If capsular contracture is just beginning to develop, surgeons may try antibiotics, massages, vitamin E, ibuprofen, and possibly external ultrasound treatments. In addition, the asthma medications Accolate and Singulair are sometimes prescribed. Although these drugs have serious side effects and the evidence that objectively supports their use for capsular contracture is weak, some surgeons believe in them very strongly based on their personal experience with them. Some patients do not see their plastic surgeon until their breasts have become round, hard and high. But other patients see their doctor a few days after noticing that their breasts have become a little swollen, tender and firm, but not yet an „adult“ capsular contracture. These patients are thought to have inflammation and fluid around their implant, possibly a very mild and poor quality infection or bacterial contamination of the implant. There is no consensus on what to do. Many doctors, including myself, believe that it is very important to prescribe antibiotics at this stage to treat bacteria when this problem actually arises, as we suspect, from an infectious etiology. Some doctors prescribe the asthma medications Accolate or Singulair, some prescribe vitamin E, some prescribe ibuprofen, some recommend massages, and others use ultrasound therapy. All surgeons will describe cases where one or more of these methods helped reverse the trend in a developing contracture, but it is not certain which of these methods really makes a difference.

This is really something that needs to be left to a discussion between you and your plastic surgeon. But the lesson to remember is that if your breast becomes tender, swollen, or painful, you should see your plastic surgeon right away. Initially effective, but capsular contraction tends to reappear I had breast surgery about a year ago and the left breast never healed properly. The areola is indented and the left breast is narrow. I went to my doctor and he told me that I had a capsular contracture in my left chest and a slight narrowing. My question is: is it worth correcting? Will it happen again? Are there any long-term side effects of letting it run for an extended period of time? For patients without significant softening during a study with Accolate, the only other effective alternative is to completely remove the scar tissue surrounding the implant. While this does not rule out the possibility of future scarring around the implant, it does reduce the risk of subsequent capsular contracture compared to other methods. Other methods that have fallen out of favor with most surgeons include capsulotomy (which means only an evaluation or rupture of scar tissue, not a complete removal) or a closed capsulotomy (in which the surgeon squeezes the breast so hard that there is actually an audible clicking sound of the scar tissue breaking), which is rarely performed, because it almost always fails. can break your implants, cause internal bleeding around the implant and probably void your warranty. Capsulectomy and capsulotomy are the only proven treatment options for capsular contracture.

However, cappulectomy is considered the gold standard treatment option. Some surgeons strongly believe that textured implants reduce the likelihood of capsular contracture, while others do not. The evidence is ambiguous unless the implant is in front of the muscle, in which case texturing seems to have an advantage. And in most, but not all, cases, most surgeons suggest placing the implant for capsular contracture behind the muscle. Opponents of textured implants will say that textured implants are more susceptible to wrinkles and the evidence shows no benefit for them behind the muscle. Stay open-minded and discuss this issue with your surgeon. An implant should never be reused in the treatment of capsular contractures. This carries the risk that the contracture will recur due to the „biofilm“ on the surface of the implant, a layer of bacteria that has the potential to cause capsular contracture – and may have been responsible for it in the first place. This cannot be washed; a new implant is the only option. Some of the other factors that can increase the risk of capsular contracture include implant rupture, hematoma (a collection of blood where tissue was removed during surgery), the development of a microbial biofilm (subclinical infection) on an implant, and a genetic predisposition to form scarring.

A capsulotomy is a similar, though different, type of surgery that can be used to treat capsular contracture. Capsular contracture appears to be the result of prolonged inflammation. .