Director Lewin adds ESTA (NASDAQ: ESTA) shares via spouse purchase

Rhea-AI Filing Summary

Establishment Labs Holdings director Nicholas Sheridan Lewin reported an indirect open-market purchase of 2,600 common shares of ESTA on August 14, 2025 at $37.85 per share. The acquired shares are held by his spouse, with Lewin reporting indirect beneficial ownership of 19,090 shares and direct ownership of 1,075,923 shares.

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

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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^*

LEWIN NICHOLAS SHERIDAN

(Last) (First) (Middle)

C/O MOTIVA USA LLC

16192 COASTAL HIGHWAY

(Street)

LEWES DE 19958

(City) (State) (Zip)

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)

3. Date of Earliest Transaction (Month/Day/Year)
08/14/2025

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

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

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

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	08/14/2025		P		2,600	A	$37.85	19,090	I	See Footnote(1)
Common Shares								1,075,923	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 shares are held by the Reporting Person's spouse.

Remarks:

	/s/ Rajbir S. Denhoy, Chief Financial Officer, by power of attorney	08/14/2025
	** 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.

FAQ

What insider transaction did ESTA director Nicholas Sheridan Lewin report?

Director Nicholas Sheridan Lewin reported an indirect open-market purchase of 2,600 Establishment Labs (ESTA) common shares. The transaction occurred on August 14, 2025, at a price of $37.85 per share, increasing his reported indirectly held stake through his spouse.

At what price were the ESTA shares purchased in the reported Form 4?

The reported ESTA shares were purchased at $37.85 per share in an open-market transaction. This price applies to 2,600 common shares acquired indirectly on August 14, 2025, as disclosed by director Nicholas Sheridan Lewin.

How many ESTA shares does Nicholas Sheridan Lewin now indirectly own?

Following the reported transaction, Nicholas Sheridan Lewin reports indirect beneficial ownership of 19,090 ESTA common shares. These shares are held by his spouse, as noted in the filing’s footnote explaining the nature of the indirect ownership.

How many ESTA shares does Nicholas Sheridan Lewin directly own?

In addition to his indirect holdings, Nicholas Sheridan Lewin reports direct ownership of 1,075,923 ESTA common shares. This direct position is separate from the 19,090 shares held indirectly through his spouse and was listed as directly owned stock.

What does the footnote about Lewin’s ESTA share ownership explain?

The footnote clarifies that the indirectly reported ESTA shares are held by Nicholas Sheridan Lewin’s spouse. This means the 2,600 purchased shares, and the resulting 19,090 indirectly owned shares, are in the spouse’s name but reported as Lewin’s indirect beneficial ownership.

Was the reported ESTA insider transaction a purchase or a sale?

The reported ESTA insider transaction was a purchase. It is coded as an open-market purchase of 2,600 common shares, increasing Nicholas Sheridan Lewin’s indirectly held position through his spouse at a price of $37.85 per share.