The sophisticated technology of PRECICE MAX, the latest evolution in limb lengthening systems, combines an advanced internal nail design with precise magnetic control.

The advantages include a smoother and more predictable recovery, as well as superior long-term results compared to earlier methods.

Wondering if you’re a suitable candidate for height lengthening with PRECICE MAX?

Firstly, know that undergoing height lengthening is a life-changing decision that requires commitment and physical preparation.

At The Height Lengthening Institute, we know that the most well-informed patients tend to make the best decisions. To that end, we’ll explain here the physical, medical, and personal factors our world-class surgeon evaluates before recommending PRECICE MAX:

Understanding What PRECICE MAX Does

PRECICE MAX functions on the principle of distraction osteogenesis, which is the controlled, biological process of generating new bone. It works like this:

A telescopic internal nail is placed inside the bone, either the femur or tibia, during a minimally invasive surgery. Using an external magnetic remote, the nail is gradually and painlessly lengthened, typically at a rate of 0.5 to 1mm per day.

The technology promotes controlled, symmetrical growth while minimizing soft-tissue strain and discomfort. PRECICE MAX helps patients achieve:

• Overall cosmetic height increase
• Leg length equalization following trauma or disease
• Proportion correction

Candidacy for PRECICE MAX is determined by a combination of factors, including your bone health, your existing alignment, and your readiness to commit to the structured, multi-month recovery process.

Ideal Physical Candidates

Age and Growth Stage

The primary candidates are adults or young adults who have fully closed growth plates. While teenagers may qualify for certain reconstructive needs, height enhancement is typically reserved for those who have finished growing. Comprehensive X-ray imaging is used to confirm full skeletal maturity before proceeding.

Bone Health and Density

Candidates must possess healthy bone structure and density. The bone must be capable of supporting the internal fixation device and initiating the rapid regeneration of new bone tissue.

Prior severe fractures, significant congenital deformities, or existing bone diseases such as severe osteoporosis may affect eligibility. A DEXA scan may be used to assess bone density if required.

Proportional Balance

An orthopedic surgeon will meticulously assess leg-to-torso ratios and arm lengths to ensure that lengthening will produce natural and harmonious proportions.

Precision planning helps avoid a disproportionate appearance or the potential for gait imbalance. We only lengthen to an amount where the corresponding result is seamless and looks completely natural.

Medical Requirements and Health Considerations

General Health and Healing Capacity

Candidates must be in good overall health. Chronic conditions that impair bone or wound healing, such as uncontrolled diabetes, severe vascular disease, or certain autoimmune disorders, may be contraindications.

Weight and Muscle Strength

A healthy body weight is highly desirable because obesity can place excessive stress on the internal implants and the joints, increasing complication risks. Furthermore, strong baseline leg muscles (quadriceps, hamstrings, and calves) are vital as they are the foundation for post-surgical physical therapy and maintaining mobility during the lengthening phase.

Non-Smoker or Willing to Quit

Smoking cessation is mandatory. Nicotine and other toxins severely impair bone and soft tissue healing by constricting blood vessels, thereby reducing blood flow. Patients must be non-smokers (including vaping and all nicotine products) for a defined period, both before and after surgery, for predictable bone consolidation.

Past Orthopedic History

A thorough review of any prior orthopedic surgeries, injuries, or existing angular deformities is essential. Sometimes, minor preexisting conditions must be corrected as a separate first step to ensure that the lengthening procedure itself is successful and complication-free.

Psychological and Lifestyle Readiness

The commitment required for limb lengthening is often underestimated. This is a journey, not a quick procedure, and it demands patience, commitment, and emotional resilience.

Candidates must fully understand the achievable height gain, and unrealistic expectations regarding total achievable height or recovery timelines are a common reason for ineligibility.

Additionally, candidates must be highly motivated to follow post-operative physical therapy protocols diligently. Daily stretching, exercise, and regular attendance at follow-up appointments are non-negotiable for regaining full function.

Finally, we ensure that candidates are pursuing surgery for healthy, self-motivated reasons, not due to external pressure or body dysmorphia. Mental readiness is a cornerstone of a positive, patient-led recovery.

Common Reasons Patients Choose PRECICE MAX

1. Cosmetic Height Enhancement: Greater height for increased confidence, self-esteem, or career aspirations.
2. Limb Length Discrepancy Correction: Correcting measurable differences in leg length resulting from congenital differences, childhood growth issues, or previous trauma.
3. Proportion Refinement: Improving overall symmetry and posture of the body for enhanced aesthetics.

Who May Not Be a Suitable Candidate

• Patients with active infections or known poor wound-healing capacity.
• Individuals with unmanaged medical conditions (e.g., severe cardiovascular disease, poorly controlled diabetes, or severe osteoporosis).
• Those unable or unwilling to commit to the required rigorous physical therapy and follow-up care.
• Individuals with severe body dysmorphic disorder or unrealistic expectations regarding the total achievable height or the duration of recovery.

The Evaluation Process at The Height Lengthening Institute

Our evaluation process is comprehensive, designed to mitigate risks and predict the safest, most effective outcome.

1. Comprehensive Consultation: A detailed medical history review, physical exam, and discussion of personal goals.
2. X-rays & 3D Imaging: Advanced imaging, including EOS imaging, analyzes bone structure, existing alignment, and symmetry to inform the 3D digital planning phase.
3. Lab Tests: Blood work confirms healing capacity, rules out nutritional deficiencies, and screens for underlying inflammatory conditions.
4. Gait and Mobility Assessment: Evaluating current movement patterns provides a baseline for rehabilitation.
5. Psychological Discussion: The candidate must understand the emotional commitment and have a strong support network.

Recovery Commitment After PRECICE MAX

Recovery after height lengthening surgery with PRECICE MAX is significantly more comfortable than previous techniques, but it remains a multi-phase commitment.

The recovery includes the initial lengthening phase, which takes several weeks to months, followed by the consolidation phase, where the new bone hardens.

Physical therapy is non-stop, beginning almost immediately to prevent joint stiffness and maintain muscle length.

The use of precision-guided magnetic control helps make smoother daily adjustments and minimizes the risk of sudden soft-tissue complications.

Why Choose The Height Lengthening Institute for PRECICE MAX

Technology is only as good as the experts using it. The Height Lengthening Institute is led by an internationally recognized orthopedic surgeon who specializes in the intersection of cosmetic and reconstructive limb lengthening. The expertise of our team includes:

• Advanced EOS and 3D preoperative planning for safe, precise, and proportional results.
• Comprehensive care that includes psychological support, dedicated physiotherapy, and long-term monitoring.
• A proven track record of combining artistry with surgical precision to deliver natural, fully functional outcomes.

Knowing You’re Ready for the Journey

PRECICE MAX represents a revolutionary step forward in height-lengthening technology; however, it is an option best reserved for patients who meet stringent physical, medical, and psychological criteria. Candidacy depends on preparation, realistic goals, and an unwavering commitment to the recovery process.

If you are in good health, possess the discipline to commit to the rehabilitation, and have clear, realistic expectations, PRECICE MAX may be right for you.

To find out more, schedule a personalized consultation with The Height Lengthening Institute for a comprehensive assessment.