Instituto Downey
Led by Dr. Francisco Javier Downey Carmona, MD Universidad de Sevilla (1996); Fellowship, Rubin Institute of Advanced Orthopedics, Baltimore (2007, with Drs Paley & Herzenberg); trained under Dr. Ignacio Ponseti, University of Iowa (2007); founding member & president, Asociación Ponseti España; member SECOT. Specialist in Orthopaedic Surgery & Traumatology; Paediatric Orthopaedic Surgeon; Director, Instituto Downey
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About Instituto Downey
Adult cosmetic stature lengthening is the focus of Instituto Downey, a Seville practice directed by Francisco Javier Downey Carmona, MD (Universidad de Sevilla, 1996), a specialist in orthopaedic surgery and traumatology who completed a 2007 fellowship at the Rubin Institute in Baltimore with Drs Paley and Herzenberg. Surgery takes place at Hospital Quirónsalud Sagrado Corazón; the practice is partnered with the Paley Institute. Methods listed are PRECICE 2 and Stryde, marketed under a JustTall protocol with published prices.
Clinic-published pricing runs $55,665 to $155,282. Stryde remains on the method list despite the 2021 FDA Class II recall; confirm the current implant. The public review footprint is very thin: three Google reviews averaging 2.3, and no independent patient reviews on neutral platforms; testimonials trace to the clinic's own pages. Surgeon credentials are corroborated independently. International patients get a video consultation and monthly email-radiograph follow-up. No accreditations or rehabilitation details are recorded.
Public review footprint is very thin: the Google listing has only 3 reviews (and is miscategorised as 'Medical school'); no verified independent patient reviews were found on neutral platforms — testimonials trace to the clinic's own pages. Trustpilot returned no retrievable data. Surgeon credentials are strongly corroborated across independent directories. The clinic's site still lists the PRECICE Stryde nail (FDA Class II recall, Feb 2021) as of 2026-09-11; it is not counted as an available method here.
Clinic-published prices
The clinic’s own 2026 list prices — a published list price, not a guaranteed quote. Confirm the package detail directly with the clinic before travel.
- Bilateral femur lengthening up to 8 cm (PRECICE 2.2)€51,500–€62,500 (~$62k)
- Bilateral tibia lengthening up to 5 cm (PRECICE 2.2)€52,200–€63,250 (~$62k)
- Combined bilateral femur + tibia (up to 16 cm total, PRECICE 2.2)€89,450–€143,780 (~$125k)
- Bilateral femur lengthening up to 8 cm (STRYDE — currently unavailable)€56,000–€56,000 (~$60k)
- Bilateral tibia lengthening up to 5 cm (STRYDE — currently unavailable)€58,000–€58,000 (~$63k)
- Combined bilateral femur + tibia (STRYDE — currently unavailable)€107,500–€107,500 (~$116k)
- Included:
- Surgery, PRECICE 2.2 nail implant, post-operative physiotherapy, recovery phases. Prices are approximate and indicative (pre-evaluation).
- Excluded:
- Nail removal surgery, unforeseen complications requiring additional materials or treatment.
Source: clinic price page · verified 2026.
What the clinic states
Taken directly from the clinic’s own website. Details can change — confirm with the clinic before you travel.
- Hospital stay
- Mentions a 'shorter hospital stay' with the JustTall internal device but no specific number of days published.
- Notes
- Dr. Javier Downey, part of Orthopediatrica group. Height-increase via JustTall internal bone-lengthening nail; also Ponseti clubfoot correction. Phone 954 610 022. No email published.
Source: clinic website · verified 2026-07-11.
Why we listed this clinic
Instituto Downey is one of Spain's most prominent specialist practices for adult cosmetic stature lengthening, led by Dr. Javier Downey Carmona — the first Andalusian surgeon to perform intramedullary limb lengthening privately and a Paley/Herzenberg-trained pioneer in Spanish paediatric orthopaedics. Surgery is performed within the Quirónsalud Sagrado Corazón hospital, with transparent published pricing under the clinic's 'JustTall' protocol.
Methods offered
- PRECICE 2Read about PRECICE 2 →
- StrydeRead about Stryde →
Rehabilitation & physiotherapy
FAQ correspondence indicates in-house physiotherapy sessions are bundled into the surgical price ('El precio de la intervención incluye las sesiones en nuestro centro').
Source: instituto-downey.com, instituto-downey.com. Reflects clinic and public sources, not an independent audit.
