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Establishment Labs Holdings Inc (ESTA)

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Upturn Advisory Summary
11/05/2025: ESTA (1-star) has a low Upturn Star Rating. Not recommended to BUY.
1 Year Target Price $55.78
1 Year Target Price $55.78
| 5 | Strong Buy |
| 2 | Buy |
| 1 | Hold |
| 0 | Sell |
| 0 | Strong Sell |
Analysis of Past Performance
Type Stock | Historic Profit -17.25% | Avg. Invested days 29 | Today’s Advisory Consider higher Upturn Star rating |
Upturn Star Rating ![]() | Upturn Advisory Performance | Stock Returns Performance |
Key Highlights
Company Size Small-Cap Stock | Market Capitalization 1.43B USD | Price to earnings Ratio - | 1Y Target Price 55.78 |
Price to earnings Ratio - | 1Y Target Price 55.78 | ||
Volume (30-day avg) 8 | Beta 1.06 | 52 Weeks Range 26.55 - 62.25 | Updated Date 11/4/2025 |
52 Weeks Range 26.55 - 62.25 | Updated Date 11/4/2025 | ||
Dividends yield (FY) - | Basic EPS (TTM) -3.08 |
Analyzing Revenue: Products, Geography and Growth
Revenue by Geography
Geography revenue - Year on Year
Earnings Date
Report Date 2025-11-11 | When - | Estimate -0.5121 | Actual - |
Profitability
Profit Margin -49.89% | Operating Margin (TTM) -27.5% |
Management Effectiveness
Return on Assets (TTM) -12.78% | Return on Equity (TTM) -261.18% |
Valuation
Trailing PE - | Forward PE - | Enterprise Value 1399910181 | Price to Sales(TTM) 8.07 |
Enterprise Value 1399910181 | Price to Sales(TTM) 8.07 | ||
Enterprise Value to Revenue 7.89 | Enterprise Value to EBITDA -26.29 | Shares Outstanding 28970736 | Shares Floating 16949909 |
Shares Outstanding 28970736 | Shares Floating 16949909 | ||
Percent Insiders 10.75 | Percent Institutions 107.34 |
Upturn AI SWOT
Establishment Labs Holdings Inc

