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Posted on Jun 18, 2026, 8:39 pm
#1
Hey everyone, I am fairly new to this forum. Funny enough, I actually joined after completing my LL journey at the Paley Institute earlier this year. It has been nearly 5 months since my tibia surgery and about 4 months since my femur surgery in July and August, as I am a quadrilateral patient. From the very beginning, I went into this surgery very conscious of my proportions. During my initial consult with Dr. Robbins (who now runs the whole CLL dept. at Paley’s), I was very persistent on doing an insanely conservative quadrilateral approach (roughly 5.5cm was my combined total goal). Dr. Robbins tried talking me out of it several times saying that it would be ridiculous to do this little in total and that I was better off doing the femurs. For the longest time, I stuck to this goal and refused to budge even in the slightest as I did plenty of visual calculations before surgery and figured out that I would look pretty good with 5-5.5 extra cm of height. Where I think that things really went south is how brain washed I became when I stayed at the homewood suites hotel with many of the Paley Patients. I noticed that the vast majority of patients were maxing out the P2.2 nail in the femurs all the way to the full 8.3cm, and many of the patients were very surprised to hear that I was only doing 5.5cm in total. Many would even suggest that I do more as I “wouldn’t be getting my moneys worth” for such little gain as quadrilateral is ridiculously expensive. Whether I was totally brainwashed by these other patients or it was the medications I was on, I made a completely irrational decision of lengthening to a whopping 7.5 *ucking cm, thats right, 2 whole centimeters over my goal which I was already skeptical about to begin with. The worst part about the p2.2 nails is that I was wheel-chair and walker-bound for the whole lengthening so I could hardly visualize my walking height from various angles and see if I looked “off.” Even the PT team at Paleys were encouraging me to keep lengthening, saying I looked “great.” Fast forward to today where I am back at home, no longer surrounded with LL patients with distorted proportions, and no longer on medications - meaning I can finally think rationally again and not base proportionally on a select group of outliers. Now that I am able to walk around and record myself from different angles, I realize how ridiculous my proportions look from various angles, especially in shoes, and very upset with my outcome. I would do anything to go back in time and stop the nails flat at 2.6 cm in tibs and 2.9 cm in femurs for a clean 5.5cm gain and no higher. I am a slim guy and the 7.5cm jumps out a ridiculous amount. Even for someone like me with a starting +8cm wingspan over height, not only do I feel like a t-rex now, but my legs look abnormally and sickly long. No amount of muscle is fixing this realistically and I am beyond upset. For the past whole week I tried to talk myself out of thinking about getting a revision shortening, but the more I try to convince myself it looks fine, the worse it gets. I’d love to hear from some of the veterans on this forum, because as of right now, I dont know how this will play out.
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Posted on Jun 18, 2026, 8:39 pm
#2
My friend, we all struggle with height neurosis anyway, why are you torturing yourself so much? Believe me, even if your proportions were perfect, you'd still find a flaw. Relax a little.  I'm sure you look great.  2 cm won't ruin your proportions, bro. You've just made a habit of torturing yourself.
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Posted on Jun 18, 2026, 8:39 pm
#3
Im pretty proportions obsessed and ive never seen someone's legs look off with 8cm lengthening. arms can look off but certainly not in your case where your wingspan is nearly equal to to height. wingspan becomes a consideration when your like like 8cm less than height, and even then people probably won't notice, probably around 12-15cm less is when its a real issue. here's two things for you to think about

1. a wingspan slightly more than height is extremely common naturally. im 5'5 and my wingspan is somewhere between 5'6 and 5'7,although I have somewhat an arm length discrepancy .5-1in

2. how many times have you seen a woman in heels and thought she had t rex arms, the answer is probably never.

