Skip to main content
Precice Max (Pmax) Limb Lengthening Surgery in Istanbul, Turkey — by Dr. Huseyin Kavak
+90 539 332 48 68 [email protected] Istanbul, Türkiye
UpRise Clinic - Precice Max Limb Lengthening in Turkey

Advanced Internal Limb Lengthening

Precice Max (Pmax) Limb Lengthening Surgery in Turkey

The most advanced fully internal lengthening nail — stronger design, full weight-bearing capability, and precise magnetic control. Performed by Dr. Huseyin Kavak in Istanbul.

Get Your Free Consultation WhatsApp Us
Dr. Huseyin Kavak - Precice Max Limb Lengthening Surgeon in Turkey
JCI Accredited hospital certification
+

Successful Surgeries

+

Professional Medical Team

+

Years Experience

· Reviewed by Dr. Huseyin Kavak

What Is Precice Max (PMax)?

Precice Max (Pmax) is the most advanced fully internal limb lengthening nail available today. Developed by NuVasive Specialized Orthopedics (now Globus Medical) and FDA-cleared in December 2023, it offers a stronger titanium design, enhanced weight-bearing capacity, and precise magnetic control — all without any external fixators. At UpRise Clinic in Istanbul, Dr. Huseyin Kavak performs Precice Max surgery for international patients seeking the highest standard of height increase treatment.

Like its predecessor, Pmax is a fully internal, magnetically controlled titanium nail placed inside the femur or tibia. There are no external fixators, no pins through the skin, and no visible hardware — the entire system operates from within the bone.

Internal leg lengthening surgery refers to any limb lengthening procedure that uses a fully implantable device inside the bone — eliminating the need for external fixators. Precice Max is the latest and most advanced internal lengthening system available, using a magnetic rod placed inside the femur or tibia that is controlled remotely with a handheld ERC (External Remote Controller) device.

What sets Precice Max apart is its re-engineered design: a thicker titanium wall, a stronger magnetic motor, and larger nail diameter options (up to 14 mm). These improvements translate directly into higher weight-bearing capacity, earlier mobilization, and a more reliable lengthening experience for patients.

Distraction Osteogenesis
The biological process by which new bone tissue forms in the gap created by gradual, controlled separation of bone segments.
ERC (External Remote Controller)
A handheld magnetic device used to activate the Precice Max nail from outside the body, enabling daily bone lengthening without any incision.
Consolidation Phase
The final stage of limb lengthening where newly formed bone gradually hardens and solidifies, typically lasting 3 to 6 months.
Intramedullary Nail
A titanium rod implanted inside the bone canal to provide internal support and enable controlled lengthening during limb lengthening surgery.
Precice Max Pmax intramedullary nail for limb lengthening surgery
Precice Max (Pmax) — Latest Generation Internal Lengthening Nail

How Precice Max Limb Lengthening Works

The Pmax procedure follows a medically proven, four-phase process — fully internal, precisely controlled, and designed for maximum patient comfort.

  1. 01

    Surgical Implantation

    The Precice Max nail is inserted into the bone (femur or tibia) through a minimally invasive procedure under general anesthesia. No external fixator is attached — the system is entirely internal.

  2. 02

    Latency Phase

    A short rest period of 3 to 5 days allows the bone to begin its initial healing before the lengthening process starts. During this time, you remain under close medical supervision.

  3. 03

    Distraction Phase

    Using the ERC (External Remote Controller), the nail gradually lengthens the bone at approximately 1 mm per day. You control the process yourself — at home, with a simple button press.

  4. 04

    Consolidation

    Once your target height is reached, the newly formed bone gradually hardens and solidifies. Regular X-ray monitoring ensures everything is healing as planned.

Key Advantages of Precice Max Limb Lengthening

Precice Max builds on the proven Precice platform with meaningful upgrades that directly improve your surgery experience and recovery.

  • Full Weight-Bearing Capacity

    Precice Max is engineered with a thicker titanium wall and larger nail diameters ranging from 10 mm to 14 mm. This allows patients to bear significantly more weight earlier in recovery. Unlike Precice 2, which requires strict partial weight-bearing throughout the lengthening phase, Pmax supports an earlier and more gradual transition toward full weight-bearing — resulting in faster rehabilitation, better muscle preservation, and greater daily independence.

  • Fully Internal & Discreet

    The entire Precice Max system operates inside the bone — no external fixators, no pins penetrating the skin, and no visible hardware at any stage of treatment. Unlike the LON method, where an external frame remains attached to the leg for months, Pmax patients can wear normal clothing and move in public without anyone knowing they are undergoing limb lengthening surgery. This level of discretion is a key reason patients choose internal methods.

  • Precise Magnetic Control

    The enhanced magnetic motor inside Precice Max delivers highly accurate bone lengthening in small daily increments via the handheld ERC (External Remote Controller). Patients perform three adjustment sessions per day, each extending the bone by approximately 0.33 mm — totaling around 1 mm of growth per day. This millimetric precision reduces the risk of uneven lengthening and ensures symmetrical, predictable results across both legs.