Company Overview
History and Background
Establishment Labs Holdings Inc. was founded in 2004. The company focuses on designing, developing, manufacturing, and marketing innovative silicone gel-filled breast implants. They are headquartered in Costa Rica and have expanded globally, focusing on safety and aesthetic outcomes in reconstructive and aesthetic breast surgery.
Core Business Areas
- Aesthetic Breast Surgery: Focuses on breast augmentation procedures, offering Motiva Implants with various shapes, sizes, and surface technologies to cater to diverse patient needs and preferences.
- Reconstructive Breast Surgery: Addresses breast reconstruction following mastectomy or other breast-related surgeries, providing solutions for restoring breast shape and symmetry.
- Other Surgical Products: This area covers other surgical products associated with their core business, potentially including tissue expanders and accessories designed for breast surgery procedures.
Leadership and Structure
Juan Josu00e9 Chacu00f3n-Quiru00f3s serves as the Founder and Chief Executive Officer. The company operates with a global organizational structure, including manufacturing facilities, research and development teams, and commercial operations in multiple regions.
Top Products and Market Share
Key Offerings
- Motiva Implants: Establishment Labs' primary product is Motiva Implants, known for their smooth surface technology (SmoothSilk/SilkSurface) and ergonomic design. Market share data varies by region but Motiva aims to capture significant share in the advanced breast implant market. Competitors include Allergan (now AbbVie), Mentor (Johnson & Johnson), and Sientra.
- Divina Breast Shells: A line of breast shells used for external expansion. It's estimated that this product contributes to a growing revenue stream for breast reconstruction, with a smaller yet growing market share. Key competitors are traditional tissue expander manufacturers.
- Mia Femtech System: A minimally invasive breast enhancement system. The product is growing and there is increased demand. There are some similar competitive products by other breast implant manufacturers.
Market Dynamics
Industry Overview
The breast implant market is driven by increasing demand for cosmetic surgery and breast reconstruction procedures. Technological advancements in implant design and materials are key drivers. The industry is regulated with stringent safety requirements.
Positioning
Establishment Labs positions itself as an innovator in breast implant technology, focusing on enhanced safety, aesthetics, and patient satisfaction. Its competitive advantage lies in its smooth surface technology and ergonomic designs.
Total Addressable Market (TAM)
The global breast implant market is estimated to be worth billions of USD. Establishment Labs is positioned to capture a significant portion of this TAM with its innovative products and global expansion strategy.
Upturn SWOT Analysis
Strengths
- Innovative Technology (SmoothSilk/SilkSurface)
- Strong Brand Recognition (Motiva)
- Global Presence
- Focus on Safety and Aesthetics
- Premium Pricing Strategy
Weaknesses
- Relatively Smaller Market Share Compared to Established Players
- Dependence on Regulatory Approvals
- Higher Price Point may limit market reach
- Vulnerable to negative press regarding implant safety
Opportunities
- Expanding into Emerging Markets
- Developing New Products and Technologies
- Increasing Awareness of Breast Reconstruction
- Partnerships with Surgeons and Clinics
- Growth of Medical Tourism
Threats
- Competition from Established Players
- Regulatory Changes and Recalls
- Economic Downturns Affecting Cosmetic Surgery Spending
- Negative Publicity Regarding Breast Implant Safety
- Availability of alternative technologies (e.g., fat grafting)
Competitors and Market Share
Key Competitors
- ABBV
- JNJ
- SIEN
Competitive Landscape
Establishment Labs differentiates itself through innovative product design and marketing. Competitors possess greater market share and brand recognition in some regions.
Major Acquisitions
Biorius
- Year: 2024
- Acquisition Price (USD millions): 28.5
- Strategic Rationale: Expands scientific expertise in regulatory compliance for the cosmetic and medical device industries, enhancing its global reach and regulatory capabilities.
Growth Trajectory and Initiatives
Historical Growth: Establishment Labs has demonstrated substantial revenue growth in recent years due to increasing product adoption and geographic expansion.
Future Projections: Future growth is expected to be driven by continued product innovation, market penetration, and expansion into new markets. Analyst estimates vary, but generally project continued revenue growth.
Recent Initiatives: Recent initiatives include expanding product lines with Mia Femtech, increasing marketing efforts, and strengthening relationships with surgeons and clinics.
Summary
Establishment Labs is a growing company with innovative products in the breast implant market. While they have a smaller market share than some established competitors, their focus on technology and safety gives them a competitive edge. Potential threats include regulatory changes and negative publicity, but their growth potential is significant.
Similar Stocks
Sources and Disclaimers
Data Sources:
- Company website
- SEC filings
- Analyst reports
- Industry publications
- Press releases
Disclaimers:
This analysis is for informational purposes only and should not be considered financial advice. The information provided is based on available data and may be subject to change. Investment decisions should be made after consulting with a qualified financial advisor.
AI Summarization is directionally correct and might not be accurate.
Summarized information shown could be a few years old and not current.
Fundamental Rating based on AI could be based on old data.
AI-generated summaries may have inaccuracies (hallucinations). Please verify the information before taking action.
About Establishment Labs Holdings Inc
Exchange NASDAQ | Headquaters - | ||
IPO Launch date 2018-07-19 | CEO & Director Mr. Fillipo Peter Caldini | ||
Sector Healthcare | Industry Medical Devices | Full time employees 1056 | |
Full time employees 1056 | |||
Establishment Labs Holdings Inc., a medical technology company, manufactures and markets medical devices for aesthetic and reconstructive plastic surgeries. The company offers silicone gel-filled breast implants under the Motiva Implants brand. It also provides breast tissue expanders. The company sells products to physicians, hospitals, and clinics through distributors and its direct sales force in Europe, the Middle East, Africa, Latin America, the Asia-Pacific, and North America. Establishment Labs Holdings Inc. was incorporated in 2004 and is headquartered in Alajuela, Costa Rica.

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