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[Heightangelo]

So I am planning to do my femurs next year to gain 8-10 cms via LON method since Precice seems to have some limitations in terms of height gain and weight-bearing. And taking a considerable long break after removing IM nails, I will do quadrilateral on the healed femur and tibia, that will take my overall height gain to 20cm+. Now that is reasonable for me since my growth plates are closed and I'm just past age 18 as male. Unfortunately, I was an early bloomer male. My height is 5'3'' and I seriously need it sooner rather than later since people seem to avoid me and on top of that, my social anxiety ain't helping me in any way. My parents are willing to bear the cost since my mental health's more important to them, I don't have height neurosis thoguh. Point to add, they were the ones to tell me that I am normal after checking my growth hormones level (it was normal) that I will grow and never considered aromatese inhibitors or such treatment due to having started puberty earlier than most. They do feel regret now. My 5'3'' is indeed too short for a male and I need to get out of home almost daily since I am a student. My sibling and all male cousins are towering over me, even younger ones. I can see managing some good time off from my studies without lagging behind in future.

I give zero importance on my body proportions and will do anything to gain some inches on my legs. Having shorter hands is the least of my concerns since I don't go out too much but when I do, people do not notice my proportions but my height. After all, everyone's different due to genetics and having a bad proportion is nothing compared to an adult male having baby height. I would not give it a thought if I had bad proportions due to genetics and still ended up being decent male height, but being called shorty really changes the scenario. I have never seen triple LL being done, why though? Do people get tired after doing two segments on femur+tibia or are there any limitations in our body that prevent us to do a second surgery on healed femur/tibia?

[sxxa]

I suggest you should do a in depth research on this surgery, if you are asking why a triple LL surgery have never been done is because you have no clue what's all of this about. First no sane surgeon would re-do LL on a segment already done, your muscles and nerves are not made of plastic my dude, there are safe limits with quadrilateral, a certain amount of cms in a range of 5 cm on tibias and 8cm on femurs is pretty much the standard and the most succesful rates of LL. There is no way you could re-do a segment without 100% risks involved, in the extreme case some butcher decide to do it, you wouldn't be able to recover, or to walk anymore, you could even die. I think you don't understend yet the toll the body takes. It's not a nosejob.

[KiloKAHN]

LON femirs is not recommended because of the pins going through all the muscle, which will permanently reduce your knee ROM. If you were o still go that route, you can actually lengthrn less with LON femur because the frames aren't strong enough for the muscles after a certain distraction point, and you will inevitably end up with some degree of deformity because of it.

You will look weird with 20 added cm. Take ot one lengthening at a time for reasonable limits. Even if you get your total height to 5'6" or 5'7", it's a marked improvement over 5'3" and your QoL will still be better. The ones that are focused on final height above all else tend to be the ones with the most problems later.