I recently developed capsular contracture, which was my biggest fear about augmentation. A little over 1 year post op. 475 silicone under the muscle. I saw my Dr several times throughout the healing process, most recently 3 mths ago, at 1 year post op, at which time all was fine. Shortly after that I noticed my left breast riding a little higher, but it was always the one that was a little different. Went to Dr, said yes cc is happening. It’s early and I’m on vitamin E and accolate. Anyone have any successes with this treatment?
Answer: Have you had any successes treating capsular contracture with Vitamin E and accolate? Capsular contracture is assessed based on several criteria and then classified according to the Baker grading system, which is the following:Grade 1: the breast feels soft. Grade 2: the capsule around the implant can be felt. Grade 3: the capsule around the implant is hard to the touch and visible. Grade 4: the capsule around the implant is hard to the touch, visible and painful.If caught in the early stages (grade 1 and 2) then sometimes accolade or cingulair can help prevent the capsule from progressing, but there is no hard evidence of this from a high quality randomized control trial. Grades 3 and 4 usually require some sort of surgical management and I would not waste your time on half measures if the capsular contracture is that bad already. Without examining you or seeing photos its difficult to give specific advice though so I'd suggest that you trust your surgeon's judgement and hopefully it will be successful for you.
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Answer: Have you had any successes treating capsular contracture with Vitamin E and accolate? Capsular contracture is assessed based on several criteria and then classified according to the Baker grading system, which is the following:Grade 1: the breast feels soft. Grade 2: the capsule around the implant can be felt. Grade 3: the capsule around the implant is hard to the touch and visible. Grade 4: the capsule around the implant is hard to the touch, visible and painful.If caught in the early stages (grade 1 and 2) then sometimes accolade or cingulair can help prevent the capsule from progressing, but there is no hard evidence of this from a high quality randomized control trial. Grades 3 and 4 usually require some sort of surgical management and I would not waste your time on half measures if the capsular contracture is that bad already. Without examining you or seeing photos its difficult to give specific advice though so I'd suggest that you trust your surgeon's judgement and hopefully it will be successful for you.
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Answer: Have you had any successes treating capsular contracture with Vitamin E and accolate? I am sorry to hear about the complication you have experienced. Yes, the use of anti-inflammatories can be effective when it comes to treating early encapsulation. I also think that massage or implant displacement exercises can also be effective. In more severe cases of encapsulation, revisionary breast surgery utilizing techniques such as sub muscular pocket conversion (if relevant), capsulectomy, use of fresh implants , and the use of acellular dermal matrix may be necessary. Acellular dermal matrix is a biologic implant that carries the ability to become integrated into native tissue. It is made by taking a full thickness section of skin from a donor source (his human, porcine, or bovine in origin).
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Answer: Have you had any successes treating capsular contracture with Vitamin E and accolate? I am sorry to hear about the complication you have experienced. Yes, the use of anti-inflammatories can be effective when it comes to treating early encapsulation. I also think that massage or implant displacement exercises can also be effective. In more severe cases of encapsulation, revisionary breast surgery utilizing techniques such as sub muscular pocket conversion (if relevant), capsulectomy, use of fresh implants , and the use of acellular dermal matrix may be necessary. Acellular dermal matrix is a biologic implant that carries the ability to become integrated into native tissue. It is made by taking a full thickness section of skin from a donor source (his human, porcine, or bovine in origin).
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February 17, 2019
Answer: Have you had any successes treating capsular contracture with Vitamin E and accolate? Thank you for your questions. Once cap con starts, treatment can be very difficult and most often leads to a surgical procedure to properly correct. That being said, there can be some improvement with medical treatment like you are describing. I would recommend you try the medical treatment for a period of three months and re-evaluate whether it is effective. There have also been reports of success with ultrasound treatments, the so-called "Aspen After Surgery" technique, but I have no personal experience with this and cannot vouch for it's effectiveness.Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery
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February 17, 2019
Answer: Have you had any successes treating capsular contracture with Vitamin E and accolate? Thank you for your questions. Once cap con starts, treatment can be very difficult and most often leads to a surgical procedure to properly correct. That being said, there can be some improvement with medical treatment like you are describing. I would recommend you try the medical treatment for a period of three months and re-evaluate whether it is effective. There have also been reports of success with ultrasound treatments, the so-called "Aspen After Surgery" technique, but I have no personal experience with this and cannot vouch for it's effectiveness.Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery
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February 17, 2019
Answer: Have you had any successes treating capsular contracture with Vitamin E and accolate? This treatment has been described in our literature by Dr. S Larry Schlesinger (Hawaii), and has been used by many plastic surgeons to reduce the incidence of capsular contracture, and in about half of cases, reduce developing or ongoing CC.One of my nurses who had breast augmentation began to develop CC after a toe infection, and we successfully stopped and reversed the contracture. I have used this treatment for years with similar success in about 50% of cases in my own patients. Still, that's 50% that avoided surgery!I typically use another leukotriene inhibitor (Singulair), as it has fewer potential side effects, but Accolate blocks two leukotriene pathways, and Singulair one, so Accolate may potentially be better, but with a slightly higher potential risk. You and your surgeon should discuss.But sure, it's definitely worth a try. Surgery is the alternative. Best wishes! Dr. Tholen
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February 17, 2019
Answer: Have you had any successes treating capsular contracture with Vitamin E and accolate? This treatment has been described in our literature by Dr. S Larry Schlesinger (Hawaii), and has been used by many plastic surgeons to reduce the incidence of capsular contracture, and in about half of cases, reduce developing or ongoing CC.One of my nurses who had breast augmentation began to develop CC after a toe infection, and we successfully stopped and reversed the contracture. I have used this treatment for years with similar success in about 50% of cases in my own patients. Still, that's 50% that avoided surgery!I typically use another leukotriene inhibitor (Singulair), as it has fewer potential side effects, but Accolate blocks two leukotriene pathways, and Singulair one, so Accolate may potentially be better, but with a slightly higher potential risk. You and your surgeon should discuss.But sure, it's definitely worth a try. Surgery is the alternative. Best wishes! Dr. Tholen
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February 17, 2019
Answer: Accolate Hi. I have used accolate, sometimes teamed with extended-release papaverine, for early capsular contractures. (Not the ones where it is rock hard and distorted.) I've had a response rate that is probably around 40%. Worth a try for a couple of months - but if you are not making progress, you will need surgery. I don't use accolate long term, though, without monitoring of liver function tests.I don't think the vitamin E adds anything significant.
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February 17, 2019
Answer: Accolate Hi. I have used accolate, sometimes teamed with extended-release papaverine, for early capsular contractures. (Not the ones where it is rock hard and distorted.) I've had a response rate that is probably around 40%. Worth a try for a couple of months - but if you are not making progress, you will need surgery. I don't use accolate long term, though, without monitoring of liver function tests.I don't think the vitamin E adds anything significant.
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