X0508 4 2025-12-17 0 0001688757 ESTABLISHMENT LABS HOLDINGS INC. ESTA 0001742429 Chacon Quiros Juan Jose C/O MOTIVA USA LLC 16192 COASTAL HIGHWAY LEWES DE 19958 1 0 0 0 0 Common Shares 2025-12-17 4 G 0 50000 0 D 1078264 I See Footnote Common Shares 214148 D Represents a bona fide gift of shares to Chrysalis Enterprises LLC, an entity controlled by Manuel Enrique Chacon Quiros, the brother of the Reporting Person. The Reporting Person does not have a pecuniary interest in the shares held by Chrysalis Enterprises LLC and expressly disclaims beneficial ownership of these securities. 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. /s/ Rajbir S. Denhoy, Chief Financial Officer, by power of attorney 2025-12-19