Enhancing Lives by Advancing the Art of Plastic Surgery - R&D DAY PRESENTATION Jamie, Actual Sientra Patient

 
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Enhancing Lives by Advancing the Art of Plastic Surgery - R&D DAY PRESENTATION Jamie, Actual Sientra Patient
Enhancing Lives by
Advancing the Art of
Plastic Surgery
R&D DAY PRESENTATION

                       Jamie, Actual Sientra Patient
Enhancing Lives by Advancing the Art of Plastic Surgery - R&D DAY PRESENTATION Jamie, Actual Sientra Patient
SETTING THE STANDARD FOR PLASTIC SURGERY

       Exclusivity to Board-Certified Plastic
  01                                                 05 Unrivaled Safety + Clinical Data
       Surgeons

  02 Brought Shaped Implants to Market               06 Industry-Leading
                                                        20-year Platinum20™ Warranty

  03 Continued  Innovation (5th Gen)
     on Broad Portfolio of Silicone Gel Implants
                                                     07   Plastic Surgery Consultants Focused
                                                          on Practice Growth

  04 Advanced     AlloX2® the Only Tissue Expander   08 Charitable Giving Programs
     with Aspiration Port

                                                                                                2
Enhancing Lives by Advancing the Art of Plastic Surgery - R&D DAY PRESENTATION Jamie, Actual Sientra Patient
SIENTRA: EVOLVING INTO A FULL AESTHETICS
COMPANY

                                                                Eyes, Ears,
                                                                  Nose
                                                                   $1.0
                                             Face, Neck,            8%
                                                Brow                                                               Breast
                                                $1.4                                                                $4.0
                                                11%                                                                 30%

                                                 Toxin/Filler
                                                    $3.0
   Breast         Breast        Non-Breast
                                                    22%
Augmentation   Reconstruction
                                                                                                         Body
                                                                                                         $3.9
                                                                                                         29%

                                                    Retail Market Size in Billions of Dollars
                                                    * Ronan Solutions, Aesthetic Industry Insights, Dec. 12, 2021. Data on File.
                                                    1 Gluteal augmentation (including fat grafting), thigh/other body fat
                                                      grafting, Tummy Tuck, liposuction, lipectomy, gastric balloon, excision of
                                                      excess skin.                                                                 3
Enhancing Lives by Advancing the Art of Plastic Surgery - R&D DAY PRESENTATION Jamie, Actual Sientra Patient
SIGNIFICANT ADDRESSABLE MARKET
                                                                        Near-Term Addressable
Market                                                                       Opportunity1
                                                                                      (Millions)
                                                                                                                           § Significant opportunity for
U.S. Aesthetic Breast Implants                                                          $280                                 growth via deeper
                                                                                                                             penetration across existing
U.S. Reconstructive Breast Implants                                                     $115                                 markets and entry into new Ex
                                                                                                                             U.S. markets:
U.S. Tissue Expanders                                                                   $180
                                                                                                                               § Japanese approval in
Scar Management                                                                          $30                                     August 2020
                                                                                                                               § Health Canada approval
Japan Breast Implants                                                                    $15
                                                                                                                                 in Q1 2022
Canada Breast Implants                                                                   $20

Fat Grafting (Breast)                                                                   $160

Near-Term Addressable Market                                                            $800

        1   Market size based on company estimates and American Society of Plastic Surgeons annual statics report (2019)
Enhancing Lives by Advancing the Art of Plastic Surgery - R&D DAY PRESENTATION Jamie, Actual Sientra Patient
• A leader in Reconstruction
 • Grow into a full Aesthetics Company
• Double our revenue in the next 3 years

                                           5
Enhancing Lives by Advancing the Art of Plastic Surgery - R&D DAY PRESENTATION Jamie, Actual Sientra Patient
MARKET DYNAMICS

                  6
Enhancing Lives by Advancing the Art of Plastic Surgery - R&D DAY PRESENTATION Jamie, Actual Sientra Patient
TOP TRENDS IN PLASTIC SURGERY: BREAST AESTHETICS
REMAINS #1 REVENUE GENERATOR
                                            5-Year Category Revenues (US)*
                                                                                                              Total 5-Year Revenues*
                                                                                                   $4.0
                                                                                                           Breast               $14 B
                                                                                                    $3.9
                    $3.4                                $3.4
                                                                                                           Body                 $11B
                                                                                            $3.3
Breast
                                                                                                   $3.0    Toxin/Filler         $11 B
                                                        $2.9
                    $2.8
Toxin/ Filler
                                                                                            $2.7           Face, Neck, Brow     $4 B

