ESTABLISHMENT LABS HOLDINGS INC. (ESTA) — Institutional Holders, Q2 2026
197 institutional investment managers reported a ESTA position on SEC Form 13F-HR for the quarter ended June 30, 2026, with a combined reported value of $2.4B. Every filer is listed below, ranked by position value, 100 per page; this page shows ranks 1 to 100. Put and call option positions are excluded, and a firm filing several lots or share classes is shown once with its total.
ESTA in Q2 2026: what funds did
Funds that filed a 13F for both Q1 2026 and Q2 2026, by what they did with the common stock. Share counts are adjusted for any split between the two quarters; dollar figures are the change in shares at this quarter’s price.
Biggest buyers
- PRICE T ROWE ASSOCIATESNew · +1,533,497 sh+$131.6M
- BlackRockAdded · +1,454,482 sh+$124.8M
- Rubric Capital ManagementNew · +688,325 sh+$59.1M
- STATE STREETAdded · +410,185 sh+$35.2M
- UBS Group AGAdded · +401,303 sh+$34.4M
Biggest sellers
- BAMCOTrimmed · -678,069 sh-$58.2M
- Tyro Capital ManagementTrimmed · -545,750 sh-$46.8M
- Nantahala Capital ManagementTrimmed · -497,126 sh-$42.7M
- GOLDMAN SACHS GROUPTrimmed · -465,003 sh-$39.9M
- BRAIDWELLSold out · -463,600 sh-$39.8M
ESTA 13F holders ranked 1–100 of 197
| # | Institution | Shares | Value | % of portfolio | QoQShares vs Q1 2026 |
|---|---|---|---|---|---|
| 1 | JW Asset Management#1 · 2,692,856 sh | 2,692,856 | $231.1M | 72.24% | -12.0% |
| 2 | RTW INVESTMENTS#2 · 2,655,695 sh | 2,655,695 | $227.9M | 1.95% | 0.0% |
| 3 | BlackRock#3 · 1,582,005 sh | 1,582,005 | $135.8M | <0.01% | +1140.6% |
| 4 | PRICE T ROWE ASSOCIATES#4 · 1,533,497 sh | 1,533,497 | $131.6M | 0.01% | New |
| 5 | BROWN ADVISORY#5 · 1,313,148 sh | 1,313,148 | $112.7M | 0.17% | -14.0% |
| 6 | FINDELL CAPITAL MANAGEMENT#6 · 1,096,000 sh | 1,096,000 | $94.0M | 13.24% | +9.8% |
| 7 | Mudita Advisors LLP#7 · 723,063 sh | 723,063 | $62.0M | 12.90% | -5.4% |
| 8 | WILLIAM BLAIR INVESTMENT MANAGEMENT#8 · 714,051 sh | 714,051 | $61.3M | 0.18% | +3.6% |
| 9 | Rubric Capital Management#9 · 688,325 sh | 688,325 | $59.1M | 0.54% | New |
| 10 | FRANKLIN RESOURCES#10 · 613,698 sh | 613,698 | $52.7M | 0.01% | +156.5% |
| 11 | BANK OF AMERICA#11 · 608,040 sh | 608,040 | $52.2M | <0.01% | +45.9% |
| 12 | Tyro Capital Management#12 · 605,559 sh | 605,559 | $52.0M | 11.66% | -47.4% |
| 13 | D. E. Shaw#13 · 566,910 sh | 566,910 | $48.6M | 0.02% | +39.0% |
| 14 | RICE HALL JAMES & ASSOCIATES#14 · 560,935 sh | 560,935 | $48.1M | 2.34% | +2.2% |
| 15 | UBS Group AG#15 · 548,960 sh | 548,960 | $47.1M | <0.01% | +271.8% |
