Let’s talk about Grade 4 Capsular Contracture…This is the most severe form of capsular contracture — the breast becomes hard, painful, and often visibly distorted.…Here’s what you should know:• Overall capsular contracture happens in about 5–15% of cases• Grade 4 is less common, seen in only 1–3% of patients over time….Risk factors to watch for:• Subglandular implant placement• Silicone implants (especially older types)• Prior radiation therapy• Bacterial contamination during surgery• Hematoma o