Surgeons
Dr. Francisco Javier Downey Carmona, MD Universidad de Sevilla (1996); Fellowship, Rubin Institute of Advanced Orthopedics, Baltimore (2007, with Drs Paley & Herzenberg); trained under Dr. Ignacio Ponseti, University of Iowa (2007); founding member & president, Asociación Ponseti España; member SECOTSpecialist in Orthopaedic Surgery & Traumatology; Paediatric Orthopaedic Surgeon; Director, Instituto DowneyPerforms: Cosmetic stature lengthening (femur / tibia) · Limb-length discrepancy correction · Bone deformity correction · Clubfoot — Ponseti Method · Bone dysplasia management (achondroplasia) · Taylor Spatial Frame external fixationView profile →
Compare with every other leg lengthening surgeon in the directory.
International patient services
English-language website and online booking; pre-surgery video consultation; monthly email-radiograph remote follow-up for international patients.
Common questions about Instituto Downey
Answers are built from this clinic's verified record — not from the clinic's marketing.
How do patients rate Instituto Downey?
Across independent platforms Instituto Downey holds Google 2.3/5 (3 reviews). We show each platform separately rather than blending them into one score; figures were last checked 2026-09-11. Read the reviews themselves, not just the number — limb lengthening reviews cluster at the extremes.
How much does limb lengthening cost at Instituto Downey?
Our recorded range for Instituto Downey is $52,200 – $87,000 USD, taken from the clinic’s own published pricing. The clinic publishes an itemised price list (6 line items) which we reproduce further up this page with what is included and excluded. Final cost moves with the method, the target gain in centimetres, hospital nights and follow-up. Get a written quote before travelling.
Which limb lengthening methods does Instituto Downey offer?
Instituto Downey lists PRECICE 2, Stryde. The lead surgeon on record is Dr. Francisco Javier Downey Carmona (MD Universidad de Sevilla (1996); Fellowship, Rubin Institute of Advanced Orthopedics, Baltimore (2007, with Drs Paley & Herzenberg); trained under Dr. Ignacio Ponseti, University of Iowa (2007); founding member & president, Asociación Ponseti España; member SECOT), listed for cosmetic stature lengthening (femur / tibia), limb-length discrepancy correction, bone deformity correction. Each method page on this site explains how the device works, typical gain and the trade-offs.
What does recovery look like after surgery at Instituto Downey?
Distraction runs at roughly 1 mm per day for 4–8 weeks, consolidation takes another 3–6 months while the new bone hardens, and physiotherapy-led return to full activity is usually 6–12 months from surgery. Instituto Downey works with fully internal nails (PRECICE 2, Stryde), so there is no external frame to manage and most patients move to partial weight-bearing earlier than with fixators. On rehabilitation specifically: FAQ correspondence indicates in-house physiotherapy sessions are bundled into the surgical price ('El precio de la intervención incluye las sesiones en nuestro centro').
Does Instituto Downey treat international patients?
English-language website and online booking; pre-surgery video consultation; monthly email-radiograph remote follow-up for international patients. Consultation languages on record: Spanish, English.
How was Instituto Downey verified for this directory?
Instituto Downey is listed at Tier 2 — surgeon name, address and methods are verified, but full outcome and regulatory review is not yet complete. We hold 7 source URLs for this entry. Last verified 2026-09-11. The clinic cannot pay to change its tier, ranking or reviews; paid options only affect presentation and are always labelled.
Where is Instituto Downey and where are operations performed?
Instituto Downey is in Seville, Spain. Hospital affiliation on record: Surgeries at Hospital Quirónsalud Sagrado Corazón, Seville; consultations at IHP (Instituto Hispalense de Pediatría) clinics. Part of Grupo Orthopediátrica; partnered with the Paley Institute.
How we verified this clinic
- Tier
- Tier 2 — verified basics
- Last verified
- 2 days ago
- Hospital affiliation
- Surgeries at Hospital Quirónsalud Sagrado Corazón, Seville; consultations at IHP (Instituto Hispalense de Pediatría) clinics. Part of Grupo Orthopediátrica; partnered with the Paley Institute.
- Languages at consultation
- Spanish, English
Verification covers: named surgeon credentials, hospital affiliation, methods offered, public-facing website, and regulatory status. We re-verify quarterly. If a clinic fails a re-verification, we add an editorial note or demote its tier — we do not quietly remove it.
Independence: this clinic cannot pay to change its ranking, Directory Score, tier, or reviews. Paid options affect presentation only and are always labeled. We take no commission and charge no per-patient fee. Editorial policy.
This directory is editorial. It is not medical advice, an endorsement, or a substitute for consultation with a qualified surgeon. Pricing and availability change — always verify directly with the clinic before making decisions.