Will Allocate treat my capsular contractor?

Question

I am about one year post up and have developed capsular contracture it in my right breast. My doctor prescribed Allocate. Based on my pictures do you think that this is something that can be resolved with the medicine or do you think I will have to have another surgery? Do you think that being on this medication my breast will return to normal and drop or will it stay hard and high riding? Thank you.

Peter D. Geldner, MD · Answer

Thanks for your questions and photos. Many years ago, some plastic surgeons described cases where capsular contracture was largely resolved when these patients were prescribed Accolate or Singulair. The association between these leukotriene inhibitors and improvement of capsular contracture was interesting. Our collective literature has looked into this association and many of us feel that implementation of these drugs may be an appropriate first line treatment of capsular contracture. The data is not conclusive but really can not be ignored. Neither Accolate nor Singulair have been FDA approved for the indication of capsular contracture. So the use of these drugs, in this situation, is off-label. 
I have seen patients who were improved after several months of treatment (often with Vitamin E). I have also seen patients who did not improve adequately and would improve with surgical  intervention. 
My advice to you is to continue to see your plastic surgeon and discuss your options. Express your expectations and see what they suggest.

Daniel Barrett, MD · Answer

Dear Luminous8667,
capsular contracture affects people approximately one in 20. No one knows exactly what causes it and what can prevent it completely. It's important for your doctor to use a minimal incision and a Keller funnel as a sleeve to protect the implant from touching anything before goes into the breast pocket. Singulair has been shown to prevent it.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Will Allocate treat my capsular contractor?

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Will Allocate treat my capsular contractor?

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Everything you need to know about Capsular Contracture Treatment

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