New Practice Program

Mentor is excited to introduce our New Practice Program (the "Program") redesigned to accompany you as you establish your new practice and navigate its first three years. The program includes special introductory pricing on our breast implants, sizers and wound closure products, as well as giving you access to our patient education materials, and various marketing and practice support tools. Participants are allowed to enroll only once in their lifetime and must obtain a new Mentor bill-to account number to qualify. Participants who are currently enrolled in an active New Practice Program are not eligible for this new offer. Eligible products under the NPP offer include MemoryGel™ Breast Implants, MemoryGel BOOST™ Breast Implants, MemoryGel™ Xtra Breast Implants, and Saline Breast Implants only. MemoryGel™ Enhance Breast Implants are not included. The following terms apply for qualifying participants:

  • Participants will receive introductory pricing on breast implant purchases, $400 for MemoryGel Breast Implants and $200 for Saline breast implants, for three (3) years or for their first 50 breast implant purchases, whichever occurs first.
  • Participants will also receive introductory pricing on breast implant sizer purchases, $200 for Gel Sizers and $45 for Saline Sizers, for three (3) years, or for their first 100 breast implant sizers, or until the participant has purchased 50 breast implants, whichever occurs first.
  • As a participant of the Program, for a total cost of $2400 you are eligible to receive one (1) Starter Bundle, containing six (6) MemoryGel BOOST™ implants and one (1) Sizing Kit. Please note Implants purchased in the starter kit cannot be refunded.
  • Additionally, participants will have access to introductory wound closure pricing of 30% off list price, for three (3) years, excluding Stratafix™ and Dermabond™ products, from the date of account activation, or until the participant has purchased 50 breast implants, whichever comes first.
  • Participation is limited to customers utilizing the Easy Order system. Participants must sign up for Easy Order and have an active account to activate your NPP program benefits.
  • All non-consignment orders will be entered as Easy Orders by default. Mentor Easy Order form is not required.

Please note that this page does not constitute an offer, as participation is contingent upon Mentor's acceptance of your application. This offer is not to be combined with any other offer or discount with Mentor LLC. Also, keep in mind that eligible products, services, and pricing are subject to change. It's advised to review these terms periodically to stay informed of any updates.

Disclaimer
Participation in the New Practice Program is at the sole discretion of Mentor and is subject to approval. Mentor reserves the right to modify, suspend, or terminate the program at any time without prior notice. By participating, you acknowledge that Mentor is not liable for any direct, indirect, incidental, or consequential damages arising from your participation in the program or reliance on any information provided herein. It is your responsibility to review the terms and conditions regularly.

Breast Implants are not redeemable for cash and are non-transferable. Eligibility expires three (3) years after the activation date or when the participant purchases their first 50 breast implants whichever occurs first.

  1. Easy-Order Request: All products ordered through the Easy-Order Program are subject to the terms of this Agreement and Mentor's standard invoice terms. If a Purchase Order Number ("P.O.") is required for billing, the P.O. must be provided at the time of order.
  2. Easy-Order Product Return: Customer agrees to return to Mentor all unused products ordered through the Easy Order Program immediately after surgery. Unused products must be received at Mentor's Coppell, TX distribution center within 30 days of the Easy-Order shipment date.
  3. Billing: Customer shall be invoiced for all items not received by Mentor within 30 days from the initial Easy-Order shipment date from Mentor to Customer and for any items that when received are destroyed, damaged, or otherwise not in saleable condition, and Mentor or its affiliate will retain title to those items. If a P.O. is required by Customer for payment, Mentor will reference the P.O. provided at the time of order on the invoice.
  4. Payment: Customer agrees to pay all invoices resulting from an Easy-Order billing within Mentor's standard payment terms.
  5. Term/Termination: This agreement becomes effective upon the date of Mentor signature and will remain effective for three years unless terminated by either party. Either party may terminate this agreement, with or without cause, upon fifteen (15) days written notice to the other party. Upon termination of this agreement, all outstanding products ordered through the Easy-Order Program would be immediately invoiced to Customer.

