***179cm male wanting 5cm (2.5 tibia, 2.5 femur) @ Paley***

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I am a 179cm, 25 year old male and I want to get a total of 5cm lengthened split between my tibia and femur (2.5cm each) from the Paley institute. I can just foresee a bunch of you pouring in below with comments like:

-   ‘your tall enough, don’t bother with LL’
-   ‘5cm is so small for such a big procedure, might as well go more since otherwise LL not worth it’
-   ‘Why break 2 bones just for 2.5cm, just do all 5cm in the femur’

With all due respect these comments are not really helpful for what I’m asking. I would appreciate it if you guys could stick to the topic at hand, which is what I’ve laid out in the first line.

I might well eventually end up just getting all 5cm in femurs, however the 2.5-2.5 split is what I want in an ideal world, and to me personally it actually seems quite minimal.

My questions are: How would be the best way to go about getting this done? What would time-frame be like and how long till completely back to normal? While I don’t care about finances as I’m wealthy, a grave concern of mine is scarring. Please discuss below

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You'd have to do femurs first, since they heal faster. Then tibias.

Femurs you'd be fine within 5 months from surgery, tibias maybe 7 months. So you're looking at a year off. That's just guess work though, it could be faster or slower depending on many factors.

But IMHO this is not very realistic. If all you want is 5cm, it's much easier to just do femurs and be done with it.

Regarding your height, the taller you are to start with the easier it is to grow further. For example you might be able to lengthen faster than a shorter person. Whatever makes you happy man 

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Best to ask Paley for a schedule.

But to give you a reference, my friend did approx 6.8cm at Paley for his femurs. He was walking without a cane by month 5.

But you can do the math. 1mm per day for femur = 25 days of lengthening. +1 month for consolidation. Assuming you are walking and putting pressure on your legs by standing up and moving around. I would guess you will be fine by month 3.

But to do both after 3 weeks to 1 month of you finishing your femur you will go under the knife again for the tibia. It’s .75mm per day so that’s approx 33 days for tibia. Tibia usually consolidates slower than femur.. but as long as you’re up and walking I think you can do it in 3 month.

You’re only doing 2.5cm.. that’s why my estimation is shorter than the other reply.

Month 1-2 would be femur, starting month 2 you will do tibia, so month 2-5 will be mainly tibia and some femur.

But honestly I can see you walking by month 6 without a cane. 2.5 isn’t a lot, and if you do PT everyday up till you discharge from Paley and you continue walking assisted, I can see you walking unassisted by month 6. Long distance walking? I don’t know, but I can see you walking short distances unassisted.

In terms of running, jumping and all that.. I don’t know.. that would up to your athletic ability before surgery, how well you recover, how much flexibility you retain, etc

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as someone who is almost 8 months post op and did 8 CM's Femur Strydes, just do femur bro... why spend twice the amount and bear twice the set backs these procedures have on our bodies? Femur 5 CM's and that's it bro ... you should be good to go. no disrespect but 2.5 cms each for both sections seems like one of the stupidest ideas I've read so far here, because you'll still cause trauma to your bones with the femurs procedure, and for tibias, you'll have the nail inserted through your knees ... doesn't seem worth it for just 2.5cms to me having done the procedure myself. my two cents. best of wishes

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Quote from: ferniebritishcolumbia on March 22, 2020, 02:30:54 AMWhile I don’t care about finances as I’m wealthy, a grave concern of mine is scarring. Please discuss below

If you are concerned about scarring I'd advise against doing tibias. There are more incisions involved with the tibias and our tibias/lower legs are obviously much more visible to the public and difficult to hide as compared to the primary scars from femurs (hip site and upper knee which you can hide with shorts that drape at your knee).

I can't recall exactly how many scars there are with tibias, but I remember all the tibia patients at Paleys had numerous scars up and down their shins that were highly visible. Be prepared for at least 1 to 2 years of highly visible scars, remember that you will re-open the wounds when you remove the rods a year or more after your initial surgery.
 
Yes the scars will eventually fade and I plan on getting laser removal procedures done to help deal with the scars from my femur site, but even then you've got to be realistic here, such procedures won't 100% completely hide the scars, maybe 90 to 95% at best for me(depends on your skin tone and skin type). People close to you (e.g. intimate partners) will still notice.

Overall, I agree with Movie, with your desired length and outcome, I believe 5 cm on femurs is the way to go.

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Since you already mentioned that your major concern is "scarring", it is obvious that more surgeries will give you more scarring. If your goal is over 8 cm, two surgeries is the only choice. But your goal is 5 cm and you don't want to have many scars. Then just do the femurs. 5 cm in femurs is a rather easy process.  You need about two months for surgery and lengthening. After a couple of weeks of recovery, you probably can go back to sort of normal life.

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Thank you all for the information in response to this thread, I appreciate it and encourage all to continue this thread.

Best,
Fernie

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there is a rate between femur and tibia, you shouldn t do 2.5 -2.5 cm. the ratio is 4/5. that s means your femur should be longer than tibia.
for example if you get 5 cm from femur , you need 4 cm from tibia. 10 cm femur , 8 cm tibia etc.

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Interesting

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Wouldn’t mind further thoughts on this