Use of the Scar Acceleration Method/Método de Aceleração Cicatricial—MAC®—in the Treatment of Capsular Contracture: Case Report  

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

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

出　　处：《Open Journal of Therapy and Rehabilitation》2020年第4期131-142,共12页康复医学（英文）

摘　　要：<span style="font-family:Verdana;">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</span><span style="font-family:Verdana;"><span style="font-family:Verdana;">^{<span style="font-family:Verdana;"><span style="font-family:Verdana;">ò</span></span>}</span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> 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</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">s), violet (60</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">s) and blue (120</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">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</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><sup><span style<span style="font-family:Verdana;">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</span><span style="font-family:Verdana;"><span style="font-family:Verdana;">^{<span style="font-family:Verdana;"><span style="font-family:Verdana;">ò</span></span>}</span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> 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</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">s), violet (60</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">s) and blue (120</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">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</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><sup><span style

关 键 词：Breast Implants Fibroses Methylene Blue Semiconductor Diode Laser Photodynamic Therapy 

分 类 号：O17[理学—数学]