                                                                                            $2.5
                                                                                                           Eyes, Ears, Nose     $3 B
                    $2.1                                $2.1
Body
                                                                                                   $1.4

                                                                                            $1.0   $1.0
                    $0.9                                $0.9
Face/Neck/Brow      $0.6                                $0.6                                $0.6

Eyes/Ears/Nose
                    2018                                2019                                2020   2021

             * Ronan Solutions, Aesthetic Industry Insights, Dec. 12, 2021. Data on File.                                               7
Enhancing Lives by Advancing the Art of Plastic Surgery - R&D DAY PRESENTATION Jamie, Actual Sientra Patient
SINCE COVID IN EARLY 2020, HOSPITAL PURCHASES OF
IMPLANTS/EXPANDERS HAVE SOFTENED
                                       Purchase Volume (units)
                                     Gel Implants & Breast Expanders
    800000

    700000
                                                                     -12%
                      -3%                +11%
    600000                                              185946                                                         •   COVID may have
             167277
                                                                                         -5%                               continued to impact
                            174049
                                                                            164592                                         hospital access at
    500000                                                                                           152153
                                                                                                                           local/regional levels

    400000                                                                                                             •   Implant purchases
                                                                                                                           declined -4.4% YoY

    300000                                                                                                             •   Expander purchases
             488087
                                                        515939                                                             declined at higher
                            459111                                          450972                                         rate of -7.5%
                                                                                                     430984
    200000

    100000

         0
              2017           2018                        2019                2020                     2021

                                             Implants    Expanders                   Reference: IQVIA, SMART-Medical Device Supply Edition, Gel Implants &
                                                                                                             Breast Expander purchases, Q1 2017-Q4 2021 8
Enhancing Lives by Advancing the Art of Plastic Surgery - R&D DAY PRESENTATION Jamie, Actual Sientra Patient
SIENTRA RECONSTRUCTION SHOW STRONG MOMENTUM
GAINS +3.8 SHARE PTS

        Sientra Reconstruction Market Share
        Based on IQVIA- Hospital Purchase Volume*
                                                15.0%
                                                                    2021 Market Updates
  15%

  14%                                           13.5%      •   2021 gel implants & expanders
                                                               market estimated at >$220M*
  13%
                                                12.9%          •     Implants: $95M
  12%
                            10.9%                              •     Expanders: $125M
  11%

  10%
                            9.7%                           •   Sientra has incrementally gained
          9.1%
                                       +3.8 share points       share since 2019 closing 2021 at
  9%
                            9.2%           1.4X YoY            13.5%
  8%
          7.2%                                                  • 1.4x vs 2020
  7%
                                                                • 1.9x vs 2019
  6%      6.6%
          2019              2020                 2021

         Implants     Expanders       All Reconstruction
                                      (blended)
                                                                   Reference: IQVIA, SMART-Medical Device Supply Edition, Gel
                                                                   Implants & Breast Expander purchases, Q1 2017-Q4 2021
Enhancing Lives by Advancing the Art of Plastic Surgery - R&D DAY PRESENTATION Jamie, Actual Sientra Patient
AESTHETIC BREAST IMPLANT PROCEDURAL VOLUME
2021 AT A 4-YEAR HIGH
                                   Aesthetic Breast Implant Procedural Volume by Procedure Type
                                                      Augmentation             Revision Aug           Mastopexy w/Implants                Other
650,000
                                                                                                                                                                 564,783

                                                                                                                                                  +20%            4,698
550,000                                                                                           +9%                  471,387
                                                  - 5%                                                                                                                     Mastopexy
                                                                                                                                                                 81,745
                      458,191                                          433,845                                            3,862                                            w/Implants: 14%

450,000                                                                   5,409                                                         Mastopexy
                                                                                                                          64,958
                        94,836         Mastopexy                                        Mastopexy                                       w/Implants: 14%
                                       w/Implants: 21%
                                                                         55,979         w/Implants: 13%                                                          153,990   Revision Aug: 27%
350,000
                                                                                                                         134,050
                       108,158                                                                                                          Revision Aug: 28%
                                       Revision Aug: 24%                140,710
                                                                                        Revision Aug: 32%
250,000

150,000                                                                                                                                                          324,350   Primary
                                       Primary
                       255,216                                                          Primary                          268,517        Primary                            Augmentation: 57%
                                       Augmentation: 56%                231,747                                                         Augmentation: 57%
                                                                                        Augmentation: 53%

 50,000

-50,000
                         2018                                             2019                                             2020                                   2021

