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Each of the Advisor, Wild and the General Partner, disclaims, for purposes of Section 16 of the Securities Exchange Act of 1934, beneficial ownership of such securities, except to the extent of its or his indirect pecuniary interest therein, and this report shall not be deemed an admission that either the Advisor, Wild or the General Partner are the beneficial owner of such securities for purposes of Section 16 or for any other purposes."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F3","text":"The Reporting Person is filing this Form 4 to report a transaction that has resulted in the Reporting Person ceasing to be a beneficial owner of more than 10% of the Issuer's common stock. Accordingly, this constitutes the final Form 4 filing by the Reporting Person with respect to the Issuer."}],"balance_after":2890582,"source":{"system":"sec-edgar","filing":"0001104659-26-067739","document":"tm2615893-1_4seq1.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":3,"url":"https://www.sec.gov/Archives/edgar/data/1082644/000110465926067739/tm2615893-1_4seq1.xml","form_type":"4"}},{"id":760669,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":35478,"kind":"person","name":"JW Asset Management, LLC","position":1,"cik":"0001549738","reported_name":"JW Asset Management, LLC","relationship":{"director":false,"officer":false,"ten_percent_owner":false,"other":true,"other_text":"See footnote 3"}},{"id":35479,"kind":"organization","name":"JW Partners, LP","position":2,"cik":"0001082644","reported_name":"JW Partners, LP","relationship":{"director":false,"officer":false,"ten_percent_owner":false,"other":true,"other_text":"See footnote 3"}},{"id":43618,"kind":"organization","name":"JW Opportunities Fund, LLC","position":3,"cik":"0001594084","reported_name":"JW Opportunities Fund, LLC","relationship":{"director":false,"officer":false,"ten_percent_owner":false,"other":true,"other_text":"See footnote 3"}},{"id":35480,"kind":"organization","name":"JW GP, LLC","position":4,"cik":"0001778512","reported_name":"JW GP, LLC","relationship":{"director":false,"officer":false,"ten_percent_owner":false,"other":true,"other_text":"See footnote 3"}},{"id":35481,"kind":"person","name":"Wild Jason G.","position":5,"cik":"0001778752","reported_name":"Wild Jason G.","relationship":{"director":false,"officer":false,"ten_percent_owner":false,"other":true,"other_text":"See footnote 3"}}],"security":"Common Shares","published_at":"2026-05-29T00:49:34.000Z","date":"2026-05-27","kind":"sale","planned":false,"acquired":false,"shares":113,"price":72.5,"value":8192.5,"ownership":{"direct":false,"nature":"See Footnotes"},"footnotes":[{"field":"ownership.nature","element":"natureOfOwnership","label":"F1","text":"This Form 4 is being filed by JW Asset Management, LLC (the \"Advisor\") on behalf of itself and JW Partners, LP (\"JWP\"), JW Opportunities Fund, LLC (\"JWO\"), JW GP, LLC (the \"General Partner\"), and Jason G. Wild (\"Wild\" and, together with the Advisor, JWP, JWO, and the General Partner, the \"Reporting Persons\"). The Advisor serves as the investment advisor of JWP and JWO. The General Partner serves as general partner to JWP and the manager of JWO. Wild is the managing member of the Advisor and the General Partner."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F2","text":"The amounts of 25,320, 113 and 65,100 in Table I reflect 59,357 Common Shares sold by JWP and 31,176 Common Shares sold by JWO, in open market transactions on 5/26/2026, 5/27/2026 and 5/28/26 requiring the filing of this statement. In accordance with Instruction 4(b)(iv) of Form 4, the entire amount of the Issuer's securities held by the Reporting Persons is reported herein. Each of the Advisor, Wild and the General Partner, disclaims, for purposes of Section 16 of the Securities Exchange Act of 1934, beneficial ownership of such securities, except to the extent of its or his indirect pecuniary interest therein, and this report shall not be deemed an admission that either the Advisor, Wild or the General Partner are the beneficial owner of such securities for purposes of Section 16 or for any other purposes."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F3","text":"The Reporting Person is filing this Form 4 to report a transaction that has resulted in the Reporting Person ceasing to be a beneficial owner of more than 10% of the Issuer's common stock. Accordingly, this constitutes the final Form 4 filing by the Reporting Person with respect to the Issuer."}],"balance_after":2955682,"source":{"system":"sec-edgar","filing":"0001104659-26-067739","document":"tm2615893-1_4seq1.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":2,"url":"https://www.sec.gov/Archives/edgar/data/1082644/000110465926067739/tm2615893-1_4seq1.xml","form_type":"4"}},{"id":760668,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":35478,"kind":"person","name":"JW Asset Management, LLC","position":1,"cik":"0001549738","reported_name":"JW Asset Management, LLC","relationship":{"director":false,"officer":false,"ten_percent_owner":false,"other":true,"other_text":"See footnote 3"}},{"id":35479,"kind":"organization","name":"JW Partners, LP","position":2,"cik":"0001082644","reported_name":"JW Partners, LP","relationship":{"director":false,"officer":false,"ten_percent_owner":false,"other":true,"other_text":"See footnote 3"}},{"id":43618,"kind":"organization","name":"JW Opportunities Fund, LLC","position":3,"cik":"0001594084","reported_name":"JW Opportunities Fund, LLC","relationship":{"director":false,"officer":false,"ten_percent_owner":false,"other":true,"other_text":"See footnote 3"}},{"id":35480,"kind":"organization","name":"JW GP, LLC","position":4,"cik":"0001778512","reported_name":"JW GP, LLC","relationship":{"director":false,"officer":false,"ten_percent_owner":false,"other":true,"other_text":"See footnote 3"}},{"id":35481,"kind":"person","name":"Wild Jason G.","position":5,"cik":"0001778752","reported_name":"Wild Jason G.","relationship":{"director":false,"officer":false,"ten_percent_owner":false,"other":true,"other_text":"See footnote 3"}}],"security":"Common Shares","published_at":"2026-05-29T00:49:34.000Z","date":"2026-05-26","kind":"sale","planned":false,"acquired":false,"shares":25320,"price":74.39,"value":1883554.8,"ownership":{"direct":false,"nature":"See Footnotes"},"footnotes":[{"field":"ownership.nature","element":"natureOfOwnership","label":"F1","text":"This Form 4 is being filed by JW Asset Management, LLC (the \"Advisor\") on behalf of itself and JW Partners, LP (\"JWP\"), JW Opportunities Fund, LLC (\"JWO\"), JW GP, LLC (the \"General Partner\"), and Jason G. Wild (\"Wild\" and, together with the Advisor, JWP, JWO, and the General Partner, the \"Reporting Persons\"). The Advisor serves as the investment advisor of JWP and JWO. The General Partner serves as general partner to JWP and the manager of JWO. Wild is the managing member of the Advisor and the General Partner."