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[binsisi]

Hello,

I am currently 171 cm tall and would like to be 175-176 tall. Because I would like to keep the proportions between femur and tibia, I want to lengthen Booth. Femur 3 cm and tibia 2 cm. I would start with the femur first and then after half a year or so lengthen the tibia. Do you think this is a good idea or would you do the lengthening only on the Femur? I want to keep the proportions because I think its important for Running and Sports

[zaozari]

Hello,

I am currently 171 cm tall and would like to be 175-176 tall. Because I would like to keep the proportions between femur and tibia, I want to lengthen Booth. Femur 3 cm and tibia 2 cm. I would start with the femur first and then after half a year or so lengthen the tibia. Do you think this is a good idea or would you do the lengthening only on the Femur? I want to keep the proportions because I think its important for Running and Sports

Just do 5 cm in TIBIAS (but check your relative measures if you really think about femurs for whatever reason), no one will notice proportions issues, you get more elegant, notice slightly ''longer'' legs probably, specially in shorts, but above all is safer (less surgery risks, like less probability and less severity of fat embolism but also only one time risk of anaesthesia accidents and other complications), generally there are less issues with tibias, no Aquiles surgery lenghtening needed generally if up to 5 cm, etc. 
Plus, less physiotherapy, better chances of good final outcome (for just ''pressing'' one segment's tissues, avoiding massive muscle and other tissues in tights, like issues with glutes, for example).
Another advantage of tibias is that you can find a good surgeon for less money than femurs and, of course doing just one surgery, save around half of the time.
But avoid nails in tibias (like LON), they bring frequently problems in knees. Yes, I am suggesting the good old Ilizarov or adapted (Taylor) frames...Scars are minimal and can be eliminated with laser, and altough there are relatively frequent superficial infections in pins, they are allmost allways easily treated.
Don't ''waste'' and risk an additional surgery, with all its implications, for less than 5 cm...

[tallerwouldbenice]

I am a current, late-stage LL patient

When I toured my doctor's offices I wanted to do something like your plan

I met a current patient

He told not to bother and just do it all in the femurs

That guy saved me a lot of hurt

[Sambollio]

I’ve been on this forum for a decent amount of time at this point, and one of my biggest takeaways that I never expected is that 1. Most people actually like how their legs look more post lengthening proportions wise. 2. Almost everyone can get 12 cm total before their proportions look skewed. 3. Most people can’t even tell someone is taller believe it or not, casual  acquaintances will say things like “you look fit”. Only very close friends and relatives will notice. And absolutely no one notices proportions.

The other thing I always see is that you match the profile of someone who will never get lengthening. I mean no offense by this I swear. But, people who are very focused on proportions almost never get it, people shooting for less than 5cm on a given segment ever get it. And double segment LLers either don’t get it or get one segment and say good enough.

I realize that it seems like I’m discouraging you but I just think you have a lot of research and introspection to do. Goodluck bud.

[Highest]

I’ve been on this forum for a decent amount of time at this point, and one of my biggest takeaways that I never expected is that 1. Most people actually like how their legs look more post lengthening proportions wise. 2. Almost everyone can get 12 cm total before their proportions look skewed. 3. Most people can’t even tell someone is taller believe it or not, casual  acquaintances will say things like “you look fit”. Only very close friends and relatives will notice. And absolutely no one notices proportions.

The other thing I always see is that you match the profile of someone who will never get lengthening. I mean no offense by this I swear. But, people who are very focused on proportions almost never get it, people shooting for less than 5cm on a given segment ever get it. And double segment LLers either don’t get it or get one segment and say good enough.

I realize that it seems like I’m discouraging you but I just think you have a lot of research and introspection to do. Goodluck bud.

Agree entirely. What are your thoughts on the guys planning double segment LL plus arm lengthening or double segments with rebreaks? The recovery time alone seems incredible.

[LifeMastery]

Proportions do matter. Everyone thinks of proportions as standing with clothes on.

But. Think about how you look while sitting. Imagine you are sitting with a tall guy on a couch and even though he is quite taller your femurs are same length or yours longer. Or your knees are way higher.

Don't cross the 0.74-0.86 femur:tibia ratio. Do calculations for your own body parameters and decide.

[zaozari]

I am a current, late-stage LL patient

When I toured my doctor's offices I wanted to do something like your plan

I met a current patient

He told not to bother and just do it all in the femurs

That guy saved me a lot of hurt

It's more confortable for both doctors (specially profitable) and patients to insert nails in femurs. It doesn't mean it's the best way. Many cases of both tibias and femurs ilustrate this,  despite very diverse outcomes and situations. You haven't done tibias, so it's impossible to have a full view based in one case. A multitude of other cases ilustrate otherwise. I haven't done LL yet but make research on this for more than 5 years.
Of course now you have to think your option was the better and I hope everything gets the best as possible with you. In very short guys  tough, at least aesthetically, tibias is the right option. But aesthetics  is also relative, so....
All the best, good luck!

[binsisi]

I’ve been on this forum for a decent amount of time at this point, and one of my biggest takeaways that I never expected is that 1. Most people actually like how their legs look more post lengthening proportions wise. 2. Almost everyone can get 12 cm total before their proportions look skewed. 3. Most people can’t even tell someone is taller believe it or not, casual  acquaintances will say things like “you look fit”. Only very close friends and relatives will notice. And absolutely no one notices proportions.

