X0609 4 2026-09-30 0 0001688757 ESTABLISHMENT LABS HOLDINGS INC. ESTA 0001863404 Custin Ann false C/O MOTIVA USA LLC 16192 COASTAL HIGHWAY LEWES DE 19958 1 0 0 0 0 Common Shares 2026-09-30 4 A 0 301 64.17 A 24626 D 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. /s/ Cassandra "Sandra" Harris 2026-10-02