ESTABLISHMENT LABS HOLDINGS INC. - 10-K filing on 2019-03-20

Debt - Narrative (Details)				1 Months Ended	3 Months Ended	12 Months Ended
Debt - Narrative (Details)	Dec. 15, 2017 USD ($)	Oct. 31, 2017 USD ($)	Aug. 24, 2017 shares	Aug. 31, 2018 USD ($)	Dec. 31, 2017 USD ($)	Dec. 31, 2018 USD ($) payment	Dec. 31, 2017 USD ($)	Jun. 15, 2018 USD ($)	Feb. 28, 2018 USD ($)	Jan. 31, 2018 USD ($)	Sep. 30, 2017 USD ($)	Aug. 31, 2017 USD ($)	Jan. 31, 2017 USD ($)	Jul. 31, 2016 USD ($)	Jan. 31, 2016 USD ($)	Aug. 31, 2015 USD ($)
Debt Instrument [Line Items]
Value of shares granted to purchase						$ 2,000,000
Shares offered to resell ratio						0.5
Line of Credit \| Madryn Credit Agreement
Debt Instrument [Line Items]
Interest expense						$ 5,400,000	$ 1,400,000
Fair value of options												$ 15,100,000
Principal balance outstanding					$ 40,000,000		40,000,000
Maximum borrowing capacity												55,000,000.0
Borrowings on credit facility					10,000,000
Weighted average interest rate						13.44%
Number of payments \| payment						8
Quarterly principal payments percentage						12.50%
Debt discount	$ 5,000,000											$ 5,000,000
Legal expenses											$ 1,300,000
Maximum investment in subsidiary									$ 5,000,000.0	$ 5,000,000.0
Line of Credit \| Madryn Credit Agreement \| London Interbank Offered Rate (LIBOR)
Debt Instrument [Line Items]
Credit agreement interest rate						11.00%
Default interest rate						4.00%
Line of Credit \| Madryn Credit Agreement - Term A
Debt Instrument [Line Items]
Capacity available for trade purchases						$ 30,000,000
Line of Credit \| Madryn Credit Agreement - Term B and C
Debt Instrument [Line Items]
Borrowing capacity available upon achieving revenue milestones						25,000,000
Line of Credit \| Madryn Credit Agreement - Term B-1
Debt Instrument [Line Items]
Borrowings on credit facility		$ 5,000,000
Line of Credit \| Madryn Credit Agreement - Term B-2
Debt Instrument [Line Items]
Borrowings on credit facility	$ 5,000,000
Line of Credit \| Madryn Credit Agreement - Term B-3
Debt Instrument [Line Items]
Capacity available for trade purchases								$ 5,000,000.0
Line of Credit \| Madyrn Credit Agreement - Term C
Debt Instrument [Line Items]
Capacity available for trade purchases								$ 10,000,000
Affiliated Entity \| Notes Payable
Debt Instrument [Line Items]
Principal balance													$ 1,200,000
Affiliated Entity \| Notes Payable \| Seven Percent Notes Payable
Debt Instrument [Line Items]
Principal balance																$ 4,200,000
Simple rate																7.00%
Interest expense						200,000	200,000
Repayment of debt				$ 5,100,000
Accrued interest subject to compromise				$ 900,000
Principal balance outstanding					4,218,000	$ 0	4,218,000									$ 4,300,000
Affiliated Entity \| Convertible Debt \| Related Party Convertible Notes Payable
Debt Instrument [Line Items]
Simple rate						10.00%
Maximum borrowing capacity														$ 19,800,000.0	$ 18,000,000.0	15,000,000.0
Amortization of debt discount																1,100,000
Fair value of options																$ 100,000
Conversion of related party convertible notes payable into ordinary shares \| shares			5,869,417
Principal balance outstanding					$ 0	$ 0	$ 0