Yep, Paley's option 5 is the way to go. 20's is still young so your recovery will be easier than others, if you try hard and be focused on your goal. In some testimonials, a Chinese girl did 16 cm. First you'd lengthen 4+4 (femur, tibia), then a year later 4+4. I suggest you start stretching every day prior to surgery, it helped. I did that so I know.
Definitely take the measurement of your wingspan into consideration if you care about proportion. MyEvolution did 8+8 cm I think, but he had long arms to start with.
About stretching prior to surgery, push yourself beyond the norm. Take an example: usual people can't stand straight & touch their toes. Flexible people can do this. Ambitious LLers can touch their whole palm on the floor & with some bending elbows. Apply this principle to every stretching exercise. And even with this, once the procedure start, you still have to be diligent at everyday stretch just like other LLers. If you have the willpower & mental investment to commit to this, you MAY have a chance hitting 16cm.
I think 16cm is the most ambitious target on this forum, only few people made it. But at young age and with disciplines, I'm sure you can get the most of it. Good luck!
Now that this old thread has been dug out of the grave, here is what I found to be a decent strat, if someone wants to do both segments at the same time.
Precise on Femurs and LON on Tibias at the same time. It has many advantages.
- Less invasive surgeries
- Low distraction rate is fine due to many bones that have to heal at the same time, less strained tendons
- Lower total cost because of the methods and one initial surgery for both legs
- No 1 year recovery before doing the next LL surgery since it's done simultaneously
Quote from: LLprime3 on February 24, 2022, 07:47:17 PM- No 1 year recovery before doing the next LL surgery since it's done simultaneously
He wanted to gain 16cm though. So I think 2 surgeries is inevitable. I.e. too much to stress our legs 8+8 in 1 shot.
Quote from: LLprime3 on February 24, 2022, 07:47:17 PMNow that this old thread has been dug out of the grave, here is what I found to be a decent strat, if someone wants to do both segments at the same time.
Precise on Femurs and LON on Tibias at the same time. It has many advantages.
- Less invasive surgeries
- Low distraction rate is fine due to many bones that have to heal at the same time, less strained tendons
- Lower total cost because of the methods and one initial surgery for both legs
- No 1 year recovery before doing the next LL surgery since it's done simultaneously
Quadrilateral at the same time is NEVER a good idea. Just check the diaries, literature and allmost all doctors opinions. It's too risky, brutal for the patient and simply stupid. Get and compare some quality info before venting dangerous "advice".
Quote from: zaozari on March 05, 2022, 02:59:27 PMQuadrilateral at the same time is NEVER a good idea. It's too risky, brutal for the patient and simply stupid. Get and compare some quality info before venting dangerous "advice".
Your wordings maybe a bit too opinionated? There're currently a handful of quad patients at Paley including myself. What risks are you referring to? For sure the first 2-3 weeks after each surgery is quite a hardship. However, all the patients I knew have passed that & came to an OK state for lengthening.
Quote from: motoboarder on March 07, 2022, 03:27:07 AMYour wordings maybe a bit too opinionated? There're currently a handful of quad patients at Paley including myself. What risks are you referring to? For sure the first 2-3 weeks after each surgery is quite a hardship. However, all the patients I knew have passed that & came to an OK state for lengthening.
First of all I wish you well and point out my position is obviously of principle, not concretely applicable to every case and surely you are in good technical hands and ready to what's needed to be done and endure.
I'm not a doctor but I have biomedical background and beyond this forum, I have read dozens of doctors' opinions, articles and enquires. I would say that even common sense would suggest that simultaneous quadrilateral is not good practice. It's extremely organically violent for all tissues and organs, catching up between them all, potentially double painful and, I imagine, doesn't facilitate the crucial intensive physiotherapy. Plus it makes any axial correction or other complications more difficult to treat.
