Cover - USD ($)
 12 Months Ended
Dec. 31, 2021
Feb. 28, 2022
Jun. 30, 2021
Cover [Abstract]      
Document Type 10-K    
Document Annual Report true    
Document Period End Date Dec. 31, 2021    
Current Fiscal Year End Date --12-31    
Document Transition Report false    
Entity File Number 001-38593    
Entity Registrant Name Establishment Labs Holdings Inc.    
Entity Incorporation, State or Country Code D8    
Entity Address, Address Line One Building B15 and 25    
Entity Address, Address Line Two Coyol Free Zone    
Entity Address, City or Town Alajuela    
Entity Address, Country CR    
Country Region 506    
City Area Code 24    
Local Phone Number 34 2400    
Title of 12(b) Security Common Shares, No Par Value    
Trading Symbol ESTA    
Security Exchange Name NASDAQ    
Entity Well-known Seasoned Issuer Yes    
Entity Voluntary Filers No    
Entity Current Reporting Status Yes    
Entity Interactive Data Current Yes    
Entity Filer Category Large Accelerated Filer    
Entity Small Business false    
Entity Emerging Growth Company false    
ICFR Auditor Attestation Flag true    
Entity Shell Company false    
Entity Public Float     $ 1,521,927,099
Entity Common Stock, Shares Outstanding   24,124,858  
Documents Incorporated by Reference Portions of the Registrant’s definitive proxy statement relating to its 2022 annual meeting of shareholders (the “2022 Proxy Statement”) are incorporated by reference into Part III of this Annual Report on Form 10-K where indicated. The 2022 Proxy Statement will be filed with the U.S. Securities and Exchange Commission within 120 days after the end of the fiscal year to which this report relates.    
Amendment Flag false    
Entity Central Index Key 0001688757    
Document Fiscal Year Focus 2021    
Document Fiscal Period Focus FY