Establishment Labs Holdings Inc. (NASDAQ: ESTA), a global medical technology company dedicated to improving women’s health and wellness, principally in breast aesthetics and reconstruction, today announced publication of its 2021 Sustainability Review to coincide with the fourth anniversary of the company’s public listing on NASDAQ.

“Our company was founded to transform the legacy of an industry through a unique commitment to women’s health and wellbeing. On the fourth anniversary of our listing on NASDAQ, we are unveiling our vision to build a new industry where we support women empowered with the freedom to make informed decisions in the journey of breast health and wellness,” said Juan José Chacón-Quirós, Founder and CEO of Establishment Labs. “We are presenting our 2021 Sustainability Review as an exercise in transparency, so that all of our stakeholders can review our progress with this vision and our efforts in support of environmental and social issues in our communities.”

Among the topics included in the 2021 Sustainability Review are:

• References to the Global Reporting Initiative (GRI) Standards for Energy Consumption, Emissions, and Health and Safety topics as well as the Sustainable Development Goals (SDGs) outlined in the United Nations resolution ‘The 2030 Agenda’.
  
  
• An assessment of the company’s ongoing environmental efforts, including the recertification of its headquarters and manufacturing facilities as carbon neutral according to the Costa Rican national program.
  
  
• Highlights from the company’s efforts in promoting women’s health and well-being, including its patient advocacy efforts, its support of breast cancer awareness and breast reconstruction, the launch of Motiva Flora^® and JOY^® with Ergonomix2, and other programs and initiatives.
  
  
• The publication of landmark breast implant surface research in Nature Biomedical Engineering demonstrating how the Motiva^® SmoothSilk^® surface significantly reduced foreign-body response compared to implants with high degrees of roughness or completely smooth surfaces that were included in the study.
  
  
• A description of the company’s efforts to promote the development of its employees, including ensuring a safe work environment during the COVID-19 pandemic.
  
  
• A review of the company’s 2021 financial performance, the groundbreaking ceremony of its new Sulàyöm Innovation Campus, its quality and regulatory activities, and an update on post-market surveillance clinical data.

The current and previous editions of the annual review can be found on the company’s website at: https://establishmentlabs.com/corporate-sustainability/.

About Establishment Labs

Establishment Labs Holdings Inc. is a global medical technology company dedicated to improving women’s health and wellness. The company’s initial focus is breast health, principally breast aesthetics and reconstruction. Establishment Labs offers a portfolio of advanced silicone gel-filled breast implants, branded as Motiva Implants® that include a number of innovative and patented features designed to deliver improved aesthetic and clinical outcomes. Since commercial launch in 2010, over 2.0 million Motiva Implants® have been delivered to plastic surgeons in over 80 countries. The company also offers or has under development a number of related products and technologies, including the Motiva Flora® tissue expander and Mía®, the company’s minimally invasive breast enhancement procedure. In 2018, Establishment Labs received an investigational device exemption (IDE) from the FDA for the Motiva Implant® and began a clinical trial to support regulatory approval in the United States. Motiva Implants® are manufactured at the company’s two facilities in Costa Rica, which are compliant with all applicable regulatory standards under ISO13485:2016 and FDA 21 CFR 820 under the MDSAP program. Please visit our website for additional information at www.establishmentlabs.com.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). You can find many (but not all) of these statements by looking for words such as “approximates,” “believes,” “expects,” “anticipates,” “estimates,” “intends,” “plans,” “intends to,” “would,” “will,” “may” or other similar expressions in this press release. Any statements that refer to projections of our future financial or operating performance, anticipated trends in our business, our goals, strategies, focus and plans, including related product development and commercialization and regulatory approvals, and other characterizations of future events or circumstances, including statements expressing general optimism about future operating results, related to the company’s performance are forward-looking statements. We claim the protection of the safe harbor contained in the Private Securities Litigation Reform Act of 1995. We caution investors that any forward-looking statements presented in this report, or that we may make orally or in writing from time to time, are expressions of our beliefs and expectations based on currently available information at the time such statements are made. Such statements are based on assumptions, and the actual outcome will be affected by known and unknown risks, trends, uncertainties, and factors that are beyond our control. Although we believe that our assumptions are reasonable, we cannot guarantee future performance, and some will inevitably prove to be incorrect. As a result, our actual future results and the timing of events may differ from our expectations, and those differences may be material. Factors, among others, that could cause actual results and events to differ materially from those described in any forward-looking statements include risks and uncertainties relating to: our ability to successfully, timely and cost-effectively develop, seek and obtain regulatory clearance for and commercialize our product offerings; the rate of adoption of our products by healthcare providers or other customers; the success of our marketing initiatives; the safe and effective use of our products; our ability to protect our intellectual property; our future expansion plans and capital allocation; our ability to expand upon and/or secure sources of credit or capital; our ability to develop and maintain relationships with qualified suppliers to avoid a significant interruption in our supply chains; our ability to attract and retain key personnel; our ability to scale our operations to meet market demands; the effect on our business of existing and new regulatory requirements; the effect on our business of the current Russia-Ukraine conflict; the impact of foreign currency exchange rates; the impact on our business of an economic downturn or deterioration of general macroeconomic conditions, including slower growth or recession, inflation or decreases in consumer spending power or confidence; other economic and competitive factors; and the other risks and uncertainties discussed in Item 1A, Risk Factors, in the company’s annual report on Form 10-K filed on March 1, 2022 and on Form 10-Q for the three months ended March 31, 2022, filed on May 10, 2022. These and other factors that could cause or contribute to actual results differing materially from our expectations may also be amended, updated or superseded from time to time in the future in other filings made by the company with the Securities and Exchange Commission. The risks included in those documents are not exhaustive, and additional factors could adversely affect our business and financial performance. We operate in a very competitive and rapidly changing environment. New risk factors emerge from time to time, and it is not possible for us to predict all such risk factors, nor can we assess the impact of all such risk factors on our business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward-looking statements. We are not undertaking any obligation to update any forward-looking statements. Accordingly, investors should use caution in relying on past forward-looking statements, which are based on known results and trends at the time they are made, to anticipate future results or trends.

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