| 16 | TORONTO DOMINION BANK#16 · 540,024 sh | 540,024 | $46.3M | 0.05% | 0.0% |
| 17 | SUMMIT PARTNERS PUBLIC ASSET MANAGEMENT#17 · 491,486 sh | 491,486 | $42.2M | 0.74% | +25.1% |
| 18 | ROYCE & ASSOCIATES#18 · 472,316 sh | 472,316 | $40.5M | 0.33% | +10.5% |
| 19 | STATE STREET#19 · 455,315 sh | 455,315 | $39.1M | <0.01% | +908.9% |
| 20 | TWO SIGMA INVESTMENTS#20 · 448,425 sh | 448,425 | $38.5M | 0.03% | +3.9% |
| 21 | GEODE CAPITAL MANAGEMENT#21 · 386,142 sh | 386,142 | $33.1M | <0.01% | +1279.2% |
| 22 | JANE STREET GROUP#22 · 361,302 sh | 361,302 | $31.0M | <0.01% | -42.4% |
| 23 | GILDER GAGNON HOWE#23 · 342,033 sh | 342,033 | $29.3M | 0.30% | +27.4% |
| 24 | Nantahala Capital Management#24 · 335,830 sh | 335,830 | $28.8M | 0.96% | -59.7% |
| 25 | Nuveen#25 · 321,498 sh | 321,498 | $27.6M | <0.01% | -0.4% |
| 26 | MORGAN STANLEY#26 · 299,347 sh | 299,347 | $25.7M | <0.01% | -26.3% |
| 27 | BAMCO#27 · 286,098 sh | 286,098 | $24.6M | 0.04% | -70.3% |
| 28 | BNP PARIBAS FINANCIAL MARKETS#28 · 279,169 sh | 279,169 | $24.0M | <0.01% | +35.0% |
| 29 | Woodson Capital Management#29 · 275,000 sh | 275,000 | $23.6M | 3.95% | -21.4% |
| 30 | BOOTHBAY FUND MANAGEMENT#30 · 253,091 sh | 253,091 | $21.7M | 0.29% | +9.1% |
| 31 | First Light Asset Management#31 · 246,577 sh | 246,577 | $21.2M | 1.29% | -19.9% |
| 32 | VANGUARD PORTFOLIO MANAGEMENT#32 · 242,438 sh | 242,438 | $20.8M | <0.01% | +363.8% |
| 33 | HRT FINANCIAL#33 · 235,980 sh | 235,980 | $20.2M | 0.05% | +116.9% |
| 34 | NORTHERN#34 · 235,169 sh | 235,169 | $20.2M | <0.01% | +187.2% |
| 35 | RAYMOND JAMES FINANCIAL#35 · 200,694 sh | 200,694 | $17.2M | <0.01% | -6.9% |
| 36 | Capital Research Global Investors#36 · 189,029 sh | 189,029 | $16.2M | <0.01% | +83.7% |
| 37 | JPMORGAN CHASE#37 · 181,748 sh | 181,748 | $16.0M | <0.01% | -49.9% |
| 38 | ADAR1 Capital Management#38 · 185,619 sh | 185,619 | $15.9M | 0.73% | -13.0% |
| 39 | Voleon Capital Management#39 · 173,778 sh | 173,778 | $14.9M | 0.27% | +35.1% |
| 40 | GARNET EQUITY CAPITAL#40 · 170,490 sh | 170,490 | $14.6M | 2.76% | -35.5% |
| 41 | GOLDMAN SACHS GROUP#41 · 167,277 sh | 167,277 | $14.4M | <0.01% | -73.5% |
| 42 | Affinity Asset Advisors#42 · 148,013 sh | 148,013 | $12.7M | 0.57% | +48.0% |
| 43 | HEALTHCARE OF ONTARIO PENSION PLAN FUND#43 · 145,300 sh | 145,300 | $12.5M | 0.02% | New |
| 44 | Granite Investment Partners#44 · 143,485 sh | 143,485 | $12.3M | 0.63% | 0.0% |
| 45 | Assenagon Asset Management S.A.#45 · 135,897 sh | 135,897 | $11.7M | — | +164.9% |
