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Establishment Labs Holdings Inc (ESTA)

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Upturn Advisory Summary
12/19/2025: ESTA (1-star) has a low Upturn Star Rating. Not recommended to BUY.
1 Year Target Price $79.67
1 Year Target Price $79.67
| 5 | Strong Buy |
| 2 | Buy |
| 1 | Hold |
| 0 | Sell |
| 0 | Strong Sell |
Analysis of Past Performance
Type Stock | Historic Profit 1.77% | Avg. Invested days 34 | Today’s Advisory Consider higher Upturn Star rating |
Upturn Star Rating ![]() | Upturn Advisory Performance | Stock Returns Performance |
Key Highlights
Company Size Mid-Cap Stock | Market Capitalization 2.16B USD | Price to earnings Ratio - | 1Y Target Price 79.67 |
Price to earnings Ratio - | 1Y Target Price 79.67 | ||
Volume (30-day avg) 8 | Beta 1.02 | 52 Weeks Range 26.55 - 78.24 | Updated Date 12/20/2025 |
52 Weeks Range 26.55 - 78.24 | Updated Date 12/20/2025 | ||
Dividends yield (FY) - | Basic EPS (TTM) -2.84 |
Analyzing Revenue: Products, Geography and Growth
Revenue by Geography
Geography revenue - Year on Year
Earnings Date
Report Date - | When - | Estimate - | Actual - |
Profitability
Profit Margin -43.45% | Operating Margin (TTM) -7.48% |
Management Effectiveness
Return on Assets (TTM) -10.81% | Return on Equity (TTM) -338.19% |
Valuation
Trailing PE - | Forward PE - | Enterprise Value 2352878247 | Price to Sales(TTM) 11.32 |
Enterprise Value 2352878247 | Price to Sales(TTM) 11.32 | ||
Enterprise Value to Revenue 7.89 | Enterprise Value to EBITDA -26.29 | Shares Outstanding 29057868 | Shares Floating 16855597 |
Shares Outstanding 29057868 | Shares Floating 16855597 | ||
Percent Insiders 17.51 | Percent Institutions 105.45 |
Upturn AI SWOT
Establishment Labs Holdings Inc

Company Overview
History and Background
Establishment Labs Holdings Inc. was founded in 2004. It is a global medical aesthetics company focused on the development, manufacturing, and marketing of advanced breast augmentation and reconstruction products. A significant milestone was the introduction of their proprietary Motiva Ergonomixu00ae implants, which offer a more natural feel and look. The company has expanded its global presence, particularly in Latin America and Europe, and has been actively pursuing regulatory approvals in key markets like the United States.
Core Business Areas
- Breast Augmentation and Reconstruction: This is the primary business segment, offering a range of silicone gel breast implants designed for aesthetic augmentation and reconstructive surgery following mastectomy. The company emphasizes innovation in terms of product safety, patient outcomes, and a natural appearance.
- Body and Facial Contouring: While breast implants are the core, Establishment Labs also offers related products for body and facial contouring, though this is a smaller part of their business.
Leadership and Structure
Establishment Labs is led by a management team with extensive experience in the medical device and aesthetics industries. The organizational structure is typically aligned with global sales, marketing, research and development, manufacturing, and regulatory affairs departments.
Top Products and Market Share
Key Offerings
- Motiva Ergonomixu00ae Implants: These are the flagship products, characterized by their proprietary 'ProgressiveGel Ultima' silicone gel and 'Qid' microtexturing. They are designed to adapt to patient position, offering a more natural feel. Competitors include major players in the breast implant market such as Allergan (now AbbVie), Mentor (Johnson & Johnson), and Sientra.
- Motiva Implantsu00ae Round: A round implant option offering a higher degree of projection. Similar to the Ergonomixu00ae, it competes with round implant offerings from major competitors.
- Motiva MINIu00ae Implants: Smaller implants designed for a more subtle augmentation. Competes with smaller volume implants from other manufacturers.
