I had saline implants put in 2 years ago. I'm not sure how many cc's, but I was a 34A & I'm now a 36C. They were placed under the muscle &the incisions are through my armpits. I have capsular contraction in my right breast and it sits way higher than the left. It's become painful but I can't afford another surgery. 1st, what is your advice & 2nd, what could happen? Is there anything I can do myself to manipulate it back into place or any medication that I could take? I massage it daily, no change.
November 30, 2018
Answer: Capsular contracture problems
Capsular contracture (CC) is a known but poorly understood phenomenon. We have a whole bunch of theories of why it occurs (inflammation is the leading candidate) but no uniformly accepted treatment which prevents recurrence. Leukotriene receptor inhibitors are a promising treatment when combined with Vitamin E. It is strictly off label. My preference is Singulair over Accolate; less liver problems, but neither is cleared for CC by the FDA. It usually works. But works best early. I doubt that massage alone will work. I hate to bring it up but, CC is a convenient diagnosis and probably correct, but you should rule out other causes of hardness and pain. Most of us plastic surgeons will take care of our complications at a reduced rate. I can't speak for your's but it doesn't hurt to ask. Usually CC will persist if not treated, some times it changes. But I can't think of too many situations where it can seriously hurt you, but I can think of a few! Don't ignore it.
Helpful 1 person found this helpful
November 30, 2018
Answer: Capsular contracture problems
Capsular contracture (CC) is a known but poorly understood phenomenon. We have a whole bunch of theories of why it occurs (inflammation is the leading candidate) but no uniformly accepted treatment which prevents recurrence. Leukotriene receptor inhibitors are a promising treatment when combined with Vitamin E. It is strictly off label. My preference is Singulair over Accolate; less liver problems, but neither is cleared for CC by the FDA. It usually works. But works best early. I doubt that massage alone will work. I hate to bring it up but, CC is a convenient diagnosis and probably correct, but you should rule out other causes of hardness and pain. Most of us plastic surgeons will take care of our complications at a reduced rate. I can't speak for your's but it doesn't hurt to ask. Usually CC will persist if not treated, some times it changes. But I can't think of too many situations where it can seriously hurt you, but I can think of a few! Don't ignore it.
Helpful 1 person found this helpful
September 20, 2013
Answer: Capsule contracture
I don't think that anything will really help two years after surgery. Perhaps you could try high dose vitamin E and Accolate. Accolate has a small but definite risk of causing fatal liver failure so if you go this route you need to be monitored with periodic bloodwork.
Helpful
September 20, 2013
Answer: Capsule contracture
I don't think that anything will really help two years after surgery. Perhaps you could try high dose vitamin E and Accolate. Accolate has a small but definite risk of causing fatal liver failure so if you go this route you need to be monitored with periodic bloodwork.
Helpful