Costa Rican medical tech firm Establishment Labs Holdings Inc. is making waves in the aesthetic and reconstructive plastic surgery market, thanks to its innovative Motiva Implants brand name. The company's product offerings also include the gravity-sensitive Motiva Ergonomix and Motiva Ergonomix2 round soft silicone-gel-filled breast implants, as well as the Motiva Flora Tissue Expander. With a distribution network covering Europe, the Middle East, Latin America and Asia, Establishment Labs Holdings Inc. has rapidly established itself as a global contender in the medical technology industry since its incorporation in 2004.