Aside from Surgery, What Are the Options in Correcting a Capsular Contracture?
Doctor Answers 4
Some doctors have been advocating Accolate or Singulair as a leukotriene inhibitor that may show some benefit. Although further studies are recommended.
Attempts to correct capsular contracture without surgery tend to fail
There is some evidence that Accolate, a drug used to treat asthma, in combination with high doses of Vitamin E have been effective as a nonsurgical treatment for capsular contracture. I have prescribed this treatment for patients and have not been impressed with the results. To have any chance at a relieving a capsular contracture some form of surgical intervention is likely to be necessary.
Non-surgical treatment of capsualr contracture.
There are some anectodal reports that accolate therapy and ultrasound therapy may provide some benefit. However, the prevaling theory is based on a biofilm formation which generally requires implant removal and replacement as well as a possible pocket change.
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There is no current nonsurgical treatment of capsular contracture. Several years ago closed capsulotomies were carried out. This involved manually squeezing the base of the contracture and breaking the scar tissue. It was very painful and is no longer recommended. In fact it would void your implant warranty if done now.