Ann Custin - 31 Dec 2025 Form 4 Insider Report for ESTABLISHMENT LABS HOLDINGS INC. (ESTA)

Role: Director
Signature: /s/ Rajbir S. Denhoy, Chief Financial Officer, by power of attorney
Issuer symbol: ESTA
Transactions as of: 31 Dec 2025
Net transactions value: +$20,552
Form type: 4
Filing time: 05 Jan 2026, 17:18:52 UTC
Previous filing: 01 Oct 2025
SEC: View on sec.gov

Reporting Owners (1)

Name	Relationship	Address	Signature	Signature date	CIK
Custin Ann	Director	C/O MOTIVA USA LLC, 16192 COASTAL HIGHWAY, LEWES	/s/ Rajbir S. Denhoy, Chief Financial Officer, by power of attorney	05 Jan 2026	0001863404

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	ESTA	Common Shares	Award	$20,552	+282	+1.3%	$72.88	21,369	31 Dec 2025	Direct	F1

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	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. The common shares were issued pursuant to the Issuer's 2018 Equity Incentive Plan and determined based on the closing price of the Issuer's common shares on the last trading day of the quarter.

Content

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. The common shares were issued pursuant to the Issuer's 2018 Equity Incentive Plan and determined based on the closing price of the Issuer's common shares on the last trading day of the quarter.