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Establishment Labs Holdings (ESTA) investor relations material
Establishment Labs Holdings Q2 2025 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Q2 2025 earnings summary7 Aug, 2025
Executive summary
Q2 2025 revenue reached $51.3M, up 16.3% year-over-year, with strong U.S. performance and $10.3M from U.S. Motiva sales.
Six-month revenue was $92.7M, up 14% year-over-year, driven by higher North American sales after FDA approval.
Adjusted EBITDA loss improved to $8.5M from $12.1M in Q1; net loss for Q2 was $16.6M, slightly better than a year ago.
Cash balance at quarter-end was $54.6M, with $25M available under credit facility; total accessible cash ~$80M.
U.S. business is outperforming, with over 1,000 accounts and increasing surgeon adoption of Motiva implants.
Financial highlights
Q2 revenue: $51.3M (+16.3% YoY); six-month revenue: $92.7M (+14% YoY); U.S. sales: $10.3M (20% of total); EMEA: 40% of sales, double-digit growth.
Gross profit: $35.3M (68.8% margin), up from 65.6% YoY and 67.2% sequentially, driven by higher-margin U.S. sales.
SG&A expenses: $44.2M in Q2, up $11.4M YoY; six-month SG&A: $83.9M, driven by U.S. expansion.
Adjusted EBITDA loss: $8.5M (Q2), improved from $12.1M (Q1); cash use: $14.5M in Q2, down from $21.2M in Q1.
Net loss for Q2 was $16.6M; net loss for six months was $37.3M, compared to $33.4M in 2024.
Outlook and guidance
2025 revenue guidance raised to $208M–$212M (25%–28% growth), with at least $40M in U.S. Motiva sales.
Management expects positive EBITDA in 2025 and cash flow breakeven in 2026, with no further equity raises expected.
Operating expenses expected to moderate in H2; leverage from higher U.S. revenues to drive profitability.
U.S. sales are expected to positively impact gross margins due to higher selling prices.
Macroeconomic conditions, including inflation and consumer sentiment, may impact demand for aesthetic procedures.
US surgeon utilization strategy for Motiva?
China market challenges and H2 outlook?
Mia and Preservé long-term market strategy?
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Next Establishment Labs Holdings earnings date
Q3 20256 Nov, 2025
Next Establishment Labs Holdings earnings date
Q3 20256 Nov, 2025
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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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