Hello everyone,
I am currently a patient of Dr. Betz. I am nearing the conclusion of my lengthening period, as my surgery was several months ago. Initially, I had wished to start this diary prior to my lengthening. However, work commitments and the initiation of a strict clicking/physio routine made starting a diary quite difficult. Lately, I have had more time to read through the LL forum, and I thought any input regarding my experiences as a recent patient of Dr. Betz in mid-2015 could prove invaluable to some people. Therefore, I will try to maintain and update this diary regularly, as I am near the completion of my process. Please feel free to respond to this diary with your inquiries and wish me luck with my lengthening.
- Raisin Bran
Raisin Bran - Internal Femurs - Dr. Betz - 2015
1) 22
2) West Coast, US
3) Male
4) 163 cm
5) 10.4cm, roughly 4 inches
Apologies for the lack of detail in my initial post, but I assumed I'd just supply answers to whatever people were interested in.
Re: Alittletooshort
My experience with Dr. Betz has been great so far. I'm living at Elke's house, which is close to Dr. Betz's home and the Komfortklinik. There are numerous other patients here as well. All have had a solid experience so far, with varying stages of lengthening or recovery. Since leaving the hospital, I've seen Dr. Betz 1-2 times a month, at least, either at Elke's house or at the physiotherapist's place. He is a cordial guy, who has tremendous faith in his nail and surgical methods. He has consistently answered my questions as best as possible. Right after my surgery, when I was still in the Komfortklinik, I had some worries that arose after a few patients introduced them to me, e.g. nail weakness, incorrect final heights, etc. However, Dr. Betz answered every last one of them very well and alleviated my concerns. Since then, he has followed along with my process diligently, and has given me worthwhile criticism or praise. Additionally, if I ever have any sudden questions, he's just one phone call away.
Fortunately, the complications I've had have been minimal. I had an excellent condition after surgery. I could even walk well without crutches. However, just before 2cm, I overstretched and badly strained my right groin. I had this groin issue since I was in high school, but it had pretty much disappeared when I started my various exercise regimens in college. Unfortunately, it came back in the worst of ways. Resting and tentatively working through this deep strain hurt every facet of my condition. I had to walk with a bad limp, my legs became much wider, and the muscles (hamstrings, quads, etc.) in both legs lost quite a bit in flexibility. Finally, after 4.5 cm, the groin issue had resolved itself, but I was still left with the problems I had just mentioned. According to my physiotherapist, Peter Woll, I was in a really bad place, considering my condition prior to the strain. However, we strongly worked on each individual problem during the subsequent physio sessions, and I attempted to correct these problems every chance I got, on my own. I avoided cheating with my walking - forcing the legs closer, keeping my pelvis and back straight, and attempting to develop a more appropriate gait. Regardless if my leg muscles were tired, I never hopped or swung on my crutches to move myself, in lieu of walking. Eventually, around 6 cm, my walking was pretty good again. Nevertheless, I had lost some flexibility in my left quadricep, though it was still greater than the minimum 90 degree flexion, and my hamstrings were a work in progress.
I should mention that I fell down once. I immediately had an accidental click and an inner thigh bruise. Fortunately, my arms were out, so they reduced the force of the impact. I was worried that something might have happened to the nail, but after informing Dr. Betz and evaluating the situation with Peter for the next week or two, I was relieved that nothing came of this fall. A few weeks later, I had my mid-lengthening x-rays at the hospital and they further proved that there were no issues.
- Raisin Bran
Re: Uppland and Taller
I figured I could answer you both together, as the questions are similar.
