Options/ESTA

ESTAEstablishment Labs Holdings Inc.

Options Analysis Report•ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES

Market Cap $2.1B|NASDAQ

● 2026-08-31$70.64

BULLISH

Analysis: 2026-08-28 EOD data

1Y +75.2%YTD +2.6%7D -2.0%

Options Vol

30D

Implied Move

±14.0%

IV Rank

ESTA Options Overview

IV is elevated with bullish flow. Conditions favor premium sellers.

REWARDS

RISK ANALYSIS

Snowflake Analysis

Favorable conditions for premium sellers

Learn

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ESTA Gamma Walls

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Value

Is IV priced right?

6.1

ExpensiveCheap

Measures whether options are cheap, fair, or rich relative to historical and peer

levels.

Risk Checks4/9 checks passed

IV Rank

≤35%

IV Rank 80.1% — elevated vs history

IV/HV Ratio

<1.05x

IV/HV 0.90x — IV ≤ HV

Sector Relative≤50%

Sector percentile 52% — above sector median

Term Structure

<1.1x

Front/Back 0.84x — contango

Skew Normal

<1.25x

Put/Call IV 1.16x — elevated

Absolute IV

<80%

ATM IV 54.8% — normal range

Spread-Adjusted Value

<80%

Effective IV 325.1% (ATM 54.8% + spread 135.2% + bias) — expensive

Execution Efficiency

<3.0%

Total drag 175.71% (spread 135.16% + slippage 40.55%) — high friction

Vega Efficiency

≥5.0

Vega efficiency 1.39 (vega 18.853 / spread 135.16%) — spread drag

Sentiment

Bullish or bearish?

6.9

BearishBullish

Analyzes

put/call ratios

open interest skew

, and flow direction to determine market bias.

Risk ChecksBullish - Moderate signal (Conviction: +13%, Raw: +25%)

Flow Direction

|net sentiment| ≥25%

Conviction-weighted: +13% (bullish) — Raw: +25%

OI Skew Magnitude

≥15%

|OI skew| 27.4% — call-heavy

Volume-OI Alignment

Same sign, |vol skew| ≥10%

Vol skew +37.5%, OI skew +27.4% — aligned

Conviction Quality

≥2/3 conditions

0-DTE 0%, far-OTM 15%, avg DTE 30

OI Momentum

|change| ≥3%

OI change +0.0% (5d) — stable

Smart Money Flow

|weighted flow| ≥20%

ITM: +0%, ATM: +0%, OTM: +25% — neutral (ITM/ATM divergent)

Sector Relative≤40% or ≥60%

Sector P/C percentile 42% — bullish vs sector

Activity

Unusual activity?

1.6

QuietActive

Detects volume surges,

block trades

, and unusual options activity that may signal moves.

Risk Checks0/8 checks passed

Volume Surge

≥1.5x

Volume 0.0x avg — normal

Turnover Rate

≥15%

Vol/OI 0.6% — normal turnover

Multi-Day Persistence

≥2 days

1 day(s) elevated — may be one-day event

OI Build

≥5%

OI change -0.8% (5d) — stable

Sector Relative≥60%

Sector activity percentile 27% — below sector avg

Trade Quality

≥30%

Large trade volume 0% — mostly retail

Execution Urgency

≥60%

Aggressive execution 0% — patient

Flow Conviction

≥30

Conviction +13 (bullish) — mixed

Liquidity

Can I trade efficiently?

2.4

IlliquidLiquid

Evaluates

bid-ask spreads

, volume depth, and open interest for trade execution quality.

Risk Checks0/8 checks passed

Tradeable Spread

≤5.0%

Spread 135.2% — wide

Adequate OI

≥10,000

OI 5,732 — thin

Active Volume

≥500

Volume 32/day — thin

Reasonable Cost

≤$0.50

$6.76 to cross — expensive

Strike Coverage

≥5 strikes

0 liquid strikes — limited options

Sector Relative≤40%

Sector spread percentile 80% — much wider than sector

Order Book Depth

≥100 contracts

Depth 58.7 contracts (bid:26.2 ask:32.5) — thin

Execution Quality

<1.0%

Avg slippage 40.55% — poor

Timing

Is now a good time?

6.8

RiskyFavorable

Considers earnings proximity,

time decay

, and event calendar for optimal entry timing.

Risk Checks6/9 checks passed

Term Structure Clarity

|slope| ≥5%

Slope -15.5% — contango

IV Percentile Clarity

<30 or >70

IV percentile 80% — seller opportunity

Event Detection

≥10pts kink

IV kink -6.1pts — no clear event

Theta/Vega Clarity

<0.5 or >2.0

θ/ν ratio 544.89 — favors income trades

Expiration Distribution

≥3 expirations

4 liquid expirations — flexible

Event Risk

≥60% (safe)

safe window: No events detected

Spread Momentum

<1.2 ratio

Spread ratio 1.00x — stable

Flow Momentum

≥25% strength + ≥50% consistency

Flow +13% @ 56% consistency — unclear

Smart Money Timing

≥40 composite score

Score 30 (ITM 20% + inst 0%) — retail dominated

Directional Strategy Fit

Option Buyers

Long Calls6.9

bullishIV cheap, bullish flow

Long Puts4.6

bearishIV cheap, bullish flow

Premium Sellers

Cash-Secured Put5.1

bullishIV too cheap, bullish flow

Covered Call3.7

bearishIV too cheap, bullish flow

For educational purposes only. Not investment advice.

The Options Desk tracks the move options price into every US earnings report the week of Aug 31, next to how much each stock has actually moved on its past prints — plus the SPY, QQQ and IWM expected ranges and the gamma walls that box them in.

More on ESTA

ESTA gamma walls ESTA max pain ESTA IV rank ESTA options flow