ESTA NASDAQ Week ended 31 Jul 2026

Weekly Investor Report

Establishment Labs Holdings Inc · Healthcare · Medical Devices

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Latest close 92.54 USD
0.2% latest week
Weekly setup

Constructive, but selective

The weekly trend is active. Price is 25.8% above the Trend Line and sits at 93.0% of its 52-week range. The latest completed week returned 0.2%, after a 3.7% four-week move. The latest factor snapshot indicates quality ranks weakly versus its universe; growth ranks strongly; valuation is expensive relative to peers. Options positioning is bearish with 38/100 conviction, while the latest news-sentiment score is 55/100. Near-term considerations: price is close to its 52-week high; volume confirmation is below normal; earnings are due in 4d.

Setup score 64 out of 100
Latest Close 92.54 USD 31 Jul 2026
1W Return 0.2% latest completed week
4W Return 3.7% short-term follow-through
12W Return 28.9% quarterly tape
Trend Breadth 78.8% 41 of 52 weeks active
Volume Ratio 0.7x vs 13-week average
What is working
  • The trend backdrop is active with a 7-week active streak.
  • Price is above the Trend Line, keeping the weekly tape constructive.
  • Price is above Fair Value, showing premium demand versus the model.
  • Activity pressure is positive on the latest completed week.
What could go wrong
  • 10 reversal markers appear in the recent smart-money tape.
What to watch next
  • Price is close to its 52-week high; watch for continuation or exhaustion.
  • Trend Line remains the key weekly regime level.
  • Activity pressure is the gauge to monitor for confirmation or fade.
  • A volume ratio above 1.5x would show stronger participation in the next move.
Price follow-through 0.2% Latest completed week; four-week move 3.7%. Indicator stack 68/69 Trend and activity pressure are weighted against the latest 12-week confirmation window. Trend backdrop Active The trend backdrop defines the current weekly regime. Patient Capital Quiet Activity-pressure buy-signal status for institutional accumulation timing. Options pressure Bearish 38/100 conviction; expected move 14.0%. News sentiment 55/100 58 relevant articles in the latest sentiment read. Event risk 4d Next report is scheduled for 06 Aug 2026; event risk rises as the date approaches.
01 · Price action

Where price is—and whether the trend supports it

The weekly trend is active. Price is 25.8% above the Trend Line and sits at 93.0% of its 52-week range. The latest completed week returned 0.2%, after a 3.7% four-week move.

Study the full chart

52-week price path

Price vs Trend Line and Fair Value
Price Trend Line Fair Value
02 · Volume and demand

Is real participation confirming the move?

Latest weekly volume is 0.7x the 13-week average. Participation is below its recent norm, so price strength is not receiving full volume confirmation.

26-week volume confirmation

Bar height shows volume; colour shows the weekly price direction
6 Feb 13 Feb 20 Feb 27 Feb 6 Mar 13 Mar 20 Mar 27 Mar 3 Apr 10 Apr 17 Apr 24 Apr 1 May 8 May 15 May 22 May 29 May 5 Jun 12 Jun 19 Jun 26 Jun 3 Jul 10 Jul 17 Jul 24 Jul 31 Jul
Up week Down week
Demand beneath price

Activity pressure and institutional-style signals

These indicators assess whether participation is improving beneath the headline price move. They are supporting evidence, not proof of institutional buying.

Activity pressure path

Latest 0.9112-week average 0.64

12-week confirmation

Trend active7/12Active trend-backdrop weeks in the latest 12-week window.
Positive pressure8/12Weeks with constructive activity pressure in the latest 12-week window.
Positive leadership12/12Weeks with positive relative leadership in the latest 12-week window.
Activity pressure0.91Current proprietary activity-pressure read.
Buy signals0Accumulation signal count in the latest 12 weeks.
Reversal markers1010 reversal markers

No recent accumulation markers. 10 reversal markers.

03 · Momentum and leadership

Is performance persistent—and is the stock leading?

Performance is 3.7% over four weeks, 28.9% over 12 weeks, and 123.9% over one year. The current trend has remained active for 7 consecutive weeks.

