Is Establishment Labs Holdings, Inc. technically bullish or bearish?

As of 19 September 2025, the technical trend for Establishment Labs Holdings, Inc. has changed from mildly bullish to sideways. The current stance is neutral, with mixed signals across different time frames. The weekly MACD is mildly bearish, while the monthly MACD is mildly bullish. The daily moving averages indicate a mildly bullish trend, but the weekly KST and OBV are both mildly bearish. Additionally, the Bollinger Bands show a bullish signal on the weekly but a bearish signal on the monthly.
In terms of performance, the stock has underperformed the S&P 500 year-to-date and over the past year, with returns of -14.35% and -10.24% respectively, compared to the S&P 500's returns of 13.31% and 16.64%. However, over the last five years, the stock has outperformed the benchmark with a return of 114.57% versus 100.77%.