Stock Analysis

Establishment Labs Holdings (ESTA) Is Up 27.5% After Achieving First Positive Adjusted EBITDA and Raising Guidance

  • Establishment Labs Holdings Inc. recently reported third quarter 2025 results showing revenue growth to US$53.78 million and a reduced net loss compared to the previous year, alongside its first-ever positive adjusted EBITDA and raised full-year revenue guidance above US$210 million.
  • Momentum in U.S. sales and minimally invasive product offerings have positioned the company for an expanded market share and improved margin prospects.
  • We'll now explore how the milestone of positive adjusted EBITDA may reshape Establishment Labs' long-term investment narrative.

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Establishment Labs Holdings Investment Narrative Recap

To own a piece of Establishment Labs Holdings, you need to believe in its ability to accelerate adoption of its Motiva implants and minimally invasive platforms in the U.S. market while executing a path to sustainable profitability. The latest earnings, with positive adjusted EBITDA and raised revenue guidance, support the near-term catalyst of expanding U.S. sales, but do not materially reduce the most important risk: the company’s exposure to high operating costs and the impact on margins. Among recent announcements, the revised 2025 revenue guidance to above US$210 million stands out as particularly relevant. This signals management’s confidence in commercial momentum, especially as Motiva gains traction post-FDA approval and minimally invasive products show promise for expanding the addressable market and supporting the company’s profitability efforts. However, investors should also be aware that despite optimism around growth, the upward trend in operating expenses remains a key consideration for those assessing...

Read the full narrative on Establishment Labs Holdings (it's free!)

Establishment Labs Holdings is forecast to achieve $381.9 million in revenue and $27.5 million in earnings by 2028. This outlook assumes annual revenue growth of 29.1% and an earnings increase of $116 million from current earnings of -$88.5 million.

Uncover how Establishment Labs Holdings' forecasts yield a $62.22 fair value, a 4% downside to its current price.

Exploring Other Perspectives

ESTA Earnings & Revenue Growth as at Nov 2025
ESTA Earnings & Revenue Growth as at Nov 2025

Community fair value estimates for Establishment Labs range from US$40.00 to US$62.22, based on three different Simply Wall St Community perspectives. As you compare these valuations, remember that consistent margin pressure from elevated SG&A and R&D spending could influence long-term earnings scalability and investor confidence.

Explore 3 other fair value estimates on Establishment Labs Holdings - why the stock might be worth as much as $62.22!

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This article by Simply Wall St is general in nature. We provide commentary based on historical data and analyst forecasts only using an unbiased methodology and our articles are not intended to be financial advice. It does not constitute a recommendation to buy or sell any stock, and does not take account of your objectives, or your financial situation. We aim to bring you long-term focused analysis driven by fundamental data. Note that our analysis may not factor in the latest price-sensitive company announcements or qualitative material. Simply Wall St has no position in any stocks mentioned.

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