          Ronan Data: February 7, 2022. History & Trends > Breast Procedures > Incl. Augmentation, Mastopexy with implants, and Revision (Removal/Replacement)
SIENTRA AUGMENTATION CONTINUES STRONG GAINS IN
2021 WITH 2.2x SHARE GROWTH SINCE 2019

        Cosmetic Breast Implants Category | Sientra Share by Year
                                Based on Procedural Units Shipped1
10.0%                                                                                             9.5%

                                                            ain
                                                                                                                                                              +17 pts
 9.0%
                                                          g
 8.0%                                               h are
                                                   s
 7.0%
                                             2x
                                                            6.5%
 6.0%                                                                                                                                                          Growth in Sientra brand
 5.0%                4.7%                                                                                                                                     awareness amongst breast
 4.0%
                                                                                                                                                              augmentation considerers2
 3.0%
                                                                                                                                                         •      In one year, Sientra brand
 2.0%
                                                                                                                                                                awareness doubled from 16% to
 1.0%                                                                                                                                                           33%, becoming the #2 most
                                                                                                                                                                recognized brand2
 0.0%
                   FY 2019                                FY 2020                                FY 2021
          1   Sientra Share - Procedural Units Shipped (includes evaluation units, warranty but excludes sizers and Japan) compared to Ronan Solutions: Primary + Secondary Augmentation Data.
          2   Sientra brand awareness and tracking study, February 2022.                                                                                                                         11
TIMEFRAME TO TREATMENT CUT IN HALF

                                        2020                                                      2020
                               40 months                                                       4 months

   Begins                 Average time between                           Seeks Consult   Average time between       Has BA Surgery
Considering BA            when a woman first                             with Surgeons   consultation and surgery
                          starts thinking about BA
                          and going in for consult

                                 2022                                                      2022
                          19 months                                                      8 months
   Begins                                                  Seeks Consult                                            Has BA Surgery
Considering BA                                             with Surgeons

        Reference: January 2022: Sientra Market Research, data on file                                                   * Data on file   12
SIENTRA GROWTH DRIVERS 2022-23
                                                                                 U.S. Centric /
                                                                               Untapped Market
   Consumer Activation
                                                                          New/existing account growth:
    Digital media connects                                                • Surgeon Education / Training
  thousands of patients with               Market Penetration             • Value-add programs/services
            surgeons                                                      • Sales structure and support

     Consumer Voice
                                                                                 Line  Extensions
                                                                                 Int’l Expansion
 Influencers drive message of
  choice and empowerment                                                       Japan, Canada, China
                                                                               Dermaspan w/ 6 tabs
                                                                                 Low Profile Plus
     Sientra Academy
    Cutting edge practice                                                        Market Builders
    management training         Consumerization            New Products
                                                                                    AlloX2 Pro
                                                                                    Portfinder
      Reconstruction
 Educate, Support, Connect                                                    Broadened Aesthetic
                                                                                   Offering
                                                                                    Fat Grafting
                                                                                                           13
UNRIVALED SAFETY AND CLINICAL DATA
                                                                   *

                                                               4

 *The clinical studies from these manufacturers are not
designed to be compared head-to-head. Each individual
company’s own individual and published rates were
presented

1Stevens  WG, Calobrace MB, Alizadeh A, Zeidler KR,
Harrington JL, d’Incelli RC. Ten-year core study data for
Sientra’s Food and Drug Administration - approved round
and shaped breast implants with cohesive silicone gel. Plast
Reconstr Surg. 2018;141(4S):7S-19S.

2Mentor  Worldwide LLC. Patient Decision Checklist:
MemoryShape & MemoryGel:
https://www.breastimplantsbymentor.com/MENTOR-
implant-safety-information. Accessed December 2021

3Allergan Sales, LLC. Patient Decision Checklist:
https://www.natrellesurgeon.com/Content/PDF/Augmentati
on_Consent_Form.pdf. Accessed December 2021

4Sientra, Inc. Patient Decision Checklist:
https://sientra.com/app/uploads/2021/10/MDC-0748-R2-
Patient-Decision-Checklist-AUG-v1.pdf. Accessed April 2022

                                                                       14
WHAT MATTERS MOST TO RECON SURGEONS
                                                                                                                  Current
Importance in Selecting                                                                                            Total
                                              Top-2 Box                                                            n=49
Implant Brands
(Table Stakes)                   Manufacturer is consistent in having an available supply of everything I need                             88%

                                                                The manufacturer is easy to do business with                              86%

                                             Has the lowest complication rates among all U.S. implant brands                              86%

                                      Offers implants in width, projection & volume increments that meet all
                                                                                                                                          84%
                                                                  patient's needs

