Capsular Contracture (CC) is where the sac of scar tissue that forms around all implants becomes hard and at times, painful. Usually the first thing that a patient may notice is that the breast looks different or smaller. Then they may notice it feels different, maybe more firm. These are the early signs of CC and I tell my patients to come in for an appointment if they see any of these signs. At times, early massage can help avoid the need for surgery.