What is the best medicine to treat capsular contracture?

Doctor Answers 17

Capsular contracture treatment

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Hi and thanks for the question. There are some medicines that have been recommended for capsular contracture prevention including Singulair, but the primary treatment is surgery. Best of Luck- Dr Hardy...

Jacksonville Plastic Surgeon
4.6 out of 5 stars 65 reviews

Breasts implants capsule contracture

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Dear Manhattan,
  There are surgeons who use medication like Singular or Vitamin E for that purpose, but there are no reputable and repetitive studies that justify the usage of them. Moreover , their side effects are too serious for a non proven improvement.
 In the early stages of capsule contracture post  breasts augmentation, intense implants displacement massage for 3-4 months can be very efficient. If that is not doing it, capsulotomy (scar release) is the next step. If the capsule is too thick and inflamed due to Biofilm' the capsule has to be excised and the implant replaced for optimal result and avoidance of recurrence. 
   Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures of 'redo' breasts augmentation in the photo gallery, to make sure that they are numerous, consistent and attractive with nice cleavage, perky, symmetrical and natural looking.
                          Best of luck,
                                           Dr Widder

Medicine to treat Capsular Contracture

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Unfortunately there is not a medication that can be used to treat a capsular contracture. Your surgeon will need to first diagnose that you do in face have a contracture. Then a revision surgery will need to be performed.

Lawrence Bundrick, MD
Huntsville Plastic Surgeon
5.0 out of 5 stars 11 reviews

What is the best medicine to treat capsular contracture?

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Thank you for your excellent question.  Unfortunately there are no medications or ointments that can treat capsular contracture, only surgical revision procedures.  If you are suffering with a contracture see your surgeon about options to correct and minimize future recurrence.

Nelson Castillo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 80 reviews

Capsular Contracture

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 As others have mentioned there is some science to suggest that Accolate, a pill for asthma may be beneficial especially in the early phases of  CapsularContracture. In  our office, we have found that a technique called Z wave which is acoustic sound wave therapy has also been helpful in early  capsular contracture. The definitive treatment is to remove the scar tissue and in my experience replace part of the capsule with an ADM such as Strattice. Hope this is helpful. Good luck.

Marc J. Salzman, MD, FACS
Louisville Plastic Surgeon
4.7 out of 5 stars 58 reviews

What is the best medicine to treat capsular contracture?

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Non surgical options are expounded upon in these responses. I have found results are very limited. Surgical options offer better outcomes but the added risks must be understood! 

Medical Treatment of Scarring around Breast Implants (Capsular Contracture)

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A LOT of medicines and supplements (such as Vit. E, Papaverine, Accolate etc) and external methods (such as massages and ultrasound) have been tried to reverse capsular contracture. Unfortunately, they do not work AND in the case of Accolate may be uncommonly associated with liver disease.

The best treatment is PREVENTION (by use of judicial surgical technique and Keller funnel). If capsular contracture occurs the next best thing is to partially remove the scar, replace the implants into a new pocket and support them with a scar busting biological sheet such as Strattice.

Hope this helps.

Peter Aldea, MD

Peter A. Aldea, MD
Memphis Plastic Surgeon

Capsular contracture treatments

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As mentioned Singulair has been really the only medication shown to be at all beneficial in softening hardened capsules. However, if the degree of capsular contracture is moderate to severe depending upon how hard the breast is and how painful it is, the best option is till surgical complete removal of the internal capsule, and possibly using an acellular dermal matrix or certain meshes to minimize its reoccurrence after the implants are replaced.

Best wishes

Ravi Somayazula, DO
Houston Plastic Surgeon
4.8 out of 5 stars 71 reviews

What Is The Best Medicine To Handle Capsular Contracture?

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Capsular contracture is when your body is working overtime to protect you from an invader.  Common invaders that are often found with capsular contractures are pace makers, breast implants, and artificial hips.

In the first 6 months after a capsular contracture forms, the use of Accolate, a pill also used to control asthma, can decrease or eliminate capsular contractures and their associated sequelae.  Along with Accolate, some surgeons utilize ultrasound (the kind physical therapists use for sore muscles) to break up scar tissue which is what capsular contractures are made of.

Unfortunately, no non-surgical treatment is absolutely perfect and it does not work for everyone.  The gold standard for eliminating capsular contractures is still an open capsulectomy whereby the scar tissue that makes up the capsule is surgically excised and, in my personal practice, I have found the placement of Seri scaffolding to definitely decrease the incidence of capsular contracture recurrence.   

Surgery best option for Capsules

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Unfortunately there are no good medications for capsular contractures; especially very hard capsules.  Your best option is surgical.

Daniel Yamini, MD
Los Angeles Plastic Surgeon
4.8 out of 5 stars 21 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.