ESTA · Establishment Labs Holdings Inc.

$74.29 +1.99 (+2.75%) At close · Sep 4

Russell 2000 member Rebalance outlook locked

Market Cap

$2.21B

29.80M

Institutional ownership from SEC Form 13F filings. Investment managers with more than $100 million in U.S. equities must disclose their positions every quarter, within 45 days of quarter-end, so the holdings shown can lag the market by up to a quarter.

Use institutional holdings through the 13F API or MCP →

Quarter:

Holders: 199

Total Value: $2,449,393,637

Total Shares: 28,544,386

Showing 1–100 of 208 holdings by value · page 1 of 3

Institutional Ownership Trend

26 quarters

Holder Concentration

Across 199 13F filers · Δ vs Mar 31, 2026

Top Holder

9.4%

−2.2 pts

Top 5

34.3%

−3.8 pts

Top 10

47.7%

−4.1 pts

HHI

352

Broadly held−77

Quarterly Activity

vs Mar 31, 2026

New

Increased

Decreased

Sold Out

Unchanged

Holder count: +20

Institutional value: +38.0%

Shares held: -8.7%

Top Buyers

vs Mar 31, 2026

Institution	Added	Now Holds
Mega BlackRock, Inc.	+1,454,482	1,582,005
Mega STATE STREET CORP	+410,185	455,315
Mega UBS Group AG	+401,303	548,960
Mega FRANKLIN RESOURCES INC	+374,484	613,698
Mega GEODE CAPITAL MANAGEMENT, LLC	+358,144	386,142

Top Sellers

vs Mar 31, 2026

Institution	Sold	Now Holds
Small Tyro Capital Management LLC	−3,045,750	605,559
Mega SUSQUEHANNA INTERNATIONAL GROUP, LLP	−770,136	165,664
Large BAMCO INC /NY/	−678,069	286,098
Large Caption Management, LLC	−550,000	55,800
Mega CITADEL ADVISORS LLC	−525,749	206,438

Top New Positions

vs Mar 31, 2026

Institution	Acquired	Value (USD)
Mega PRICE T ROWE ASSOCIATES INC /MD/	1,533,497	$131,589,377
Large Rubric Capital Management LP	688,325	$59,065,168
Large HEALTHCARE OF ONTARIO PENSION PLAN TRUST FUND	145,300	$12,468,193
Mid Divisadero Street Capital Management, LP	106,675	$9,153,781
Mega FIRST TRUST ADVISORS LP	99,004	$8,495,533

Top Sold-Out Positions

vs Mar 31, 2026

Institution	Previously Held	Last Value (USD)
Mid BRAIDWELL LP	463,600	$26,323,208
Mega MILLENNIUM MANAGEMENT LLC	380,298	$21,593,320
Large TUDOR INVESTMENT CORP ET AL	171,430	$9,733,795
Small Stonepine Capital Management, LLC	56,000	$3,179,680
Mid Brevan Howard Capital Management LP	43,726	$2,482,762

Filter: New 56 Increased 69 Reduced 53 Sold out 36 Unchanged 21

Showing 100 of 208

All Common Calls Puts

Compact Export CSV

Holder

Value (USD)

% of 13F

JW Asset Management, LLC

$231,073,973

9.43%

2,692,856

RTW INVESTMENTS, LP

$227,885,187

9.30%

2,655,695

BlackRock, Inc.

