There is a grading system for capsular contracture called The Baker System. In a Baker I the implant can barely be found, soft with no obvious capsule. A Baker II has some firmness around the implant, but there is no distortion in the appearance of the breast. Baker I and Baker II are normal and do not require treatment. A Baker III is firm and most importantly creates a distortion, frequently looking somewhat round, high, and bulgy on top. A Baker IV means that there is also breast pain.