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F2","text":"The amounts of 25,320, 113 and 65,100 in Table I reflect 59,357 Common Shares sold by JWP and 31,176 Common Shares sold by JWO, in open market transactions on 5/26/2026, 5/27/2026 and 5/28/26 requiring the filing of this statement. In accordance with Instruction 4(b)(iv) of Form 4, the entire amount of the Issuer's securities held by the Reporting Persons is reported herein. Each of the Advisor, Wild and the General Partner, disclaims, for purposes of Section 16 of the Securities Exchange Act of 1934, beneficial ownership of such securities, except to the extent of its or his indirect pecuniary interest therein, and this report shall not be deemed an admission that either the Advisor, Wild or the General Partner are the beneficial owner of such securities for purposes of Section 16 or for any other purposes."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F3","text":"The Reporting Person is filing this Form 4 to report a transaction that has resulted in the Reporting Person ceasing to be a beneficial owner of more than 10% of the Issuer's common stock. Accordingly, this constitutes the final Form 4 filing by the Reporting Person with respect to the Issuer."}],"balance_after":2955795,"source":{"system":"sec-edgar","filing":"0001104659-26-067739","document":"tm2615893-1_4seq1.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1082644/000110465926067739/tm2615893-1_4seq1.xml","form_type":"4"}},{"id":763979,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":34037,"kind":"person","name":"Slotkin Bryan","position":1,"cik":"0001861660","reported_name":"Slotkin Bryan","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Shares","published_at":"2026-05-26T20:07:20.000Z","date":"2026-05-22","kind":"grant","planned":false,"acquired":true,"shares":2354,"price":0,"value":0.0,"ownership":{"direct":true},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F1","text":"Represents an award of stock units under the Issuer's 2018 Equity Incentive Plan. The shares subject to the award vest in full on the earlier of May 22, 2027 or the day prior to the date of the Issuer's next annual meeting of stockholders, subject to the Reporting Person continuing as a service provider through such date."}],"balance_after":32610,"source":{"system":"sec-edgar","filing":"0001861660-26-000004","document":"wk-form4_1779826037.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1861660/000186166026000004/wk-form4_1779826037.xml","form_type":"4"}},{"id":763781,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":33990,"kind":"person","name":"SCHUTTER EDWARD J","position":1,"cik":"0001254555","reported_name":"SCHUTTER EDWARD J","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Shares","published_at":"2026-05-26T20:06:56.000Z","date":"2026-05-22","kind":"grant","planned":false,"acquired":true,"shares":2354,"price":0,"value":0.0,"ownership":{"direct":true},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F1","text":"Represents an award of stock units under the Issuer's 2018 Equity Incentive Plan. The shares subject to the award vest in full on the earlier of May 22, 2027 or the day prior to the date of the Issuer's next annual meeting of stockholders, subject to the Reporting Person continuing as a service provider through such date."}],"balance_after":177736,"source":{"system":"sec-edgar","filing":"0001254555-26-000005","document":"wk-form4_1779826012.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1688757/000125455526000005/wk-form4_1779826012.xml","form_type":"4"}},{"id":763980,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":34038,"kind":"person","name":"Custin Ann","position":1,"cik":"0001863404","reported_name":"Custin Ann","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Shares","published_at":"2026-05-26T20:06:31.000Z","date":"2026-05-22","kind":"grant","planned":false,"acquired":true,"shares":2354,"price":0,"value":0.0,"ownership":{"direct":true},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F1","text":"Represents an award of stock units under the Issuer's 2018 Equity Incentive Plan. The shares subject to the award vest in full on the earlier of May 22, 2027 or the day prior to the date of the Issuer's next annual meeting of stockholders, subject to the Reporting Person continuing as a service provider through such date."}],"balance_after":24086,"source":{"system":"sec-edgar","filing":"0001863404-26-000004","document":"wk-form4_1779825988.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1863404/000186340426000004/wk-form4_1779825988.xml","form_type":"4"}},{"id":763780,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":30993,"kind":"person","name":"LEWIN NICHOLAS SHERIDAN","position":1,"cik":"0001398327","reported_name":"LEWIN NICHOLAS SHERIDAN","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Shares","published_at":"2026-05-26T20:06:07.000Z","date":"2026-05-22","kind":"grant","planned":false,"acquired":true,"shares":2354,"price":0,"value":0.0,"ownership":{"direct":true},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F1","text":"Represents an award of stock units under the Issuer's 2018 Equity Incentive Plan. The shares subject to the award vest in full on the earlier of May 22, 2027 or the day prior to the date of the Issuer's next annual meeting of stockholders, subject to the Reporting Person continuing as a service provider through such date."}],"balance_after":1079669,"source":{"system":"sec-edgar","filing":"0001398327-26-000004","document":"wk-form4_1779825965.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1688757/000139832726000004/wk-form4_1779825965.xml","form_type":"4"}},{"id":764775,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":34266,"kind":"person","name":"Gillin Leslie","position":1,"cik":"0001862601","reported_name":"Gillin Leslie","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Shares","published_at":"2026-05-26T20:05:46.000Z","date":"2026-05-22","kind":"grant","planned":false,"acquired":true,"shares":2354,"price":0,"value":0.0,"ownership":{"direct":true},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F1","text":"Represents an award of stock units under the Issuer's 2018 Equity Incentive Plan. The shares subject to the award vest in full on the earlier of May 22, 2027 or the day prior to the date of the Issuer's next annual meeting of stockholders, subject to the Reporting Person continuing as a service provider through such date."