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 MACo 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 MACo 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 MACo 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.
Highlights
Breast augmentation represents one of the most common cosmetic procedures performed on women and involves placing an implant to change the shape and size of the breast
Breast implants can be placed either in the subglandular or submuscular position [1] and regardless of the type of implant used in the patient, there may be an excessive inflammatory reaction to the foreign body—breast implant—with collagen production and fibrotic process [2] [3] that can trigger the formation of capsular contracture (CC)
The treatment for CC base itself, mainly, on cirurgic procedures, like capsulotomy or the capsulectomy and other procedures [13], like the photodynamic therapy (PDT), the latter is a form of modern non invasive therapy [14] [15], which base itself on local or systemic application of photosensitive compound that accumulates intensively on the patological tissues
Summary
Breast augmentation represents one of the most common cosmetic procedures performed on women and involves placing an implant to change the shape and size of the breast. Breast implants can be placed either in the subglandular or submuscular position [1] and regardless of the type of implant used in the patient, there may be an excessive inflammatory reaction to the foreign body—breast implant—with collagen production and fibrotic process [2] [3] that can trigger the formation of capsular contracture (CC). About 1.3% to 30% of patients with breast implants develop CC, and approximately 92% of CC cases occur in the first 12 months after surgery. The treatment for CC base itself, mainly, on cirurgic procedures, like capsulotomy or the capsulectomy (fully or partial) and other procedures [13], like the photodynamic therapy (PDT), the latter is a form of modern non invasive therapy [14] [15], which base itself on local or systemic application of photosensitive compound that accumulates intensively on the patological tissues.
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