Become a ReShape Balloon Success Story

Become a ReShape Balloon Success Story

For all you’ll lose, there’s so much more to win!

When you choose the ReShape BalloonTM Procedure, you’re saying “I’m ready.” Ready to look and feel your best. Ready to be healthy and happy. Ready to successfully lose weight at last.

Everyone has a story to tell

Every day, we hear inspiring stories about patients feeling more confident than ever, having more energy to pursue their favorite activities, and knowing how proud their families are of all they’ve accomplished. These inspirational stories prove that weight loss isn’t just about watching the scale—it’s about becoming the best version of yourself and recognizing every win along the way.

We believe in celebrating success

At ReShape LifesciencesTM, we want to celebrate those successes with you. That’s why we created the ReShape Balloon Inspiring Stories Contest. The Contest rewards your stories of success with big cash prizes!

Each year, we’re handing out a combined $20,000 to the ReShape Balloon patients with the most inspiring stories about all they’ve lost, and all they’ve gained.*


To enter,

Fill out the form here. In addition to basic information, we request that you include before and after photos, as well as a description of how your life has changed as a result of the ReShape Balloon Procedure.

Finalists and the grand prize winner will be selected by a team of ReShape Balloon patients, staff, and practices.


Are you ready to win with the ReShape Balloon?


* See contest rules below.

, INC.


The ReShape Balloon Inspiring Stories Contest (“Contest”) will begin on December 1, 2017 at 9:01 PM PT and end on November 18, 2018 at 9:00 PM PT (“Contest Period”). All times in the Contest refer to Pacific Time (“PT”). ReShape Lifesciences, Inc.’s computer is the official time keeping device for the Contest Period.

The Contest is open to legal residents of the fifty (50) United States, the District of Columbia, and Puerto Rico who are 22 years or older at the time of entry, who met the FDA approved indications for use at the time of balloon placement, and who are current or previous ReShape Balloon recipients. Employees of ReShape Lifesciences, Inc. (“Sponsor”) and the immediate family members of, and any persons domiciled with, any such employees, are not eligible to enter or to win. The term “immediate family members” includes spouses, parents, siblings, children, and grandchildren.

Winners (as defined below) must be able to travel to Orange County, CA for a makeover and photo shoot during a one to two day period between January 4, 2019 and February 28, 2019 (or on such other dates designated by Sponsor). Roundtrip airfare (or alternative transportation) and hotel accommodations will be arranged and provided by Sponsor.

To be eligible, you must have had a BMI of 30-40 kg/m2 on your balloon insertion procedure date. To confirm your BMI, please use the BMI calculator here. Additionally, you must have a scale synced to your account in the ReShape Balloon Patient Portal or the Retrofit Patient Portal at the time of our contest submission and the closing of this contest on November 18, 2018.

To enter the Contest you must fill out the form here and submit your entry before the end of the Contest Period, as described below:

In order to be eligible to win a prize you must provide all required information, including your current full name, email, home address, and telephone number.

Next, you must submit your personal success story. The story you submit (an “Entry”) should demonstrate how your life has changed since receiving the ReShape Balloon Procedure. All Entries must adhere to the following guidelines:

  • Entries must be received during the Contest Period.
  • Entries must contain before and after photos, total weight lost to date, a description of how the participant’s life has changed since the ReShape Balloon Procedure, and a description of any challenges overcome.
  • Participants may submit multiple Entries; however, each participant is eligible for only one prize.
  • Entries may not contain material that is sexually explicit, disparaging, libelous, indecent, obscene, or otherwise inappropriate, as determined by Sponsor and Judges in their sole discretion.
  • The use of automated Entries or programs or Entries submitted by third parties is prohibited and such Entries will be disqualified.
  • All Entries will become the exclusive property of Sponsor and will not be acknowledged or returned.
  • Sponsor will not be responsible for incomplete, lost, late, misdirected or illegible Entries or for failure to receive Entries due to transmission failures or technical failures of any kind.

