The World's Best in

Limb Lengthening & Deformity Correction

Making the Impossible Possible

The World's Best in

Limb Lengthening & Deformity Correction

Making the Impossible...Possible

Surgeons

Dr. Dror Paley

Dr. Paley Intro Video

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Dr. Craig Robbins

About Dr. Paley

Dr. Dror Paley, MD, FRCSC, is a true luminary in the field of orthopedic surgery, and his legacy spans the globe. As the CEO, Founder, and Medical Director of the Paley Orthopedic and Spine Institute in West Palm Beach, Florida, since 2009, he has consistently pushed the boundaries of what is possible in limb lengthening and deformity reconstruction.

Dr. Paley's expertise is not confined to one continent; he also established the Paley European Institute in Warsaw, Poland, in 2018, and most recently, the groundbreaking Paley Middle East Clinic, which opened its doors in January 2023.

With a career rooted in dedication and innovation, Dr. Paley's journey began with subspecialty fellowship training in Pediatric Orthopedics, Hand Surgery, Trauma Surgery, and Limb Lengthening and Reconstruction Surgery. He then brought the revolutionary Ilizarov method to the United States and Canada in 1987, forever altering the landscape of orthopedics.

His impact on the field was further cemented as the Founder and first president of the Limb Lengthening and Reconstruction Society in 1989, as well as the International Limb Lengthening and Reconstruction Society in 2015.

A recipient of numerous accolades, including the Gubernatorial Citation in 1990 and the Pauwel's Medal in Clinical Biomechanics in 1997, Dr. Paley's contributions to orthopedic surgery are immeasurable. His groundbreaking book, "Principles of Deformity Correction," is considered the gold standard for deformity planning. Currently, he's crafting a new milestone in his upcoming book on Congenital Lower Limb Deformities.

Dr. Paley's passion for teaching shines brightly as he organized the first Ilizarov course in 1987 and orchestrated the first ASAMI North America meeting in 1989. He's served as the president of numerous subspecialty societies and continues to impart his knowledge to specialists worldwide through a fellowship program.

Beyond his professional accomplishments, Dr. Paley is a man of diverse interests. An avid reader of history, a skilled skier, and a fearless adventurer in activities like rock climbing and scuba diving, he balances his rigorous work with a zest for life. Fluent in six languages, he connects with patients from all corners of the globe, earning their trust through his unwavering dedication to their well-being.

With over 25,000 surgeries under his belt, patients flock to Dr. Paley from every state in the U.S. and over 100 countries. His reputation as a pioneer in limb lengthening lengthening is unparalleled. His nicknames are "The King" and "Modern Day Godfather" of Limb Lengthening.

As a family man, he resides in the United States with his wife Jennifer, stepson Daelan, and a loving extended family.

Dr. Paley's tireless pursuit of excellence and compassion for his patients make him a beacon of hope for those seeking to correct their deformities, balance their leg lengths or enhance their stature and reclaim their confidence.

Book a consultation to discover more about Dr. Paley and the Paley Institutes – where innovation meets compassion, and dreams become reality.

Medical Degree: University of Toronto

Residency: University of Toronto Hospital

Fellowships: John's Hopkins University

Research: including - PRECICE IM Lengthening Nail & Pub Med articles

Accomplishments: Extraordinary lecturer at many events worldwide including ASAMI - even being the founder of the inaugural meeting in 1989.

Experience Level: Highest. 35+ years. Most experienced Limb Lengthening & Deformity Correction Surgeon in the World. Known as the "King" & "Modern Day Godfather" of LL.

Hobbies: In his spare time, Dr. Paley enjoys spending time with his family & traveling the world. Also has found a new interest in Pickleball.

About Dr. Robbins

Dr. Craig Robbins was born and raised in Miami, Florida. He attended the University of Texas at Austin with a B.A. in English, and then ultimately returned home to graduate from the University of Miami School of Medicine in 1999. He completed his orthopedic surgery residency at Tulane University in New Orleans in 2004. Dr. Robbins then completed his pediatric orthopedic fellowship in Memphis, TN, at the Campbell Clinic, in 2005. Following this, he completed a mini-fellowship in limb deformity correction with Dr. Paley in Baltimore.

After training, Dr. Robbins and his family moved to Jackson, Mississippi. He spent 4 years in private practice and then in 2009 transitioned to the University of Mississippi Medical Center. In that same year he was named “Doctor of the Year” by DrScore.com for having the highest patient satisfaction rating of all physicians in their database.

My Clinic

The Paley Orthopedic & Spine Institute

Dr. Paley & Dr. Robbins are based at The Paley Institute via St. Mary's Medical Hospital in West Palm Beach, Florida. This world class institute was developed with top notch patient care in mind. With 23 surgeons and over 200 staff members that treat and care for patients from over 100 countries and 50 states nationwide, The Paley Institute is THE GOLD STANDARD for all things Limb Lengthening & Deformity Reconstruction including stature lengthening.

Opened in 2009, Paley Institute celebrated it's 14th year anniversary.

Has a Physical Therapy Clinic with over 35 physiotherapists at the institute for world class rehab so you can expect a full recovery

Uses top of the line, cutting edge technology for pre-operative planning

PRECICE & PRECICE MAX (weight bearing) nails for limb lengthening. Exclusively at Paley Institute - first to implant P-Max nail.

Offers virtual consultations for cosmetic limb lengthening patients prior to in-person consultation and surgery booking.