}],"balance_after":18398,"source":{"system":"sec-edgar","filing":"0001862601-26-000004","document":"wk-form4_1779825942.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1862601/000186260126000004/wk-form4_1779825942.xml","form_type":"4"}},{"id":766653,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":35478,"kind":"person","name":"JW Asset Management, LLC","position":1,"cik":"0001549738","reported_name":"JW Asset Management, LLC","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":35479,"kind":"organization","name":"JW Partners, LP","position":2,"cik":"0001082644","reported_name":"JW Partners, LP","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":43618,"kind":"organization","name":"JW Opportunities Fund, LLC","position":3,"cik":"0001594084","reported_name":"JW Opportunities Fund, LLC","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":35480,"kind":"organization","name":"JW GP, LLC","position":4,"cik":"0001778512","reported_name":"JW GP, LLC","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":35481,"kind":"person","name":"Wild Jason G.","position":5,"cik":"0001778752","reported_name":"Wild Jason G.","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"Common Shares","published_at":"2026-05-22T21:46:44.000Z","date":"2026-05-21","kind":"sale","planned":false,"acquired":false,"shares":16999,"price":71.4,"value":1213728.6,"ownership":{"direct":false,"nature":"See Footnotes"},"footnotes":[{"field":"ownership.nature","element":"natureOfOwnership","label":"F1","text":"This Form 4 is being filed by JW Asset Management, LLC (the \"Advisor\") on behalf of itself and JW Partners, LP (\"JWP\"), JW Opportunities Fund, LLC (\"JWO\"), JW GP, LLC (the \"General Partner\"), and Jason G. Wild (\"Wild\" and, together with the Advisor, JWP, JWO, and the General Partner, the \"Reporting Persons\"). The Advisor serves as the investment advisor of JWP and JWO. The General Partner serves as general partner to JWP and the manager of JWO. Wild is the managing member of the Advisor and the General Partner."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F2","text":"The amounts of 3,580 and 16,999 in Table I reflect 15,350 Common Shares sold by JWP and 5,229 Common Shares sold by JWO, in open market transactions on 5/20/2026 and 5/21/2026 requiring the filing of this statement. In accordance with Instruction 4(b)(iv) of Form 4, the entire amount of the Issuer's securities held by the Reporting Persons is reported herein. Each of the Advisor, Wild and the General Partner, disclaims, for purposes of Section 16 of the Securities Exchange Act of 1934, beneficial ownership of such securities, except to the extent of its or his indirect pecuniary interest therein, and this report shall not be deemed an admission that either the Advisor, Wild or the General Partner are the beneficial owner of such securities for purposes of Section 16 or for any other purposes."}],"balance_after":2981115,"source":{"system":"sec-edgar","filing":"0001104659-26-065826","document":"tm2615491-1_4seq1.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":2,"url":"https://www.sec.gov/Archives/edgar/data/1082644/000110465926065826/tm2615491-1_4seq1.xml","form_type":"4"}},{"id":766652,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":35478,"kind":"person","name":"JW Asset Management, LLC","position":1,"cik":"0001549738","reported_name":"JW Asset Management, LLC","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":35479,"kind":"organization","name":"JW Partners, LP","position":2,"cik":"0001082644","reported_name":"JW Partners, LP","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":43618,"kind":"organization","name":"JW Opportunities Fund, LLC","position":3,"cik":"0001594084","reported_name":"JW Opportunities Fund, LLC","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":35480,"kind":"organization","name":"JW GP, LLC","position":4,"cik":"0001778512","reported_name":"JW GP, LLC","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":35481,"kind":"person","name":"Wild Jason G.","position":5,"cik":"0001778752","reported_name":"Wild Jason G.","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"Common Shares","published_at":"2026-05-22T21:46:44.000Z","date":"2026-05-20","kind":"sale","planned":false,"acquired":false,"shares":3580,"price":70.56,"value":252604.8,"ownership":{"direct":false,"nature":"See Footnotes"},"footnotes":[{"field":"ownership.nature","element":"natureOfOwnership","label":"F1","text":"This Form 4 is being filed by JW Asset Management, LLC (the \"Advisor\") on behalf of itself and JW Partners, LP (\"JWP\"), JW Opportunities Fund, LLC (\"JWO\"), JW GP, LLC (the \"General Partner\"), and Jason G. Wild (\"Wild\" and, together with the Advisor, JWP, JWO, and the General Partner, the \"Reporting Persons\"). The Advisor serves as the investment advisor of JWP and JWO. The General Partner serves as general partner to JWP and the manager of JWO. Wild is the managing member of the Advisor and the General Partner."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F2","text":"The amounts of 3,580 and 16,999 in Table I reflect 15,350 Common Shares sold by JWP and 5,229 Common Shares sold by JWO, in open market transactions on 5/20/2026 and 5/21/2026 requiring the filing of this statement. In accordance with Instruction 4(b)(iv) of Form 4, the entire amount of the Issuer's securities held by the Reporting Persons is reported herein. Each of the Advisor, Wild and the General Partner, disclaims, for purposes of Section 16 of the Securities Exchange Act of 1934, beneficial ownership of such securities, except to the extent of its or his indirect pecuniary interest therein, and this report shall not be deemed an admission that either the Advisor, Wild or the General Partner are the beneficial owner of such securities for purposes of Section 16 or for any other purposes."}],"balance_after":2998114,"source":{"system":"sec-edgar","filing":"0001104659-26-065826","document":"tm2615491-1_4seq1.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1082644/000110465926065826/tm2615491-1_4seq1.xml","form_type":"4"}},{"id":786884,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":30997,"kind":"person","name":"Chacon Quiros Juan Jose","position":1,"cik":"0001742429","reported_name":"Chacon Quiros Juan Jose","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Shares","published_at":"2026-05-08T20:09:42.000Z","date":"2026-05-06","kind":"sale","planned":false,"acquired":false,"shares":11794,"price":76.104,"value":897570.576,"ownership":{"direct":false,"nature":"See Footnote"},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F1","text":"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."