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[alwayslucky]

Hi, everyone. I'm a new comer. I'm very interested in LL, but I don't know much. I am most worried about the safety of the operation. I see that most of the complications that people always discuss occur during the extended period. I have a question. Is there no risk that is easy to occur during the operation (that is, a few hours)? For example, your doctor will accidentally cut off your nerve or something, and then cause your paralysis? (if this is a funny question, please don't laugh at me). Will a good doctor like Paley never have this problem?

[ask.me]

Most complications happen during or soon after the operation. Long term effects are not as well known because it's harder to follow up with patients longterm and prove causality.

See: http://www.limblengtheningforum.com/index.php?topic=68402.0 which is mostly short term complications

The above is not an extensive list because I assumed "best surgeon". A good surgeon can prevent a lot of complications like misalignment, massive scarring, and improper implantation that isn't even listed in the the thread. It isn't worth it to list every possible complication that can occur with an inexperienced surgeon. That's why it's important to see a qualified surgeon for a major surgery like LL.

[Medium Drink Of Water]

It's a difficult major surgery and nobody is immune from making a mistake, not even the best doctors.

A lot of complications you hear about are from dumb behavior by the patients.  I lived in the LL hospital for five months and saw all kinds of ridiculous things being done by patients.  One guy kept walking right after he got his frames taken off even though they kept telling him to stay in bed, so he snuck around at night to do it.  A girl there was getting LL over the summer before she started her first day at university, and she fell a little behind on her goals and kept lengthening at an unsafe rate to catch up.  Doctors told her that her tendons might snap if she didn't slow down, but she kept doing it.

If something bad happens to them, people like them might complain about complications caused by bad 3rd world doctors, but I know the truth.

[Arcon]

...It's a difficult major surgery and nobody is immune from making a mistake, not even the best doctors.

A lot of complications you hear about are from dumb behavior by the patients...

Hear, hear!

[alwayslucky]

Yes, I almost have a general understanding... I'm sure I won't make mistakes like them. But you said that even the best doctors can't avoid mistakes, but I learned that Paley’s patients finally recovered. He seems to never miss. Even if he makes mistakes, he can quickly save the situation
By the way, are you in Beijing, too? If so, what a coincidence! （sorry for the delay)

[Masteryourlife]

Yes, I almost have a general understanding... I'm sure I won't make mistakes like them. But you said that even the best doctors can't avoid mistakes, but I learned that Paley’s patients finally recovered. He seems to never miss. Even if he makes mistakes, he can quickly save the situation
By the way, are you in Beijing, too? If so, what a coincidence! （sorry for the delay)

He can do his part perfectly, but how your body reacts and how much you want to lengthen will determinate your outcome short/long term ,lI believe

[alwayslucky]

Yes, I think so, too

[alwayslucky]

Another question, guys, I would like to ask why I see that Paley‘s error rate is so low and even seems to be zero failure (the failure I said is to cause paralysis or death). For example, the incidence of bone nonunion is 0%. Did he use some effective methods to avoid these? Or is it just a matter of experience or coincidence

[Masteryourlife]

Another question, guys, I would like to ask why I see that Paley‘s error rate is so low and even seems to be zero failure (the failure I said is to cause paralysis or death). For example, the incidence of bone nonunion is 0%. Did he use some effective methods to avoid these? Or is it just a matter of experience or coincidence

I think that paralysis or death are always a thing in every surgery .
Whatever surgery you see those complications are kinda common in the risk section even tho extremely rare and maybe never happened to best cosmetic surgeons in their career .
So to answear your question , I think that we have no way to know if those numbers are real or fake ,but I don't think he severally crippled any CLL patients (I say CLL because he makes controlled fractures there why in LL discrepancy patients it's harder to deal and fix them all I believe due to traumas etc. ).
Death its caused by embolisms in this surgery and he says he has a way to prevent them and treat them in case they happen and he probably does since the amount of LL he did/does and no death so far ( we would know about this in case it happened ).
About non-unions I don't thing he never had one,no way ,but I think he treated them successfully with bone grafts or bY reversing the precice nail (safety feature of the Nuvasive nail) meaning that yes non union might have happened but no major complication after them .
I think this is what 0% stand for ,but the way they put it out there sometimes its tricky if you don't carefully think .
This is my point of view tho

[alwayslucky]

Thank you for your explanation, brother. Anyway, it seems that he is a capable doctor who can greatly reduce the risk of complications

[Masteryourlife]

Thank you for your explanation, brother. Anyway, it seems that he is a capable doctor who can greatly reduce the risk of complications

He is the best one hands down but remember that he is 65+ so he will not probably make the procedure itself on you .
His team has to be great for sure but just keep that in mind

[alwayslucky]

Yes, I have also considered this. I'm just a little uncertain whether his team has fully mastered all his techniques and methods to prevent and treat complications

[ask.me]

The reason his error rate is so low is because major complications like embolism are easy to prevent, or put another way, can only be mitigated by surgery to an extent, there's always the odd ball that are immune to treatment. Cases where they do happen is when the surgeon is just blatantly ignorant or extremely unlucky. Sometimes the patient can just have a perfect storm of ailments that result in complications that can't be prevented, or there was some sort of administrative mixup. But if you're perfectly healthy otherwise, the chances that you're one of these people is even lower than someone who, say, suffered trauma or is obese. 

[ask.me]

Paley and his team have definitely not mastered everything there is to know about LL, and no surgeon alive right now has. If you're trying to find a surgery that has 0% risk, this is definitely not one of them. LL is still a risky procedure, which is why it's not as well adopted as liposuction or boob jobs, for comparison. But I don't think you have to worry about major complications if you go to a good surgeon. The major complications are highly unlikely if you're healthy and you haven't had past traumas.

However, minor complications seem to occur quite frequently based on data and if you look at patient experiences in the forum.

BTW, I compiled a list of risk factors here: http://www.limblengtheningforum.com/index.php?topic=68402.msg206963#msg206963
These are some of the things that can affect your outcome just as much as the surgeon you choose.

[alwayslucky]

Thank you, brother, for your inspiring words. I am glad to find that I am almost completely healthy as a young man of about 20 years old. Ha ha