Different sound velocities in tissue are causing refraction artifacts. With convex elastomer lens transducers, sound beam refraction at the skin interface can alter the transducer's focusing characteristics and beam profile, cause element to element nonuniformity, and cause phase changes in the acoustic wave. These cumulative refraction induced errors degrade the image quality through distortion and loss of resolution. Because the amount of refraction is proportional to the velocity mismatch, the greater the mismatch, the greater the refraction.