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[billsmafia]

For bi-lateral, not quadrilateral;

Internal v.s. external? Femur v.s. tibia?

Proportions are normal starting.

[Thorfinnn]

Femurs with internals would be the most aesthetic. Less scars can hide femurs with pants because most don’t know where the femurs start unlike the tibias where it’s more obvious. It would also keep you the most proportional.

[Going-For-Three]

I think longer tibias may be more aesthetically pleasing (it's very subjective) but you may have more noticeable scars than femurs. Internals would give you fewer scars overall.

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I think longer tibias may be more aesthetically pleasing (it's very subjective) but you may have more noticeable scars than femurs. Internals would give you fewer scars overall.

No, it's not subjective. It's pretty much a fact that longer tibias are more aesthetically pleasing. With tibias lengthening, your knees will be higher, whereas with femurs lengthening, your knees stay the same height.

Scars aren't really a big deal. No one's really paying attention to your tibias. Just wear long pants all the time, get a tan or cover it with tattoos.

Personally, there is no way I lengthen femurs without tibias first.

The only advantage of femurs lengthening, from what I hear, is that you can gain more height. But then again, femurs aren't straight, so the real gains might be less that what you initially expect.

[Worzezterlire]

Femurs aren’t straight, but I’ve seen a few calculations done here already that show that 8cm of lengthening yields about 7.8 to 7.9cm of height.  You lose at most less than 2mm at the full 8cm from angle, realistically less.  At 5cm it would be less than a millimeter disparity.  The femur angle is low enough that the hypotenuse vs rise of the leg-femur triangle has very little difference.

I think tibias looking better is highly subjective, like most areas of attraction.  I find long femurs hot on women, in theory male models look better with long tibias but that’s highly disputable since male models don’t necessarily represent what is “desirable” among other women or men.  Plus, you can see how you look with long tibias by adding shoe inserts.  I personally don’t like the high tibia look, it takes a lot of calf bulking to look good IMO.  Long femurs are also much easier to hide.

Ultimately as long as nothing looks too weird, the height increase is the most important part.  So femurs giving more height is highly important for those who want fast and large changes.  Some surgeons will even lengthen them up to 4 or 5 inches.  Obviously that’s not possible or safe for tibias.

[billsmafia]

Wouldn't internal tibia more likely to cause knee pain later?

[a]

Ik plenty girls with long femurs, it looks god tier.
If you lengthen your tibia (consider your tibia/femur is well proportioned before the surgery) you'll most likely end up being a dwarf in stilts.

Jokes aside, if you lengthen your tibia, you can pull the look off. But if you wear let's say,  3 cm heel shoes and sitting with your friends (who are taller than you) people will suspect it so badly.

ANNDD THE MOST IMPORTANT THING NOONE MENTIONED HERE IS:

When you lengthen your femurs, you can allwayyys wear 1-2 inch shoes so your knee height will appear taller, and NOBODY will suspect anything

[TheDream]

Tibia's are the most aesthetically pleasing, there is no question about this.
The problem is that lengthening Tibias is more complicated and are more likely to give permanent loss of mobility.

The Femurs are naturally longer than the Tibias, the Tibias are connected to the ankle and there is another bone alongside the Tibia called the Fibular.
The internal methods don't adjust the Fibular while lengthening the Tibia and it is just a giant mess in my opinion. I would go for 3-4 cm max on Tibias using pure externals.

[6CMFemurs]

Definitely femur. No question about it.

[billsmafia]

For example look at dunghyunh, posted here. He looks amazing with just a few scar from external. But his proportion looks normal if not better from before. From Doing ex tibia

[Thorfinnn]

Get your tibias and femurs X-rayed and figure out wether your tibia is short or femur is long. Then you will have your answer to which one to get.

[billsmafia]

They are both average proportion. I am 170cm with 175 wingspan

[Thorfinnn]

They are both average proportion. I am 170cm with 175 wingspan

So you did your tibia to femur ratio and one isn’t shorter or longer

[billsmafia]

1:1 more or less.

[Worzezterlire]

1:1 more or less.

You mean 8:10?  That would be normal.  Tibias are shorter.

At that height and for your goal I’d argue for femurs.

[billsmafia]

Yes 8:10. Just concerned how I will look nkd. Also from side view bending. If you see some diarys, person looks fine from front but when bending sideway it looks awkward becus the knee is so low in height.

Easier to hide with clothes on but without no clothes it could look weird in my opinion.

[6CMFemurs]

Unless you have a deformity on the tibia that would be beneficial to get fixed (ie rotation deformity, severe bowlegs), do femur. It is way easier and looks way better. Your legs don't even look long after 2.5 inches in the femur, nobody can tell where the extra height is coming from. No girl has ever mentioned anything about my legs looking long nked post-op.

[billsmafia]

Good news, I remeasured the wingspan and it is at almost 5 foot 10!

[Worzezterlire]

Good news, I remeasured the wingspan and it is at almost 5 foot 10!

Depending on raw arm length (since wingspan includes shoulders) you’re good for at least 5’10 and up to 6’0 if you have long arms.

[billsmafia]

Honest i’d be just happy with 5 foot 9. Right at the average. Which is why if I’m just going for 5 to 6 cm I’m considering tibia. Better aesthetic wise, espeically external, just get it done and leave with no worry for 1 year rod removal followup. Femur I’m considering for lower rates of complication. Howverr it’s unlikely that I would shoot for the full 8cm+.

I can afford either and from the US too.

Also are tibias less painful than femur? I hear different  opinions

[Worzezterlire]

Yeah, 5’9” is a good height.  It won’t give you any height-related positives (like EXTRA attention from women or advantage socially) but literally nobody will call you short except tall insecure dudes and tall (or super short) women with issues.  As someone currently 5’9” in the USA, you’re in for a happy life when you go from below 5’9 to 5’9.  Wish I were happy at that height already but the grass is always greener, etc.  at the very least you’ll likely have great proportions at 5’9 with a +1 ape index, I’m +3 ape index and people comment that I have very long arms IRL.  Most guys I workout with have -1 to +2 ape indices and are all 5’6 to 6’2, so you’ll look totally normal I bet.

[Thorfinnn]

At the end of the day I would rather gain 3 inches and have not the best proportions then stay at my current height. Most people irl won’t be over examining your proportions unless they really stick out like a -4 inch ape index or legs a lot longer than torso.

[billsmafia]

That is reasonable. To each his own. To me, an extra .5 or 1 inch above the average is not worth the potential complication , pain, and decrease in athletics, and loss of proportionality.

[Thorfinnn]

That is reasonable. To each his own. To me, an extra .5 or 1 inch above the average is not worth the potential complication , pain, and decrease in athletics, and loss of proportionality.

Yeah safety should always be the number 1 priority with this surgery.