Three main systems are used: the LON method (an internal nail combined with a temporary external fixator), Fitbone (a fully internal, motorized nail) and Precice 2 (a fully internal, magnetic nail). All three follow the same medical principle — the bone is surgically separated and then lengthened gradually at about 1 mm per day, supported by physiotherapy and regular doctor follow-up.

In a single segment, internal systems typically plan 7–8.5 cm (Fitbone) and up to 8–8.5 cm (Precice 2) on the femur and 6–8 cm on the tibia, while the LON method can reach up to 10 cm on the femur in suitable patients thanks to the support of the external fixator. Gains beyond that are achieved with quadrilateral surgery, where femur and tibia are lengthened in the same session. The exact safe amount always depends on your bone quality and your surgeon's evaluation.

The fully internal systems. With no external device attached to the leg, Fitbone and Precice 2 cause less discomfort, allow freer movement in daily life and leave minimal scarring. Precice 2 is controlled with a magnetic remote and offers a smooth, scar-minimal process with a wheelchair-supported lengthening phase; Fitbone matches it on comfort with its own feature set. Walking and weight-bearing schedules are always set individually by your surgeon. From the surgical team's perspective there is no preference between the two internal systems — both are performed routinely, and the most tangible difference between them is price.

Our package prices are fixed and all-inclusive: LON $26,400 (including removal surgery), Fitbone $54,000 and Precice 2 $58,000. Every package covers the pre-op tests, the implant, hospital stay, surgical team fees, in-hospital physiotherapy and medications, VIP transfers operated by our licensed partner travel agency, and a 6-month complication insurance policy issued by our contracted insurer, subject to policy terms — with no hidden fees, confirmed in writing before your arrival.

Because of the implant technology. Fully internal motorized and magnetic nails are advanced engineered devices with a significantly higher manufacturing cost than the nail-plus-fixator combination used in LON. In return they offer an external-device-free process, minimal scarring and higher daily comfort. Between the two, the surgical team has no preference — both are performed routinely; each has its own features, and the most tangible difference is price. The choice is yours, made together with your surgeon.

Not significantly. Bone consolidation follows the same biology in all three systems: the lengthening phase progresses at about 1 mm per day (your surgeon can adjust the daily rate to your comfort), walking without support typically starts around 5–6 months, and full recovery — including sports clearance — takes about 9–12 months, extending toward 1–1.5 years for larger goals of 7 cm and above.

In the LON method, the pin sites of the external fixator need regular, hygienic dressing changes to prevent infection. In fully internal systems, nail malfunction or breakage is possible but extremely rare, and is resolved by repairing or replacing the nail. Across all methods, the main risks — pain, nerve irritation and slow bone formation — are managed with your surgeon's follow-up schedule, regular X-rays and a consistent physiotherapy programme.

Yes, with quadrilateral surgery: femur and tibia are lengthened in the same session, which makes total gains of 10–15 cm possible. Combined packages start from $79,400 and are always planned individually with the surgeon.

Your preference genuinely matters — comfort, aesthetics, budget and height goal are all personal criteria. The final decision, however, is made together with the surgeon after your X-rays and health evaluation, because bone quality and body proportions determine which system is medically right for you.

LON is the most preferred method: it is the most affordable, it has the longest track record, and it allows the highest single-segment gain. Patients who prioritize comfort and minimal scarring — and whose budget allows — tend to choose Precice 2 or Fitbone instead.