DETECTING SILENT RUPTURE OF SILICONE GEL BREAST IMPLANTS UTILIZING HRUS

1-2: Enrollment Verification and Implant Information 

3: Pre-Scan Subject Survey

4: Ultrasound Technician Survey

5: Post Scan Subject Surveys (choose one)

• Post-Scan Subject Survey: NO Suspected Rupture (5a)
• Post Scan Subject Survey: Rupture Suspected (5b)

6: 3-Month Post Scan Telephone Survey