Establishment Labs
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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.
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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, driving rapid market entry and growth.

  • Focused on science-based innovation, with patented technologies like SmoothSilk for superior safety and performance.

  • Motiva implants demonstrated less than 1% device-related complications over five years, outperforming competitors.

  • Marketing initiatives, including celebrity endorsements, generated over 9.2 billion impressions and increased patient-driven demand.

  • Positioned as a leader in breast aesthetics and reconstruction, with a robust innovation pipeline for future growth.

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 EBITDA positive in Q3 2025 and improved cash balance to $75.5 million by year-end.

  • Expects at least 25% annual revenue growth in 2026 and 2027, with significant margin expansion as infrastructure is already established.

  • Gross margin surpassed 70%, with continued leverage expected as operating expenses grow slower than revenue.

  • On track for cash flow positive in 2026, 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.

  • 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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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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