                                                                                      Is easy to use in surgery                     73%

                                      Has high strength cohesive gel that provides improved shape retention                        69%

                                     Provides good training and educational information to me / my practice                  61%

                                           The manufacturer is highly regarded on podium talks, papers, etc.                57%

                                                  The manufacturer brings innovative products to the market                 57%

                                                        Is a brand I've never experienced a serious issue with              57%

                 Reference: January 2022: Sientra Market Research, data on file                                                                  15
THE POWER OF THE SIENTRA RECON PORTFOLIO

    Sientra has a portfolio of breast products that can help minimize potential disruptions and give control back to the surgeon

                         Common Complications                                               The Benefit of Sientra Expanders & Implants

                         • Animation deformity
                         • Postoperative pain and                                           • AlloX2: Revolutionary dual-port design and
 Sub-pec                   discomfort                                                         integral drain allow for less invasive - non-
                         • Loss of pectoral function                                          surgical - draining of serous fluid.
                         • Potential higher rupture rates                                   • Sientra Silicone Gel Implants (HSC+): The
                                                                                              highest level of gel fracture resistance
                         • Seroma/infection                                                   available without the compromise of an
 Pre-pec                 • Wrinkling and rippling                                             overly firm implant1
                         • Healing complications

       1. Kinney BM, Jeffers LLC, Ratliff GE, Carlisle DA. Silicone gel breast implants: science and testing. Plast Reconstr Surg. 2014;134(1S):47S-56S.   16
WHAT MATTERS MOST TO AUG SURGEONS
                                                                                                                     2022
Importance in Selecting                               Top-2 Box                                                        n=71
Implant Brands
(Table Stakes)                                                      The manufacturer is easy to do business with                                                          93%
                                Offers implants in width, projection & volume increments that meet all patient's
                                                                      needs
                                                                                                                                                                         90%

                                    Manufacturer is consistent in having an available supply of everything I need                                                    87%

                                                Has the lowest complication rates among all U.S. implant brands                                                    80%

                                                                                         Is easy to use in surgery                                             76%

                                                              Has the most comprehensive and longest warranty                                                  76%

                                                    The manufacturer has attractive price points on its products                                            72%
                               Has a warranty that covers removal of an implant if the patient is unsatisfied with
                                                          their results for any reason
                                                                                                                                                            70%

                                         Has high strength cohesive gel that provides improved shape retention                                            69%

                                                            Is a brand I've never experienced a serious issue with                                       66%

                                                     The manufacturer brings innovative products to the market                                        62%

                              • N=71, Augmentation Surgeon Sample. Base Sizes Shown by Survey Period.
                              • Q18/19: Please indicate how important each statement is when selecting a breast implant manufacturer for breast surgeries on a
                 Reference: January 2022:                                                                                                                                       17
                                scale of 1 Sientra Market
                                           to 5. You      Research,
                                                     can select     data on from
                                                                any number  file 1 to 5, where 1 means "Not at all Important" and 5 means "Extremely Important".
HCP BUYING DRIVERS

TABLESTAKES
                                                    RECON: PRODUCT SUPERIORITY
    1. Portfolio + breadth of sizes,                1.   Training & education
       widths, projections
                                                    2.   Innovative products
                                                    3.   Best in class warranty
    2. Positive experience with,
       safety of product
                                                    AUG: ADDED VALUE
                                                    1.   Best in class warranty
    3. Reliability of partner                       2.   Attractive price points
                                                    3.   Innovative products and marketing
                                                         programs

   Source: Sientra Consumer Market Research, 2022
WHAT MATTERS MOST TO AUG PATIENTS =
WHAT MATTERS TO AUG SURGEONS

        #1                                                   #2
           51%
                                                                49%
                                                                                    #3
                                                                                     43%
                  Category 1                                        Category 2            Category 3
     Surgery
                                                      Procedure Cost             Implant Safety
   Complications

   Reference: January 2022: Sientra Market Research, data on file                                      19
MODERN DECISION MAKING FOR PLASTIC SURGERY

                                        Empowered Consumers

         50%                                                   47%                         39%

   50% of patients do their                                     47% rely on      39% rely on their overall experience
       own research                                          ratings & reviews            (doctor or office)

   Reference: January 2022: Sientra Market Research, data on file                                                       20
2022: AMPLIFIED CONSUMER CAMPAIGN

                                   20 M+
                                Consumers Reached

                                500,000+
                           Patients Educated and Nurtured

                                 80,000+
                                 Search for Surgeon
OUR PROMISE
                    SAFETY                                      SECURITY

    Unrivaled safety and clinical results. Sientra   Peace-of-mind is everything. Sientra
    offers the latest generation of implants with    stands by our premium implants with the
    low complication rates, so that you and          industry’s most comprehensive
    your patients can feel confident in your         20-year warranty.
    choice with Sientra.

