Whether you're correcting a leg length difference or adding centimetres with confidence, Precice Nail is the internal implant that gets you there — no external fixators, no pins, done at home in minutes a day.
★ FDA Approved · 1,000+ Surgeons Worldwide · Since 2011
Living with a leg length difference is harder than most people realise.
A limb length discrepancy (LLD) is a difference in the length of the legs — and it affects far more people than you might expect. For many, it starts as a slight limp or nagging back pain. Over time, the body compensates: the spine curves, joints wear unevenly, and simple activities become tiring and painful.
The causes vary. Some people are born with it. Others develop it after a fracture that healed too short, a childhood bone infection, or a growth plate injury. Whatever the cause, the impact is real — and it tends to get worse,not better, with time.
Back pain
Uneven legs
Hip pain
Gait issues
Knee strain
Joint wear
A shoe lift can help equalise leg lengths for everyday walking — but for many patients with discrepancies above 2–3 cm, surgical correction is the only lasting solution.
Stature — Height Increase
You've always known exactly what a little more height could mean for you.
For many adults, height is more than a number. It shapes how you walk into a room, how others perceive you at first glance, how you feel in your own skin. If you’ve ever wished you could be a few centimetres taller — you’re not alone.
+10–16 cmachievable height gain for most healthy adults.
Most patients achieve their full height goal within 4–6 months. The nail is fully internal — invisible, permanent until removed, and completely undetectable in daily life.
Precice Nail is a small implant placed inside the bone during a single surgical procedure. Using a handheld device you control at home, the nail gradually and precisely extends — lengthening the bone at a rate your body can follow.
There is no external fixator attached to your leg. No pins through the skin. No hospital visits for each lengthening session. Just 7 minutes a day at home, at a pace set by you and your surgeon.
7 minDaily at home
16 cmMax lengthening
30+Countries
How It Works
Three steps. One goal.
A transformation from the inside.
01
Surgery
A small nail is implanted inside your bone during a single procedure. There is no external fixators, no pins through the skin. Most patients go home the same day or the day after.
Single procedure
02
Lengthening at home
Each day, you place the External Remote Controller (ERC) on your leg for approximately 7 minutes. The device works through your skin — no discomfort, no clinic visit needed. Your bone gradually grows to fill the gap.
7 min/day, at home
03
Heal. Strengthen. Remove.
Once you reach your target length, the bone naturally consolidates and strengthens around the nail. When fully healed — typically 9 to 12 months after surgery — the nail is removed in a short outpatient procedure.
Outpatient removal
01
Surgery
A small nail is implanted inside your bone during a single procedure. There is no external fixators, no pins through the skin. Most patients go home the same day or the day after.
Single procedure
02
Lengthening at home
Each day, you place the External Remote Controller (ERC) on your leg for approximately 7 minutes. The device works through your skin — no discomfort, no clinic visit needed. Your bone gradually grows to fill the gap.
7 min/day, at home
03
Heal. Strengthen. Remove.
Once you reach your target length, the bone naturally consolidates and strengthens around the nail. When fully healed — typically 9 to 12 months after surgery — the nail is removed in a short outpatient procedure.
Outpatient removal
!
Your surgeon monitors your progress with regular X-rays and adjusts your plan at any time. You are never doing this alone.
Why Precice
Why patients choose Precice over traditional methods.
If you’ve searched for limb lengthening before, you may have come across images of an external fixator — a metal frame attached to the leg with pins through the skin. Precice Nail delivers the same clinical results, from inside the body, on your schedule, at home.
Feature
External Fixation
PRECICE Nail
Pins through skin
Yes
No
External frame on leg
Yes
No
Lengthening location
Clinic visits
At home
Scars
Multiple
Minimal
Healing speed
~47 days avg
~31 days avg
Pain medication required
Considerably more
Considerably less
Patient preference
Less preferred
Preferred
Source: Laubscher et al., Bone Joint J 2016; Landge et al., J Surg Orthop Advanc 2015.
Quick Compare
Internal Precice Nail
External Fixation
Your Journey
From first consultation to full recovery.
Phase 1 — Pre-operative
Your surgeon reviews your X-rays and bone measurements and works with you to set a personalised lengthening goal. You decide how much change you want — and what’s right for your body.
Height Increase
Want to be taller? You have a real option.
Height increase surgery isn’t for everyone — and it shouldn’t be. But for adults in good health who have weighed the decision carefully and want to take the next step, Precice Nail offers a proven, minimally invasive route to adding 10–16 cm of height.
The procedure is elective. There is no medical condition required. Your goal is set in consultation with your surgeon, and the timeline is built around your life.
What to expect
Height gain
10–16 cm for most healthy adults
Surgery
Single procedure, usually 1–2 hours
Back to desk work
Typically 2–4 weeks post-surgery
Full physical activity
After consolidation 4–6 months
Nail removal
Short outpatient procedure at 9–12 months
Scars
Minimal — 2–3 small incisions, typically less than 1 cm
This is a genuine surgical procedure with a multi-month recovery. We believe the best patients are the most informed ones. Your surgeon will walk you through everything — including what the process feels like and how to set realistic expectations.
A note on commitment:
Height increase requires careful planning, follow-through on daily ERC sessions, and a multi-month recovery. Candidates who do best are those who have researched thoroughly and are committed to the process.