Our Services

CHOOSE YOUR TREATMENT

Cosmetic Stature Lengthening

Stature lengthening - also known as cosmetic limb lengthening - is surgery to enhance one's height via leg lengthening surgery, during which both legs are lengthened at the same time. Dr. Paley & Dr. Robbins are the most experienced in this procedure and has a top-notch team in place to support the patient through the lengthening process.

Limb Length Discrepancy (LLD)

Limb length discrepancy (LLD) is a difference between the lengths of two limbs such as the legs or arms. Acquired LLD usually develops gradually over time from a traumatic. Oftentimes, patients will visibly notice or feel their LLD as it can cause discomfort and can be a result of an injury, infection, arthritis, illness, or tumor.

Deformity Reconstruction

An acquired deformity is a change in the normal shape or size of a body part. These kinds of deformities usually happen gradually over longer periods of time. Any bone of the body can be affected, as an acquired deformity can be a result of an injury, infection, arthritis, illness, or tumor which Dr. Paley also treats regularly in his practice.

Lengthening Surgery Process

1. Virtual Consultation

Ensure you know all of the details and are ready to follow through with every aspect of the limb lengthening process.

2. In-Person Consultation

We will take X-rays, and assess pre-surgery proportions and muscle tension to determine if the patient is a good candidate. It's highly recommended that the patient make arrangements to temporarily relocate to West Palm Beach to stay local for the lengthening phase.

3. Surgery Day

The internal lengthening nail will be implanted in either the patient's femurs or the tibias. After surgery patients typically stay in the hospital for 4 days, 3 nights, before returning to a local patient-friendly approved hotel where the Paley shuttle will be able to pick patients up for their physical therapy and bi-weekly (every 2 weeks) check-ups.

4. Lengthening Phase

Approximately one week after surgery, the lengthening phase begins. Patients will typically lengthen the bones 0.75 - 1mm per day and could take 12 weeks to achieve 8cm in length on the femurs or 5cm on tibias. During this process, the patient will come in for bi-weekly check-ups to ensure mitigation of complications.

5. Physical Therapy

While in West Palm Beach, patients will undergo physical therapy with our world class physical therapy team. In addition, patients will be required to perform their own stretching & rehab exercises 3 times per day.

6. Consolidation Phase

The "bone healing" or consolidation phase takes place once patients have achieved the maximum length. At this time, they can return home to perform monthly X-Rays and virtual follow up visits. These visits will determine how well the bone is healing and whether or not patients can continue to increase their activity.

7. Device (Nail) Removal

Approximately one year after the initial surgery - and if the bone is completely healed - we will remove the lengthening nails from the patient's bones. Removal of the nails is a minor procedure. It is recommended patients stay locally for 2-3 days to recover before returning home. But we also have other options for patients who desire more follow-up care.

8. Enjoy Your Results!

Stature lengthening provides favorable height gain, increased confidence and functional outcomes, with low rates of major complications.

How much a patient lengthens depends on what their body can tolerate safely with most patients achieving their desired lengthening goals.

Surgery Pricing List

*These are the prices for Cosmetic Stature Lengthening.

Please contact us for pricing for all other procedures.

Stature Lengthening Options

Option 1:

Femurs (bilateral)

$95,500

US Dollars

2 PRECICE Femur Implants
Hospitalization And Associated Costs
Surgical Fees
Anesthesiologist Fees
Office Follow-Up And X-Rays Up To 12 Weeks
Physical Therapy (60 Sessions)
Distal IT Band Release

Option 2:

Tibias (bilateral)

$106,000

US Dollars

2 PRECICE Tibia Implants
Hospitalization And Associated Costs
Surgical Fees
Anesthesiologist Fees
Office Follow-Up And X-Rays Up To 12 Weeks
Physical Therapy (60 Sessions)

Option 3:

Femurs + tibias (Quadrilateral)

3 weeks in between surgeries

(Lengthen to amount as tolerated)

$191,500

US Dollars

2 PRECICE Femur Implants
2 PRECICE Tibia Implants
Hospitalization And Associated Costs
Distal IT Band Release
Surgical Fees
Anesthesiologist Fees
Office Follow-Up And X-Rays Up To 14 Weeks
Physical Therapy (70 Sessions)

Option 4:

Femurs + tibias (Quadrilateral)

once fully recovered - round 2

(Lengthen to amount as tolerated))

$201,500

US Dollars

2 PRECICE Femur Implants
2 PRECICE Tibia Implants
Hospitalization And Associated Costs Twice
Distal IT Band Release
Surgical Fees For Both Surgeries
Anesthesiologist Fees For Both Surgeries
Office Follow-Up And X-Rays Up To 12 Weeks Twice
Physical Therapy (60 Sessions Twice)

Option 5:

Femurs + tibias (Quadrilateral)

3 weeks apart for first surgery --> recover bones & soft tissue --> repeat

(Lengthen to amount as tolerated)

$275,000

US Dollars

2 PRECICE Femur Implants
2 PRECICE Tibia Implants
Hospitalization And Associated Costs For Three Surgeries
Surgical Fees For Three Surgeries
Anesthesiologist Fees For Three Surgeries
Office Follow-Up And X-Rays Up To 14 Weeks First Two Surgeries And 12 Weeks After Third Surgeries a year later)
Physical Therapy (70 Sessions After The First Two Surgeries And 60 Sessions After Third Surgery a year later)