if its really such a big deal your leg proportion, id rather just do a small second lengthening to equal out the proportion a bit. unless you had really short torso it would be fine.
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Posted on Jun 18, 2026, 8:39 pm
#4
I get the point you are making about my wingspan still being around the same length as my height even after double LL, but relative to how I used to look, it does look very off to me visually. The wingspan part I can overlook but the leg length I cannot. After doing 7.5cm, my legs look far too long for the rest of my body, which is actually what makes my arms feel short in comparison even though they are still relatively normal length. The woman in heels thing is different because they often wear a dress with heals or its open toe so you can visually see where their legs end. And if not, it wouldn't matter the same way having longer/masculine arms matters for men as I believe my arms look borderline comical next to another guy of the same height now. I am confused about your last point about doing a small second lengthening as I already did quadrilateral so there is nothing to be balanced as my tibia to femur ratio looks great and isnt the issue here.
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Posted on Jun 18, 2026, 8:39 pm
#5
I want to believe what you are saying, but at the same time I truly believe that there is a very narrow threshold between what can look good and bad when it comes to LL. Up to 4cm and almost anyone can look fine or good. 6cm+ is what I believe should be reserved for either turbo manlets below 5’ 5 starting or people with short legs and generous proportions, not just good arm length. My starting arm length was good but my legs were very normal length wise. And I truly believe just 2cm between 5.5cm and 7.5cm would be make or break. I guess I will have to do mockups and recover fully before jumping into any decisions on this.
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Posted on Jun 18, 2026, 8:39 pm
#6
I want to believe what you are saying, but at the same time I truly believe that there is a very narrow threshold between what can look good and bad when it comes to LL. Up to 4cm and almost anyone can look fine or good. 6cm+ is what I believe should be reserved for either turbo manlets below 5’ 5 starting or people with short legs and generous proportions, not just good arm length. My starting arm length was good but my legs were very normal length wise. And I truly believe just 2cm between 5.5cm and 7.5cm would be make or break. I guess I will have to do mockups and recover fully before jumping into any decisions on this.

I mistook your post, I read 7.5cm and thought it was one segment.  7.5m across two segments is seriously not going to cause any extreme proportion. if you arms are within like 2 inches of height its just not possible for them to look comical, that is seriously within the normal range, not common common, but im sure you've seen guys like that before and not thought a thing. I mean even -5 inches can happen, although I agree at that point I'd also be concerned. I have only ever seen one guy look bad after 8cm, and arm length was his issue not even the legs despite being 8cm in 1 segment. just trust me. 7.5m across two segments is a very moderate lengthening.  go through my posts, I have to be one of the most proportions obsessed mentally ill people here, I am telling you don't worry. 

Give it a year or two, maybe then you can think more clearly, but it is genuinely possible to obsess and obsess and see things that aren't there.

The only possibility is if you were on the extreme end of long legs prior to doing your surgery. look at the post I commented on before this with the 5'3 guy. he did WAY more than you with probably worse proportion, yes his arms look wrong because he had bad wingspan and did like 6 inches, however his legs look fine.

if your worry is your arms, I dont know what to tell you, scientifically you are just wrong. that's the hardest info you can get on it. you are scientifically well within the normal range. not one person, in your whole life, ever, will likely think about your arm length at that length except you. genuinely not one.
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Posted on Jun 18, 2026, 8:39 pm
#7
how many times have you watched a movie with a short actor, standing on a box or wearing lifts etc, did you notice their arm length? no and it was likely way worse in proportion than yours. Look at RDJ in any avengers movie, they got him on level with 6'3 guys and nobody ever really thought about it. sure people commented on his lifts but not his arm length. so many male celebs wear lifts that give similar heights and nobody says, oh their arms are short. they may comment on the lifts, but not the arms. like I said 1000 times, arm length is only a problem when it becomes genuinely unnatural. and you are FAR outside that.

the only time people comment on arms is when its someone like Artem lobov who is like 5'9 with 5'5 arm span and in that case he's in a field which arm length is especially relevant.

Henry Cavill, a super famous actor, according to this forum has really short arms, honestly I cant really tell, but likely his proportion is almost certainly far worse than yours. You can find a maybe four threads about it online, one of them being on this arm length obsessed forum and another laughing at the thread on this forum, and this is one of the most visible people alive.