Height gain
10–16 cm for most healthy adults
Surgery
Single procedure, usually 1–2 hours
Back to desk work
Typically 2–4 weeks post-surgery
Full physical activity
After consolidation 4–6 months
Nail removal
Short outpatient procedure at 9–12 months
Scars
Minimal — 2–3 small incisions, typically less than 1 cm
This is a genuine surgical procedure with a multi-month recovery. We believe the best patients are the most informed ones. Your surgeon will walk you through everything — including what the process feels like and how to set realistic expectations.
A note on commitment:
Height increase requires careful planning, follow-through on daily ERC sessions, and a multi-month recovery. Candidates who do best are those who have researched thoroughly and are committed to the process.
Every Precice Nail procedure in the region is performed by an orthopaedic surgeon who has undergone formal training with NuVasive Specialized Orthopedics. Our network spans Saudi Arabia and the GCC.
DR.Michael Uglow
Consultant Orthopedic SurgeonMedical Director - Paley Middle East ClinicUAE
All surgeons in the AMICO network have completed the NuVasive Specialized Orthopedics Precice training programme. This ensures consistent surgical standards and outcomes across every centre.
Outcomes
Trusted by patients and surgeons worldwide.
Trusted by patients
and surgeons
worldwide.
Julian’s Journey: Reaching New Heights
For years, I felt my height didn’t match my internal confidence. Choosing the PRECICE system allowed me to take control of my stature with incredible precision. Using the remote controller to manage my daily progress was empowering, and the results have been life-changing. I finally stand tall with a renewed sense of self-assurance in everything I do.
Elena’s Story: Restoring Balance
Living with a limb length discrepancy after an injury made every step a challenge. The PRECICE nail offered a sophisticated, internal solution to restore my natural gait and eliminate chronic discomfort. The gradual lengthening process was smooth and manageable, giving me back the mobility and active lifestyle I thought I’d lost for good.
Julian’s Journey: Reaching New Heights
For years, I felt my height didn’t match my internal confide...For years, I felt my height didn’t match my internal confidence. Choosing the PRECICE system allowed me to take control of my stature with incredible precision. Using the remote controller to manage my daily progress was empowering, and the results have been life-changing. I finally stand tall with a renewed sense of self-assurance in everything I do.
Elena’s Story: Restoring Balance
Living with a limb length discrepancy after an injury made e...Living with a limb length discrepancy after an injury made every step a challenge. The PRECICE nail offered a sophisticated, internal solution to restore my natural gait and eliminate chronic discomfort. The gradual lengthening process was smooth and manageable, giving me back the mobility and active lifestyle I thought I’d lost for good.
0Patients treated globally
0Trained surgeons
0Countries
0Peer-reviewed studies
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Clinic Locator
Find a trusted Precice Nail specialist near you today.
Select your region to find the clinic closest to you.
Dr. Sulaiman Al Habib Hospital
Al Takhassousi, Ar Rahmaniyyah, Riyadh 12344 · DR. Talal Abalkhail
Director Paley Middle East Clinic
28th St - Mohamed Bin Zayed City - Abu Dhabi, UAE · DR. Michael Uglow
King Faisal Specialist Hospital & Research Centre
Al Takhassusi Road, Al Rahmaniyyah, Riyadh 12344, Saudi Arabia · Dr. Talal Abalkhail
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FAQs
Everything you need to know,
answered clearly.
The procedure is performed under general anaesthesia, so you won't feel anything during surgery. Post-operative discomfort is normal and manageable with standard pain relief prescribed by your surgeon. The daily ERC sessions — which you do at home — are non-invasive and typically painless.
Yes. You are encouraged to bear weight and walk throughout most of the treatment process. Your surgeon will give you specific guidance for each phase. Physical therapy is recommended to maintain strength and mobility.
No. The nail is a temporary implant. It is removed in a short outpatient procedure, typically 9 to 12 months after your original surgery. No overnight hospital stay is required for the removal.
The nail is metallic and may trigger metal detectors. Your surgeon will provide a medical implant card to carry when travelling.
It depends on how much lengthening you need. A typical case — from surgery to nail removal — takes 9 to 12 months. Your surgeon will give you a specific estimate during your consultation.
Most healthy adults can achieve a height increase of 10 to 16 centimetres. Your surgeon will assess your anatomy and bone structure to determine what is safely achievable for you. Your goal is set together — you are in control.
Plan for approximately 9 to 12 months from surgery to nail removal, plus a short recovery period. During most of this time you can work, socialise, and live normally — the lengthening is done from home in 7 minutes a day.
No. The goal of the procedure is symmetrical, natural gait — both during treatment and after. Physical therapy is recommended throughout the lengthening phase to maintain normal movement patterns.
Cosmetic height increase is considered an elective procedure and is not covered by health insurance. Pricing and any available payment options are discussed in full at your consultation — there are no surprises.
Scarring is minimal — usually 2 to 3 small incisions of less than 1 cm. The nail itself is entirely internal and completely invisible in daily life. Most patients find the scars fade significantly over time.
Generally, good candidates are adults aged 18 or over, in good general health, with no underlying bone or joint conditions that would prevent safe implantation. The best way to find out is to request a consultation — your surgeon will assess your suitability with no obligation.
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Back pain
Uneven legs
Hip pain
Gait issues
Knee strain
Joint wear