Each prize winner (a “Winner”) will receive one (1) prize as outlined: One (1) Grand Prize Winner will receive a check for $10,000. Two (2) Runner-up Finalists will each receive a check for $5,000. Participants may not win more than one prize. Winners will also receive roundtrip airfare (or alternative transportation) and hotel accommodations to Orange County, California. All prize-related arrangements and accommodations, including airfare (or alternative transportation) and hotel accommodations, will be made at Sponsor’s discretion. Sponsor will not replace any lost or stolen prizes or prize components. Odds of winning a prize are dependent on the number of Entries in the Contest, which is difficult to estimate at this time.

All eligible Entries will be judged by a panel of judges (the “Judges”). Selection of Judges is at the sole discretion of the Sponsor. At the end of the Contest Period, the Judges will evaluate the Entries based on the following criteria (“Criteria”):
(i) Inspirational Story (60%): Sixty Percent of the overall judging score will be based on the inspirational nature of your story, including the ability to be a role model for the entire community and the originality, creativity, and expressiveness of your story.
(ii) Total Weight Lost (40%): Forty Percent of the overall judging score will be based on the total weight you have lost with the help of the ReShape Balloon Procedure, as measured in total pounds lost.

The Judges will select the Grand Prize Winner and the two Finalists on or before January 4, 2019.

In the unlikely event of a tie in the Judge’s scores, the potential Winner(s) will be selected based on the highest ranking Inspirational Story score. If there is still a tie, the potential Winner(s) will be selected based on the highest percentage weight lost, as measured by dividing the Total Weight Lost with the help of the ReShape Balloon Procedure by the weight of the potential Winner(s) before the ReShape Balloon Procedure.

Potential Winners will be notified by January 10, 2019 at the email address and / or phone number provided. Sponsor’s inability to reach a Winner, the return of any prize notification as undeliverable and/or a Winner’s failure to respond to a prize notification within 48 hours may result in his or her disqualification, the forfeiture of all interest in the prize, and the selection of an alternate Winner from among all remaining eligible Entries.

In Sponsor’s discretion, potential Winners will be required to sign and return to Sponsor, within fourteen (14) days of notice or attempted notice, a W-9 tax form, an affidavit of eligibility, and a liability/publicity release (except where prohibited by law) in order to claim his or her prize. If a potential Winner fails to sign and return the W-9 and affidavit of eligibility and liability/publicity release within the required time period, the prize will be forfeited and in Sponsor’s sole discretion, it may be awarded to an alternate.

By participating in the Contest in any way, uploading or making any Entry for consideration, or taking receipt of or using any prize that may be awarded, you agree to release and hold harmless Sponsor and its respective subsidiaries, affiliates, suppliers, distributors, advertising/promotion agencies, and prize suppliers, and each of their respective parent companies and each such company’s officers, directors, employees, and agents (collectively, the “Released Parties”), from and against any claim or cause of action, including, but not limited to, personal injury, death, or damage to or loss of property or privacy arising out of participation in the Contest, any posting online or otherwise of any part of your Entry for judging or otherwise, and/or receipt or use or misuse of any prize that may be awarded.

By uploading or submitting any Entry, including any information, text, images, audio, video and any other content (collectively, “Your Content”) and otherwise entering the Contest, you represent that (i) the Entry and Your Content is truthful, original to you, and does not contain any material that would defame or otherwise violate or infringe upon the rights of any third party, including any patent, trademark, publicity, privacy, moral, trade secret, copyright and/or other proprietary rights, and does not violate any applicable federal, state or local laws or ordinances, (ii) you own or have the necessary licenses, rights, consents and permissions to use and allow the use of the Entry and Your Content, including any and all patent, trademark, publicity, privacy, moral, trade secret, copyright, and/or other proprietary rights therein, and (iii) you have the written consent, release, and/or permission of each and every identifiable person in the Entry and Your Content to use such person’s name or likeness in the Entry and Your Content for the uses contemplated herein. You represent that you have not copied or in any way taken any of the Entry or Your Content from any third party.