$135,751,844

5.54%

1,582,005

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
BLACKROCK FINANCIAL MANAGEMENT INC/DE	18,705	$1,605,076	1.2%	Sole
BlackRock Investment Management (Australia) Ltd	107	$9,181	0.0%	Sole
BlackRock Asset Management Canada Ltd	6,759	$579,989	0.4%	Sole
BlackRock Investment Management, LLC	73,202	$6,281,463	4.6%	Sole
BLACKROCK ADVISORS LLC	59,540	$5,109,127	3.8%	Sole
BlackRock Fund Advisors	1,003,587	$86,117,800	63.4%	Sole
BlackRock Institutional Trust Company, N.A.	352,450	$30,243,734	22.3%	Sole
BlackRock Fund Managers Ltd.	3,688	$316,467	0.2%	Sole
BlackRock Investment Management (UK) Ltd.	546	$46,852	0.0%	Sole
BlackRock (Netherlands) B.V.	1,439	$123,480	0.1%	Sole
BlackRock Asset Management Ireland Ltd	53,505	$4,591,264	3.4%	Sole
BlackRock Life Ltd	184	$15,789	0.0%	Sole
BlackRock Asset Management Schweiz AG	3,367	$288,922	0.2%	Sole
Aperio Group, LLC	4,926	$422,700	0.3%	Sole

PRICE T ROWE ASSOCIATES INC /MD/

$131,589,377

5.37%

1,533,497

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
T. Rowe Price International Ltd	25,920	$2,224,195	1.7%	Defined
Held directly	1,507,577	$129,365,182	98.3%	Sole

BROWN ADVISORY INC

$112,681,228

4.60%

1,313,148

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
BROWN INVESTMENT ADVISORY & TRUST CO	5,862	$503,018	0.4%	Defined
Brown Advisory LLC	1,225,407	$105,152,174	93.3%	Defined
NEW YORK LIFE INVESTMENT MANAGEMENT LLC	81,879	$7,026,036	6.2%	Defined

FINDELL CAPITAL MANAGEMENT LLC

$94,047,760

3.84%

1,096,000

Mudita Advisors LLP

$62,046,036

2.53%

723,063

WILLIAM BLAIR INVESTMENT MANAGEMENT, LLC

$61,272,716

2.50%

714,051

Rubric Capital Management LP

$59,065,168

2.41%

688,325

FRANKLIN RESOURCES INC

$52,661,424

2.15%

613,698

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
FRANKLIN ADVISERS INC	4,453	$382,111	0.7%	Defined
PUTNAM INVESTMENT MANAGEMENT LLC	384,857	$33,024,579	62.7%	Defined
PUTNAM ADVISORY CO LLC	224,388	$19,254,734	36.6%	Defined

BANK OF AMERICA CORP /DE/

$52,175,911

2.13%

608,040

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
BANK OF AMERICA NA	356,287	$30,572,987	58.6%	Defined
MERRILL LYNCH, PIERCE, FENNER & SMITH INC.	4,310	$369,841	0.7%	Defined
BOFA SECURITIES, INC.	227,831	$19,550,178	37.5%	Defined
MANAGED ACCOUNT ADVISORS LLC	19,612	$1,682,905	3.2%	Defined

Tyro Capital Management LLC

$51,963,017

2.12%

605,559

D. E. Shaw & Co., Inc.

$48,646,547

1.99%

566,910

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
D. E. SHAW & CO, L.P.	566,910	$48,646,547	100.0%	Defined

RICE HALL JAMES & ASSOCIATES, LLC

$48,133,832

1.97%

560,935

UBS Group AG

$47,106,256

1.92%

548,960

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
UBS Financial Services Inc	2,129	$182,689	0.4%	Defined
UBS AG	544,418	$46,716,508	99.2%	Defined
UBS Switzerland AG	2,413	$207,059	0.4%	Defined

TORONTO DOMINION BANK

$46,339,459

1.89%

540,024

SUMMIT PARTNERS PUBLIC ASSET MANAGEMENT, LLC

$42,174,413

1.72%

491,486

ROYCE & ASSOCIATES LP

$40,529,435

1.65%

472,316

STATE STREET CORP

$39,070,580

1.60%

455,315

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
STATE STREET GLOBAL ADVISORS EUROPE LIMITED joint	455,315	$39,070,580	100.0%	Defined

TWO SIGMA INVESTMENTS, LP

$38,479,349

1.57%

448,425

GEODE CAPITAL MANAGEMENT, LLC

$33,134,844

1.35%

386,142

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
GEODE CAPITAL MANAGEMENT TRUST COMPANY, LLC	39,010	$3,347,448	10.1%	Defined
Held directly	347,132	$29,787,396	89.9%	Defined