},{"field":"price","element":"transactionPricePerShare","label":"F4","text":"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."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F3","text":"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."}],"balance_after":927504,"source":{"system":"sec-edgar","filing":"0001742429-26-000020","document":"wk-form4_1778270979.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":2,"url":"https://www.sec.gov/Archives/edgar/data/1742429/000174242926000020/wk-form4_1778270979.xml","form_type":"4"}},{"id":786883,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":30997,"kind":"person","name":"Chacon Quiros Juan Jose","position":1,"cik":"0001742429","reported_name":"Chacon Quiros Juan Jose","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Shares","published_at":"2026-05-08T20:09:42.000Z","date":"2026-05-06","kind":"sale","planned":false,"acquired":false,"shares":93206,"price":75.331,"value":7021301.186,"ownership":{"direct":false,"nature":"See Footnote"},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F1","text":"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."},{"field":"price","element":"transactionPricePerShare","label":"F2","text":"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."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F3","text":"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."}],"balance_after":939298,"source":{"system":"sec-edgar","filing":"0001742429-26-000020","document":"wk-form4_1778270979.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1742429/000174242926000020/wk-form4_1778270979.xml","form_type":"4"}},{"id":787402,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":35478,"kind":"person","name":"JW Asset Management, LLC","position":1,"cik":"0001549738","reported_name":"JW Asset Management, LLC","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":35479,"kind":"organization","name":"JW Partners, LP","position":2,"cik":"0001082644","reported_name":"JW Partners, LP","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":43618,"kind":"organization","name":"JW Opportunities Fund, LLC","position":3,"cik":"0001594084","reported_name":"JW Opportunities Fund, LLC","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":35480,"kind":"organization","name":"JW GP, LLC","position":4,"cik":"0001778512","reported_name":"JW GP, LLC","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":35481,"kind":"person","name":"Wild Jason G.","position":5,"cik":"0001778752","reported_name":"Wild Jason G.","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"Common Shares","published_at":"2026-05-08T20:03:16.000Z","date":"2026-05-06","kind":"sale","planned":false,"acquired":false,"shares":60000,"price":75.625,"value":4537500.0,"ownership":{"direct":false,"nature":"See Footnotes"},"footnotes":[{"field":"ownership.nature","element":"natureOfOwnership","label":"F1","text":"This Form 4 is being filed by JW Asset Management, LLC (the \"Advisor\") on behalf of itself and JW Partners, LP (\"JWP\"), JW Opportunities Fund, LLC (\"JWO\"), JW GP, LLC (the \"General Partner\"), and Jason G. Wild (\"Wild\" and, together with the Advisor, JWP, JWO, and the General Partner, the \"Reporting Persons\"). The Advisor serves as the investment advisor of JWP and JWO. The General Partner serves as general partner to JWP and the manager of JWO. Wild is the managing member of the Advisor and the General Partner."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F2","text":"The amount of 60,000 in Table I reflects the 44,755 Common Shares sold by JWP and the 15,245 Common Shares sold by JWO, in the open market transaction requiring the filing of this statement. In accordance with Instruction 4(b)(iv) of Form 4, the entire amount of the Issuer's securities held by the Reporting Persons is reported herein. Each of the Advisor, Wild and the General Partner, disclaims, for purposes of Section 16 of the Securities Exchange Act of 1934, beneficial ownership of such securities, except to the extent of its or his indirect pecuniary interest therein, and this report shall not be deemed an admission that either the Advisor, Wild or the General Partner are the beneficial owner of such securities for purposes of Section 16 or for any other purposes."}],"balance_after":3001694,"source":{"system":"sec-edgar","filing":"0001104659-26-057898","document":"tm2614082-1_4seq1.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1082644/000110465926057898/tm2614082-1_4seq1.xml","form_type":"4"}},{"id":793898,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":30997,"kind":"person","name":"Chacon Quiros Juan Jose","position":1,"cik":"0001742429","reported_name":"Chacon Quiros Juan Jose","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Shares","published_at":"2026-05-04T22:27:23.000Z","date":"2026-05-04","kind":"sale","planned":false,"acquired":false,"shares":100,"price":71.34,"value":7134.0,"ownership":{"direct":false,"nature":"See Footnote"},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F1","text":"The sale was effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F3","text":"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\nPerson disclaims beneficial ownership of the shares held by Sariel Group Ltd, except to the extent of his pecuniary interest therein."}],"balance_after":1032504,"source":{"system":"sec-edgar","filing":"0001742429-26-000017","document":"wk-form4_1777933640.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":4,"url":"https://www.sec.gov/Archives/edgar/data/1742429/000174242926000017/wk-form4_1777933640.xml","form_type":"4"}},{"id":793897,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":30997,"kind":"person","name":"Chacon Quiros Juan Jose","position":1,"cik":"0001742429","reported_name":"Chacon Quiros Juan Jose","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Shares","published_at":"2026-05-04T22:27:23.000Z","date":"2026-05-04","kind":"sale","planned":false,"acquired":false,"shares":7651,"price":70.471,"value":539173.621,"ownership":{"direct":false,"nature":"See Footnote"},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F1","text":"The sale was effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person."},{"field":"price","element":"transactionPricePerShare","label":"F5","text":"This transaction was executed in multiple trades at prices ranging from $70.13 to $70.98 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."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F3","text":"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\nPerson disclaims beneficial ownership of the shares held by Sariel Group Ltd, except to the extent of his pecuniary interest therein."