[Form 4] ESTABLISHMENT LABS HOLDINGS INC. Insider Trading Activity

ESTABLISHMENT LABS HOLDINGS INC. director Juan Jose Chacon Quiros reported open-market sales of common shares executed on May 6, 2026 through entity Sariel Group Ltd, which holds the shares.

Rhea-AI Filing Summary

ESTABLISHMENT LABS HOLDINGS INC. director Juan Jose Chacon Quiros reported open-market sales of common shares executed on May 6, 2026 through entity Sariel Group Ltd, which holds the shares. The filing shows a total of 105,000 shares sold in two tranches under a pre-established Rule 10b5-1 trading plan, concluding that plan after all its shares were sold. Following these transactions, he continues to hold 45,193 common shares directly and 927,504 common shares indirectly through Sariel Group Ltd.

Insider Trade Summary

Net Seller: 105,000 shares

Net Sell 3 txns

Insider Chacon Quiros Juan Jose

Role Director

Sold 105,000 shs ($7.92M)

Type	Security	Shares	Price	Value
Sale	Common Shares	93,206	$75.331	$7.02M
Sale	Common Shares	11,794	$76.104	$898K
holding	Common Shares	--	--	--

Holdings After Transaction: Common Shares — 927,504 shares (Indirect, See Footnote); Common Shares — 45,193 shares (Direct)

Footnotes (4)

1. F1. The sale was effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person. This transaction concludes the sales under the current 10b5-1 trading plan adopted on December 16, 2025 as all shares subject to the plan have been sold.
2. F2. This transaction was executed in multiple trades at prices ranging from $75.00 to $75.93 per share. The price reported above reflects the weighted average sale price. The Reporting Person undertakes to provide upon request by the staff of the Securities and Exchange Commission, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price.
3. F3. The shares are held by Sariel Group Ltd. The Reporting Person is a shareholder of Sariel Group Ltd and has voting and dispositive power over the shares owned by Sariel Group Ltd. The Reporting Person disclaims beneficial ownership of the shares held by Sariel Group Ltd, except to the extent of his pecuniary interest therein.
4. F4. This transaction was executed in multiple trades at prices ranging from $76.00 to $76.33 per share. The price reported above reflects the weighted average sale price. The Reporting Person undertakes to provide upon request by the staff of the Securities and Exchange Commission, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price.

Key Figures

Shares sold block 1: 11,794 shares at $76.104 Shares sold block 2: 93,206 shares at $75.331 Total shares sold: 105,000 shares +4 more

7 metrics

Shares sold block 1 11,794 shares at $76.104 Open-market sale of common shares on May 6, 2026

Shares sold block 2 93,206 shares at $75.331 Open-market sale of common shares on May 6, 2026

Total shares sold 105,000 shares Aggregate net shares sold in reported transactions

Direct holdings after 45,193 shares Common shares held directly following transactions

Indirect holdings after 939,298 shares Common shares held indirectly via Sariel Group Ltd after trades

Price range trade 1 $75.00–$75.93 Multiple trades underlying $75.331 weighted average sale

Price range trade 2 $76.00–$76.33 Multiple trades underlying $76.104 weighted average sale

Key Terms

Rule 10b5-1 trading plan, weighted average sale price, voting and dispositive power, pecuniary interest

4 terms

Rule 10b5-1 trading plan financial

"The sale was effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person."

A Rule 10b5-1 trading plan is a pre-arranged schedule that allows company insiders to buy or sell stock at specific times, even if they have inside information. It helps prevent accusations of unfair trading by making these transactions look planned and transparent, rather than sneaky or illegal.

weighted average sale price financial

"The price reported above reflects the weighted average sale price."

voting and dispositive power financial

"The Reporting Person is a shareholder of Sariel Group Ltd and has voting and dispositive power over the shares owned by Sariel Group Ltd."

pecuniary interest financial

"The Reporting Person disclaims beneficial ownership of the shares held by Sariel Group Ltd, except to the extent of his pecuniary interest therein."

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Accepted by SEC EDGAR 05/08/2026 - 04:09 PM Learn about SEC filing dates

SEC Form 4

FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

OMB APPROVAL

OMB Number:			3235-0287
Estimated average burden
hours per response:			0.5

Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

1. Name and Address of Reporting Person^*

Chacon Quiros Juan Jose

(Last) (First) (Middle)

C/O MOTIVA USA LLC

16192 COASTAL HIGHWAY

(Street)

LEWES DELAWARE 19958

(City) (State) (Zip)

UNITED STATES

(Country)

2. Issuer Name and Ticker or Trading Symbol
ESTABLISHMENT LABS HOLDINGS INC. [ ESTA ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director		10% Owner
	Officer (give title below)		Other (specify below)

2a. Foreign Trading Symbol

3. Date of Earliest Transaction (Month/Day/Year)
05/06/2026

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

4. If Amendment, Date of Original Filed (Month/Day/Year)

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)		4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
			Code	V	Amount	(A) or (D)	Price
Common Shares	05/06/2026		S(1)		93,206	D	$75.331(2)	939,298	I	See Footnote(3)
Common Shares	05/06/2026		S(1)		11,794	D	$76.104(4)	927,504	I	See Footnote(3)
Common Shares								45,193	D

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
				Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares

Explanation of Responses:

1. The sale was effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person. This transaction concludes the sales under the current 10b5-1 trading plan adopted on December 16, 2025 as all shares subject to the plan have been sold.

2. This transaction was executed in multiple trades at prices ranging from $75.00 to $75.93 per share. The price reported above reflects the weighted average sale price. The Reporting Person undertakes to provide upon request by the staff of the Securities and Exchange Commission, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price.

3. The shares are held by Sariel Group Ltd. The Reporting Person is a shareholder of Sariel Group Ltd and has voting and dispositive power over the shares owned by Sariel Group Ltd. The Reporting Person disclaims beneficial ownership of the shares held by Sariel Group Ltd, except to the extent of his pecuniary interest therein.

4. This transaction was executed in multiple trades at prices ranging from $76.00 to $76.33 per share. The price reported above reflects the weighted average sale price. The Reporting Person undertakes to provide upon request by the staff of the Securities and Exchange Commission, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price.

Remarks:

	/s/ Juan Jose Chacon Quiros	05/08/2026
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.
* Form 4: SEC 1474 (03-26)