  • Lower Infection Risk

    External fixator methods like LON require pins that pass through the skin and into the bone, creating open wound sites that must be cleaned and dressed daily. These pin sites carry an inherent risk of infection throughout the lengthening phase. Because Precice Max is entirely internal with no open incisions during treatment, the risk of pin-site infection is eliminated entirely — making post-operative care simpler and reducing the need for antibiotics.

  • Minimal Scarring

    The Precice Max nail is inserted through a single, small incision using minimally invasive orthopedic techniques. Once healed, the surgical scar is barely noticeable — typically a thin line of just a few centimeters near the hip or knee, depending on whether the femur or tibia is lengthened. Compared to external fixator methods that leave multiple small pin-site scars across the leg, Pmax offers a significantly better cosmetic outcome for patients who prioritize aesthetics.

  • Improved MRI Compatibility

    Earlier generations of internal lengthening nails had significant limitations when it came to magnetic resonance imaging. Precice Max is designed with improved MRI compatibility, allowing patients to undergo diagnostic imaging when medically necessary — both during the consolidation phase and after recovery. This is particularly important for patients who may need MRI scans for unrelated health conditions while the nail is still in place.

Dr. Huseyin Kavak performing Precice Max limb lengthening surgery

"Precice Max gives us stronger fixation, earlier weight-bearing, and more confidence during lengthening. For the right patient, it is the most advanced tool we have today."

Dr. Huseyin Kavak
Dr. Huseyin Kavak Orthopedic Surgeon · UpRise Clinic

Precice Max vs Precice 2

Pmax is the next evolution of the proven Precice platform. Here is a quick look at what changed — and what it means for your experience.

FeaturePrecice 2Precice Max
Nail DiameterUp to 12.5 mmUp to 14 mm
Weight BearingLimited — partial weightEnhanced — earlier full weight
Wall ThicknessStandard titanium wallThicker, re-engineered wall
MRI CompatibilityConditionalImproved
Magnetic MotorStandardStronger & more precise
External DeviceNoneNone
Patient Comfort

Want the full breakdown — recovery, pricing, candidacy, and real-world differences?

Read the Full Comparison

What Our Patients Say

Real experiences from UpRise limb lengthening patients.

What Does UpRise Offer for Precice Max Patients?

At UpRise, we don't just perform surgery — we manage your entire journey from arrival in Istanbul to full recovery. You focus on your transformation, we handle everything else.

VIP Transfers

Private airport pickup, hospital and hotel transportation throughout your stay.

Premium Accommodation

Carefully selected hotels and apartments designed for post-operative comfort and long-term recovery.

Private Physiotherapy

One-on-one rehabilitation sessions at your accommodation, tailored to your progress.

Mobile X-Ray Service

Regular imaging at your accommodation — no hospital visits needed for routine check-ups.

All Medication & Supplies

Pain management, antibiotics, supplements, dressing materials — everything included.

24/7 Patient Support

Dedicated coordinator, direct medical access, and continuous guidance at every step.
UpRise Clinic limb lengthening patient experience video

Watch: The UpRise Patient Experience

How Much Does Precice Max Surgery Cost?

Precice Max pricing depends on your treatment plan — lengthening area, target height, accommodation preferences, and individual medical factors. Every patient receives a personalized quote.

Precice Max (Pmax) Limb Lengthening

Personalized Pricing

Your quote is prepared by Dr. Huseyin Kavak based on your medical evaluation and goals.

Surgery & Hospital Stay
Precice Max Nail & ERC Device
All Medical Tests & Examinations
All Prescribed Medication
VIP Airport & Hospital Transfers
Walker, Crutches & Supplies
Dressing Materials & Wound Care
24/7 Patient Coordinator

Accommodation and physiotherapy packages available separately — tailored to your stay duration.

Request Your Personal Quote View Cost Details
Dr. Huseyin Kavak - Orthopedic Surgeon and Limb Lengthening Specialist

Dr. Huseyin Kavak

Orthopedic Surgeon

About the Author

Performed by a Specialist You Can Trust

Dr. Huseyin Kavak is an orthopedic surgeon specializing in limb lengthening and deformity correction, with over 500 successful procedures. He serves as a sports physician at Fenerbahce Sports Club — bringing elite-level precision, biomechanical expertise, and a meticulous approach to every patient's journey.

At UpRise, Dr. Huseyin Kavak performs all limb lengthening methods including LON, Precice, Fitbone, and Precice Max — recommending the safest and most effective option based on your individual evaluation.

Learn More About Dr. Huseyin Kavak

Precice Max Limb Lengthening — Frequently Asked Questions

Everything you need to know about Precice Max limb lengthening before taking the next step.

The Precice Max (Pmax) is a fully internal, magnetically driven intramedullary nail system used for limb lengthening surgery. It is placed inside the femur or tibia to gradually lengthen the bone without any external fixators. The system is used for both cosmetic height increase and the correction of limb length discrepancies. Pmax is the latest generation of the Precice platform, manufactured by NuVasive Specialized Orthopedics (now Globus Medical), and represents the most advanced internal lengthening nail currently available.