}],"balance_after":1032604,"source":{"system":"sec-edgar","filing":"0001742429-26-000017","document":"wk-form4_1777933640.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":3,"url":"https://www.sec.gov/Archives/edgar/data/1742429/000174242926000017/wk-form4_1777933640.xml","form_type":"4"}},{"id":793896,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":30997,"kind":"person","name":"Chacon Quiros Juan Jose","position":1,"cik":"0001742429","reported_name":"Chacon Quiros Juan Jose","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Shares","published_at":"2026-05-04T22:27:23.000Z","date":"2026-05-01","kind":"sale","planned":false,"acquired":false,"shares":25984,"price":71.176,"value":1849437.184,"ownership":{"direct":false,"nature":"See Footnote"},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F1","text":"The sale was effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person."},{"field":"price","element":"transactionPricePerShare","label":"F4","text":"This transaction was executed in multiple trades at prices ranging from $71.00 to $71.70 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."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F3","text":"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\nPerson disclaims beneficial ownership of the shares held by Sariel Group Ltd, except to the extent of his pecuniary interest therein."}],"balance_after":1040255,"source":{"system":"sec-edgar","filing":"0001742429-26-000017","document":"wk-form4_1777933640.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":2,"url":"https://www.sec.gov/Archives/edgar/data/1742429/000174242926000017/wk-form4_1777933640.xml","form_type":"4"}},{"id":793895,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":30997,"kind":"person","name":"Chacon Quiros Juan Jose","position":1,"cik":"0001742429","reported_name":"Chacon Quiros Juan Jose","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Shares","published_at":"2026-05-04T22:27:23.000Z","date":"2026-05-01","kind":"sale","planned":false,"acquired":false,"shares":41265,"price":70.523,"value":2910131.595,"ownership":{"direct":false,"nature":"See Footnote"},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F1","text":"The sale was effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person."},{"field":"price","element":"transactionPricePerShare","label":"F2","text":"This transaction was executed in multiple trades at prices ranging from $70.00 to $70.99 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."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F3","text":"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\nPerson disclaims beneficial ownership of the shares held by Sariel Group Ltd, except to the extent of his pecuniary interest therein."}],"balance_after":1066239,"source":{"system":"sec-edgar","filing":"0001742429-26-000017","document":"wk-form4_1777933640.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1742429/000174242926000017/wk-form4_1777933640.xml","form_type":"4"}},{"id":800070,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":30997,"kind":"person","name":"Chacon Quiros Juan Jose","position":1,"cik":"0001742429","reported_name":"Chacon Quiros Juan Jose","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Shares","published_at":"2026-04-27T21:38:39.000Z","date":"2026-04-27","kind":"sale","planned":false,"acquired":false,"shares":165,"price":67.144,"value":11078.76,"ownership":{"direct":false,"nature":"See Footnote"},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F1","text":"The sale was effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person."},{"field":"price","element":"transactionPricePerShare","label":"F11","text":"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."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F3","text":"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\nPerson disclaims beneficial ownership of the shares held by Sariel Group Ltd, except to the extent of his pecuniary interest therein."}],"balance_after":1107504,"source":{"system":"sec-edgar","filing":"0001742429-26-000015","document":"wk-form4_1777325917.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":9,"url":"https://www.sec.gov/Archives/edgar/data/1742429/000174242926000015/wk-form4_1777325917.xml","form_type":"4"}},{"id":800069,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":30997,"kind":"person","name":"Chacon Quiros Juan Jose","position":1,"cik":"0001742429","reported_name":"Chacon Quiros Juan Jose","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Shares","published_at":"2026-04-27T21:38:39.000Z","date":"2026-04-27","kind":"sale","planned":false,"acquired":false,"shares":1008,"price":66.46,"value":66991.68,"ownership":{"direct":false,"nature":"See Footnote"},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F1","text":"The sale was effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person."},{"field":"price","element":"transactionPricePerShare","label":"F10","text":"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."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F3","text":"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\nPerson disclaims beneficial ownership of the shares held by Sariel Group Ltd, except to the extent of his pecuniary interest therein."}],"balance_after":1107669,"source":{"system":"sec-edgar","filing":"0001742429-26-000015","document":"wk-form4_1777325917.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":8,"url":"https://www.sec.gov/Archives/edgar/data/1742429/000174242926000015/wk-form4_1777325917.xml","form_type":"4"}},{"id":800068,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":30997,"kind":"person","name":"Chacon Quiros Juan Jose","position":1,"cik":"0001742429","reported_name":"Chacon Quiros Juan Jose","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Shares","published_at":"2026-04-27T21:38:39.000Z","date":"2026-04-27","kind":"sale","planned":false,"acquired":false,"shares":1007,"price":65.907,"value":66368.349,"ownership":{"direct":false,"nature":"See Footnote"},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F1","text":"The sale was effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person."},{"field":"price","element":"transactionPricePerShare","label":"F9","text":"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."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F3","text":"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\nPerson disclaims beneficial ownership of the shares held by Sariel Group Ltd, except to the extent of his pecuniary interest therein."