Establishment Labs Holdings Inc. produces medical devices for aesthetic and reconstructive plastic surgery, mainly offering silicone gel-filled breast implants under Motiva Implants brand and other types of implants, as well as distributing Puregraft line of products for autologous adipose tissue harvesting and redistribution. The company's products are sold worldwide, in Latin America, Europe, the Asia-Pacific, and beyond, through exclusive distributors and direct sales force. Established in 2004, the company is based in Alajuela, Costa Rica.