Before surgery, my legs were a bit odd. I had a long, lean lower leg, and a short, thick upper leg. My percentage for lower to upper was 86%, which is much higher than the typical 80%. So, I had more freedom in lengthening my femurs to a larger degree. However, I was also cognizant of the significant length that 10cm+ would be, in regards to my initial height. There is less stress on the body of a person who is 170cm+ or 180cm+ to lengthen 10cm than there is for someone who is 160cm+. Therefore, I was cautious throughout my entire lengthening process. I was told by my physiotherapist, Peter Woll, that the condition for numerous patients can change between 8cm and 9cm. When I reached 8cm, I did not have this noticeable change. However, more than a week later, when I reached 9cm, I began to feel it. I had more tightness in my legs after clicking than I'd had before 9cm. Therefore, I decided on two things. Following Dr. Betz's guidance, I have taken either every other day or 2 days on-1 day off from clicking. Also, I have pushed my leg muscles harder on the days I don't click, so that I can relieve the tightness. I am currently at 9.6cm, and have just 8 days of clicking left.
Before my surgery, I exercised regularly, with various HIIT and cardio regimens. My focus in exercise was on lean muscle, core strength, agility, and most importantly, flexibility. When I went to my consultation with Dr. Betz in late 2014, he informed me that my flexibility and core strength was fantastic and would definitely help me much in the lengthening process. After considering my aforementioned percentages and the width of my femurs, he said that I could go to 10cm with the 13mm nail. I was very pleased that I'd have the 13mm nail, just a surprising advantage my thick thighs afforded me. 
Following the consultation, I stopped my intensive workouts, and switched to yoga, Pilates, and additional core work. I continued this exercise regimen for many months, until my surgery in early 2015. I wanted to minimize unnecessary bulk muscle in my lower body, as this could've been detrimental for lengthening.
In terms of my feelings about my proportions, I think my legs finally have the appropriate dimensions. I wore my favorite blue jeans to a dinner yesterday, and I was amazed at how well they looked. My legs did not look stocky or oddly spaced in them, as they had before. My upper torso and lower body look great as well, considering that I always wear jeans/slacks/dress pants at the hip, with a lean cut. My wingspan leaves much to be desired, but we can't always have everything. All in all, I feel awesome about my proportions.
Re: Uppland
Sure, I'll look some up for you and post a few appropriate ones. The most important stretches are those that loosen up your hamstrings and your quadriceps, and improve the complete range of movement in your pelvis. When were you planning to have your surgery?
BTW, you can just call me Bran. 
Re: coppkillr, DoingItForMe
I personally can not comment on the quality and strengths/weaknesses of the Precise nail. In my situation, I could've gone to Paley, which is much closer to me and would've allowed me to pretty much stay at home for the lengthening. However, I went with Dr. Betz because after my consultation with him and meeting with several patients who were having their removal at the time, I felt that this was the best option for me. Cost, travel, and recovery might be a deal breaker for some people, but I was fortunate that I did not have to concern myself with these issues. Therefore, I was able to select the best lengthening option available to me. Now that I'm nearing the conclusion of the lengthening phase, I have no regrets with my choice. Just looking forward to the recovery phase and eventually, returning back home.
Re: Uppland
I could actually do you one better bro, I'm currently trying to convince one of my housemates to contribute to the forum. He's completed his lengthening phase and he's like the stretch king in the house. Condition is near perfect for someone who completed 10. I'm thinking 2 points of views should be even more helpful for those interested in the lengthening process, especially those of relative success.
Re: theuprising
Personally, I did not want to do two surgeries. The recovery time for tibias is much longer than that of femurs. So, if I did both surgeries, I'd have to do tibias first. Additionally, my tibias were already oddly long, so it would not have made much sense. When I went for my consultation, I had like 7-8cm in mind, but as I mentioned in my previous post, the strength of my nail (13mm), the solid condition I have while lengthening past 8cm, and my pre-surgery ratio (86%) all led up to my choice of doing 10cm+.
Both tibia and femur surgery is quite stressful for your body. However, if I did do 2 surgeries, I probably would've gone to at least a total of 15cm.
Re: KiloKAHN
Haha, you and me both man, I think I've just seen way too many cheesy California Raisin commercials for one lifetime.
Re: Taller
I have not finished yet, though I'm very close. I'll try to post some pics when I'm done. If not, I definitely have my X-Rays as well.
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