              SATISFACTION                                     SURGEONS

                                                     Exclusively available through BCPSs so
    The highest rated silicone gel breast
                                                     patients can feel confident in the most
    implant brand in the US.                         skilled and qualified hands.
    *Realself.com Accessed February 2022

                                                                                               22
A COMPANY OF FIRSTS
A STORY OF CONTINUOUS INNOVATION
                    First Shaped Implant
                                                                                           AlloX2 Pro – MRI
                      to Market in US
                                                                                           Compatible Tissue
                                                                                               Expander
                      Exclusive, Latest
                                                              Butterfly                     Strong Focus on
                     Generation, High
                                                             Partnership                    Reconstruction
                       Strength Gel
                                                                2021                             2022
                           2012

                                           AlloX2 – Only                   AuraGen – Fat
                                               Tissue                        Grafting
  First to Market                          Expander with                      System
  Tabbed Tissue                              Integrated                        2021
    Expanders                              Aspiration Port
   Dermaspan                                   2016
      2007

                                                                                                               24
Building a Roadmap
       Keeping up with the Evolution of Medical Knowledge

                        Replace and               Regenerate
Understand                                          Regenerative
Function and             Enhance                    capabilities,
performance                 Implants                   tissue
                             Devices                engineering
FOCUS

  Breast Augmentation         Breast Reconstruction          Post-Op Management             Non-Breast

• Natural looking           • Best-in-class expansion       • Treat and prevent     • Full body
  augmentation with safe      options                         scarring                transformation
  and predictable           • Aesthetic reconstruction      • Promote healing and   • Safe and predictable
  outcomes                    with safe and predictable       quick recovery          solutions
• Complete portfolio for      outcomes, with a natural
  all breast needs            look and feel
• Lead the next             • Complete portfolio for all
  generation of               breast reconstruction
  augmentation offering       needs
                            • Innovative solutions for an
                              aesthetic breast
                              reconstruction
                            • Complication prevention
                              and management

                                                                                                             26
SIENTRA’S LONG-TERM STRATEGIC VISION                                                                                                          YR. 5

                                                                                                                                        NON-SILICONE
                                                                                                                                        BREAST PRODUCTS
                                                                 PORTFOLIO
                                                                 ENHANCEMENTS

                                                         o    Large Sizes                                                                  NEXT GEN
                                                         o    Complete implant                                                             BREAST EXPANSION
                                                                                                                           NON-BREAST
                                                              portfolio                                      YR. 3         PRODUCTS
                                                         o    Complete
                                                              expander portfolio
                                                                                             FAT GRAFTING
                                                                                             (non-breast)

                                                                                        o   Small volume
                                                                                            options (face,
                                                                                            hands,…)
                                                                     ADJACENCIES        o   Lumpectomy
                                                 YR. 1
                                                                                            options
                                                             o    Solutions for post-   o   Body
                                                                  op management
                                                             o    Nipple recon
                                  FAT GRAFTING
                                                                  alternatives
                                  (breast)
                                                             o    Other implantable
                                                                  devices used
                                                                  during breast
            ALLOX2 PRO                                            surgery
            (MRI-compatibility)

         EXECUTION AND                                       NEW PRODUCTS – REVENUE                                  THE FUTURE – NON-BREAST
  I N N O V AT I O N F R A M E W O R K                             G E N E R AT O R S                                     + I N N O V AT I O N
WHAT MAKES US
DIFFERENT?
SIENTRA’S
PORTFOLIO

             29
PORTFOLIO
 High-Strength Cohesive
                                                          Breast Tissue Expanders                                           BIOCORNEUM®                         Softspan™
   Silicone Gel Breast
                                                         for Breast Reconstruction                                       Advanced Scar Treatment           Extremity Expanders
         Implants

