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?
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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