TITLE:
Use of the Scar Acceleration Method/Método de Aceleração Cicatricial—MAC®—in the Treatment of Capsular Contracture: Case Report
AUTHORS:
Carolina Macedo Alves Moreira, Carolina Gonçalves Pinheiro, Aline Ronis Sampaio, Michele Paula dos Santos, Andres Felipe Mantilla Santamaria, Miriam Viviane Baron, Cristine Brandenburg, Nathália Ken Pereira Iketani, Mara Alessandra Porto dos Reis Oliveira, Alexandre Sancho, Esteban Fortuny, Felice Picariello, Marcus Vinicius de Mello Pinto
KEYWORDS:
Breast Implants, Fibroses, Methylene Blue, Semiconductor Diode Laser, Photodynamic Therapy
JOURNAL NAME:
Open Journal of Therapy and Rehabilitation,
Vol.8 No.4,
September
7,
2020
ABSTRACT: Capsular
contracture is a frequent complication in the postoperative period of breast
implantation. It usually accompanies the appearance of a firm breast that can
progress to pain, distortion, and asymmetry of the breasts, requiring surgical
revision. The present study is a case report. A 58-year-old woman with a
medical diagnosis of capsular contracture of the right breast evidenced by ultrasound.
She was referred to the physiotherapy clinic in October 2019 with an initial
complaint of pain on palpation, swelling, and stiffness in her right breast.
The patient was evaluated and the MACò method was used to treat capsular contracture. For
this, 12 sessions of photodynamic therapy were carried out. The treatment
included the use of LED by doping: red (300 s),
violet (60 s) and blue (120 s), with the use of 1% methylene blue in target areas, three times a
week. The patient had the beginning of symptoms’ remission in the fourth visit
and total remission in the 12th visit. It was concluded that the use of
photodynamic therapy using the MACò method showed improvement in signs and symptoms—the
sensation of prosthesis stiffness in the lower and medial region, local
temperature, and pain in the right breast. The patient was followed up after
treatment and currently, she has no complaints. There was also no need for
surgical intervention. In the present case report, the MACò method proved to be effective. Further research is
suggested with a cohort of patients with capsular contracture, with
randomization and evaluation of a larger number of patients with the referred
method.