• Available in 2 cohesive gel                           • Patented2 AlloX2® dual                                         • #1 performing, preferred,    • Allows for expansion of
  options - HSC & HSC+                                    port design with integrated                                      and recommended scar gel       skin for local wound
• Unmatched shape retention                               drain improves clinical                                          of plastic surgeons4           coverage
  and softness, with highest                              outcomes3                                                      • Only advanced scar           • Widest array of options on
  gel fracture resistance and                           • Dermaspan™ single port                                           treatment with FDA-            the market
  gel-shell integration1                                  design for soft,                                                 cleared Silishield®
• Backed by best-in-class                                 comfortable expansion                                            patented crosslinked
  Platinum20™ Warranty                                                                                                     medical grade silicone and
                                                                                                                           SPF 305
          1.   Kinney et l., Silicone Gel Breast Implants: Science and Testing, Plast. Reconstr. Surg., 2014:134(1S):47S-56S
          2.   U.S. Patent Nos. 8,454,690 and 10,709,851
          3.   Fairchild et al., Safety and Efficacy of Smooth Surface Tissue Expander Breat Reconstruction, Aesth. Surg., 2020:40(1):53-62
          4.   Data on File.                                                                                                                                                           30
          5.   U.S. Patent Nos. 5,741,509; 8,021,683; 8,802,133; 9,336,546; and 9,795,706
DESIGN FEATURES UNIQUE TO ALL SIENTRA
IMPLANTS
 Exclusive High-Strength Cohesive                                                                                                   Gel Fill Level
                             Gel                                                                                                    Optimal fill ratio
Engineered for shape retention and high                                                                                             designed
 resistance to fracture, while maintaining                                                                                          to provide and maintain
                    a remarkably soft feel1                                                                                         the desired breast shape
                                                                                                                                    in combination with the
                                                                                                                                    slope of the chest wall

                                            Flat Back Design
                         Allows implants to conform to
                              the chest wall, creating a                                                                      Highest Level of Gel-Shell
                         smooth lateral edge designed                                                                         Integration
                                 to limit palpability and                                                                     Provides greater adherence of the gel
                                               wrinkling                                                                      fill to the shell, resulting in an implant
                                                                                                                              that maintains both strength and
                                                                                                                              softness 1

           1. Kinney et l., Silicone Gel Breast Implants: Science and Testing, Plast. Reconstr. Surg., 2014:134(1S):47S-56S                                                31
WHAT IS DIFFERENT ABOUT SIENTRA’S GEL
TECHNOLOGY?
                                                    It’s all about Chemistry!

   Low Strength Silicone (non-Sientra)                              High Strength Silicone (Sientra only)

 Pendant vinyl groups cause the polymers to run parallel to the      End block vinyl groups allow for polymers to align perpendicular to
 hydride cross-linkers, resulting in more compact and restricted     the hydride cross-linkers, resulting in less restricted, more flexible
 polymers.                                                           polymers.
                                                                                                                                              32
WHAT IS DIFFERENT ABOUT SIENTRA’S GEL
TECHNOLOGY?
                                                       It’s all about Chemistry!

    Low Strength Silicone is like…                                     High Strength Silicone is like…

Parallel Aligned                                                                                                     Random Alignment of
Collagen Fibers                                                                                                         Collagen Fibers
 Of Scar Tissue                                                                                                       Of Normal Dermis
(more rigid, less                                                                                                       (more flexible,
tensile strength)                                                                                                    high tensile strength)

                                        SCAR                                             DERMIS
    Pendant vinyl groups cause the polymers to run parallel to the      End block vinyl groups allow for polymers to align perpendicular to
    hydride cross-linkers, resulting in more compact and restricted     the hydride cross-linkers, resulting in less restricted, more flexible
    polymers.                                                           polymers.
                                                                                                                                                 33
OPTIMAL BALANCE BETWEEN STRENGTH AND
SOFTNESS
        Gel strength and softness of all implant
                        types.1

                                                                                                                       Sientra implants are remarkably strong,
                                                                                                                                 yet soft to the touch.

                                                                                                                       Sientra implants show minimum trade-off
                                                                                                                         in softness in order to achieve greater
                                                                                                                                       gel strength.

  1.   Kinney et l., Silicone Gel Breast Implants: Science and Testing, Plast. Reconstr. Surg., 2014:134(1S):47S-56S                                               34
UNRIVALED SAFETY AND CLINICAL DATA
                                                                   *

                                                               4

 *The clinical studies from these manufacturers are not
designed to be compared head-to-head. Each individual
company’s own individual and published rates were
presented

1Stevens  WG, Calobrace MB, Alizadeh A, Zeidler KR,
Harrington JL, d’Incelli RC. Ten-year core study data for
Sientra’s Food and Drug Administration - approved round
and shaped breast implants with cohesive silicone gel. Plast
Reconstr Surg. 2018;141(4S):7S-19S.