The other thing I always see is that you match the profile of someone who will never get lengthening. I mean no offense by this I swear. But, people who are very focused on proportions almost never get it, people shooting for less than 5cm on a given segment ever get it. And double segment LLers either don’t get it or get one segment and say good enough.

I realize that it seems like I’m discouraging you but I just think you have a lot of research and introspection to do. Goodluck bud.

Its not about, what People would notice. I want to get back to sports. Running with a long femur or tibia is differrent. I think good proportions are important for sports. So thats why I want two surgerys. I think also about doing only 3 cm in Femur, that would not change the proportions that much. And 174 cm is an acceptable height for me and near to my goal.

[zaozari]

If you are 171 cm and you'll get satisfied with 174 cm, and worried with sports, it makes even less sense making 2 surgeries which hardly will have any biomechanics advantage, even after brutal, intense physiotherapy, possible need of fascia release, etc.
You won't even find a reputable surgeon for that easily (even for one single surgery of 3 cm and obviously much less for 2 cm). Femur medular fat reaming to insert the nail, no matter what they say, you can search Pubmed, is more dangerous than tibia on the risk of releasing bigger clots, and at a higher level, that may cause fat embolism, for example.  But money allways speaks louder somewhere.
Think about your safety, first of all.

[binsisi]

If you are 171 cm and you'll get satisfied with 174 cm, and worried with sports, it makes even less sense making 2 surgeries which hardly will have any biomechanics advantage, even after brutal, intense physiotherapy, possible need of fascia release, etc.
You won't even find a reputable surgeon for that easily (even for one single surgery of 3 cm and obviously much less for 2 cm). Femur medular fat reaming to insert the nail, no matter what they say, you can search Pubmed, is more dangerous than tibia on the risk of releasing bigger clots, and at a higher level, that may cause fat embolism, for example.  But money allways speaks louder somewhere.
Think about your safety, first of all.

Why shouldn't I find a surgeon? In the end, it is my decision whether I stop at 3 cm or at 5 cm. If I were 165 cm tall, I would do more. I don't want to be the tallest, but I don't want to be perceived as particularly short. I have made the experience that the limit is somewhere around 175 cm. I see in the circle of acquaintances and friends that no one with 175 is called or perceived as small. I even think that an extension of only 3 cm significantly reduces the recovery time. The muscles are then not strongly stretched and a good preparation with stretching exercises will make the whole thing much easier.

The decision for the femur is due to my proportions. I dont know whether Femur or tibia has a smaller risk. I dont know

[zaozari]

Why shouldn't I find a surgeon? In the end, it is my decision whether I stop at 3 cm or at 5 cm. If I were 165 cm tall, I would do more. I don't want to be the tallest, but I don't want to be perceived as particularly short. I have made the experience that the limit is somewhere around 175 cm. I see in the circle of acquaintances and friends that no one with 175 is called or perceived as small. I even think that an extension of only 3 cm significantly reduces the recovery time. The muscles are then not strongly stretched and a good preparation with stretching exercises will make the whole thing much easier.

The decision for the femur is due to my proportions. I dont know whether Femur or tibia has a smaller risk. I dont know

You're right, you are not "short" at all, in your place I wouldn't even do LL. You are well within one standard deviation. And 175 cm is around average in many Western countries. It's of course also true that recovery for s shorter amount is, theoretically, easier. But my strong opinion, as you asked the forum, is that I never, ever, run any risk, spend money, time and "consuming" physiotherapies and other issues atached, for a 2 cm elongation. Let me even say: it's nonsense in my opinion (due to all possible risks). But at the end it's a personal choice together with the surgeon.
What I mean by maybe not be easy finding a doctor is due to a normal clinical evaluation of cost/risk/benefit. Many will consider, they  who sworn the Hypocrates principles like  "do no harm", that on you, and not having severe height neurosis, that they shouldn't take some serious risks just for 2 cm and plus doing it twice as you wish. But altough surgeries such as orthopaedic ones shouldn't be, I think, done simply "at request", you surelly will find several doctors. And you can always say you want to stop at 2 or 3 cm.

[binsisi]

You're right, you are not "short" at all, in your place I wouldn't even do LL. You are well within one standard deviation. And 175 cm is around average in many Western countries. It's of course also true that recovery for s shorter amount is, theoretically, easier. But my strong opinion, as you asked the forum, is that I never, ever, run any risk, spend money, time and "consuming" physiotherapies and other issues atached, for a 2 cm elongation. Let me even say: it's nonsense in my opinion (due to all possible risks). But at the end it's a personal choice together with the surgeon.
What I mean by maybe not be easy finding a doctor is due to a normal clinical evaluation of cost/risk/benefit. Many will consider, they  who sworn the Hypocrates principles like  "do no harm", that on you, and not having severe height neurosis, that they shouldn't take some serious risks just for 2 cm and plus doing it twice as you wish. But altough surgeries such as orthopaedic ones shouldn't be, I think, done simply "at request", you surelly will find several doctors. And you can always say you want to stop at 2 or 3 cm.

Thanks for your help. I am not sure if I want to do this on the femur. Maybe the tibia is not a bad idea: I need to look into it more. It has been my dream for years to get taller and I think I will regret it if I don't do it. I just need the money:)