Breast Implant Removal Consultation Questionnaire
What a breast implant removal consultation questionnaire asks, with sample questions on goals, implant details, and past surgery.
A breast implant removal consultation questionnaire records why the patient wants implants taken out, the implant details, earlier surgery, current symptoms, and health history. The questions on this page are built from Kaiser Permanente and The Aesthetic Society forms and American Society of Plastic Surgeons (ASPS) consultation topics.
Breast implant removal consultation questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a breast implant removal consultation questionnaire in the patient's own language, strictly following the practice's instructions.
- Intake before the visit. Patients answer online before they arrive, or at a kiosk when they check in.
- Answers ready for the clinician. Clinicians see what the patient said before the visit starts.
- Less workload at the front desk. Staff spend less time handing out forms and entering answers by hand.
- Key details at a glance. The care team sees what matters up front and decides who needs attention first.
The form becomes a natural conversation: patients answer by talking, in their own words. AI Doctor is an information and patient-assistance interface. It collects answers for the care team to review. It doesn't diagnose, triage, or give treatment advice.
Sample breast implant removal consultation questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- What are your reasons for removing your implants?Goals
- What are your goals for this surgery?Goals
- Who made your implants?Implant details
- What size are your implants on each side?Implant details
- When were your implants placed?Past surgery
- Who performed your earlier breast surgeries?Past surgery
- Which symptoms, if any, do you have now?Symptoms
- When did these symptoms begin?Symptoms
- What medical conditions do you have?Health history
- Which medicines and supplements do you take?Health history
- Do you use tobacco?Lifestyle
- Do you drink alcohol or use other drugs?Lifestyle
These are examples to read, not a form to fill in.
Breast implant removal consultation questionnaire: FAQ
What does a breast implant removal consultation questionnaire ask?
The sample questions on this page are based on a Kaiser Permanente breast surgery worksheet, The Aesthetic Society's breast implant illness questionnaire, and ASPS consultation topics. This page groups them into six areas: goals, implant details, past surgery, symptoms, health history, and lifestyle.
Who answers a breast implant removal consultation questionnaire?
The patient who is thinking about having implants taken out. ASPS lists goals, medical conditions, allergies, treatments, medicines, supplements, alcohol, tobacco, drug use, and previous surgeries as topics for this consultation.
Is it the same as an explant consultation?
The two names describe the same visit. The Aesthetic Society uses 'explantation' for implant removal surgery in its post-explantation questionnaire.
Does it ask how the implants were placed?
The Aesthetic Society form asks about fill, shape, surface, the incision used, and whether the pocket was irrigated. Kaiser Permanente's worksheet adds the style, model number, and size in cc for each side.
Is there a breast implant removal consultation template?
The sample questions on this page show a typical set. They combine items from the two forms and the ASPS topics named above.
What happens after the form is completed?
The surgeon reviews the answers. ASPS says the surgeon examines the breasts, takes photographs, and discusses options, likely outcomes, and risks.
Does AI Doctor give medical advice?
No. It collects information for the care team. It doesn't diagnose, triage, or recommend treatment.
Can patient answers stay on our own servers?
Yes. RAVATAR offers on-prem deployment: the platform can run inside your own perimeter, so patient answers stay there. RAVATAR complies with GDPR and the EU AI Act.
Set up your AI Doctor in Genesis AI Avatar Studio
Genesis AI Avatar Studio is where you set up, test, and publish AI avatars for your website, mobile app, or Holobox. No coding or technical skills needed.
- 01Choose the AI Doctor avatar.
- 02Add your practice's FAQs and visit information.
- 03Talk to it, then publish it.
