Capsular Contraction in Breast Second Time Around?

I got my first breast augmentation 5 years ago with 250 cc gel implants. I soon after got capsular contraction in both breast. After 4 years I changed them out with 300 cc gel implants, they are now hard again. I am having my 3rd and last surgery next week (capsulectomy). How soon after should I start Singular and vitamin E? And how often should I take it?

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4 Doctor Answers | Asked by AnotherYear in Los Angeles, CA

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Recurrent capsular contracture with breast implants

I'm not certain if it is wise to use singular for capsular contracture prevention. There is a small risk of very serious side effects which should be discussed with your doctor. The data regarding its effectiveness with capsular contracture prevention are not clear. I have had good luck with the use of strattice acellular dermal matirx for preventing very difficult recurrent capsular contractures.

Capsular contractures

I am not sure if singulair really works. Vitamin E has not been shown to help. It is thought that using an acellular dermal matrix may help minimize the risk.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Recurrent capsular contracture

Treatment of capsular contracture and recurrent capsular contracture is somewhat controversial but capsulectomy with possible site change (over to under muscle) and new implant placement is best bet. I prefer to use Strattice in these cases as most studies show a reduction in capsular contracture rate and the Strattice is excellent for tissue support after capsulectomy

Capsular Contraction in Breast Second Time Around

Those questions are best addressed to your surgeon. Neither is likely to contribute to any wound healing problems. One thing you may wish to discuss with your surgeon is whether the use of an acellular dermal matrix is a worthwhile consideration. The material is pricey, but the success rate in treating capsular contracture seems higher than by the other common surgical methods. Thanks and best wishes.