Accredited Surgical Care
Surgery is performed in an accredited facility, with anesthesia administered by a Certified Registered Nurse Anesthetist (CRNA).
Robert Whitfield, MD, performs en bloc capsulectomy in Austin with over 1,000 en bloc and total capsulectomy procedures and published PCR capsule research that identified bacterial biofilm in 29 percent of 694 specimens.
En Bloc & Total Capsulectomy Procedures
Capsules PCR-Tested
Contamination Identified
Local Practice
En bloc capsulectomy is the most complete form of breast implant removal — the implant and its entire surrounding capsule are dissected free and removed together as one sealed unit, without opening either structure.
Dr. Whitfield's published PCR analysis (PMID 39338504) evaluated 694 capsule specimens and identified bacterial contamination in 29 percent of the dataset, contamination detectable only by molecular analysis, not standard culture.
Dr. Whitfield testified before the U.S. FDA General and Plastic Surgery Devices Panel on breast implant safety and capsule biofilm.
The national guide explains en bloc versus total, subtotal, and partial capsulectomy in depth. Review the complete en bloc capsulectomy guide.
Dr. Whitfield's main office is located at 2530 Walsh Tarlton Ln, Suite 100, Austin, TX 78746, with convenient access for patients across the Austin metro and Central Texas.
Surgery is performed in an accredited facility, with anesthesia administered by a Certified Registered Nurse Anesthetist (CRNA).
The implant and capsule are removed as one unit, without opening either structure, to prevent contamination of the surgical pocket.
Absolute indications include suspected BIA-ALCL, confirmed silicone rupture, suspected intracapsular rupture, or a mass within the capsule. Strong indications include breast implant illness, Grade III–IV capsular contracture, a calcified or thick adherent capsule, and silicone gel bleed.
En bloc capsulectomy removes the implant and its entire surrounding capsule together as one sealed unit — nothing is opened, nothing is spilled. This is the most complete form of implant removal, distinct from total, subtotal, or partial capsulectomy.
Dr. Whitfield's published PCR research (PMID 39338504) identified bacterial contamination in 29 percent of 694 capsule specimens — contamination undetectable by standard culture. The capsule is a dynamic immune structure that can drive inflammation even after the implant itself is removed.
Yes. Explant with fat transfer removes the implant and capsule while restoring natural volume using the patient's own tissue in a single stage, for Austin-area patients who want to move away from implants entirely.
The practice serves Austin, Lakeway, Bee Cave, Round Rock, Cedar Park, Georgetown, San Marcos, New Braunfels, and the wider Central Texas region.
Dr. Robert Whitfield has guided thousands of patients through surgical decisions with clarity, data, and a personalized plan. Your consultation is where that plan begins.
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