Performance by holding period

1W0.2%
4W3.7%
12W28.9%
26W35.8%
52W123.9%
Active trend streak7 weeks
Active weeks in one year41
Trend breadth78.8%

Activity pressure vs relative leadership

Activity pressureRelative leadership
Pressure1.10Latest activity-pressure read.
Pressure change-7.6%Four-week change in activity pressure.
Leadership32.00Latest relative-leadership reading.
RS change13.5%Four-week change in relative leadership.
04 · Fundamentals and valuation

What investors are paying for—and the quality behind it

The latest factor snapshot indicates quality ranks weakly versus its universe; growth ranks strongly; valuation is expensive relative to peers.

Open full factor analysis
Factor week 26 Jul 2026 Financial statements through 31 Mar 2026 Field coverage 82% Model confidence 78%

Relative factor standing

Higher display scores are better. Each score is converted from the underlying universe rank, where rank 1 is best.

Overall factor strength14/100Blend of value, momentum, and quality. Underlying universe rank 87; rank 1 is best.
Value11/100Relative valuation strength. Underlying universe rank 90; rank 1 is best.
Quality7/100Profitability and accounting quality. Underlying universe rank 94; rank 1 is best.
Momentum96/100Medium-term price momentum. Underlying universe rank 5; rank 1 is best.
Growth84/100Revenue and earnings growth. Underlying universe rank 17; rank 1 is best.
How to read this

Quality and valuation are separate questions

A strong company can still carry a demanding valuation. This report shows profitability, growth, balance-sheet strength, and the price paid for those characteristics separately.

Valuation

How much investors are paying for earnings, sales, and cash flow.

P/E
-
Price divided by trailing earnings.
Price / sales
11.8x
Market value relative to trailing revenue.
EV / EBITDA
-
Enterprise value relative to operating cash earnings.
Free-cash-flow yield
-0.9%
Free cash flow as a share of enterprise value.

Business quality

Margins and the return generated on invested capital.

Gross margin
70.1%
Gross profit retained from each unit of revenue.
Operating margin
-10.8%
Operating profit retained from revenue.
Free-cash-flow margin
-11.9%
Free cash flow generated from revenue.
Return on invested capital
-8.8%
Operating return generated on invested capital.

Growth and financial strength

Recent business growth and accounting strength.

Revenue growth
34.9%
Latest one-year revenue growth.
EPS growth
-
Latest one-year earnings-per-share growth.
Free-cash-flow growth
-
Latest one-year free-cash-flow growth.
Piotroski F-score
4/9
Nine-point accounting-strength checklist.

Shareholder return and balance sheet

Cash returned to owners and financial leverage.

Dividend yield
-
Cash dividends relative to market value.
Buyback yield
0.0%
Net share repurchases relative to market value.
Shareholder yield
0.0%
Dividend yield plus net buyback yield.
Net debt / EBITDA
-13.6x
Balance-sheet debt relative to operating cash earnings.
05 · Ownership, options, and sentiment

What other market participants are doing

Options, insider transactions, market sentiment, and activity-pressure signals can confirm or challenge the price story. None should be used alone.

Options positioningBearish

ESTA shows bearish options pressure with a 38/100 conviction score, put-call volume ratio of 2.00, expected move of 14.0%, and Sharemaestro trend signal active.

Conviction38/100
Expected move14.0%
Put/call volume2.00
Pressure-27
Speculation1
Volatility91
Trend agreement68
Open options detail
Insider activity13 / 7

13 acquisitions and 7 disposals in the latest 180-day insider tape.

Acquisitions / disposals over the latest 180 days. Insider activity is context, not a stand-alone signal.
News sentiment55/100

Weighted news tone is neutral across 58 relevant articles.

16 positive · 40 neutral · 2 negative
Patient CapitalQuiet

Activity-pressure buy-signal evidence highlights potential institutional accumulation windows.

No recent buy signal
06 · Catalysts and risk

What can move the shares—and how volatile the path has been

Event timing, options-implied movement, drawdown, and weekly return distribution frame the risk around the current setup.