}],"balance_after":1108677,"source":{"system":"sec-edgar","filing":"0001742429-26-000015","document":"wk-form4_1777325917.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":7,"url":"https://www.sec.gov/Archives/edgar/data/1742429/000174242926000015/wk-form4_1777325917.xml","form_type":"4"}},{"id":800067,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":30997,"kind":"person","name":"Chacon Quiros Juan Jose","position":1,"cik":"0001742429","reported_name":"Chacon Quiros Juan Jose","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Shares","published_at":"2026-04-27T21:38:39.000Z","date":"2026-04-24","kind":"sale","planned":false,"acquired":false,"shares":7568,"price":66.129,"value":500464.272,"ownership":{"direct":false,"nature":"See Footnote"},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F1","text":"The sale was effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person."},{"field":"price","element":"transactionPricePerShare","label":"F8","text":"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."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F3","text":"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\nPerson disclaims beneficial ownership of the shares held by Sariel Group Ltd, except to the extent of his pecuniary interest therein."}],"balance_after":1109684,"source":{"system":"sec-edgar","filing":"0001742429-26-000015","document":"wk-form4_1777325917.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":6,"url":"https://www.sec.gov/Archives/edgar/data/1742429/000174242926000015/wk-form4_1777325917.xml","form_type":"4"}},{"id":800066,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":30997,"kind":"person","name":"Chacon Quiros Juan Jose","position":1,"cik":"0001742429","reported_name":"Chacon Quiros Juan Jose","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Shares","published_at":"2026-04-27T21:38:39.000Z","date":"2026-04-24","kind":"sale","planned":false,"acquired":false,"shares":22610,"price":65.657,"value":1484504.77,"ownership":{"direct":false,"nature":"See Footnote"},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F1","text":"The sale was effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person."},{"field":"price","element":"transactionPricePerShare","label":"F7","text":"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."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F3","text":"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\nPerson disclaims beneficial ownership of the shares held by Sariel Group Ltd, except to the extent of his pecuniary interest therein."}],"balance_after":1117252,"source":{"system":"sec-edgar","filing":"0001742429-26-000015","document":"wk-form4_1777325917.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":5,"url":"https://www.sec.gov/Archives/edgar/data/1742429/000174242926000015/wk-form4_1777325917.xml","form_type":"4"}},{"id":800065,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":30997,"kind":"person","name":"Chacon Quiros Juan Jose","position":1,"cik":"0001742429","reported_name":"Chacon Quiros Juan Jose","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Shares","published_at":"2026-04-27T21:38:39.000Z","date":"2026-04-23","kind":"sale","planned":false,"acquired":false,"shares":400,"price":67.357,"value":26942.8,"ownership":{"direct":false,"nature":"See Footnote"},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F1","text":"The sale was effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person."},{"field":"price","element":"transactionPricePerShare","label":"F6","text":"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."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F3","text":"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\nPerson disclaims beneficial ownership of the shares held by Sariel Group Ltd, except to the extent of his pecuniary interest therein."}],"balance_after":1139862,"source":{"system":"sec-edgar","filing":"0001742429-26-000015","document":"wk-form4_1777325917.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":4,"url":"https://www.sec.gov/Archives/edgar/data/1742429/000174242926000015/wk-form4_1777325917.xml","form_type":"4"}},{"id":800064,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":30997,"kind":"person","name":"Chacon Quiros Juan Jose","position":1,"cik":"0001742429","reported_name":"Chacon Quiros Juan Jose","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Shares","published_at":"2026-04-27T21:38:39.000Z","date":"2026-04-23","kind":"sale","planned":false,"acquired":false,"shares":6757,"price":66.204,"value":447340.428,"ownership":{"direct":false,"nature":"See Footnote"},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F1","text":"The sale was effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person."},{"field":"price","element":"transactionPricePerShare","label":"F5","text":"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."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F3","text":"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\nPerson disclaims beneficial ownership of the shares held by Sariel Group Ltd, except to the extent of his pecuniary interest therein."}],"balance_after":1140262,"source":{"system":"sec-edgar","filing":"0001742429-26-000015","document":"wk-form4_1777325917.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":3,"url":"https://www.sec.gov/Archives/edgar/data/1742429/000174242926000015/wk-form4_1777325917.xml","form_type":"4"}},{"id":800063,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":30997,"kind":"person","name":"Chacon Quiros Juan Jose","position":1,"cik":"0001742429","reported_name":"Chacon Quiros Juan Jose","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Shares","published_at":"2026-04-27T21:38:39.000Z","date":"2026-04-23","kind":"sale","planned":false,"acquired":false,"shares":30549,"price":65.33,"value":1995766.17,"ownership":{"direct":false,"nature":"See Footnote"},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F1","text":"The sale was effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person."},{"field":"price","element":"transactionPricePerShare","label":"F4","text":"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."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F3","text":"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\nPerson disclaims beneficial ownership of the shares held by Sariel Group Ltd, except to the extent of his pecuniary interest therein."}],"balance_after":1147019,"source":{"system":"sec-edgar","filing":"0001742429-26-000015","document":"wk-form4_1777325917.