| 46 | Pier Capital#46 · 133,810 sh | 133,810 | $11.5M | 1.52% | +0.2% |
| 47 | BARCLAYS PLC#47 · 131,867 sh | 131,867 | $11.3M | <0.01% | +21.1% |
| 48 | Tejara Capital Ltd#48 · 130,979 sh | 130,979 | $11.2M | 4.62% | -57.6% |
| 49 | DEUTSCHE BANK AG\#49 · 128,138 sh | 128,138 | $11.0M | <0.01% | +26.2% |
| 50 | STATE OF WISCONSIN INVESTMENT BOARD#50 · 125,967 sh | 125,967 | $10.8M | 0.02% | -9.1% |
| 51 | Hood River Capital Management#51 · 117,321 sh | 117,321 | $10.1M | 0.07% | +34.6% |
| 52 | KORNITZER CAPITAL MANAGEMENT#52 · 115,530 sh | 115,530 | $9.9M | 0.21% | -1.0% |
| 53 | Divisadero Street Capital Management#53 · 106,675 sh | 106,675 | $9.2M | 0.21% | New |
| 54 | Union Square Park Capital Management#54 · 105,000 sh | 105,000 | $9.0M | 3.24% | +16.7% |
| 55 | CITADEL ADVISORS#55 · 100,838 sh | 100,838 | $8.7M | <0.01% | -81.6% |
| 56 | FIRST ADVISORS#56 · 99,004 sh | 99,004 | $8.5M | <0.01% | New |
| 57 | Trexquant Investment#57 · 97,791 sh | 97,791 | $8.4M | 0.05% | -28.0% |
| 58 | Redmile Group#58 · 88,964 sh | 88,964 | $7.6M | 0.51% | -14.0% |
| 59 | RENAISSANCE TECHNOLOGIES#59 · 82,300 sh | 82,300 | $7.1M | <0.01% | +47.5% |
| 60 | Walleye Capital#60 · 80,123 sh | 80,123 | $6.9M | 0.02% | New |
| 61 | Bank of New York Mellon#61 · 68,145 sh | 68,145 | $5.8M | <0.01% | New |
| 62 | CHARLES SCHWAB INVESTMENT MANAGEMENT#62 · 65,816 sh | 65,816 | $5.6M | <0.01% | New |
| 63 | Simplify Asset Management#63 · 60,540 sh | 60,540 | $5.2M | 0.07% | +14.2% |
| 64 | Strategic Wealth Partners, Ltd.#64 · 56,533 sh | 56,533 | $4.9M | 0.30% | -2.6% |
| 65 | Invesco Ltd.#65 · 56,212 sh | 56,212 | $4.8M | <0.01% | New |
| 66 | SEI INVESTMENTS#66 · 51,879 sh | 51,879 | $4.5M | <0.01% | +9.8% |
| 67 | PURA VIDA INVESTMENTS#67 · 45,000 sh | 45,000 | $3.9M | 10.44% | 0.0% |
| 68 | WELLS FARGO & COMPANY#68 · 42,745 sh | 42,745 | $3.7M | <0.01% | +257.8% |
| 69 | Squarepoint Ops#69 · 40,784 sh | 40,784 | $3.5M | <0.01% | -31.5% |
| 70 | SummitTX Capital, L.P.#70 · 40,400 sh | 40,400 | $3.5M | 0.09% | -10.1% |
| 71 | AQR CAPITAL MANAGEMENT#71 · 39,321 sh | 39,321 | $3.4M | <0.01% | +18.6% |
| 72 | NorthRock Partners#72 · 36,931 sh | 36,931 | $3.2M | 0.05% | -5.1% |
| 73 | Swiss National Bank#73 · 36,800 sh | 36,800 | $3.2M | <0.01% | +7.6% |
| 74 | Jump Financial#74 · 36,150 sh | 36,150 | $3.1M | 0.02% | -59.0% |
| 75 | NEW YORK STATE COMMON RETIREMENT FUND#75 · 34,888 sh | 34,888 | $3.0M | <0.01% | +38.0% |
| 76 | RHUMBLINE ADVISERS#76 · 33,118 sh | 33,118 | $2.8M | <0.01% | New |
