---
schema_version: "secwatch.filing_event.v1"
accession: "0001688757-26-000014"
form_type: "8-K"
ticker: "ESTA"
cik: "0001688757"
company_name: "ESTABLISHMENT LABS HOLDINGS INC."
filed_at: "2026-02-24T23:59:59+00:00"
generated_at: "2026-05-16T00:50:04.718969+00:00"
event_type: "earnings"
sentiment: "positive"
materiality_score: 0.75
calibrated_materiality_score: 0.75
confidence: "high"
source: SEC EDGAR
---

# Establishment Labs Q4 rev $64.6M (+45% YoY); guides 2026 rev $264-266M

## Summary
- Full year 2025 revenue $211.1M (+27.2% YoY); Q4 net loss $3.9M vs $18.7M loss a year ago.
- Q4 adjusted EBITDA positive $5.5M vs ($13.1M) YoY; cash balance $75.6M at Dec 31, 2025.
- Motiva U.S. Q4 revenue $17.3M; full year U.S. revenue $45.6M.
- 2026 revenue guidance $264-266M (+25-26% YoY); 2027 revenue growth projected at least 25%.
- CEO cites Preservé product driving market expansion and expects first positive cash flow quarter in 2026.

## SEC filing metadata
- accession: 0001688757-26-000014
- form_type: 8-K
- ticker: ESTA
- cik: 0001688757
- company_name: ESTABLISHMENT LABS HOLDINGS INC.
- filed_at: 2026-02-24T23:59:59+00:00
- event_type: earnings
- sentiment: positive
- 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/1688757/000168875726000014/0001688757-26-000014-index.htm
- EDGAR primary document: https://www.sec.gov/Archives/edgar/data/1688757/000168875726000014/esta-20260224.htm

## Machine-readable alternates
- HTML: https://secwatch.observer/filing/0001688757-26-000014
- JSON: https://secwatch.observer/filing/0001688757-26-000014.json
- Plain text: https://secwatch.observer/filing/0001688757-26-000014.txt

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