JANE STREET GROUP, LLC

$31,003,324

1.27%

361,302

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
Jane Street Capital, LLC	76,902	$6,598,960	21.3%	Defined
Jane Street Global Trading, LLC	284,400	$24,404,364	78.7%	Defined

GILDER GAGNON HOWE & CO LLC

$29,349,851

1.20%

342,033

Nantahala Capital Management, LLC

$28,817,572

1.18%

335,830

Nuveen, LLC

$27,587,742

1.13%

321,498

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
Nuveen Asset Management, LLC joint	96,583	$8,287,787	30.0%	Defined
TIAA CREF INVESTMENT MANAGEMENT LLC joint	170,641	$14,642,704	53.1%	Defined
TEACHERS ADVISORS, LLC joint	54,274	$4,657,251	16.9%	Defined

MORGAN STANLEY

$25,686,963

1.05%

299,347

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
MORGAN STANLEY & CO. LLC	7,492	$642,888	2.5%	Defined
MORGAN STANLEY CAPITAL SERVICES, LLC	235,719	$20,227,047	78.7%	Defined
MORGAN STANLEY SMITH BARNEY LLC	12,933	$1,109,780	4.3%	Defined
Morgan Stanley Bank, N.A.	31,619	$2,713,226	10.6%	Defined
PARAMETRIC PORTFOLIO ASSOCIATES LLC	11,584	$994,022	3.9%	Defined

BAMCO INC /NY/

$24,550,069

1.00%

286,098

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
BARON CAPITAL MANAGEMENT INC /NY/ joint	286,098	$24,550,069	100.0%	Defined

BNP PARIBAS ARBITRAGE, SA

$23,955,491

0.98%

279,169

Woodson Capital Management, LP

$23,597,750

0.96%

275,000

BOOTHBAY FUND MANAGEMENT, LLC

$21,717,738

0.89%

253,091

First Light Asset Management, LLC

$21,158,772

0.86%

246,577

VANGUARD PORTFOLIO MANAGEMENT LLC

$20,803,604

0.85%

242,438

HRT FINANCIAL LP

$20,249,443

0.83%

235,980

NORTHERN TRUST CORP

$20,179,848

0.82%

235,169

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
NORTHERN TRUST CO joint	221,282	$18,988,207	94.1%	Defined
NORTHERN TRUST GLOBAL INVESTMENTS LTD	9,685	$831,068	4.1%	Defined
DWS INVESTMENT MANAGEMENT AMERICAS, INC joint	4,202	$360,573	1.8%	Other

RAYMOND JAMES FINANCIAL INC

$17,221,551

0.70%

200,694

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
RAYMOND JAMES & ASSOCIATES	10,680	$916,450	5.3%	Defined
Raymond James Financial Services Advisors, Inc.	604	$51,829	0.3%	Defined
EAGLE ASSET MANAGEMENT INC joint	189,410	$16,253,272	94.4%	Defined

Capital Research Global Investors

$16,220,578

0.66%

189,029

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
CAPITAL GROUP COMPANIES INC joint	189,029	$16,220,578	100.0%	Defined

ADAR1 Capital Management, LLC

$15,927,966

0.65%

185,619

JPMORGAN CHASE & CO

$15,595,794

0.64%

181,748

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
JPMorgan Chase Bank, N.A.	11,237	$964,246	6.2%	Defined
J.P. Morgan Investment Management Inc.	8,105	$695,490	4.5%	Defined
J.P. Morgan Securities LLC	162,406	$13,936,058	89.4%	Defined

Voleon Capital Management LP

$14,911,890

0.61%

173,778

GARNET EQUITY CAPITAL HOLDINGS, INC.

$14,629,746

0.60%

170,490

GOLDMAN SACHS GROUP INC

$14,354,038

0.59%

167,277

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
GOLDMAN SACHS & CO. LLC	137,907	$11,833,799	82.4%	Defined
GOLDMAN SACHS ASSET MANAGEMENT, L.P.	29,370	$2,520,239	17.6%	Defined

Affinity Asset Advisors, LLC

$12,700,995

0.52%

148,013

HEALTHCARE OF ONTARIO PENSION PLAN TRUST FUND

$12,468,193

0.51%

145,300

Granite Investment Partners, LLC

$12,312,447

0.50%

143,485

Assenagon Asset Management S.A.

