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METHODS WE USE

Increase your height up to 10 cm (4 in) in one procedure or 17 cm (6.7 in) with two, using advanced methods and Dr. Yurttas's expertise.

LON Method

Internal & External Combined

lengthening over nails

Key Features

  • External/Internal: Combined

  • Back to daily life: 15 days

  • Bone healing: 5–6 months

  • Full recovery: 9–12 months

  • Max. height gain: 1 mm/day

    • Tibia: 7 cm (2.75 in)

    • Femur: 10 cm (4 in)

PRECICE 2

Internal

precice 2.2

Key Features

  • External/Internal: Internal

  • Back to daily life: 3 months

  • Bone healing: 5–6 months

  • Full recovery: 9–12 months

  • Max. height gain: 1 mm/day

    • Tibia: 7 cm (2.75 in)

    • Femur: 8 cm (3.14 in)

PRECICE MAX

Internal

new Precice Max

Coming Soon

Precice Max is a fully internal limb lengthening system that allows patients to walk sooner after surgery and maintain daily activities. It is only available in selected clinics in USA, and its release date in Europe is unknown.

What is Limb Lengthening Surgery?

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Limb lengthening surgery allows individuals to safely increase their height by using the body’s natural ability to regenerate bone. During this process, the surrounding soft tissues, ligaments, blood vessels, and nerves stretch and adapt as the bone gradually lengthens. The procedure starts with an osteotomy, where the surgeon carefully cuts the bone that needs to be lengthened. To provide stability throughout the process, internal or external devices are used based on the selected method.

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How the Process Works

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The process consists of two main stages: the distraction phase and the consolidation phase.

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In the distraction phase, the surgeon gradually separates the bone to encourage the formation of new bone tissue, known as osteogenesis, at the site of the osteotomy. The lengthening progresses at a rate of about 1 millimeter per day. For example, increasing bone length by 6 centimeters (2.36 inches) typically takes 60 days. A 9-centimeter (3.54 inches) increase requires around 90 days.

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Once the desired length is achieved, the process transitions to the consolidation phase. This stage focuses on healing and strengthening the newly formed bone. During this time, patients gradually increase weight-bearing activities and work toward walking independently. Over time, the surrounding soft tissues, ligaments, and nerves fully adjust to the lengthened bone. After full recovery, patients can return to all normal activities, including sports and other physical activities, without restrictions.

X-ray images showing the bone regeneration and consolidation phases during limb lengthening.

X-ray images showing the bone regeneration and consolidation phases during limb lengthening. The first image illustrates the gradual formation of new bone tissue, while the second highlights the fully consolidated bone.

How to Choose the Best Limb Lengthening Method

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Choosing the right method depends on your height goals, lifestyle, and recovery preferences. Dr. Yuksel Yurttas offers three advanced techniques to meet different patient needs.

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LON Method: The LON method uses both external and internal fixation to achieve height increases of up to 7 cm (2.8 inches) in the tibia and 10 cm (4 inches) in the femur. After surgery, patients can walk with some limitations, supported by regular physiotherapy and specific exercises to maintain flexibility and strength. Most patients start walking without assistance within 4–5 months. By 6 months, most daily activities can be resumed, allowing patients to return to a more active lifestyle. Full recovery, including bone healing and the restoration of normal mobility, typically takes 9–12 months. This method also involves routine care for pin sites and wounds throughout the lengthening phase.

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Precice 2: The Precice 2 system is a fully internal limb lengthening method using a motorized titanium nail. It allows up to 6 cm (2.4 inches) of tibial lengthening and 8 cm (3.1 inches) for the femur. Weight-bearing is restricted during the distraction phase, and some patients may need a wheelchair. Walking resumes in 3–4 months, with full recovery in 9–12 months supported by physical therapy.

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Precice Max: The Precice Max system allows patients to bear full weight on their legs during recovery, improving mobility and comfort compared to traditional methods. This system uses customizable nails designed to fit individual patient needs. Currently, Precice Max is only available in selected clinics in the United States. There is no confirmed information about its availability in Europe.

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Each method includes a structured recovery plan involving physical therapy and exercises to enhance joint flexibility and muscle strength. You can visit each method’s page to learn more details. Feel free to contact us for personalized guidance and answers to any questions you may have.

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