Intramedullary Nailing with “PRECICE” Methodology

One of the most recommended, comfortable and safe  leg lengthening surgery methods is “PRECICE” methodology. One of the major differences between the “LON” and “PRECICE” methods is that,  “PRECICE” methodology does not require any external fixator, because the intramedullary nail is electromagnetic and motorized, thus allows for bone extensions with just a remote control; providing the patient more comfort and much shorter recovery times in total.

Furthermore, the device is internally embedded into the patient’s bone, thus does not cause any discomfort and significantly minimizing any risk of infections. Moreover, it reduces the total recovery period to just 2.5 months (consolidation period not included); but, it is a newer technology and currently much more expensive than “Holyfix” & “LON” methodologies and there are only a handful of Turkish doctors which practice this methodology. With “PRECICE”, the surgeon makes a small incision and inserts the motorized intramedullary nail into the bone (either Femur or Tibia), and closes the wound; hence reducing the risk of any open wound infections. Soon after, the lengthening process is realized with the help of an electromagnetic remote control device; hence there is no device or fixator, visible on the patient’s body.

PRECICE nail in the hands of a doctor
Limb Lengthening Surgery Methods: PRECICE 2

This methodology is currently, the most comfortable amongst any other methodology of height lengthening available. The operated leg can easily bear weight, but partially in the beginning and gradually, during the lengthening phase, it can easily recover to a full weight bearing, in a matter of a few months. This allows patients to return to their personal and professional lives much earlier, than any other methodology available.

It must be noted that worldwide, these surgical operations are currently performed by very limited number of doctors. All surgeons are required to participate in an intensive training program at the “Center of Excellence”.

Our patients who undergo treatment with PRECICE® from our experienced & trained surgeons, tends to gain the most from their height lengthening journey and this methodology has proved most advantageous in terms of scaring formed after surgery. The “PRECICE” nail offers minimum disadvantages due to the material and design used, in terms of health of our patients. After complete consolidation of the bone, i.e. after one to one and a half years after implantation, the PRECICE® intramedullary lengthening nail and the receiver can be explanted or removed easily.

Electromagnetic device used for daily leg lengthening with PRECICE
Limb Lengthening Surgery Methods: PRECICE 2

How many scars can appear after surgery?

“PRECICE” has proved to in being the most advantageous method in terms of post-op scarring, as the scars are almost minimalist and invisible.

How much does it cost?

At the moment,  the cost for a single Bilateral (Both Legs) surgery, either on the “Femoral” or “Tibial” bones for leg lengthening, with “PRECICE” Methodology is currently priced at around: (€) 39 000 Euros. (for a limited period till 30 Sep 2019)

Please note: For a double surgery, first on the Femur bones and later on the Tibia bones or vice versa (with a 6 months consolidation period between both the surgeries); the price will be calculated as two separate surgeries. Thus; (€) 39,000 Euros multiplied by 2 surgeries: (€) 78,000 Euros.

Furthermore, for a complete healthy and smooth limb lengthening experience, we provide the following facilities, which are included in the total price:

  • Meeting and greeting our patients at the airports, including all transportation to the hotels & hospitals
  • Accommodation in a 5-star hotel (1 to 3 days)
  • An English-speaking caretaker who will assist our patients 24/7
  • Complimentary Istanbul tour, including historical and touristic visits, boat tours and meals in our famous Turkish restaurants
  • All necessary medical examinations and tests before the surgical operation
  • 5 to 7 days of hospitalization
  • Physiotherapist’s assistance and all medications are covered, during the patient’s hospitalization
  • Walker, crutches & wheelchair for support & assisted movement (Post-Op)
  • Transportation to the airport upon departure

FREE consultation with doctors and consultants whenever the patient’s needs, even after lengthening process has been completed
The above mentioned price also includes the following costs, in addition, to the surgery itself

  • All hospital charges relating to the operating room and recovery room.
  • Surgeon’s fees.
  • Anesthesiologist’s fees.
  • Surgical assistant’s fees.
  • Hospitalization fees (Internal medicine doctors will be available during the entire hospitalization period).

Summer Offer
Get a free voucher up to 1000 euros on Physiotherapy if you opt for any method of Limb Lengthening Surgery until the end of September

* If you will stay in Istanbul during distraction phase after the surgery you can get free physiotherapy service once every two
days during 2 months

* If you will leave Turkey after the surgery you can get a voucher up to 1000 euros for physiotherapy in your home country.
Furthermore, you can contact our patient consultants, at your convenience, for a detailed discussion regarding the procedures and any information that you may require in relation to the procedures, medical teams, prices and any available discounts.

When can I get back to my Pre-Surgery Health?

According to the surgical guidelines and medical recommendations, lengthening varies from 6 to 8 cm in a single surgical procedure and it is not preferable to lengthen over 6 to 8 cm per bone section. If you wish to grow even taller (for example, 12 to 15 cm) it can be achieved by lengthening both lower and upper legs (lengthening in both the Femur and Tibia bones). Thus, if a patient desires to lengthen their legs by around 12 to 15 cm, it is preferable to do 6 to 7 cm lengthening on “Tibia” bone and after complete recovery and consolidation; another surgical procedure on the “Femur” bones, for additional height gains of 6 to 8 cm; independently rather than to lengthen, for example, 10 cm on a singular bone section in one surgical session. It is important to note that the flexibility of your legs is a very important factor. The more flexible your legs are, the more relaxed you will be during the lengthening process

How many centimeters can I gain with Leg Lengthening (LL)?

Limb Lengthening Surgery Methods: PRECICE 2
Limb Lengthening Surgery Methods: PRECICE 2

Limb lengthening surgeries, including intramedullary nail method, may take some time, but eventually you can easily get back your pre-surgery health and indulge in any sports that you want. It all depends on the methodology adopted by our patient’s and how much time they spend in recovery and consolidation phases. In order to facilitate speedy and complete recovery, the patients must perform physiotherapy and other prescribed exercises, regularly.

Can I see some images of your patients?

Limb lengthening progress with Precice. X-rays taken after 2, 5 and 10 weeks since the operation.
Limb Lengthening Surgery Methods: PRECICE2


7 cm height increase with Precice method. Note the lengthened part of the bone and newly formed bone tissue in red circles. That part of the bone became smoother and stronger with time.
Limb Lengthening Surgery Methods: PRECICE2


The PRECICE® System:

Learn more about the PRECICE® System


Diaries of some of our “PRECICE” patients:


Martin’s Journey From The USA to Become Taller With Precice

My reflection for having limb lengthening surgery (Michael from Australia)


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