Capsular contracture is another common complication that can occur following a breast augmentation. When the body’s immune system detects a foreign material, it will attempt to protect the patient and separate this foreign substance by forming a “capsule” around the implant. Typically, the capsule is thin and soft; however, with capsular contracture, this thin capsule can become hardened, firm and painful. There are four stages of capsular contracture according to the commonly used grading system, the Baker Scale. In some cases of capsular contracture, medications may be effective in softening the hard capsule. However, implant removal surgery, and/or capsulectomy, may be necessary.