally forms a thin layer of scar tissue (a capsule) around any medical implant to wall it off, capsular contracture occurs when this tissue abnormally thickens and tightens. This compression can lead to firmness, changes in breast shape, and, in severe cases, chronic pain.

Here is the full clinical content regarding the (the standard for assessing capsular contracture), including the specific physical characteristics, clinical findings, and treatment correlations for each grade.