Establishment Labs director sells 75,000 shares

ESTABLISHMENT LABS HOLDINGS INC. director Juan Jose Chacon Quiros reported indirect open-market sales totaling 75,000 common shares over April 23–27.

Rhea-AI Filing Summary

ESTABLISHMENT LABS HOLDINGS INC. director Juan Jose Chacon Quiros reported indirect open-market sales totaling 75,000 common shares over April 23–27. The trades, executed at prices in the mid‑$60s per share, were carried out under a disclosed Rule 10b5-1 trading plan.

The shares were sold by Sariel Group Ltd., over which Chacon Quiros has voting and dispositive power, while disclaiming beneficial ownership beyond his pecuniary interest. After these sales, indirect holdings stood at 1,107,504 common shares, and a separate direct position was 45,193 common shares as of April 23.

Insider Trade Summary

Net Seller: 75,000 shares

Net Sell 10 txns

Insider Chacon Quiros Juan Jose

Role Director

Sold 75,000 shs ($4.92M)

Type	Security	Shares	Price	Value
Sale	Common Shares	1,007	$65.907	$66K
Sale	Common Shares	1,008	$66.46	$67K
Sale	Common Shares	165	$67.144	$11K
Sale	Common Shares	22,610	$65.657	$1.48M
Sale	Common Shares	7,568	$66.129	$500K
Sale	Common Shares	4,936	$64.834	$320K
Sale	Common Shares	30,549	$65.33	$2.00M
Sale	Common Shares	6,757	$66.204	$447K
Sale	Common Shares	400	$67.357	$27K
holding	Common Shares	--	--	--

Holdings After Transaction: Common Shares — 1,107,504 shares (Indirect, See Footnote); Common Shares — 45,193 shares (Direct)

Footnotes (11)

1. F1. The sale was effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person.
2. F2. This transaction was executed in multiple trades at prices ranging from $64.35 to $64.99 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 $65.00 to $65.95 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.
5. F5. This transaction was executed in multiple trades at prices ranging from $66.02 to $66.57 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.
6. F6. This transaction was executed in multiple trades at prices ranging from $67.03 to $67.69 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.
7. F7. This transaction was executed in multiple trades at prices ranging from $65.00 to $65.99 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.
8. F8. This transaction was executed in multiple trades at prices ranging from $66.00 to $66.37 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.
9. F9. This transaction was executed in multiple trades at prices ranging from $65.77 to $65.99 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.
10. F10. This transaction was executed in multiple trades at prices ranging from $66.00 to $66.97per 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.
11. F11. This transaction was executed in multiple trades at prices ranging from $67.03 to $67.49 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: 75,000 shares Weighted sale price example: $67.357 per share Weighted sale price example: $64.834 per share +2 more

5 metrics

Shares sold 75,000 shares Net insider sales over April 23–27

Weighted sale price example $67.357 per share Open-market sale on April 23

Weighted sale price example $64.834 per share Open-market sale on April 23

Indirect holdings after sales 1,107,504 shares Common shares held via Sariel Group Ltd. after April 27

Direct holdings 45,193 shares Common shares held directly as of April 23

Key Terms

Rule 10b5-1 trading plan, weighted average sale price, voting and dispositive power, disclaims beneficial ownership

4 terms

Rule 10b5-1 trading plan regulatory

"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 regulatory

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

disclaims beneficial ownership regulatory

"The Reporting Person disclaims beneficial ownership of the shares held by Sariel Group Ltd"

FAQ

AI-generated questions and answers. How Rhea-AI works. Not financial advice.

What insider transaction did ESTA director Juan Jose Chacon Quiros report?

Juan Jose Chacon Quiros reported indirect open-market sales of 75,000 ESTABLISHMENT LABS common shares. These transactions occurred between April 23 and April 27 and were executed at prices in the mid‑$60s per share under a disclosed Rule 10b5-1 trading plan.

At what prices were the ESTABLISHMENT LABS (ESTA) shares sold in this Form 4?

The reported sales of ESTA common shares show weighted average prices such as $67.357 and $64.834 per share. Footnotes explain each transaction involved multiple trades within specified intraday ranges around these reported weighted average sale prices.

How many ESTABLISHMENT LABS shares does Sariel Group Ltd. hold after the reported sales?

After the reported Form 4 sales, the indirect holding through Sariel Group Ltd. is shown as 1,107,504 common shares. The reporting person has voting and dispositive power over these shares but disclaims beneficial ownership beyond his pecuniary interest.

Were the ESTABLISHMENT LABS insider sales made under a Rule 10b5-1 plan?

Yes. A footnote states the sale was effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person. Such plans pre-arrange trading instructions, indicating these sales followed a pre-set schedule rather than discretionary timing decisions.

What direct shareholding does the ESTA director report alongside these sales?

In addition to indirect holdings, the Form 4 includes a direct holding line of 45,193 common shares as of April 23. This entry reflects shares held directly by the reporting person, separate from those owned through Sariel Group Ltd.

Who is the entity involved in the indirect ESTABLISHMENT LABS share sales?

The indirect sales involve shares held by Sariel Group Ltd.. A footnote explains the reporting person is a shareholder of Sariel Group Ltd. with voting and dispositive power, while disclaiming beneficial ownership except for his pecuniary interest in the entity.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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Accepted by SEC EDGAR 04/27/2026 - 05:38 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)
04/23/2026

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	04/23/2026		S(1)		4,936	D	$64.834(2)	1,177,568	I	See Footnote(3)
Common Shares	04/23/2026		S(1)		30,549	D	$65.33(4)	1,147,019	I	See Footnote(3)
Common Shares	04/23/2026		S(1)		6,757	D	$66.204(5)	1,140,262	I	See Footnote(3)
Common Shares	04/23/2026		S(1)		400	D	$67.357(6)	1,139,862	I	See Footnote(3)
Common Shares	04/24/2026		S(1)		22,610	D	$65.657(7)	1,117,252	I	See Footnote(3)
Common Shares	04/24/2026		S(1)		7,568	D	$66.129(8)	1,109,684	I	See Footnote(3)
Common Shares	04/27/2026		S(1)		1,007	D	$65.907(9)	1,108,677	I	See Footnote(3)
Common Shares	04/27/2026		S(1)		1,008	D	$66.46(10)	1,107,669	I	See Footnote(3)
Common Shares	04/27/2026		S(1)		165	D	$67.144(11)	1,107,504	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.

2. This transaction was executed in multiple trades at prices ranging from $64.35 to $64.99 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 $65.00 to $65.95 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.

5. This transaction was executed in multiple trades at prices ranging from $66.02 to $66.57 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.

6. This transaction was executed in multiple trades at prices ranging from $67.03 to $67.69 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.

7. This transaction was executed in multiple trades at prices ranging from $65.00 to $65.99 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.

8. This transaction was executed in multiple trades at prices ranging from $66.00 to $66.37 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.

9. This transaction was executed in multiple trades at prices ranging from $65.77 to $65.99 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.

10. This transaction was executed in multiple trades at prices ranging from $66.00 to $66.97per 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.

11. This transaction was executed in multiple trades at prices ranging from $67.03 to $67.49 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	04/27/2026
	** 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)