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Establishment Labs
Establishment Labs (ESTA) investor relations material
Establishment Labs 44th Annual J.P. Morgan Healthcare Conference summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.44th Annual J.P. Morgan Healthcare Conference summary14 Jan, 2026
Strategic Positioning and Innovation
Achieved FDA approval and launched in the U.S. in late 2024, marking the fastest launch in US breast aesthetics history and driving rapid market entry and growth.
Established global presence in over 90 countries, with 4.5 million devices and 218+ patents, and positioned as a leader in breast aesthetics and reconstruction.
Focused on science-based innovation, with patented technologies like SmoothSilk, TRUEMONOBLOC®, BLUSEAL®, and VISCOELASTIC PROGRESSIVE GEL® for superior safety and performance.
Motiva implants demonstrated less than 1% device-related complications over five years, with US IDE study data showing 0.5% capsular contracture, 0.6% rupture, and 8.8% reoperation.
Marketing initiatives, including celebrity endorsements and social media campaigns, generated over 9.2 billion impressions and led to 93% of patients requesting Motiva by name.
Financial Performance and Growth Outlook
Reported 27% global revenue growth in 2025, reaching $210.5–$211.5 million, with U.S. revenue exceeding $45 million in the first year.
Achieved positive adjusted EBITDA in Q3 and Q4 2025, with cash balance at $75.5 million by year-end and expectations for free cash flow positive in 2026.
Gross margin surpassed 70% in Q3 2025, with operating expenses growing slower than revenue and continued leverage expected.
At least 25% annual revenue growth expected in 2026 and 2027, with significant margin expansion as infrastructure is already established.
On track for meaningful earnings in 2027, driven by disciplined cost management and high-margin U.S. business.
U.S. Market Expansion and Drivers
Captured approximately 20% U.S. market share by end of 2025, with over 1,500 accounts and ongoing expansion.
Key growth drivers include new product launches (Preservé), increased marketing, and expanding the sales force by up to 15 reps in 2026.
Preservé, a minimally invasive platform, targets untapped segments and is expected to generate over $30 million in 2026, with 55% of patients willing to pay a premium.
Submitted PMA supplement for smaller sizes and reconstruction indication, aiming to double addressable U.S. market upon approval.
Minimal competitive response from larger players, enabling rapid share gains.
US market share growth: any competitive shifts
Preservé's market expansion potential in US
Recon indication: timeline and 2026 revenue
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Next Establishment Labs earnings date
Q4 202527 Feb, 2026
Establishment Labs
Next Establishment Labs earnings date
Q4 202527 Feb, 2026
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Frequently asked questions
Establishment Labs Holdings Inc. (ESTA) is a medical technology company focused on the manufacture and marketing of medical devices for aesthetic and reconstructive plastic surgery. The company's flagship product line includes silicone gel-filled breast implants under the brand name Motiva Implants. These include Motiva Ergonomix and Motiva Ergonomix2, which are gravity sensitive round soft silicone-gel-filled breast implants, as well as the Motiva Flora Tissue Expander, a breast tissue expander. Establishment Labs sells its products through distributors and a direct sales force across regions including Europe, the Middle East, Latin America, and Asia. The company is headquartered in Alajuela, Costa Rica, and its shares are listed on the Nasdaq.
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