Are there any recommendations on ways to reduce capsulitis in patient with implants receiving adjuvant whole breast radiation?   

There are no specific ways, but based on clinical factors, consider options to reduce volume of RT by PBI with EBRT or brachy, if the patient is suitable for partial breast RT. For whole breast, try to have good dose homogeneity like V105 in single digit (<10%), and with V110 as zero. Avoid any ...

The Europeans are active in this area. Their implant/chest avoidance consensus guideline released by ESTRO and ACROP is very helpful (Kaidar-Person et al., PMID 31108277). The rationale, unlike RTOG PMRT guidelines, is a) that the chest wall and area under the pectoralis are not at risk and b) expos...

Kaidar-Person et al., PMID 29687536.

One of our local plastic surgeons published this a while back regarding use of Accolate.