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":2,"url":"https://www.sec.gov/Archives/edgar/data/1742429/000174242926000015/wk-form4_1777325917.xml","form_type":"4"}},{"id":800062,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":30997,"kind":"person","name":"Chacon Quiros Juan Jose","position":1,"cik":"0001742429","reported_name":"Chacon Quiros Juan Jose","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Shares","published_at":"2026-04-27T21:38:39.000Z","date":"2026-04-23","kind":"sale","planned":false,"acquired":false,"shares":4936,"price":64.834,"value":320020.624,"ownership":{"direct":false,"nature":"See Footnote"},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F1","text":"The sale was effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person."},{"field":"price","element":"transactionPricePerShare","label":"F2","text":"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."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F3","text":"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. 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Wild (\"Wild\" and, together with the Advisor, JWP, JWO, and the General Partner, the \"Reporting Persons\"). The Advisor serves as the investment advisor of JWP and JWO. The General Partner serves as general partner to JWP and the manager of JWO. Wild is the managing member of the Advisor and the General Partner."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F2","text":"The amount of 11,000 in Table I reflects the 8,205 Common Shares sold by JWP and the 2,795 Common Shares sold by JWO, in the open market transaction requiring the filing of this statement. In accordance with Instruction 4(b)(iv) of Form 4, the entire amount of the Issuer's securities held by the Reporting Persons is reported herein. Each of the Advisor, Wild and the General Partner, disclaims, for purposes of Section 16 of the Securities Exchange Act of 1934, beneficial ownership of such securities, except to the extent of its or his indirect pecuniary interest therein, and this report shall not be deemed an admission that either the Advisor, Wild or the General Partner are the beneficial owner of such securities for purposes of Section 16 or for any other purposes."}],"balance_after":3061694,"source":{"system":"sec-edgar","filing":"0001104659-25-110317","document":"tm2531025-1_4seq1.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1082644/000110465925110317/tm2531025-1_4seq1.xml","form_type":"4"}},{"id":1002715,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":35478,"kind":"person","name":"JW Asset Management, LLC","position":1,"cik":"0001549738","reported_name":"JW Asset Management, LLC","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":35479,"kind":"organization","name":"JW Partners, LP","position":2,"cik":"0001082644","reported_name":"JW Partners, LP","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":43618,"kind":"organization","name":"JW Opportunities Fund, LLC","position":3,"cik":"0001594084","reported_name":"JW Opportunities Fund, LLC","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":35480,"kind":"organization","name":"JW GP, LLC","position":4,"cik":"0001778512","reported_name":"JW GP, LLC","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":35481,"kind":"person","name":"Wild Jason G.","position":5,"cik":"0001778752","reported_name":"Wild Jason G.","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"Common Shares","published_at":"2025-11-12T14:56:28.000Z","date":"2025-11-07","kind":"sale","planned":false,"acquired":false,"shares":2500,"price":65.09,"value":162725.0,"ownership":{"direct":false,"nature":"See Footnotes"},"footnotes":[{"field":"ownership.nature","element":"natureOfOwnership","label":"F1","text":"This Form 4 is being filed by JW Asset Management, LLC (the \"Advisor\") on behalf of itself and JW Partners, LP (\"JWP\"), JW Opportunities Fund, LLC (\"JWO\"), JW GP, LLC (the \"General Partner\"), and Jason G. 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Each of the Advisor, Wild and the General Partner, disclaims, for purposes of Section 16 of the Securities Exchange Act of 1934, beneficial ownership of such securities, except to the extent of its or his indirect pecuniary interest therein, and this report shall not be deemed an admission that either the Advisor, Wild or the General Partner are the beneficial owner of such securities for purposes of Section 16 or for any other purposes."}],"balance_after":3072694,"source":{"system":"sec-edgar","filing":"0001104659-25-109940","document":"tm2530889-1_4seq1.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1082644/000110465925109940/tm2530889-1_4seq1.xml","form_type":"4"}},{"id":1004182,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":35478,"kind":"person","name":"JW Asset Management, LLC","position":1,"cik":"0001549738","reported_name":"JW Asset Management, LLC","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":35479,"kind":"organization","name":"JW Partners, LP","position":2,"cik":"0001082644","reported_name":"JW Partners, LP","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":43618,"kind":"organization","name":"JW Opportunities Fund, LLC","position":3,"cik":"0001594084","reported_name":"JW Opportunities Fund, LLC","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":35480,"kind":"organization","name":"JW GP, LLC","position":4,"cik":"0001778512","reported_name":"JW GP, LLC","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":35481,"kind":"person","name":"Wild Jason G.","position":5,"cik":"0001778752","reported_name":"Wild Jason G.","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"Common Shares","published_at":"2025-11-10T21:01:43.000Z","date":"2025-11-06","kind":"sale","planned":false,"acquired":false,"shares":7591,"price":65,"value":493415.0,"ownership":{"direct":false,"nature":"See Footnotes"},"footnotes":[{"field":"ownership.nature","element":"natureOfOwnership","label":"F1","text":"This Form 4 is being filed by JW Asset Management, LLC (the \"Advisor\") on behalf of itself and JW Partners, LP (\"JWP\"), JW Opportunities Fund, LLC (\"JWO\"), JW GP, LLC (the \"General Partner\"), and Jason G. 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Each of the Advisor, Wild and the General Partner, disclaims, for purposes of Section 16 of the Securities Exchange Act of 1934, beneficial ownership of such securities, except to the extent of its or his indirect pecuniary interest therein, and this report shall not be deemed an admission that either the Advisor, Wild or the General Partner are the beneficial owner of such securities for purposes of Section 16 or for any other purposes."}],"balance_after":3075194,"source":{"system":"sec-edgar","filing":"0001104659-25-109123","document":"tm2530764-1_4seq1.