2Mentor  Worldwide LLC. Patient Decision Checklist:
MemoryShape & MemoryGel:
https://www.breastimplantsbymentor.com/MENTOR-
implant-safety-information. Accessed December 2021

3Allergan Sales, LLC. Patient Decision Checklist:
https://www.natrellesurgeon.com/Content/PDF/Augmentati
on_Consent_Form.pdf. Accessed December 2021

4Sientra, Inc. Patient Decision Checklist:
https://sientra.com/app/uploads/2021/10/MDC-0748-R2-
Patient-Decision-Checklist-AUG-v1.pdf. Accessed April 2022

                                                                       35
SIENTRA’S
WARRANTY

            36
SIENTRA PLATINUM20™, THE BEST WARRANTY IN
THE INDUSTRY

LIFETIME   FREE implant replacement for implant rupture (any size or style)

20 Year    Up to $5,000 for uncovered fees and costs due to implant rupture

20 Year    FREE implant replacement for complications of capsular contracture
           (Baker Grade III/IV), late forming seroma and double capsule

 2 Year    Up to $2,000 for uncovered fees and costs due to capsular contracture
           (Baker Grade III/IV), late forming seroma and double capsule
                                                                                   37
ALLOX2 PLATFORM
TISSUE EXPANDER LINES

AlloX2       Dermaspan   Softspan Extremity
                         Expanders
ALLOX2 – ELEVATING PATIENT CARE

                                                                                                                                                       PLATFORM FOR THE
   ONLY TISSUE EXPANDER                                                    PUBLISHED EVIDENCE ON
                                                                                                                                                      FUTURE OF EXPANSION
     WITH DRAIN PORT                                                         CLINICAL BENEFITS
                                                                                                                                                          TECHNOLOGY

     Integrated drain for post-op                                          “The unique feature of the AlloX2                                           Addressing pain points with
     aspiration and access to the                                          provides surgeons easy access to                                            current expansion options.
         periprosthetic space.                                              the periprosthetic space without
                                                                                altering any of the other
                                                                                characteristics of a tissue
                                                                               expander. This resulted in a
                                                                             reduced time to drain removal
                                                                             and facilitated management of
                                                                               postoperative seroma and
                                                                                        infection.”1

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  1 Momeni et al., The Impact of Device Innovation on Clinical Outcomes in Expander-based Breast Reconstruction, Plast. Reconstr. Surg. 2020: 7(12)
ALLOX2 PLATFORM
   EVOLUTION
   ALLOX2 PRO

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ALLOX2 PRO FEATURES AND BENEFITS
                                                                  6 Suture Tabs
                                                                  •   Better fixation
Nonmetallic Ports and
Reduced Magnet Size:
•   MRI compatibility
•   Reduced image artifacts in CT’s                                                     Improved Depth Location
•   Less interference with                                                              •   Precise and easy location
    radiotherapy treatment                                                                  of fill and drain ports

    Anatomical shape
                                                                                                Handheld device
    •   Softer feel for
        patient comfort                                                                         •   Convenient port
                                                                                                    location

              Unique, Proprietary Drain for Seroma Aspiration
              •   Soft and pliable drain for easy insertion and removal
              •   Published evidence on benefits of drain’s ability for fluid
                  aspiration, diagnostic sampling, pocket irrigation, and
                  antibiotic delivery.
ALLOX2 PRO KEY DIFFERENCES

                                           AlloX2                                AlloX2 Pro
Ports (fill and drain)             2 Titanium Ports                              2 Peek Ports
                                            (metallic)                                (plastic)

Magnet(s)                                       2                                1 superficial
                                  (1 inside each port - 2.66   cm3)                  (0.30 cm3)

Metal                                     6.01 cm3                                 0.36 cm3
                                                                                   (94% reduction)

MRI Compatibility                              No                                      Yes
Imaging/Radiation Interference           Standard                                  Reduced
Fixation Tabs                                   3                                        6
Fill/Drain Ports’ Needles             21/18 gauge                                18/18 gauge
Port Location                    Magnetic Port Locator                Magnetic Port Locator OR PortFinder
Patient Comfort                          Standard                           Softer and more pliable
Surface                          Smooth and Textured                                Smooth
AURAGEN

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SIENTRA + AURAGEN: TOTAL BODY TRANSFORMATION,
THE NEXT WAVE IN AESTHETICS
                        Total Body Transformation
                Fat is “relocated” from unwanted areas                                                                                   • Broadens opportunity in plastic surgery
                to add volume where desired. Minimal
                    OR time, using one’s own tissue.                                                                                       market with addition of highly
                                                                                                                                           differentiated, FDA-cleared fat grafting
                                                                                                                                           technology

