Strong Top-Line Growth
Q1 2026 revenue of $59.9M, up 44.7% YoY (management rounded to 45%), with full-year guidance raised to $266.5M–$268.5M (≈26%–27% growth vs. 2025).
U.S. Outperformance and Rapid Launch Traction
U.S. revenue of $19.6M in Q1 (32.7% of total), up 216% YoY and +13.3% QoQ; U.S. expected to exceed 30% of total revenue for 2026 (vs ~22% in 2025). Company reported new weekly highs in U.S. order counts and a 30% increase in average orders since end of Q4.
Minimally Invasive Platform Momentum
Minimally invasive platform generated $9.1M in Q1; management raised 2026 guidance for this business to exceed $35M (up from prior $30M). More than 260 U.S. surgeons certified (surpassed plan of 200 for 2026 early). Preserve patient survey: 98% reported minimal disruption, 95% satisfied, 15% were new to category, 84% willing to pay a premium and 99% would choose the procedure again.
Improving Profitability Metrics
Gross margin expanded by 350 bps to 70.7% in Q1 2026 (from 67.2% in Q1 2025). Adjusted EBITDA positive $1.2M in Q1 versus loss of $12.1M in Q1 2025 — third consecutive quarter of positive adjusted EBITDA and company expects adjusted EBITDA positive each quarter in 2026.
Operational Scale and Market Adoption
Surpassed 1,700 accounts globally; 78% of surgeons report being asked for a brand by name and Motiva is requested 93% of the time in those instances. Company reported a 30% increase in average orders since end of Q4 and faster adoption by higher-volume surgeons.
Strong Clinical / Safety Data and Market Differentiation
FDA clinical trial and global post-market data show device-related complication rates at new industry lows (<1% capsular contracture and <1% claim rate from >49,000 warranties sold with 377 claims). Management contrasted this to competitor device-related complication rates up to ~20% in FDA trials.
Balance Sheet Actions and Liquidity Management
Refinanced debt (increase in facility availability from $225M to $265M) with a lower stated rate (8.75%) and PIK option to support near-term cash; received ~$6M proceeds from refinancing in the quarter and management believes they have enough cash to reach cash flow positive in H2 2026 (cash on hand $68.1M at quarter end).
Broader R&D and Market Expansion Pipeline
Submitted Motiva implants for U.S. FDA approval in breast reconstruction (Dec 2025) to expand addressable market; CE Mark for Zen temperature biosensing; ongoing pipeline items include Ergo2, GEM (gluteal augmentation), smaller sizes and Health Canada submission plans.