The Precice Max nail contains an internal magnetic motor encased in a biocompatible titanium shell. After the nail is surgically placed inside the bone, a handheld External Remote Controller (ERC) is held against the leg. The ERC sends a magnetic signal through the skin that activates the motor, causing the nail to gradually telescope and lengthen the bone. The process is performed three times a day in small increments, totaling approximately 1 mm per day. There is no incision, no pain during the adjustment, and no need to visit a clinic — patients perform lengthening themselves at home.

Most patients achieve 6 to 8 cm from femur lengthening or 5 to 7 cm from tibia lengthening in a single treatment cycle. In some cases, patients may choose to lengthen both the femur and tibia in separate stages, potentially gaining up to 13–15 cm in total. Your safe lengthening limit will be determined during your medical evaluation based on bone structure, soft tissue health, and body proportions.

One of the most significant improvements in Precice Max over Precice 2 is its enhanced weight-bearing capacity. The thicker titanium wall and larger nail diameter options (up to 14 mm) allow patients to bear more weight earlier during the lengthening phase. While Precice 2 requires strict partial weight-bearing, Pmax supports an earlier and more gradual transition toward full weight-bearing — resulting in faster mobilization, better muscle preservation, and a more comfortable recovery experience overall.

Precice Max features a thicker titanium wall, a stronger magnetic motor, larger nail diameters (up to 14 mm), enhanced weight-bearing capacity, and improved MRI compatibility. Both systems are fully internal with no external fixators — but Pmax is specifically engineered to allow earlier mobilization and support heavier loads. For a complete side-by-side breakdown, visit our full Pmax vs Precice 2 comparison.

Ideal candidates are healthy adults who have completed bone growth and have realistic expectations about the process. Precice Max is particularly well-suited for patients who want a fully internal system with no external fixators. Thanks to its enhanced weight-bearing design, it is also a strong option for heavier or more active patients. A detailed consultation with Dr. Huseyin Kavak will confirm whether Pmax is the right method for your specific anatomy and goals.

The total process from surgery to fully consolidated bone typically takes 8 to 12 months. Here is a general timeline: surgery and hospital stay take 3 to 4 days, the lengthening phase lasts approximately 2 to 3 months depending on your height goal, and the consolidation phase — where new bone hardens — takes another 3 to 6 months. Most patients stay in Istanbul for 2 to 3 weeks under direct supervision before continuing recovery at home. Physical therapy plays a critical role throughout and should continue even after returning home.

Yes. The Precice Max System received FDA 510(k) clearance (K232267) in December 2023. It is classified as a Class II medical device and manufactured by NuVasive Specialized Orthopedics, now part of Globus Medical. The system builds on the established safety profile of earlier Precice nails with a re-engineered, stronger design.

Yes. Dr. Huseyin Kavak offers Precice Max limb lengthening surgery at UpRise in Istanbul. Pmax availability is still limited worldwide — most clinics continue to use Precice 2 as their primary internal system. UpRise is among the first centers in Turkey to offer this latest-generation technology to international patients. If you have seen reports of Precice Max supply or availability issues, we recommend contacting us directly for the most current status.

Pricing is personalized based on your treatment plan — lengthening area, target height, and accommodation preferences. Every quote includes surgery, hospital stay, the Precice Max nail, all medical tests, medication, transfers, and patient coordination. As a reference, the average cost of internal limb lengthening surgery in Turkey is significantly lower than in the US or Western Europe, while maintaining the same standard of care and technology. Contact us for a free consultation to receive your personal quote from Dr. Huseyin Kavak. For more details on what is included, visit our Precice Max cost page.

Yes. Once the bone has fully consolidated and the nail is removed (typically 1 to 2 years after surgery), patients can return to all physical activities including sports, running, and gym training. During the lengthening and early consolidation phase, movement is progressively increased under physiotherapy guidance. Most patients resume light daily activities within weeks and begin walking without assistance within 2 to 3 months. Precice Max's improved weight-bearing capacity supports a faster return to independence compared to earlier internal systems.

Because Precice Max is a very new system, published patient reviews specifically about Pmax are still limited. Online communities such as Reddit and limb lengthening forums contain early discussions, but these often mix Precice 2 and Pmax experiences. For verified results and real patient stories from UpRise, we recommend contacting our team directly — we can connect you with previous patients who are willing to share their experience. You can also visit the UpRise patient reviews page for general limb lengthening testimonials.

The Precice Max system is manufactured by NuVasive Specialized Orthopedics, which is now part of Globus Medical following their merger in 2023. NuVasive developed the original Precice and Precice 2 systems, which have been used in thousands of limb lengthening procedures worldwide. The company is based in California, USA, and the device holds FDA 510(k) clearance.
Free Consultation

Start Your Height Increase Journey Today

Fill in the form and our team will get back to you with a personalized treatment plan. Dr. Huseyin Kavak reviews every case individually — there's no obligation, and your first assessment is completely free.

Fast Response We reply within a few hours, every day
Your Data Is Safe Kept confidential and never shared with third parties
Free Pre-Assessment Initial evaluation and treatment planning at no cost

Prefer to reach us directly?

Chat on WhatsApp Call Now!
Your Name(Required)
Phone Number(Required)