Love Your Look? Tell A Friend
Physicians: Click here to validate a referral
Receive a $50 American Express® Gift Cheque for doing so.
The new LoveYourLook MemoryGel® Referral program offers you the opportunity to be rewarded for telling your friends about your plastic surgery experience with MemoryGel® breast implants. You will receive a $50 American Express® Gift Cheque for each friend who has breast augmentation surgery with Mentor MemoryGel® Breast implants. Have questions? Click here for some answers about how the LoveYourLook MemoryGel® Referral program works.
This program is Mentor’s way of saying thank you for choosing MemoryGel® breast implants for your breast augmentation.
Simply fill out the following information...
Your Information
You must completely fill in all items . This information will be used to mail you your American Express® Gift Cheque.
Name
Email
Address
Address (cont.)
City
State:
-- States --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Telephone
Age
Your Surgery Information
Please fill in completely. You may need to contact your physician if you are missing information, such as implant serial number.
Doctor Name
Date of Augmentation Surgery Performed
Type of Implant Chosen
MemoryGel®
Please note that saline breast implants are not eligible for the MemoryGel® Referral Program. Click here for more information.
Left Implant Serial Number
Right Implant Serial Number
Your Friend's Information
You will need to include at least name and email address information. We will use this to email your friend the referral coupon.
Name
Email
State:
-- States --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
I acknowledge that my friend will be receiving an email on my behalf. The email discloses that I have had a breast augmentation with Mentor MemoryGel® breast implants.
Program Terms & Conditions
The MemoryGel® Referral Program is not available to patients residing in Texas and Florida. Void where prohibited. Breast reconstruction surgeries do not qualify. Patients are encouraged to elect a surgeon of their choosing after conducting their own investigation into the particular surgeon’s training, education and experience. The referred friend must have MemoryGel® breast augmentation surgery prior to October 15, 2010. Gift checks will be processed 6-8 weeks
after Mentor receives the verified information. Important Safety Information Mentor MemoryGel® breast implants are indicated for breast augmentation in women who are at least 22 years old or for breast reconstruction. Breast implant surgery should not be performed in women with active infection anywhere in their body, with existing cancer or pre-cancer of their breast who have not received adequate treatment for those conditions or are pregnant or nursing.
There are risks associated with breast implant surgery. Breast implants are not lifetime devices and breast implantation is likely not a one-time surgery. You may need additional unplanned surgeries on your breasts because of complications or unacceptable cosmetic outcomes. Many of the changes to your breast following implantation are irreversible (cannot be undone) and breast implants may affect your ability to breastfeed, either by reducing or eliminating milk production. The most common complications with MemoryGel® breast implants include reoperation, capsular contracture, asymmetry, and breast pain. A lower risk of complication is implant rupture, which is most often silent (meaning neither you nor your doctor will know you have a rupture). The health consequences of a ruptured silicone gel-filled breast implant have not been fully established. MRI screenings are recommended three years after initial implant surgery and then every two years after to detect silent rupture. Detailed information regarding the indications, contraindications, warnings, precautions and the risks and benefits associated with Mentor
MemoryGel® breast implants are provided in two brochures available from your surgeon (Important Information for Augmentation Patients about Mentor MemoryGel® Silicone Gel-Filled Breast Implants and Important Information for Reconstruction Patients about Mentor MemoryGel® Silicone Gel-Filled Breast Implants) or on line at www.mentorcorp.com. It is important that you read and understand this information when considering Mentor breast implants prior to deciding on surgery.