Has anyone heard of using prednisone to help prevent capsular contracture?

Unfortunately, we don't have a great solution to prevent capsules from forming. The medrol dose pack your doctor prescribed is more to decrease your discomfort and inflammation of the muscle than it is to help the capsule. Good luck

Intraluminal steroids (steroids placed in the actual implant) have been used historically in the 1970's in an effort to combat capsular contracture.  While there was some evidence of effectiveness in preventing symptomatic capsule formation, their use was largely abandoned due to multiple associated complications.In my opinion, the gold standard currently for treating recurrent capsular contracture is open capsulectomy and implant exchange along with the use of Strattice.  Most physicians familiar with this technique, including myself, have found it to be an effective treatment modality with low recurrence rates.

To my knowledge steroids do not prevent capsular contracture. This problem remains one of the most frustrating and difficult problems we experience with BA. I would stay in close touch with your surgeon as there are other options that may help prevent a recurrent capsule.

I am not aware of any evidence that prednisone will decrease the incidence of capsular contracture. I have found that Accolate has helped some of my patients (though not all) and I have heard from other doctors that Singulair can be helpful. You might want to ask your doctor about them though you should be aware that both are off label for this use. Good luck to you.

Capsule contracture of the breasts post augmentation
mammoplasty The painful symptoms of your contracture and their recurrence early after
capsulectomy, and reaugmentation are obvious problems. The use of the Medrol pack is
recommended to treat inflammation. It’s inflammation giving rise to the pain.
The problem of the contracture is a known complication of breast augmentation
and has an associated inflammatory component. It’s not out of the realm of
possibility that you actually have an allergy to the implant itself precipitating
the inflammation. Check to determine if there is an alternative medicine
practitioner in your area who would be willing to assess and determine if you
have a sensitivity to the material of your implants. This consideration is well
off the beaten path but at the same time it might provide an answer for the
rapidity and early-onset of your symptoms. Whereas the Medrol dose pack will relieve your symptoms, this will be temporary if your body is sensitive to the implants. The sensitivity can be treated by the practitioner, possibly affording you longer relief.

Unfortunately capsular contracture can be difficult, if not impossible, to cure in some people.Using Medrol to reduce postoperative inflammation can be effective, but it is unlikely to impact the contracture.Short term steroid use has very low risk.Complete capsulectomy vs. capsulotomy can be effective in some, as can changing from smooth to textured implants.Also ask your physician about the off-label use of other medication which, at least on an anecdotal level, has been helpful for some.If your implants are supramuscular - consider submuscular replacement, even if it requires a lift (mastopexy).

A medrol dose pack is a prescription for a standardized decreasing dose of methyprednisolone, which is given over a six day period.  Although, use of the medrol dose pack cannot prevent a capsular contracture from occurring, it can reduce post operative swelling and inflammation.  It has been shown that inflammation can contribute to the formation of a capsular contracture; therefore, the medrol dose pack may be of benefit to you.Since the treatment is limited to just six days, the risks associated with long term steroid use is usually avoided.  I believe you could use the medrol dose pack without undue worry about long term side effects.  Best wishes.