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Posted on Jun 18, 2026, 8:39 pm
#8
 :)
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Posted on Jun 18, 2026, 8:39 pm
#9
Im sure you are right about the fact that its probably 95% in my head and that no one will ever point it out. But for someone like me that went through all that extra pain of a second surgery to have really good proportions, I am very displeased with getting carried away and over lengthening. I’d much rather sacrifice 2cm and look aesthetically better, because I objectively would be closer to ideal ratios at that 5.5cm total than I do after 7.5cm. And because Im a slim guy, the height benefit doesn’t necessarily scale the same way since my lower body just looks excessively lanky more than it already did to begin with. I liked my slim figure to begin with and dont want to compensate because of LL and have to get excessively jacked. I am 5’ 9.5” barefoot as of now and would gladly shorten back down to the 5’ 8.5” - 5’ 8.75” range to look aesthetically better. Face card is good enough to a point where this extra inch is worthless and very unpopular take on this forum but I would take proportions over height every day after crossing 5’ 8”
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Posted on Jun 18, 2026, 8:39 pm
#10
Hey everyone, I am fairly new to this forum. Funny enough, I actually joined after completing my LL journey at the Paley Institute earlier this year. It has been nearly 5 months since my tibia surgery and about 4 months since my femur surgery in July and August, as I am a quadrilateral patient. From the very beginning, I went into this surgery very conscious of my proportions. During my initial consult with Dr. Robbins (who now runs the whole CLL dept. at Paley’s), I was very persistent on doing an insanely conservative quadrilateral approach (roughly 5.5cm was my combined total goal). Dr. Robbins tried talking me out of it several times saying that it would be ridiculous to do this little in total and that I was better off doing the femurs. For the longest time, I stuck to this goal and refused to budge even in the slightest as I did plenty of visual calculations before surgery and figured out that I would look pretty good with 5-5.5 extra cm of height. Where I think that things really went south is how brain washed I became when I stayed at the homewood suites hotel with many of the Paley Patients. I noticed that the vast majority of patients were maxing out the P2.2 nail in the femurs all the way to the full 8.3cm, and many of the patients were very surprised to hear that I was only doing 5.5cm in total. Many would even suggest that I do more as I “wouldn’t be getting my moneys worth” for such little gain as quadrilateral is ridiculously expensive. Whether I was totally brainwashed by these other patients or it was the medications I was on, I made a completely irrational decision of lengthening to a whopping 7.5 *ucking cm, thats right, 2 whole centimeters over my goal which I was already skeptical about to begin with. The worst part about the p2.2 nails is that I was wheel-chair and walker-bound for the whole lengthening so I could hardly visualize my walking height from various angles and see if I looked “off.” Even the PT team at Paleys were encouraging me to keep lengthening, saying I looked “great.” Fast forward to today where I am back at home, no longer surrounded with LL patients with distorted proportions, and no longer on medications - meaning I can finally think rationally again and not base proportionally on a select group of outliers. Now that I am able to walk around and record myself from different angles, I realize how ridiculous my proportions look from various angles, especially in shoes, and very upset with my outcome. I would do anything to go back in time and stop the nails flat at 2.6 cm in tibs and 2.9 cm in femurs for a clean 5.5cm gain and no higher. I am a slim guy and the 7.5cm jumps out a ridiculous amount. Even for someone like me with a starting +8cm wingspan over height, not only do I feel like a t-rex now, but my legs look abnormally and sickly long. No amount of muscle is fixing this realistically and I am beyond upset. For the past whole week I tried to talk myself out of thinking about getting a revision shortening, but the more I try to convince myself it looks fine, the worse it gets. I’d love to hear from some of the veterans on this forum, because as of right now, I dont know how this will play out.


this is unreadable

have you heard about the existence of paragraphs? might be a good idea to look into that
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Posted on Jun 18, 2026, 8:39 pm
#11
Sounds good, I’ll write nice and neat just for you next time.

Any thoughts on this neurosis bs? I dont give af about being a half inch taller and getting to 5’10.” Too many people on this forum chase every little ounce of height gain possible even when it won’t look right. The point of this surgery is to boost your appeal, which means proportions should be factored into the height gain ten fold.

For example, a guy that goes from 5’ 5” to 5’ 10” with normal starting proportions will almost never look like a true 5’ 10” guy (narrow clavicles, short torso, short arms, likely small hands) so why chase a high number when it will not be much of a benefit publicly speaking and completely ruin your appeal. If you actually have the ideal proportions to lengthen 5 inches (which almost no one will have) then go for it, but otherwise you are literally making yourself uglier which is not worth the trade off.

Sure, maybe I do have severe proportions neurosis as I doubt many other patients on this forum would do quadrilateral surgery to lengthen under 4cm per segment each. But if there’s one thing I’m grateful for, its that I knew my limits and stayed in a conservative enough range to where I can jump from 15%ile to 50%ile height without anyone batting much of an eye. There are tons of patients on this forum that can’t say the same because they over lengthened and look like uncanny t-rexes.
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Posted on Jun 18, 2026, 8:39 pm
#12
Sounds good, I’ll write nice and neat just for you next time.

