Scarring & Capsular Contracture. Information contributed by Dr. Joel Studin, New York, NY.. Anytime something is implanted, whether it is a knee joint, heart valve or breast implant, our body forms a wall of scar tissue around it. This wall is usually soft, thin and unable to be felt. Capsular Contracture in Breast Implants All implants and implanted devices in the body create a normal immune response where a capsule of protective scar tissue (collagen fibres) forms to envelope the implant. Capsular Contracture is the abnormal contraction or tightening of this capsule around a breast implant. When this happens, the implant. Symptoms of capsular contracture include hardness, swelling and pain in the breast. A capsular contracture will usually develop three months after the implant has been inserted, though it may develop at any time over the lifetime of the implant. Women are sometimes reluctant to report this condition to their doctor. This may stem from a fear of a second .