---
schema_version: "secwatch.filing_event.v1"
accession: "0001688757-23-000014"
form_type: "8-K"
ticker: "ESTA"
cik: "0001688757"
company_name: "ESTABLISHMENT LABS HOLDINGS INC."
filed_at: "2023-02-27T23:59:59+00:00"
generated_at: "2026-06-18T23:46:47.874742+00:00"
event_type: "earnings"
sentiment: "positive"
materiality_score: 0.8
calibrated_materiality_score: 0.8
confidence: "high"
source: SEC EDGAR
---

# Establishment Labs submits final PMA module for Motiva to FDA; Q4 revenue $43.8M, up 24% YoY; guides 2023 $200-210M

## Summary
- Submitted fourth and final module to U.S. FDA for premarket approval of Motiva Implants in the U.S.
- Q4 2022 revenue $43.8M, up 24.1% YoY; operating loss $13.6M vs $14.2M loss in prior year.
- 2023 revenue guidance $200M-$210M, representing 24%-30% growth over 2022.
- Cash balance $66.4M as of Dec 31, 2022; increased $12.9M from prior year.
- Mia Femtech commercialization on track; China approval expected H1 2023.

## SEC filing metadata
- accession: 0001688757-23-000014
- form_type: 8-K
- ticker: ESTA
- cik: 0001688757
- company_name: ESTABLISHMENT LABS HOLDINGS INC.
- filed_at: 2023-02-27T23:59:59+00:00
- event_type: earnings
- sentiment: positive
- materiality_score: 0.8
- calibrated_materiality_score: 0.8
- confidence: high
- sec_items: 2.02, 9.01
- EDGAR index: https://www.sec.gov/Archives/edgar/data/1688757/000168875723000014/0001688757-23-000014-index.htm
- EDGAR primary document: https://www.sec.gov/Archives/edgar/data/1688757/000168875723000014/esta-20230227.htm

## Machine-readable alternates
- HTML: https://secwatch.observer/filing/0001688757-23-000014
- JSON: https://secwatch.observer/filing/0001688757-23-000014.json
- Plain text: https://secwatch.observer/filing/0001688757-23-000014.txt

## Key facts
- Earnings Releases
  ESTABLISHMENT LABS HOLDINGS INC. reported the quarter ended December 31, 2022 results: revenue $43.8 million, net income $13.6 million. Guidance initiated.
  - Period: the quarter ended December 31, 2022
  - Revenue: $43.8 million
  - Net income: $13.6 million
  - Guidance: initiated
  - Result: reported results
  source text: Total revenue for the quarter ended December 31, 2022 was $43.8 million compared to $35.3 million for the same period in 2021.
  evidence_url: https://www.sec.gov/Archives/edgar/data/1688757/000168875723000014/0001688757-23-000014-index.htm
- Earnings Releases
  ESTABLISHMENT LABS HOLDINGS INC. updated its the year ended December 31, 2022 guidance (initiated).
  - Period: the year ended December 31, 2022
  - Guidance: initiated
  - Result: reported results
  source text: The company also provided unaudited financial results for the fourth quarter and full year ended December 31, 2022 and provided 2023 guidance.
  evidence_url: https://www.sec.gov/Archives/edgar/data/1688757/000168875723000014/0001688757-23-000014-index.htm

This AI-assisted summary is a reading aid. Review the linked SEC EDGAR filing before relying on any specific claim.