Any thoughts on this neurosis bs? I dont give af about being a half inch taller and getting to 5’10.” Too many people on this forum chase every little ounce of height gain possible even when it won’t look right. The point of this surgery is to boost your appeal, which means proportions should be factored into the height gain ten fold.

For example, a guy that goes from 5’ 5” to 5’ 10” with normal starting proportions will almost never look like a true 5’ 10” guy (narrow clavicles, short torso, short arms, likely small hands) so why chase a high number when it will not be much of a benefit publicly speaking and completely ruin your appeal. If you actually have the ideal proportions to lengthen 5 inches (which almost no one will have) then go for it, but otherwise you are literally making yourself uglier which is not worth the trade off.

Sure, maybe I do have severe proportions neurosis as I doubt many other patients on this forum would do quadrilateral surgery to lengthen under 4cm per segment each. But if there’s one thing I’m grateful for, its that I knew my limits and stayed in a conservative enough range to where I can jump from 15%ile to 50%ile height without anyone batting much of an eye. There are tons of patients on this forum that can’t say the same because they over lengthened and look like uncanny t-rexes.

All of those exist in a distribution in the regular population as to be possible for a regular 5'10 guy to have, the same way a 5'5 guy can have the appropriate proportion to lengthen that far. The nature of normal distributions dictates that this is true

Whose to say it makes you uglier, maybe if your going from 6' to 6'1 etc and that would ruin your proportion sure, but height is more important to most degrees unless your proportion is ridiculous.

Also for arm length, it is possible to gain thru humeral lengthening, and as far as im aware aesthetically it looks good for at least a few cm, which can make your wingspan a few inches longer which will almost definitely bring you in a normal range of whatever height.

sitting height is probably the biggest concern but people with long legs do exist, I honestly prefer a long legged look as long as it natural looking.

Also most here are not going for quadrilateral, you have to be really on the edges of proportions (like one of the taller people who have a similar proportion to someone much shorter) for it to look bad.

How many people do you see everyday? and how many do you think have weird proportion? probably 0. even 5-6in LL will probably not put someone into such a weird proportion. once your getting to 3SD that's when you can start to get concerned. Even a 6in lengthening for me would put me at ~7 percentile SHR, which sure is pretty high, but that means you see guys like that every day, and is within 2sd.

This follows the same principle as height. Why is LL best for people around 5'6? because it pushes them from a low percentile to a medium one despite being the same absolute distance at all heights. Inversely it applies to proportions, they only start becoming a problem once they start pushing to extreme percentiles. Is it gonna matter if you lose 1 inch of arm length such that it makes you 30 percentile instead of 50? no not really, but it would if it took you from 10 to .05. Obviously the same scales dont exactly apply in every scenario and there are particular differences with each segment, but that's the basic logic.

proportions are not worth height ten fold, a great proportioned 5'7 guy is not as attractive as a 6'0 guy with bad proportion all other things equal unless its inhuman. proportions are a nice bonus, and sure I'd choose 5'10 with perfect proportion over 5'11 with poor proportion. but im not even sure I'd choose 5'8 with perfect proportion over 5'10 with poor proportion.

Which patients on this forum look uncanny? I don't recall even seeing one which I thought would be off enough to be noticed
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Posted on Jun 18, 2026, 8:39 pm
#13
I respect your opinion, I’m just sharing what I personally think about proportions because everyone seems to think differently on the topic.

I myself noticed that I look far better barefoot now than I do in any shoes over 1” whereas before surgery it was the opposite and I looked far better when wearing 2” platforms. I think what this means is that although I may look “acceptable” or even pass completely unnoticed in a bad way to the untrained eye, that I over lengthened beyond the “ideal” amount for my specific case.

Again like you said, everyone’s starting proportions are different so how much length looks good post LL always depends. I feel that I wouldve looked better at +5.5cm than I do rn at 7.5cm taller. I think getting a revision shortening surgery is very extreme, and I wont do it unless this bothers me for a while and until I fully recover first. In the meantime I’ll just cope by wearing low-profile shoes that add under 1” and avoid platforms or thick sneakers. Seems to help with the proportions neurosis a bit.

As someone trying to make a half-decent athletic recovery, I definitely wont be doing arm lengthening and would rather just shorten my legs a bit if this still bothers me long enough.
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Posted on Jun 18, 2026, 8:39 pm
#14
I respect your opinion, I’m just sharing what I personally think about proportions because everyone seems to think differently on the topic.