Please complete and sign this credit application in full to be considered for open account status. If the information supplied is incomplete or found to be incorrect, this may delay processing of the application and could affect prompt delivery of products or services. In addition, inaccurate information may void your eligibility for participation in this program. I, (We) submit the following information in applying for an open account: (required info)
This site will only collect, use, and disclose information you submit here as necessary to fulfill your requests or as disclosed here. You agree that your information will be governed by our Privacy Policy.

Fields marked with * are required.

(name should reflect the legal entity financially responsible for this account)




      
                



Please attach a copy of your W-9 form.

A W-9 is required for all new NPP registrations. Please ensure that the name on the W-9 matches the "Business/Practice/Hospital/DBA name" entered above. If a W-9 is not attached, Mentor Customer Service will contact you to obtain a copy before fulfilling your request.

The name displayed on the W9 must match the Business Name provided above.

 


Signature & MentorDirect.com Registration


Sign this form by entering your email address and check the below box. Your signature on this form confirms your authorization for Mentor Worldwide LLC to keep this information on file.

By signing this form you certify that all information provided is complete and accurate. Your MentorDirect.com account will be activated upon approval of this application and the email address you provide will be your username. Once your application is approved you will receive a MentorDirect.com welcome email with login instructions.

I give permission to Mentor to run my credit and enroll me into the New Practice Program.

Entering the above information and checking this box is your electronic signature. By this signature, you are agreeing to the foregoing terms and conditions of the New Practice Program.

If representations made by the buyer in this credit application are subsequently found incorrect or incomplete, the right is reserved to reject the application and to negate any obligation to proceed with any merchandise, and to bill buyer for the full value of any products and services previously provided under this program. (1) Buyer recognizes seller’s terms as stated on its invoice and acknowledges and authorizes a service charge of 1-1/2% per month (18% annual) on any past due amounts. (2) Seller shall have the right to (A) declare the entire amount due, (B) in the event of default customer agrees to pay attorney and or collection agency fees not exceeding 25%, (C) to change the terms of the account from time to time (consistent with applicable law) to be effective not less than 30 days after given written notice, (D) to limit the amount of credit extended under this account or terminate the account, upon given written notice thereof; but seller may avail itself of the terms of this agreement until full payment of the entire balance with finance charge to date of payment has been received. (3) In submitting this application for credit, buyer authorizes seller to investigate his/her credit record.

Products
Terms
Company
Customize Cookie Settings
Mentor®

WARNING:

  • Breast implants are not considered lifetime devices. The longer people have them, the greater the chances are that they will develop complications, some of which will require more surgery.

  • Breast implants have been associated with the development of a cancer of the immune system called breast implant-associated anaplastic large cell lymphoma (BIA-ALCL). This cancer occurs more commonly in patients with textured breast implants than smooth implants, although rates are not well defined. Some patients have died from BIA-ALCL.

  • Patients receiving breast implants have reported a variety of systemic symptoms such as joint pain, muscle aches, confusion, chronic fatigue, autoimmune diseases and others. Individual patient risk for developing these symptoms has not been well established. Some patients report complete resolution of symptoms when the implants are removed without replacement.

The sale and distribution of Mentor Breast Implant Devices are restricted to users and/or user facilities that provide information to patients about the risks and benefits of the device prior to its use in the form and manner specified in approved labeling to be provided by Mentor Worldwide LLC.

Important Safety Information:

MENTOR™ MemoryGel™ Breast Implants (excluding MemoryGel Enhance), MENTOR™ MemoryShape™ Breast Implants, and MENTOR™ Saline-filled Breast Implants are indicated for breast augmentation in women (at least 22 years old for MemoryGel™ Implants and MemoryShape™ Implants, and 18 years old for Saline Implants) or for breast reconstruction (Including MemoryGel Enhance). 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 who are currently pregnant or nursing.