| 77 | Engineers Gate Manager#77 · 31,458 sh | 31,458 | $2.7M | 0.04% | +7.5% |
| 78 | Guided Capital Wealth Management#78 · 28,361 sh | 28,361 | $2.4M | — | 0.0% |
| 79 | Dauntless Investment Group#79 · 25,728 sh | 25,728 | $2.2M | 1.73% | +172.9% |
| 80 | VANGUARD FIDUCIARY#80 · 25,642 sh | 25,642 | $2.2M | <0.01% | New |
| 81 | ExodusPoint Capital Management#81 · 25,461 sh | 25,461 | $2.2M | 0.01% | -67.8% |
| 82 | Buckley Capital Advisors#82 · 25,000 sh | 25,000 | $2.1M | 1.33% | -73.4% |
| 83 | LPL Financial#83 · 24,638 sh | 24,638 | $2.1M | <0.01% | +13.5% |
| 84 | AMERIPRISE FINANCIAL#84 · 24,253 sh | 24,253 | $2.1M | <0.01% | -22.1% |
| 85 | Qube Research & Technologies Ltd#85 · 23,100 sh | 23,100 | $2.0M | <0.01% | -89.9% |
| 86 | POLEN CAPITAL MANAGEMENT#86 · 22,541 sh | 22,541 | $1.9M | 0.02% | -7.3% |
| 87 | SIT INVESTMENT ASSOCIATES#87 · 21,600 sh | 21,600 | $1.9M | 0.04% | 0.0% |
| 88 | Kerrisdale Advisers#88 · 20,390 sh | 20,390 | $1.7M | 0.44% | New |
| 89 | ALLIANCEBERNSTEIN L.P.#89 · 29,955 sh | 29,955 | $1.7M | <0.01% | New |
| 90 | ADAGE CAPITAL PARTNERS GP, L.L.C.#90 · 18,079 sh | 18,079 | $1.6M | <0.01% | New |
| 91 | Legal & General Group Plc#91 · 16,839 sh | 16,839 | $1.4M | <0.01% | +35.7% |
| 92 | XTX Topco Ltd#92 · 16,002 sh | 16,002 | $1.4M | 0.02% | -68.8% |
| 93 | MetLife Investment Management#93 · 15,868 sh | 15,868 | $1.4M | <0.01% | New |
| 94 | STABLEFORD CAPITAL II#94 · 15,395 sh | 15,395 | $1.3M | — | -31.1% |
| 95 | NewEdge Advisors#95 · 13,871 sh | 13,871 | $1.2M | <0.01% | New |
| 96 | AlTi Global#96 · 13,829 sh | 13,829 | $1.2M | 0.02% | -6.7% |
| 97 | Headlands Technologies#97 · 13,681 sh | 13,681 | $1.2M | 0.12% | New |
| 98 | CITIGROUP#98 · 13,432 sh | 13,432 | $1.2M | <0.01% | +74.1% |
| 99 | Exome Asset Management#99 · 13,100 sh | 13,100 | $1.1M | 0.69% | 0.0% |
| 100 | HCR Wealth Advisors#100 · 12,639 sh | 12,639 | $1.1M | — | 0.0% |
Funds that sold out of ESTA in Q2 2026 (32)
Held ESTA at the end of Q1 2026 and filed a Q2 2026 13F without it. Not in the list above, because they no longer hold it. Largest prior position first.
Source: Form 13F-HR filings on SEC EDGAR, Q2 2026. Values are as reported by each manager at quarter end. “% of portfolio” is the position’s share of the manager’s total reported 13F value for the same quarter. “New” means the manager filed a 13F for Q1 2026 without this position; a dash means no comparison is available. Where a manager’s own filing is internally inconsistent its value is withheld and it is listed last. 13F data shows reported holdings, not recommendations.