Next earnings4dNext report is scheduled for 06 Aug 2026; event risk rises as the date approaches.
Options expected move14.0%Nearest-chain priced movement where available.
52-week drawdown-4.6%Distance below the 52-week high.
13-week volatility4.8%Standard deviation of weekly returns.

Weekly gains and losses

Latest 26 completed weeks

Each bar is one week. Gains rise above the zero line; losses fall below it. Taller bars mean a larger weekly move.

Weeks higher17 of 269 weeks finished lower.
Best week+11.4%Week of 17 Apr.
Worst week-11.7%Week of 27 Mar.
Latest week+0.2%Week of 31 Jul.

Shape of recent returns

Strong gains9
Modest gains8
Flat weeks0
Modest losses5
Sharp losses4
Recent vol4.8%13-week weekly-return volatility.
Base vol8.2%52-week weekly-return volatility.
Up/down split31/21Count of positive and negative weeks in the 52-week window.
Average skew6.4% / -4.9%Average positive week versus average negative week.
07 · Sector and peer context

Is this stock leading—or simply moving with its group?

Sector and industry breadth distinguish company-specific strength from a broad group move.

08 · Evidence and weekly data

The underlying research record

Every top-level statement above should be traceable to a stored market, fundamental, event, or positioning observation.

Weekly tape62/100

Trend, activity pressure, participation, and risk combine to a 62/100 tape read.

 Indicator analysis64/100

Latest 12-week confirmation: trend 7/12, activity pressure 8/12, relative leadership 12/12.

Activity pressure 0.91; 10 reversal markers Factors28/100

O'Shaughnessy factor stack blends value, quality, momentum, and confidence.

Buyback Yield rank 56; Small Cap Core rank 88 Patient CapitalQuiet

Activity-pressure buy-signal evidence highlights potential institutional accumulation windows.

No recent buy signal Options50/100

ESTA shows bearish options pressure with a 38/100 conviction score, put-call volume ratio of 2.00, expected move of 14.0%, and Sharemaestro trend signal active.

Bearish · Put-side pressure · Expected move 14.0% Sentiment55/100

Weighted news tone is neutral across 58 relevant articles.

JW group reports 9.15% Establishment Labs (ESTA) stake in Schedule 13G Insiders13 / 7

13 acquisitions and 7 disposals in the latest 180-day insider tape.

 Earnings4d

Next report is scheduled for 06 Aug 2026; event risk rises as the date approaches.
WeekCloseReturnTrend LineFair ValuePressureLeadershipVolumeTrend
31 Jul 202692.54 USD0.2%73.55 USD49.01 USD1.1032.002.0MOn
24 Jul 202692.32 USD-0.3%72.76 USD48.85 USD1.1533.922.4MOn
17 Jul 202692.58 USD5.2%72.23 USD48.72 USD1.2433.681.8MOn
10 Jul 202688.03 USD-1.4%71.63 USD48.58 USD1.2123.222.7MOn
3 Jul 202689.25 USD1.0%71.11 USD48.47 USD1.1928.192.8MOn
26 Jun 202688.38 USD4.2%70.49 USD48.30 USD0.9829.227.7MOn
19 Jun 202684.81 USD3.3%69.86 USD48.18 USD0.5519.612.4MOn
12 Jun 202682.14 USD10.5%69.30 USD48.05 USD0.2319.973.0MOff
5 Jun 202674.31 USD5.1%68.69 USD47.94 USD-0.1712.002.7MOff
29 May 202670.69 USD-2.1%68.38 USD47.90 USD-0.192.451.7MOff
22 May 202672.19 USD9.8%67.62 USD47.87 USD-0.238.301.9MOff
15 May 202665.76 USD-8.4%66.85 USD47.83 USD-0.360.442.1MOff
8 May 202671.77 USD2.2%66.24 USD47.85 USD-0.379.804.5MOff
1 May 202670.23 USD6.0%65.14 USD47.81 USD-0.7514.102.1MOff
How to use this report

This is a completed-week research summary. It explains the available evidence and its conflicts; it does not predict a guaranteed outcome or replace your own risk assessment. Fundamental figures may refer to an earlier financial reporting period, which is shown above.