Breast implants are not lifetime devices and breast implantation may not be a one-time surgery. The chance of developing complications increases over time. The most common complications for breast augmentation and reconstruction with MemoryGel™ Implants include any reoperation, capsular contracture, and implant removal with or without replacement. The most common complications with MemoryShape™ Implants for breast augmentation include reoperation for any reason, implant removal with or without replacement, and ptosis. The most common complications with MemoryShape™ Implants for breast reconstruction include reoperation for any reason, implant removal with or without replacement, and capsular contracture. A lower risk of complication is rupture. The health consequences of a ruptured silicone gel 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. Breast implants are also associated with the risk of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), an uncommon type of lymphoma. An individual's risk of developing BIA-ALCL with MENTOR™ Breast Implants is low based on the incidence of worldwide cases. The most common complications with MENTOR™ Saline-filled Implants include reoperation, implant removal, capsular contracture, breast pain, and implant deflation.

For MemoryGel™ Implants, patients should receive a copy of Important Information for Augmentation Patients about MENTOR™ MemoryGel™ Breast Implants or Important Information for Reconstruction Patients about MENTOR™ MemoryGel™ Breast Implants. For MemoryGel™ Enhance Breast Implants: Important Information for Reconstruction Patients about MENTOR™ MemoryGel™ Enhance Breast Implants. For MemoryShape™ Implants, patients should receive a copy of Patient Educational Brochure – Breast Augmentation with MENTOR™ MemoryShape™ Breast Implants or Patient Educational Brochure – Breast Reconstruction with MENTOR™ MemoryShape™ Breast Implants, and a copy of Quick Facts about Breast Augmentation & Reconstruction with MENTOR™ MemoryShape™ Breast Implants. For MENTOR™ Saline-filled Implants, patients should receive a copy of Saline-Filled Breast Implants: Making an Informed Decision. Your patient needs to read and understand the information regarding the risks and benefits of breast implants, with an opportunity to consult with you prior to deciding on surgery.

The ARTOURA™ Breast Tissue Expander or CONTOUR PROFILE™ Breast Tissue Expander can be utilized for breast reconstruction after mastectomy, correction of an underdeveloped breast, scar revision, and tissue defect procedures. The expander is intended for temporary subcutaneous or submuscular implantation and is not intended for use beyond six months. ARTOURA™ Breast Tissue Expander and CONTOUR PROFILE™ Tissue Expanders include magnetic injection domes, which contain a rare earth permanent magnet, and are NOT MRI compatible. The device could be moved by the MRI causing pain or displacement, potentially resulting in a revision surgery. Do not use the ARTOURA™ Tissue Expander nor CONTOUR PROFILE™ Tissue Expander in patients where an MRI may be needed. DO NOT use the ARTOURA™ Breast Tissue Expander and CONTOUR PROFILE™ Tissue Expander in patients that have a previously implanted device such as pacemakers, drug infusion devices, artificial sensing devices, etc. that could be affected by a magnetic field. Mentor has not tested the in vivo effects of radiation therapy with ARTOURA™ Breast Tissue Expander and CONTOUR PROFILE™ Expander devices and cannot warrant the safety of such use. The incidence of extrusion of the expander has been shown to increase when the expander has been placed in injured areas: scarred, heavily irradiated or burned tissue, crushed bone areas, where severe surgical reduction of the area has previously been performed and where steroids are used in the surgical pocket.

For detailed indications, contraindications, warnings, and precautions associated with the use of all MENTOR™ Implantable Devices, which include MENTOR™ Saline-filled Implants, MemoryGel™ Implants, MemoryShape™ Implants, ARTOURA™ Expanders, and CONTOUR PROFILE™ Expanders, please refer to the Instructions for Use (IFU) provided with each product or visit www.mentorwwllc.com.