Market Dynamics
Industry Overview
The global medical aesthetics market, particularly the breast augmentation segment, is driven by increasing consumer demand for aesthetic procedures, advancements in implant technology, and a growing acceptance of plastic surgery. Key trends include a focus on minimally invasive procedures, natural-looking results, and enhanced safety features. The market is highly competitive with established players and new entrants vying for market share.
Positioning
Establishment Labs positions itself as an innovator in the breast implant market, emphasizing its proprietary technologies like Motiva Ergonomixu00ae and their focus on safety and natural aesthetics. Their strategy involves targeting key international markets with strong growth potential and pursuing regulatory approvals in major regions like the US to expand their addressable market. Their competitive advantage lies in their product differentiation and targeted market entry strategy.
Total Addressable Market (TAM)
The global breast augmentation market is estimated to be worth several billion dollars annually, with significant growth projections. Establishment Labs is positioned to capture a growing share of this TAM by expanding its geographic reach and gaining regulatory approvals, particularly in the highly lucrative US market. They are a significant player in international markets and aim to become a major competitor in the US.
Upturn SWOT Analysis
Strengths
- Innovative product technology (Motiva Ergonomixu00ae, ProgressiveGel Ultima)
- Strong presence in international markets (Latin America, Europe)
- Focus on patient safety and natural aesthetics
- Experienced management team
Weaknesses
- Limited market penetration in the United States compared to established competitors
- Reliance on a few key product lines
- Brand recognition may be lower in some markets compared to incumbents
Opportunities
- Obtaining FDA approval for the US market
- Expansion into other emerging markets
- Development of new product lines or adjunctive technologies
- Increasing consumer demand for aesthetic procedures globally
Threats
- Intense competition from established medical device companies
- Regulatory hurdles and changes in regulations
- Potential for product recalls or safety concerns
- Economic downturns impacting elective procedures
Competitors and Market Share
Key Competitors
- AbbVie Inc. (ABBV) - Allergan
- Johnson & Johnson (JNJ) - Mentor
- Sientra, Inc. (SIEN)
Competitive Landscape
Establishment Labs faces significant competition from well-established medical device companies with strong brand recognition, extensive distribution networks, and significant financial resources. Its advantages lie in its innovative product technology and focus on a specific segment of the market. However, it needs to overcome the market dominance of larger players, particularly in the US, and navigate complex regulatory pathways.
Growth Trajectory and Initiatives
Historical Growth: Establishment Labs has shown strong historical revenue growth, largely attributed to its successful expansion in international markets. This growth has been driven by the adoption of its Motiva implants and a strategic focus on key regions.
Future Projections: Future projections for Establishment Labs are closely tied to its ability to gain regulatory approval and successfully launch in the US market. Analyst estimates often project continued revenue growth, with the US market entry being a significant catalyst. Profitability is expected to improve as sales volumes increase and operating leverage is achieved.
Recent Initiatives: Key recent initiatives include ongoing efforts to secure FDA approval in the United States, expansion of manufacturing capabilities, and continued investment in research and development for next-generation products. The company also focuses on building its global sales and marketing infrastructure.
Summary
Establishment Labs Holdings Inc. is a growing player in the global breast aesthetics market, differentiated by its innovative Motiva implant technology. The company has demonstrated strong international growth but faces the significant hurdle of entering and competing within the highly competitive US market. Its future success hinges on regulatory approvals, effective market penetration, and continued product development. Key risks include intense competition and potential regulatory challenges.
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Sources and Disclaimers
Data Sources:
- Company financial reports (SEC filings)
- Industry market research reports
- Financial news and analysis outlets
Disclaimers:
This JSON output is generated based on publicly available information and does not constitute financial advice. Market share data and financial projections are estimates and subject to change. Investors should conduct their own due diligence before making any investment decisions.
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 1023 | |
Full time employees 1023 | |||
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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