---
schema_version: "secwatch.filing_event.v1"
accession: "0001688757-23-000079"
form_type: "8-K"
ticker: "ESTA"
cik: "0001688757"
company_name: "ESTABLISHMENT LABS HOLDINGS INC."
filed_at: "2023-11-07T23:59:59+00:00"
generated_at: "2026-06-08T16:08:57.647385+00:00"
event_type: "earnings"
sentiment: "negative"
materiality_score: 0.75
calibrated_materiality_score: 0.75
confidence: "high"
source: SEC EDGAR
---

# Establishment Labs Q3 revenue $38.5M (+0.8% YoY); net loss widens to $29.3M; cuts 2023 guidance to ~$165M

## Summary
- Revenue $38.5M (+0.8% YoY); net loss $29.3M vs $18.6M; operating loss $21.0M vs $10.5M.
- 2023 revenue guidance lowered to ~$165M (up 2% over 2022); China approval removed from forecasts.
- Cash $52.2M at Sep 30; cash burn $14.2M since Dec 31, partially offset by Apr follow-on offering.
- FDA clearance of Motiva Flora SmoothSilk Tissue Expander on Oct 13; Mia Femtech 2-year data shows no capsular contracture.
- Reaffirms $500M revenue target for 2026 despite near-term demand softness.

## SEC filing metadata
- accession: 0001688757-23-000079
- form_type: 8-K
- ticker: ESTA
- cik: 0001688757
- company_name: ESTABLISHMENT LABS HOLDINGS INC.
- filed_at: 2023-11-07T23:59:59+00:00
- event_type: earnings
- sentiment: negative
- materiality_score: 0.75
- calibrated_materiality_score: 0.75
- confidence: high
- sec_items: 2.02, 9.01
- EDGAR index: https://www.sec.gov/Archives/edgar/data/1688757/000168875723000079/0001688757-23-000079-index.htm
- EDGAR primary document: https://www.sec.gov/Archives/edgar/data/1688757/000168875723000079/esta-20231107.htm

## Machine-readable alternates
- HTML: https://secwatch.observer/filing/0001688757-23-000079
- JSON: https://secwatch.observer/filing/0001688757-23-000079.json
- Plain text: https://secwatch.observer/filing/0001688757-23-000079.txt

## Key facts
- Earnings Releases
  ESTABLISHMENT LABS HOLDINGS INC. reported third quarter ended September 30, 2023 results: revenue $38.5 million. Guidance lowered.
  - Period: third quarter ended September 30, 2023
  - Revenue: $38.5 million
  - Guidance: lowered
  - Result: reported results
  source text: and reconstruction, today announced financial results for the third quarter ended September 30, 2023. Third Quarter Highlights and Outlook • Third quarter worldwide revenue of $38.5 million increased 0.8% year-over-year. • 2023 revenue guidance updated to approximately $165 million, an increase of 2% over 2022. • Third quarter loss from operations was $21.0 million
  evidence_url: https://www.sec.gov/Archives/edgar/data/1688757/000168875723000079/0001688757-23-000079-index.htm

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