On my 3rd revision for capsular contracture, is B.I. Secret a good supplement to keep this from happening? (photo)

There is certainly a lot of interest in preventing and treating capsular contracture, but the only way to know if something actually works is to do clinical studies. There are aspects of how the surgery is done that make a difference, the use of acellular dermal matrix such as Strattice is very effective, and options such as textured implants and an asthma medication called Singulair have some evidence to support their use. Implant massage has not been proven to make a difference, and OTC supplements and enzymes are in the untested (therefore unproven) category. You should definitely discuss anything you take with your surgeon.

Thanks for your question and photosYour surgeon may have suggestion on early mobilization. Speak with him/her.Talk with your surgeon about supplements that can  help.We know that the use of acellular dermis can decrease the chance of recurrence.Best wishes,

Capsular contracture is one of the most dreaded complications of breast augmentation surgery. As plastic surgeons, we don't completely understand the process. It is clear that genetics may play a role. It is clear that infection, bacterial contamination and bleeding can increase the risk. When it comes to revisionary surgery, placing new implants in a new pocket in the breast can decrease the risk, placing them under the muscle can decrease the risk, and using a textured implant can decrease the risk. There is good scientific evidence to support this. Other things that can prevent capsular contracture is the placement of an acellular dermal matrix like Alloderm or Strattice around the implant, as this can act as a firewall against capsular contracture. Not all of these things are right for every patient. Hopefully, you and and your surgeon discussed some of these maneuvers and used some of them in your recent revision surgery.Now that you have had your operation, it is understandable that you want to do everything you can to limit the risk of developing another capsular contracture. For smooth surfaced breast implants, implant displacement (or breast massage) can decrease the risk by mechanically keeping the pocket around your implants wide.Some patients may benefit from the off label use of a leukotrienne inhibitor called Montelukast (brand-name Singulair) which can help to keep implant capsules soft. Talk to your surgeon to see if either of these things may benefit you.I would be careful when considering a supplement such as BI Secret. These types of medications are not regulated by the FDA, and therefore, have not undergone testing to prove their claims.

 I personally have never heard about B.I. Secret until your question.  I would like to think I am pretty up to date on capsular contracture research and I have not seen the use of this quoted in any of our literature.  That being said, I did look at their website and the lead ingredient is  Bromelain which is found in pineapple and has been shown to decrease post surgical inflammation. I know the Bromelain would not hurt you, bump  I have no idea what any of the other ingredients would contribute.  I would recommend you show this to your surgeon and make sure they don't see any ingredient that would harm you in this list.  I, too, had multiple surgeries for my capsular contractures so I know how you feel about not wanting to go through this again. For me, changing to textured implants did the trick.   I will also tell  you there have been anecdotal studies in our literature that have found the allergy medication Singulair to have a very beneficial effect in preventing recurrent capsular contractures and even treating current ones.  I have seen excellent results with this in my patients. But talk with your doctor, I personally would put you on Singulair for 3 months.   Best of luck.  

Thank you for the photos and question - in my experience the use of a protein matrix dramatically reduces the risk of recurrent capsular contracture- that is what I would recommendDr Corbin