Further, by making or submitting any Entry and Your Content, you expressly grant the Released Parties a perpetual, worldwide, royalty-free, sublicensable, and transferrable right and license to host, store, modify, use, distribute, reproduce, excerpt, adapt, prepare derivative works of, publicly perform and display, publish, and make any other use of your Entry and Your Content in any and all media now known or hereinafter devised, as determined by Sponsor in its sole discretion. This includes, but is not limited to, the right and license to modify, use, distribute, reproduce, excerpt, adapt, prepare derivative works of, publicly perform and display, publish and make any other use of the Entry and Your Content and all aspects thereof: (i) in and in connection with any product, recording, video, advertisement, or any advertising or promotional material; and (ii) on, or any other website or webpage owned, operated by or related to Sponsor. You grant Sponsor the right and license to use the Entry and Your Content and all aspects thereof, as set forth herein, in any way Sponsor determines whether with or without providing any attribution or compensation to you, except where prohibited by law. Notwithstanding the foregoing, you expressly acknowledge and agree that nothing herein shall require Sponsor to utilize any portion of Your Content. You agree to indemnify the Released Parties from and against all third party trademark, copyright, intellectual property, right of publicity or other claims arising out of the use of the Entry and Your Content.

Except where prohibited by law, participation in the Contest constitutes your express and irrevocable consent to Sponsor’s and its agents’ worldwide use of Your Content, including without limitation your name, likeness, photographs, written submissions, voice, opinions, biographical details and any other information you may submit or Sponsor may obtain in connection with your Entry for promotional, marketing and trade purposes in any and all media now known or hereafter discovered, without further payment or consideration; including without limitation placement on ReShape Lifesciences’ websites and creation of promotional videos featuring the winners or participants. In addition, except where prohibited by law, participation in the Contest constitutes participant’s consent to Sponsor’s contacting participant at a later date to inquire further and potentially gain more information about participants experience with the ReShape Balloon Procedure. You expressly acknowledge and agree that your Entry and Your Content will be accessible by others and that there is no confidentiality or privacy with respect to your Entry and Your Content. In addition, the information provided by you in your Entry may be used by Sponsor for the purpose of delivering its products and services, to inform you of other products or services available, or to contact you about your opinion of current and new products and services that may be offered. We may use your contact information in order to send you promotional e-mails, postal mail or other communications regarding ReShape Lifesciences products or services. Please see our Privacy Policy found at the bottom of our websites for more information about how we may use your information.

Winners may waive their right to receive a prize. With Sponsor’s approval the prizes may be assignable. Sponsor reserves the right to substitute a prize or prize components of equal or greater value. Winner is solely responsible for payment of any taxes on prizes. Prize Winner will be issued a 1099 tax form for the appropriate retail value of the prize. Prize Winner is responsible for all required travel documents and insurance. Sponsor reserves the right to disqualify persons found tampering with or otherwise abusing any aspect of this Contest. In the event the fairness or proper administration of the Contest is compromised by a virus, tampering or other cause beyond the reasonable control of Sponsor, Sponsor reserves the right in its sole discretion to suspend, modify or terminate the Contest. All ReShape Balloon patients should seek expert medical care and consult their own physicians for any specific health issues.

The Contest is sponsored by RESHAPE LIFESCIENCES, INC. Sponsor will not be responsible for typographical, printing or other inadvertent errors in these Official Rules or in other materials relating to the Contest.

For a list of the names of the Winners, please go to the ReShape Balloon website after January 31, 2019 or send a self-addressed, stamped envelope to: ReShape Balloon Inspiring Stories Contest, 1001 Calle Amanecer, San Clemente, CA 92673. Winner’s list requests must be received before February 30, 2019.

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