---
schema_version: "secwatch.filing_event.v1"
accession: "0001688757-24-000022"
form_type: "8-K"
ticker: "ESTA"
cik: "0001688757"
company_name: "ESTABLISHMENT LABS HOLDINGS INC."
filed_at: "2024-02-28T23:59:59+00:00"
generated_at: "2026-06-05T09:04:20.433476+00:00"
event_type: "earnings"
sentiment: "negative"
materiality_score: 0.75
calibrated_materiality_score: 0.75
confidence: "high"
source: SEC EDGAR
---

# Establishment Labs Q4 revenue falls 28% YoY to $31.6M; guides 2024 rev up 5-11% to $174-184M

## Summary
- Q4 revenue $31.6M vs $43.8M prior year; net loss from operations $22.1M vs $13.2M.
- Adjusted EBITDA loss of $17.3M in Q4 vs $8.9M loss a year ago.
- 2024 revenue guidance $174-184M (+5-11%); excludes US Motiva Implants revenue expected in 2024.
- Proforma cash $90M after Jan $50M private placement; Oaktree facility amended for up to $50M post-FDA approval.
- Launched Motiva Implants in China; first US commercial procedure with Motiva Flora tissue expander.

## SEC filing metadata
- accession: 0001688757-24-000022
- form_type: 8-K
- ticker: ESTA
- cik: 0001688757
- company_name: ESTABLISHMENT LABS HOLDINGS INC.
- filed_at: 2024-02-28T23:59:59+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/1688757/000168875724000022/0001688757-24-000022-index.htm
- EDGAR primary document: https://www.sec.gov/Archives/edgar/data/1688757/000168875724000022/esta-20240228.htm

## Machine-readable alternates
- HTML: https://secwatch.observer/filing/0001688757-24-000022
- JSON: https://secwatch.observer/filing/0001688757-24-000022.json
- Plain text: https://secwatch.observer/filing/0001688757-24-000022.txt

## Key facts
- Earnings Releases
  ESTABLISHMENT LABS HOLDINGS INC. reported Fourth Quarter 2023 results: net income $22.1 million net loss.
  - Period: Fourth Quarter 2023
  - Net income: $22.1 million net loss
  - Result: reported results
  source text: Fourth quarter net loss from operations of $22.1 million compared to a net loss of $13.2 million in the year-ago period.
  evidence_url: https://www.sec.gov/Archives/edgar/data/1688757/000168875724000022/0001688757-24-000022-index.htm
- Earnings Releases
  ESTABLISHMENT LABS HOLDINGS INC. reported Fourth Quarter and Full Year 2023 results: revenue $31.6 million.
  - Period: Fourth Quarter and Full Year 2023
  - Revenue: $31.6 million
  - Result: reported results
  source text: Total revenue for the quarter ended December 31, 2023 was $31.6 million compared to $43.8 million for the same period in 2022.
  evidence_url: https://www.sec.gov/Archives/edgar/data/1688757/000168875724000022/0001688757-24-000022-index.htm
- Earnings Releases
  ESTABLISHMENT LABS HOLDINGS INC. reported 2024 results: revenue $174 million to $184 million. Guidance reaffirmed.
  - Period: 2024
  - Revenue: $174 million to $184 million
  - Guidance: reaffirmed
  - Result: guidance update
  source text: 2024 revenue guidance of $174 million to $184 million, an increase of 5% to 11% over 2023.
  evidence_url: https://www.sec.gov/Archives/edgar/data/1688757/000168875724000022/0001688757-24-000022-index.htm

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