5'9 to 6'1

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How possible is it while looking normal?
I notice a lot of tall people have long legs but about the same torso size as me, I have a broad frame so it wouldn't look out of place and my wingspan is like 6ft for some reason.

Would I be fked health wise by a 4" gain?

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Hard to do 10cm in one segment. Only possible if you do both tibia and femur. This will also be very expensive(100k+). I recommend only doing up to 7cm for one segment. Even then it's the hard limit because your body tissue cannot keep up.

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I would actually measure your sitting height and inseam, you can't use your eye to judge that because tall people slouch.

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Two segments can realize your dream.
If its one segments' lonely duty...Then its downright crazy...

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even 8cm in only segment is very rare to achieve

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This is an unpopular opinion, but I think that you should do 2 segments allways, unless you're proportions allow it. Even if its more expensive, money can allways be regained, but you can't fix your proportions after the surgery.