$11,661,321

0.48%

135,897

Pier Capital, LLC

$11,482,236

0.47%

133,810

BARCLAYS PLC

$11,315,507

0.46%

131,867

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
BARCLAYS BANK PLC	128,800	$11,052,328	97.7%	Defined
BARCLAYS CAPITAL INC.	3,067	$263,179	2.3%	Defined

Tejara Capital Ltd

$11,239,307

0.46%

130,979

SUSQUEHANNA INTERNATIONAL GROUP, LLP

$11,120,976

0.45%

129,600

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
SUSQUEHANNA SECURITIES, LLC	129,600	$11,120,976	100.0%	Other

DEUTSCHE BANK AG\

$10,995,520

0.45%

128,138

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
DWS INVESTMENT MANAGEMENT AMERICAS, INC	100,711	$8,642,010	78.6%	Defined
DWS Investments UK Ltd	27,427	$2,353,510	21.4%	Defined

STATE OF WISCONSIN INVESTMENT BOARD

$10,809,228

0.44%

125,967

Hood River Capital Management LLC

$10,067,315

0.41%

117,321

KORNITZER CAPITAL MANAGEMENT INC /KS

$9,913,629

0.40%

115,530

Divisadero Street Capital Management, LP

$9,153,781

0.37%

106,675

Union Square Park Capital Management, LLC

$9,010,050

0.37%

105,000

CITADEL ADVISORS LLC

$8,652,908

0.35%

100,838

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
Citadel Securities GP LLC	63,525	$5,451,080	63.0%	Defined
Held directly	37,313	$3,201,828	37.0%	Defined

FIRST TRUST ADVISORS LP

$8,495,533

0.35%

99,004

Trexquant Investment LP

$8,391,445

0.34%

97,791

Redmile Group, LLC

$7,634,000

0.31%

88,964

CITADEL ADVISORS LLC

$7,336,755

0.30%

85,500

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
Citadel Securities GP LLC	85,500	$7,336,755	100.0%	Defined

RENAISSANCE TECHNOLOGIES LLC

$7,062,163

0.29%

82,300

Walleye Capital LLC

$6,875,354

0.28%

80,123

Bank of New York Mellon Corp

$5,847,519

0.24%

68,145

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
Mellon Investments Corporation	24,479	$2,100,542	35.9%	Defined
The Bank of New York Mellon	42,710	$3,664,945	62.7%	Defined
BNY Mellon, NA	858	$73,624	1.3%	Defined
BNY Mellon Advisors, Inc.	97	$8,323	0.1%	Defined
Held directly	1	$85	0.0%	Defined

CHARLES SCHWAB INVESTMENT MANAGEMENT INC

$5,647,670

0.23%

65,816

JANE STREET GROUP, LLC

$5,363,125

0.22%

62,500

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
Jane Street Capital, LLC	62,500	$5,363,125	100.0%	Defined

Simplify Asset Management Inc.

$5,194,937

0.21%

60,540

Strategic Wealth Partners, Ltd.

$4,851,096

0.20%

56,533

Invesco Ltd.

$4,823,549

0.20%

56,212

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
Invesco Advisers, Inc. joint	4,146	$355,767	7.4%	Defined
Invesco Trust Co joint	10,807	$927,348	19.2%	Defined
Invesco Capital Management LLC	41,259	$3,540,434	73.4%	Defined

SEI INVESTMENTS CO

$4,451,736

0.18%

51,879

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
SEI INVESTMENTS MANAGEMENT CORP	4,019	$344,870	7.7%	Sole
SEI TRUST CO	47,860	$4,106,866	92.3%	Sole

