Quote from: Franz on December 03, 2013, 09:00:01 PMWith regards to an earlier question you asked...do you now see why I am so careful about CLL?
I definitely do, and I'm thankful that you're answering these questions honestly. That's why I joined this forum and stopped going to the other site, because realistic no holds barred information on the medical aspects of cosmetic lengthening is what I'm interested in, not the marketing aspect of it.
I'm actually the one who sent you that e-mail you responded to that's shown in the first post of this topic (please keep my name and e-mail secret 
). I'm 164cm and I've been fired twice from temp jobs in foreign countries because of my stature and faced social problems because of it. My decision now comes to whether the possible (and maybe probable) physical negatives outweigh the physical and psychological benefits of undergoing CLL.
Dr Franz Birkholtz (Pretoria, South Africa)
Quote from: Franz on December 03, 2013, 09:00:01 PMWith regards to an earlier question you asked...do you now see why I am so careful about CLL?
So despite the time in frames, what are the draw backs of external only?
To be honest I'd sooner just take the hit of one year, do 5cm external and forget about LL forever.
Thanks as always for your reply.
Quote from: Kilokahn on December 03, 2013, 09:19:58 PMI definitely do, and I'm thankful that you're answering these questions honestly. That's why I joined this forum and stopped going to the other site, because realistic no holds barred information on the medical aspects of cosmetic lengthening is what I'm interested in, not the marketing aspect of it.
I'm actually the one who sent you that e-mail you responded to that's shown in the first post of this topic (please keep my name and e-mail secret ). I'm 164cm and I've been fired twice from temp jobs in foreign countries because of my stature and faced social problems because of it. My decision now comes to whether the possible (and maybe probable) physical negatives outweigh the physical and psychological benefits of undergoing CLL.
Your identity is safe (patient confidentiality 
).
It is not an easy decision. Good luck.
Quote from: An_Apple_A_Day on December 03, 2013, 09:22:00 PMSo despite the time in frames, what are the draw backs of external only?
To be honest I'd sooner just take the hit of one year, do 5cm external and forget about LL forever.
Thanks as always for your reply.
It is not a walk in the park. Pain, limitation in mobility etc. Recovery can take some time, but my honest opinion is that if you want 5 cms tibial with limited complications in my hands, this is the best way to go. Of course you'll get different opinions on the matter.
Femoral there's no question than internal makes more sense...
Dr. Birkholtz are you aware of any prolonged pain in the hips, knees etc. after internal femur lengthening (5-6.5cm)?
I would also like to clarify the numbers you gave for tibia lengthening. Are you saying 50% of patients will experience knee pain throughout their life using LON, LATN or internal nail for tibia lengthening?
Thank you for your contribution to this forum.
Hi Dr Franz,
First of all, it is really an honor to have a CLL doctor here to clarify our concerns about this high risk surgery. As you stated earlier that doing 10 cm will keep the patient in a good proportion, so my question is: for those who do more than that, they will look odd!? . I am asking this question because there is a guy on the old forum( most likely the owner of the forum himself) did 20 cm and claimed that he looked fine, feel much better about himself and tell others to not worry much about proportion. Personally, I think he looks out of proportion. I would like to hear your opinions about this subject. Frequently, I saw so many comments on that forum stating something like this: I am 5'4 and my friend is 6' yet we have the same sitting height when we sit down => we have the same torso length => I could lengthen 7,8 inches to match his height and I will still look good.
Quote from: Franz on December 03, 2013, 09:30:37 PMYour identity is safe (patient confidentiality ).
It is not an easy decision. Good luck.
It is not a walk in the park. Pain, limitation in mobility etc. Recovery can take some time, but my honest opinion is that if you want 5 cms tibial with limited complications in my hands, this is the best way to go. Of course you'll get different opinions on the matter.
Femoral there's no question than internal makes more sense...
And what would that cost me sir?
Quote from: Bruno Mars on December 03, 2013, 10:01:37 PMHi Dr Franz,
First of all, it is really an honor to have a CLL doctor here to clarify our concerns about this high risk surgery. As you stated earlier that doing 10 cm will keep the patient in a good proportion, so my question is: for those who do more than that, they will look odd!? . I am asking this question because there is a guy on the old forum( most likely the owner of the forum himself) did 20 cm and claimed that he looked fine, feel much better about himself and tell others to not worry much about proportion. Personally, I think he looks out of proportion. I would like to hear your opinions about this subject. Frequently, I saw so many comments on that forum stating something like this: I am 5'4 and my friend is 6' yet we have the same sitting height when we sit down => we have the same torso length => I could lengthen 7,8 inches to match his height and I will still look good.
Hey Bruno,
I know many people go to a lot of trouble to talk about proportions, sitting height etc. What they're really trying to do is justify why they should lengthen extreme distances. Remember that longer distances may mean more height, but they also mean longer treatment times and exponentially more complications. This is especially common once we exceed the 2 inch mark for a segment. This is the main reason I would limit a lengthening to a maximum of 10cm in total - safety first. There is no sense in having beautiful long legs if you cannot use them!
Quote from: An_Apple_A_Day on December 03, 2013, 10:42:10 PMAnd what would that cost me sir?
The million dollar question. For top class treatment and 4 weeks accommodation with new frames (Truelok), the cost is 25K euro. This includes pretty much everything except for complications.
See an earlier post in this thread to get an idea of what is included.
Good luck with your decision.
Hey dr franz i have a personal question ?
I recently did 8 cm on my tibia but now i have all this delima that i should have done 6 cm .
I was thinking is it advisable to do limb shortening for just 2 cm ?
If yes then when should i do limb shortening , m already 9 month post surgery.
Is limb shortening a dangerouse surgery ?
What methos is used for limb shortening?
Are there any regular cases of limb shortening?
If i did limb shortening on tibia bone by 2 cm so that i will get back to 6 cm will i get my flexiblity back?
I m not saying i would do it , unless m a millionare, very much curious to know .
Thank you
Quote from: Franz on December 04, 2013, 07:00:03 PMHey Bruno,
I know many people go to a lot of trouble to talk about proportions, sitting height etc. What they're really trying to do is justify why they should lengthen extreme distances. Remember that longer distances may mean more height, but they also mean longer treatment times and exponentially more complications. This is especially common once we exceed the 2 inch mark for a segment. This is the main reason I would limit a lengthening to a maximum of 10cm in total - safety first. There is no sense in having beautiful long legs if you cannot use them!
Bingo! This is the type of question that I always expect from a good surgeon. Your answer is very bold, yet hold the belief that I always hold on. And I also have another question: Is it true that you can lengthen your femur more than your tibia and expecting a quicker recovery? I have seen this is mentioned many times on most of the CLL surgeons website that I visited. My plan is to do 4.5 cm on tibia and 5.5 on femur. Do you think I can get back to my active sport life if I limit myself to this amount of lengthening?
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