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Why would a doctor prescribe Accolate for breast related issues?

Stuart A. Linder, MD
Plastic Surgery
Accolate may be used for severe scar tissue contracture around a breast implant. In fact, some plastic surgeons use Accolate (an asthmatic medication) off FDA label, to reduce the severity of capsular contracture from a Baker 4 to a Baker 3. This is a reduction of pain, hardening, and deformity of the breast. The significant side effects include liver failure and liver disease; although very rare. I personally do not use either Accolate or Singular (another asthmatic medication) for reducing scar tissue around breast implants. For painful Baker 4 capsular contractures, I perform surgical correction with an open capsulectomy under general anesthesia.

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