Walleye Trading LLC

$4,058,813

0.17%

47,300

PURA VIDA INVESTMENTS, LLC

$3,861,450

0.16%

45,000

WELLS FARGO & COMPANY/MN

$3,667,947

0.15%

42,745

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
WELLS FARGO BANK N A	24,724	$2,121,566	57.8%	Defined
WELLS FARGO ADVISORS FINANCIAL NETWORK, LLC	4,320	$370,699	10.1%	Defined
WELLS FARGO CLEARING SERVICES, LLC	13,701	$1,175,682	32.1%	Defined

Squarepoint Ops LLC

$3,499,675

0.14%

40,784

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
Squarepoint Capital LLP	40,784	$3,499,675	100.0%	Defined

SummitTX Capital, L.P.

$3,466,724

0.14%

40,400

AQR CAPITAL MANAGEMENT LLC

$3,374,133

0.14%

39,321

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
Compound Planning, Inc.	1	$85	0.0%	Other
Arax Advisory Partners	119	$10,211	0.3%	Other
HALBERT HARGROVE GLOBAL ADVISORS, LLC	115	$9,868	0.3%	Other
Stokes Family Office, LLC	14	$1,201	0.0%	Other
Held directly	39,072	$3,352,768	99.4%	Defined

NorthRock Partners, LLC

$3,169,049

0.13%

36,931

Swiss National Bank

$3,157,808

0.13%

36,800

Jump Financial, LLC

$3,102,031

0.13%

36,150

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
Leap GP LLC joint	36,150	$3,102,031	100.0%	Defined

NEW YORK STATE COMMON RETIREMENT FUND

$2,993,739

0.12%

34,888

RHUMBLINE ADVISERS

$2,841,855

0.12%

33,118

Engineers Gate Manager LP

$2,699,410

0.11%

31,458

SUSQUEHANNA INTERNATIONAL GROUP, LLP

$2,677,272

0.11%

31,200

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
SUSQUEHANNA SECURITIES, LLC	31,200	$2,677,272	100.0%	Other

ALLIANCEBERNSTEIN L.P.

$2,570,438

0.10%

29,955

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
Equitable Holdings, Inc.	29,955	$2,570,438	100.0%	Defined

Guided Capital Wealth Management, LLC

$2,433,657

0.10%

28,361

Caption Management, LLC

$2,394,099

0.10%

27,900

Caption Management, LLC

$2,394,099

0.10%

27,900

Walleye Trading LLC

$2,376,937

0.10%

27,700

Dauntless Investment Group, LLC

$2,207,719

0.09%

25,728

VANGUARD FIDUCIARY TRUST CO

$2,200,340

0.09%

25,642

ExodusPoint Capital Management, LP

$2,184,808

0.09%

25,461

Buckley Capital Advisors, LLC

$2,145,250

0.09%

25,000

LPL Financial LLC

$2,114,186

0.09%

24,638

AMERIPRISE FINANCIAL INC

$2,081,149

0.08%

24,253

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
Columbia Management Investment Advisers, LLC	24,144	$2,071,796	99.6%	Defined
Ameriprise Financial Services, LLC	109	$9,353	0.4%	Defined

Qube Research & Technologies Ltd

$1,982,211

0.08%

23,100

POLEN CAPITAL MANAGEMENT LLC

$1,934,243

0.08%

22,541

CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM

$1,930,124

0.08%

22,493

SIT INVESTMENT ASSOCIATES INC

$1,853,496

0.08%

21,600

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
SIT FIXED INCOME ADVISORS II LLC /ADV	21,600	$1,853,496	100.0%	Sole

Kerrisdale Advisers, LLC

$1,749,665

0.07%

20,390

CITADEL ADVISORS LLC

$1,724,781

0.07%

20,100

This filing is a combination report: the position is filed across the managers below.

Manager	Shares	Value (USD)	% of position	Discretion
Citadel Securities GP LLC	20,100	$1,724,781	100.0%	Defined

ADAGE CAPITAL PARTNERS GP, L.L.C.

$1,551,358

0.06%

18,079

Key facts CIK 1688757 CUSIP G31249108 13F (30d) 141 filings 141 filers Visit website Investor relations