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ESTA Should I Buy

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Intellectia

Should You Buy Establishment Labs Holdings Inc (ESTA) Today? Analysis, Price Targets, and 2026 Outlook.

Conclusion
Hold
Latest Price
65.010
1 Day change
2.41%
52 Week Range
83.310
Analysis Updated At
2026/03/13
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Establishment Labs Holdings Inc (ESTA) is not a strong buy at the moment for a beginner, long-term investor with $50,000-$100,000 available for investment. While the company shows strong revenue growth and positive long-term analyst sentiment, the recent price trend, technical indicators, and hedge fund selling suggest caution. The stock is oversold, but without strong positive catalysts or clear proprietary trading signals, it is better to wait for a more favorable entry point.

Technical Analysis

The stock is currently oversold with an RSI of 13.284, indicating potential for a rebound. However, the MACD is negatively expanding (-1.479), and the price is below key support levels (S1: 64.496, S2: 60.654). Moving averages are converging, suggesting indecision in the market. The overall trend is bearish.

Options Data

Bullish
Open Interest Put-Call Ratio
Bullish
Option Volume Put-Call Ratio

Technical Summary

StrongSellSellNeutralBuyStrongBuydotted line Image
Sell
6
Buy
7

Positive Catalysts

  • Strong revenue growth in Q4 2025 (up 45.16% YoY).

  • Analysts maintain positive long-term sentiment with multiple price target increases.

  • Gross margin improvement to 70.46%.

Neutral/Negative Catalysts

  • Hedge funds are selling, with a 348.78% increase in selling activity last quarter.

  • Net income and EPS dropped significantly in Q4 2025 (-92.43% and -92.44% YoY, respectively).

  • No recent congress trading data or significant insider activity.

  • The stock is underperforming the broader market (SP500 -1.52%, ESTA -3.99%).

Financial Performance

In Q4 2025, revenue increased by 45.16% YoY to $64.62M, indicating strong top-line growth. However, net income dropped significantly to -$2.62M (-92.43% YoY), and EPS fell to -0.09 (-92.44% YoY). Gross margin improved to 70.46%, up 2.86% YoY, showing operational efficiency.

Growth

Profitability

Efficiency

Analyst Ratings and Price Target Trends

Analysts are generally positive on ESTA, with multiple firms raising price targets recently. Citi lowered its target to $74 (Neutral), but Canaccord, Mizuho, TD Cowen, and Stephens raised targets to $90-$100, maintaining Buy/Outperform ratings. Analysts highlight strong growth potential, U.S. market share gains, and structural profitability improvements.

Wall Street analysts forecast ESTA stock price to rise
8 Analyst Rating
Wall Street analysts forecast ESTA stock price to rise
7 Buy
1 Hold
0 Sell
Strong Buy
Current: 63.480
sliders
Low
75
Averages
82.88
High
90
Current: 63.480
sliders
Low
75
Averages
82.88
High
90
Citi
Neutral
downgrade
$81 -> $74
AI Analysis
2026-03-11
Reason
Citi
Price Target
$81 -> $74
AI Analysis
2026-03-11
downgrade
Neutral
Reason
Citi lowered the firm's price target on Establishment Labs to $74 from $81 and keeps a Neutral rating on the shares. The firm adjusted targets in the medical technology group post the Q4 reports. Sector fundamentals remain "healthy" despite the recent volatility, the analyst tells investors in a research note. Citi's top picks are iRhythm and Medtronic.
Canaccord
Buy
maintain
$85 -> $90
2026-02-26
Reason
Canaccord
Price Target
$85 -> $90
2026-02-26
maintain
Buy
Reason
Canaccord raised the firm's price target on Establishment Labs to $90 from $85 and keeps a Buy rating on the shares. The firm updated its model to reflect ESTA's Q4 results and 2026 guidance.
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