I myself noticed that I look far better barefoot now than I do in any shoes over 1” whereas before surgery it was the opposite and I looked far better when wearing 2” platforms. I think what this means is that although I may look “acceptable” or even pass completely unnoticed in a bad way to the untrained eye, that I over lengthened beyond the “ideal” amount for my specific case.

Again like you said, everyone’s starting proportions are different so how much length looks good post LL always depends. I feel that I wouldve looked better at +5.5cm than I do rn at 7.5cm taller. I think getting a revision shortening surgery is very extreme, and I wont do it unless this bothers me for a while and until I fully recover first. In the meantime I’ll just cope by wearing low-profile shoes that add under 1” and avoid platforms or thick sneakers. Seems to help with the proportions neurosis a bit.

As someone trying to make a half-decent athletic recovery, I definitely wont be doing arm lengthening and would rather just shorten my legs a bit if this still bothers me long enough.

I think your opinion is definitely valid, I would not consider arm lengthening if I was you, I only consider it because i'm looking for 15cm. Honestly if adding 2 inches gave you your optimal proportion, and now you've added 3, you are pretty close to your perfect proportion, closer than most people are even born probably.  I know for me I see my optimal proportion somewhere around 5'8 which is 3 inches off my current height. I would not complain at all about that. Sure maybe you'd look 4% better an inch shorter, but the truth is 99% of humans on earth would rather take that extra inch. Definitely don't do shortening, I'm not sure if that's safe although i've heard of it before. you could get way more out of your money with any other thing. humerus lengthening is actually safe and easier than leg lengthening but I'm not sure how It performs athletically, I've been told it causes rotator cuff injury, so for athletics id probably stay away.
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Posted on Jun 18, 2026, 8:39 pm
#15
Sounds good, I’ll write nice and neat just for you next time.

Any thoughts on this neurosis bs? I dont give af about being a half inch taller and getting to 5’10.” Too many people on this forum chase every little ounce of height gain possible even when it won’t look right. The point of this surgery is to boost your appeal, which means proportions should be factored into the height gain ten fold.

For example, a guy that goes from 5’ 5” to 5’ 10” with normal starting proportions will almost never look like a true 5’ 10” guy (narrow clavicles, short torso, short arms, likely small hands) so why chase a high number when it will not be much of a benefit publicly speaking and completely ruin your appeal. If you actually have the ideal proportions to lengthen 5 inches (which almost no one will have) then go for it, but otherwise you are literally making yourself uglier which is not worth the trade off.

Sure, maybe I do have severe proportions neurosis as I doubt many other patients on this forum would do quadrilateral surgery to lengthen under 4cm per segment each. But if there’s one thing I’m grateful for, its that I knew my limits and stayed in a conservative enough range to where I can jump from 15%ile to 50%ile height without anyone batting much of an eye. There are tons of patients on this forum that can’t say the same because they over lengthened and look like uncanny t-rexes.


thanks buddy boyo now its readable

many many people are out there post LL with -5 inches of wingspan to height ratio and living completely normal lives not thinking about any of this


you do seem to have a mental issue about it, you said it yourself, that is an irrational neurosis which would respond well to therapy in my opinion

for the sake of the thread, why dont you tell us what is your starting height and your wingspan. additional to wingspan what is the length of your arms?

take a full body photo of yourself with legs together(knees touching, ankles touching) in tight fitting underwear so we can see where the femur starts from and blur your crotch and face so we see if you have a real issue here
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Posted on Jun 18, 2026, 8:39 pm
#16
Update here 10 months post op:

The proportions neurosis has mostly gone away now that my muscle mass has returned and I am continuing to fill out my legs. I was definitely overreacting about few months ago because the drastic change in appearance was very shocking, but I am now getting more and more used to my new look and proportions.

I do still agree with the fact that I wouldve looked more aesthetically pleasing if I stopped at 6cm combined (3cm + 3cm), but the way I dress with slightly looser clothing and not wearing footwear above 3cm makes up for the slight proportional concerns I have.

Now that my legs are fully straightened out and flexibility has returned here are my main measurements:

Starting Height: 169cm
Amount lengthened: 3.8cm femur + 3.5cm tibia = 7.3cm combined
Wingspan: 177.5
Inseam: 31ish
Final Height: ~176

Thankfully my longer wingspan came mostly from my arms being long as I have pretty average clavicles which I guess are a bit below average for my new height now.
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