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1082644/000110465925109123/tm2530764-1_4seq1.xml","form_type":"4"}},{"id":1029293,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":33990,"kind":"person","name":"SCHUTTER EDWARD J","position":1,"cik":"0001254555","reported_name":"SCHUTTER EDWARD J","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Shares","published_at":"2025-10-01T21:39:22.000Z","date":"2025-09-30","kind":"grant","planned":false,"acquired":true,"shares":457,"price":40.99,"value":18732.43,"ownership":{"direct":true},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F1","text":"Represents common shares elected to be received in lieu of a quarterly cash retainer payment in accordance with the Reporting Person's prior election under the Issuer's Outside Director Compensation Policy. 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The price reported above reflects the weighted average purchase 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 purchased at each separate price."}],"balance_after":35245,"source":{"system":"sec-edgar","filing":"0001839059-25-000007","document":"wk-form4_1754933556.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1688757/000183905925000007/wk-form4_1754933556.xml","form_type":"4"}},{"id":1090169,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":35478,"kind":"person","name":"JW Asset Management, LLC","position":1,"cik":"0001549738","reported_name":"JW Asset Management, LLC","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":35479,"kind":"organization","name":"JW Partners, LP","position":2,"cik":"0001082644","reported_name":"JW Partners, LP","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":43618,"kind":"organization","name":"JW Opportunities Fund, LLC","position":3,"cik":"0001594084","reported_name":"JW Opportunities Fund, LLC","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":35480,"kind":"organization","name":"JW GP, LLC","position":4,"cik":"0001778512","reported_name":"JW GP, LLC","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":35481,"kind":"person","name":"Wild Jason G.","position":5,"cik":"0001778752","reported_name":"Wild Jason G.","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"Right to Buy","published_at":"2025-07-09T20:01:11.000Z","date":"2025-07-07","kind":"sale","planned":false,"acquired":false,"shares":200,"price":4.1,"value":820.0,"ownership":{"direct":false,"nature":"See Footnote"},"footnotes":[{"field":"balance_after","element":"sharesOwnedFollowingTransaction","label":"F2","text":"Reflects the writing and sale of 200 call options."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F1","text":"This Form 4 is being filed by JW Asset Management, LLC (the \"Advisor\") on behalf of itself and JW Partners, LP (\"JWP\"), JW Opportunities Fund, LLC (\"JWO\"), JW GP, LLC (the \"General Partner\"), and Jason G. 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Wild is the managing member of the Advisor and the General Partner."}],"balance_after":0,"derivative":{"exercise_price":47.5,"exercise_date":"2025-07-03","expiration_date":"2025-08-15","underlying":"15 calls representing 1,500 shares of common stock","underlying_shares":1500},"source":{"system":"sec-edgar","filing":"0001104659-25-066082","document":"tm2520005-1_4seq1.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1082644/000110465925066082/tm2520005-1_4seq1.xml","form_type":"4"}},{"id":1096245,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":35478,"kind":"person","name":"JW Asset Management, LLC","position":1,"cik":"0001549738","reported_name":"JW Asset Management, LLC","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":35479,"kind":"organization","name":"JW Partners, LP","position":2,"cik":"0001082644","reported_name":"JW Partners, LP","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":43618,"kind":"organization","name":"JW Opportunities Fund, LLC","position":3,"cik":"0001594084","reported_name":"JW Opportunities Fund, LLC","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":35480,"kind":"organization","name":"JW GP, LLC","position":4,"cik":"0001778512","reported_name":"JW GP, LLC","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":35481,"kind":"person","name":"Wild Jason G.","position":5,"cik":"0001778752","reported_name":"Wild Jason G.","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"Common Shares","published_at":"2025-07-02T20:01:08.000Z","date":"2025-07-01","kind":"sale","planned":false,"acquired":false,"shares":9700,"price":44.38,"value":430486.0,"ownership":{"direct":false,"nature":"See Footnotes"},"footnotes":[{"field":"ownership.nature","element":"natureOfOwnership","label":"F1","text":"This Form 4 is being filed by JW Asset Management, LLC (the \"Advisor\") on behalf of itself and JW Partners, LP (\"JWP\"), JW Opportunities Fund, LLC (\"JWO\"), JW GP, LLC (the \"General Partner\"), and Jason G. 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Each of the Advisor, Wild and the General Partner, disclaims, for purposes of Section 16 of the Securities Exchange Act of 1934, beneficial ownership of such securities, except to the extent of its or his indirect pecuniary interest therein, and this report shall not be deemed an admission that either the Advisor, Wild or the General Partner are the beneficial owner of such securities for purposes of Section 16 or for any other purposes."}],"balance_after":3082785,"source":{"system":"sec-edgar","filing":"0001104659-25-065252","document":"tm2519723-1_4seq1.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1082644/000110465925065252/tm2519723-1_4seq1.xml","form_type":"4"}},{"id":1098017,"issuer":{"id":4473,"kind":"organization","name":"ESTABLISHMENT LABS HOLDINGS INC."},"owners":[{"id":34038,"kind":"person","name":"Custin Ann","position":1,"cik":"0001863404","reported_name":"Custin Ann","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Shares","published_at":"2025-07-01T21:56:31.000Z","date":"2025-06-30","kind":"grant","planned":false,"acquired":true,"shares":510,"price":42.71,"value":21782.1,"ownership":{"direct":true},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F1","text":"Represents common shares elected to be received in lieu of a quarterly cash retainer payment in accordance with the Reporting Person's prior election under the Issuer's Outside Director Compensation Policy. 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The Reporting Person is a member of EJS Capital Management LLC; however, the Reporting Person has no voting and dispositive power over the shares owned by EJS Capital Management LLC. 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