Author(s)

Carolina Macedo Alves Moreira^1*, Carolina Gonçalves Pinheiro², Aline Ronis Sampaio³, Michele Paula dos Santos⁴, Andres Felipe Mantilla Santamaria^5,6, Miriam Viviane Baron⁷, Cristine Brandenburg⁸, Nathália Ken Pereira Iketani⁹, Mara Alessandra Porto dos Reis Oliveira¹⁰, Alexandre Sancho¹¹, Esteban Fortuny¹², Felice Picariello¹³, Marcus Vinicius de Mello Pinto¹⁴

¹Dr. Daniel Thomaz Clinic, Uberlandia, Minas Gerais, Brazil.
²Postgraduate Program in Health Sciences of the Faculty of Medicine of ABC (FMABC), The Vale do Salgado Faculty (FVS), Ceará, Brazil.
³Celulare Institute, Petrópolis, Rio de Janeiro, Brazil.
⁴School of Medicine of the Pontifical Catholic University of Rio Grande do Sul (PUC/RS), Porto Alegre, Brazil.
⁵School of Medicine of the Industrial University of Santander (UIS), Bucaramanga, Colombia.
⁶School of Medicine of the Pontifical Catholic University of Rio Grande do Sul (PUC/RS), Porto Alegre, Brazil.
⁷Postgraduate Program in Medicine and Health Sciences of the Pontifical Catholic University of Rio Grande do Sul (PUC/RS), Por-to Alegre, Brazil.
⁸Brazilian Education of the Federal University of Ceará (UFC), Fortaleza, Brazil.
⁹Hospital Beneficiente Portuguesa of Belém, Pará, Brazil.
¹⁰Clínica Instituto de Cirurgia Plástica Vênus, Barreiras, Bahia, Brazil.
¹¹Unigranrio, Rio de Janeiro, Brazil.
¹²Universidad Finis Terrae and CEO of Diagnostra, Santiago, Chile.
¹³Università degli Studi di Napoli Federico II, Napoli, Italy.
¹⁴Ph.D. and Creator of the MAC® Method, CEO and Researcher of the Celulare Institute, Petrópolis, Rio de Janeiro, Brazil.

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 MAC^ò 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 MAC^ò 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 MAC^ò 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.

Breast Implants, Fibroses, Methylene Blue, Semiconductor Diode Laser, Photodynamic Therapy

Moreira, C. , Pinheiro, C. , Sampaio, A. , Santos, M. , Santamaria, A. , Baron, M. , Brandenburg, C. , Iketani, N. , Oliveira, M. , Sancho, A. , Fortuny, E. , Picariello, F. and Pinto, M. (2020) Use of the Scar Acceleration Method/Método de Aceleração Cicatricial—MAC®—in the Treatment of Capsular Contracture: Case Report. Open Journal of Therapy and Rehabilitation, 8, 131-142. doi: 10.4236/ojtr.2020.84012.