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[djimbo9]

Hi everyone. I've been reading on and about and I've seen people are discussing increasing both their tibias and femurs. I've seen a guy contemplating 8cms in both. As I'm new to all of this, can someone explain how realistic this is? That would mean an overall increase of 16cms which is crazy and I'd love that. Could that be done in the same surgery? And why are most people doing 7-8cms and not going for the massive double digit increases in cm? Price reasons or? My wild guess is that you can't have both done at the same time.

[HateLAPELoveSTEM]

You mean quadrilateral lengthening? Some LL patients did that.
I am also one of them and I am fixated on Paley's magnificent Option 5 which can obtain me 16cm.

[Medium Drink Of Water]

It's realistic and has been done many times.  I know a guy who did three LL's (tibias, femurs, then re-broke tibias for a few more cm).

[djimbo9]

Question is - is it possible to do 'quadrilateral lenghtening' in one surgery? Or you have to do the tibias now and the femurs in like a year? Also, for DR Paley's popular option 5, I tried finding out more about it but I couldn't. How much does it cost and how does he proceed in order to get you 16cms?

[silverlining]

Why don’t people go for more than 1 surgery? First it’s a big ***** surgery,  I worry about long term health effect. Secondly, adding 8cm is already a lot, your biomechanics change. It’s gonna take a lot of rehab to hopefully get back to 100% if you’re doing 16cm. I entertain the idea of a second lengthening but I’m already tall and anything past 6’ doesn’t worth the pain/risks/time off/love life for me.

[djimbo9]

Fair point silverlining. Human greed knows no limits though, if I had 8cms I'd be at 181cm which is about 184cm with shoes which is pretty great. But then you add another 8cms and they notice you everywhere you go. All the girls will give you the looks and men will respect you. One point I don't see people making here about added benefit of height is the respect you get from other males. I've seen it so many times. No one has ever taken me seriously with my 173cms, you gotta watch your mouth or you get threatened with getting your ass kicked. On the other hand, it's quite obvious, if you're tall, people mind what they say to you, especially if you aren't skinny too. You'd notice this a lot more if you lived in a non-western country like I do. Seems the best I can hope for is 8cms though and I'd be more than glad to get that as long as there's no complications but if I had the chance to get 10+ or more... I'd have loved that.

[zaozari]

Hi everyone. I've been reading on and about and I've seen people are discussing increasing both their tibias and femurs. I've seen a guy contemplating 8cms in both. As I'm new to all of this, can someone explain how realistic this is? That would mean an overall increase of 16cms which is crazy and I'd love that. Could that be done in the same surgery? And why are most people doing 7-8cms and not going for the massive double digit increases in cm? Price reasons or? My wild guess is that you can't have both done at the same time.

Quadrilateral simultaneous surgery and following processes of lengthening and consolidation plus physiotherapy are just not good medical practice. It may even be a recipe for disaster. And if the two segments are lengthened, one year break between the two is a minimum. This has been thoroughly explained by many surgeons.
 

[Highest]

People talk big before having the surgery about how they are going to do huge amounts then a common theme in diaries is how the surgery humbles them and they do less. It is very uncommon for people to do 16cm for example, a recent Paley patient said average gain for tibia patients while he was there was 5cm and for femurs around 7cm.