Establishment Labs director granted 19,561 stock options

ESTABLISHMENT LABS HOLDINGS INC. director Nicholas Sheridan Lewin received a grant of stock options covering 19,561 common shares at an exercise price of $66.28 per share, expiring on April 24, 2036.

Rhea-AI Filing Summary

ESTABLISHMENT LABS HOLDINGS INC. director Nicholas Sheridan Lewin received a grant of stock options covering 19,561 common shares at an exercise price of $66.28 per share, expiring on April 24, 2036. One-fourth of these options vest on April 24, 2027 and on each one-year anniversary thereafter, subject to continued service. Following the transactions, he held 1,079,960 common shares directly and 19,090 common shares indirectly through his spouse, plus the newly granted options.

Insider Trade Summary

Grant/Award: 19,561 shares

Grant/Award 3 txns

Insider LEWIN NICHOLAS SHERIDAN

Role Director

Type	Security	Shares	Price	Value
Grant/Award	Stock Option (Right to buy) F2, F3	19,561	$0.00	$0.00
holding	Common Shares F1	--	--	--
holding	Common Shares	--	--	--

Holdings After Transaction: Stock Option (Right to buy) — 19,561 contracts (Direct); Common Shares — 19,090 shares (Indirect, See Footnote); Common Shares — 1,079,960 shares (Direct)

Footnotes (3)

1. F1. The shares are held by the Reporting Person's spouse.
2. F2. Represents an award of stock units under the Issuer's 2018 Equity Incentive Plan.
3. F3. One-fourth of the shares subject to the option shall vest on April 24, 2027 and each one-year anniversary thereafter, subject to the Reporting Person continuing as a service provider through each such date.

Key Figures

Option shares granted: 19,561 shares Exercise price: $66.28 per share Option expiration: April 24, 2036 +4 more

7 metrics

Option shares granted 19,561 shares Stock Option (Right to buy) award on April 24, 2026

Exercise price $66.28 per share Conversion or exercise price of the new stock option grant

Option expiration April 24, 2036 Expiration date of the stock option award

Direct common shares after 1,079,960 shares Direct ESTA common share holdings following the reported transactions

Indirect common shares after 19,090 shares Indirect ESTA common share holdings through spouse after the filing

Underlying option shares 19,561 shares Common shares underlying the newly granted stock option

Initial vesting date April 24, 2027 One-fourth of the option vests on this date, then annually

Key Terms

Stock Option (Right to buy), 2018 Equity Incentive Plan, indirect ownership, vesting

4 terms

Stock Option (Right to buy) financial

"security_title: Stock Option (Right to buy)"

2018 Equity Incentive Plan financial

"Represents an award of stock units under the Issuer's 2018 Equity Incentive Plan."

indirect ownership financial

"The shares are held by the Reporting Person's spouse."

vesting financial

"One-fourth of the shares subject to the option shall vest on April 24, 2027"

Vesting is the process by which you earn full ownership of something, like company stock or a retirement benefit, over time. It’s like earning the right to keep a gift piece by piece the longer you stay with a company, making sure employees stay committed before they receive all the benefits.

FAQ

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

What insider transaction did ESTA director Nicholas Sheridan Lewin report on this Form 4?

Nicholas Sheridan Lewin reported a grant of stock options for 19,561 common shares of ESTABLISHMENT LABS HOLDINGS INC., awarded under the company’s 2018 Equity Incentive Plan, with no open-market purchases or sales disclosed.

What is the exercise price and term of Nicholas Lewin’s new ESTA stock options?

The new stock option award covers 19,561 ESTA common shares at an exercise price of $66.28 per share, with an expiration date of April 24, 2036, providing a long-dated incentive tied to future share performance.

How do the 19,561 ESTA stock options granted to Nicholas Lewin vest over time?

One-fourth of the options vest on April 24, 2027, and additional one-fourth portions vest on each one-year anniversary thereafter, conditioned on Mr. Lewin continuing as a service provider through each vesting date.

How many ESTA common shares does Nicholas Lewin hold after this filing?

After the reported transactions, Nicholas Lewin held 1,079,960 ESTA common shares directly and 19,090 common shares indirectly through his spouse, along with the newly granted option to acquire 19,561 additional shares.

How are Nicholas Lewin’s indirect ESTA share holdings structured?

The Form 4 notes that 19,090 ESTA common shares are held by Mr. Lewin’s spouse. These are reported as indirect ownership, reflecting his relationship-based beneficial interest in those shares.

Under which plan were Nicholas Lewin’s new ESTA stock options granted?

The options are described as an award under ESTABLISHMENT LABS HOLDINGS INC.’s 2018 Equity Incentive Plan, aligning director compensation with shareholder interests through equity-based incentives.

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

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Accepted by SEC EDGAR 07/10/2026 - 04:26 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^*

LEWIN NICHOLAS SHERIDAN

(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)
04/24/2026

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								19,090	I	See Footnote(1)
Common Shares								1,079,960	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
Stock Option (Right to buy)	$66.28	04/24/2026		A(2)		19,561		(3)	04/24/2036	Common Shares	19,561	$0	19,561	D

Explanation of Responses:

1. The shares are held by the Reporting Person's spouse.

2. Represents an award of stock units under the Issuer's 2018 Equity Incentive Plan.

3. One-fourth of the shares subject to the option shall vest on April 24, 2027 and each one-year anniversary thereafter, subject to the Reporting Person continuing as a service provider through each such date.

Remarks:

	/s/ Cassandra "Sandra" Harris	07/10/2026
	** 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)