                                                                                                                                         • Drives additional revenue growth and TAM
                         Art                                             Science                                                           opportunity in Sientra’s core breast
                                                                                                                                           aesthetics market
       Natural Looking                                                   Long-Lasting,
     Ultimate sculpting                                                  predictable results
  tool with flexibility to                                               Evidence of high fat                                            • Expands Sientra’s TAM opportunity through
         create desired                                                  retention, fat
              outcomes                                                   concentration, and                                                addition of non-breast aesthetic
                                                                         cell viability1,2                                                 applications – including the significant
                                                                                                                                           market for face, hands and body

       1 An et al., Comparative Analysis of Two Automated Fat-processing Systems, Plast. Reconstr. Surg. - Global Open: January 2020 - Volume 8 - Issue 1 - p e2587
       2 Phase I Gluteal Augmentation Study – Independent Investigator Study. Data on File.
                                                                                                                                                                                       45
FAT GRAFTING NATURALLY ALIGNS WITH SIENTRA’S CORE BREAST
BUSINESS AND EXPANDS INTO NEW AESTHETIC MARKETS

                                             Additional
                                              Revenue         Bundling
                                           from Existing     Opportunity
                                             Accounts

                                Door Opener                           Convert New
                                 with Product                          Accounts
                                Differentiation

                                           Non-Breast        Revenue from
                                              Plastic      Breast Procedures        reduction without implants, implant
        gluteal augmentation,
                                             Surgery        where Implants          removal, autologous reconstruction
            body, face, hands              Applications      are not Used
FAT GRAFTING IS TRENDING IN MEDIA COVERAGE
OF BREAST PROCEDURES

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CLINICAL BENEFITS OF FAT GRAFTING IS SUBJECT OF
INCREASED STUDY

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ROADMAP TO LAUNCH
                         Commercial Design +                    BTS – Market Seeding /
                        Manufacturing Scale Up                  Soft Launch

     Q4 2021                       2022                                   Q1 2023

                        200 Patients Clinical Study

                  • Main Endpoint: Fat Retention at 12 months
                  • 10 sites
                  • 100 Recon / 100 Augmentation

    Acquisition

                                                                          Launch

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2022 – A YEAR OF
LAUNCHES
PLANNED LAUNCHES

 Q1 2022             2022                 2022                 Q1 2023

    Dermaspan           Low Profile          AlloX2 Pro +         Fat Grafting
     6 tabs              Plus                 PortFinder           System
                         Implants

       Product              Portfolio            New Product             New Product
       Improvement          Enhancement

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SIENTRA’S LONG-TERM STRATEGIC VISION                                                                                     YR. 5

                                                                                                                   NON-SILICONE
                                                                                                                   BREAST PRODUCTS

                                                                                                                      NEXT GEN
                                                                                                      NON-BREAST      EXPANSION
                                                                                        YR. 3         PRODUCTS

                                                                             FAT GRAFTING
                                                                             (non-breast)

                                                                            PORTFOLIO
                                                             ADJACENCIES    ENHANCEMENTS
                                                 YR. 1

                                  FAT GRAFTING
                                  (breast)

            ALLOX2 PRO                                         Innovation backed up by science and clinical data
            (MRI-compatibility)

                                                                       Beyond breast – Full Body Transformation
         EXECUTION AND                                   NEW PRODUCTS – REVENUE                 THE FUTURE – NON-BREAST
  I N N O V AT I O N F R A M E W O R K                         G E N E R AT O R S                    + I N N O V AT I O N
HOW DOES THIS FIT INTO
THE FINANCIAL MODEL?
FY 2021 REVIEW
    $ Millions
                           2019   2020   2021     21 V 20     21 V 20
                                                  $ Change    % Change
    Global Net Sales        46.4 55.0 81.5            26.5         48%
    COGS                    16.4 23.6 35.9           (12.3)       -52%
    Gross Margin            30.0 31.4 45.6            14.2         45%
     GM %                 64.7% 57.1% 55.9%
    Operating Expense
     S&M                    35.5 37.4 44.9           (7.5)        -20%
     R&D                     9.2    8.7    8.7        0.0           0%
     G&A                    35.0 32.3 25.0            7.3          23%
     Total Non-GAAP Op Ex 79.7 78.4 78.6             (0.1)          0%
    Non-GAAP EBITDA        (49.7) (47.0) (33.0)      14.1          30%
                                                                         54
2022 FOCUS AND FUTURE PERSPECTIVE

   $200M          SIEN Pathway Perspective

                                                    2024+

                Revenue    NG Op Ex     Op Profit

                                                            55
CORPORATE FOCUS

     • A leader in Reconstruction
 • Grow into a full Aesthetic Company
• Double our revenue in the next 3 years

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QUESTIONS?
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