Paley is not superman, and certainly not God. He's one of the best in the world technically but also a bit of a mercenary of LL. Just 5 examples: 1) He was directly involved with the "wonderful" Stryde development which apparently was not even tested in animals, 2) His colourful before/after drawing commercials are medically unethical, 3) He denies will ever have any infection cases (very clinical, very scientific, very honest!), 4) He takes advantage of people's despair and charges incredibly inflated prices, 5) He performs LL no matter what the initial height is because he has this twisted convenient opinion, contrary to all psychiatric science and most other serious colleagues, even in 3rd country countries, that height neurosis and body dysphoria are always independent of height and instead equivalent to a patient simple wish/request (capable of paying, of course), the view that only individual opinion counts and no psychological assessment is essential. Therefore he (conveniently) operates for example a 190 cm guy to achieve 195 cm. In my country this would be considered a gross violation of ethical, good medicine practice and Hypocrates precaution principles by the independent medical regulator, and, if some complication arises, he would be taken to court and possibly expelled from medicine practice. "Paley options X" , "Y" and "Z" are sold as diferent seductive, "one for all", packet sedan car models, as "express" fast routes to busy and demanding "clients". He's selling hope for non refundable money and not scientifically based "programs". Basically, despite his technical quality, it's mega *ull *hit . Everybody should at least seek additional advice before embarking in the wonderful LL paradise of Dr. Paley.
Ps-I know there are many good outcomes from Paley despite 100% recovery seems rare. However I cannot avoid pointing out those issues that for me are enough to get not totally emphatic/confident with him, despite having or not the money he requires and not living in the US.
Quote from: motoboarder on March 07, 2022, 03:27:07 AMYour wordings maybe a bit too opinionated? There're currently a handful of quad patients at Paley including myself. What risks are you referring to? For sure the first 2-3 weeks after each surgery is quite a hardship. However, all the patients I knew have passed that & came to an OK state for lengthening.
I agree on him. I think you both are referring to 'cross lengthening' cuz I gotta make clean what kind of lengthening you guys are discussing about prior to addressing my point of view LOL.
Cross lengthening tends to gain patients less amount of lengthening compared to quadrilateral lengthening certain time apart while OP wanna achieve more than 10cm since 12cm is too much for crossing lengthening.
Cross lengthening indeed means less invasive surgeries and it is time-saving but think about you gotta heal the bones in two segments of your legs and it needs more post-surgery devotions into bones' healing than quadrilateral lengthening which means there will be more potiential incidents such as nonunion.
Plus cross lengthening also means you gotta pay money for quadrilateral lengthening for once, while quadrilateral lengthening certain time apart can allow you to pay the money also time apart and the burdens on your shoulder led by surgeric costs will be reduced.
You talk about time and money. This is allmost all about SAFETY, medicine, biology, natural tissues and body. Time and money should come after.
But good luck!
Why don't you go for Paley's "option 12"?
And do "hexalateral lenghtening" too? (Lenghtening arms as well).
And still maybe additionally offer for voluntary clavicle extension essays?
Haha.. let's keep it cool & informative guys. We're here to share knowledge not bashing emotions at each other
Be it Paley Inst or whoever doctors, precise nail or whatever methods, any doctor/option of LL comes with risks. I think the right thing to do, is that one should take ownership of his own LL journey. There're several factors when it comes to this.
* You need to set an appropriate goal with respect to your body dynamics. You own your body so only yourself would know what this threshold is. For e.g. I'm in my 30s, not an athletic and my initial height is short. I'll NEVER maxout the 8cm on my femur, even 6cm gives me goosebump. But that's me. Dr. Rozbruch in NY has a patient named Sam - his story is public & popular. He maxout 8cm & fully recovered.
* Understand how flexible you are prior to surgery. Improve your range of motion before surgery is highly recommended.
* Don't go greedy for the CM. Don't quantify how much $$ you spend per CM gained. There're functions and proportions to take into account as well. Simply being tall doesn't mean looking good. Worse if you can't do things like running/jogging.
We can brainstorm the whole day for this list.
Paley has a good team of therapists who would be happy to signal stopping your lengthening if they spot a warning in your motion range. I think this goes with their "Safety first" principle. But we can also stop/slow down ourselves if we notice anything weird with our body e.g. nerve pain, large area numbness, etc. Thus, I think it all comes down to taking this procedure seriously and be the owner of your own LL recovery. It's not a simple cosmetic surgery that one can blames their surgeon if something goes wrong. There're a good number of things that we the patients are in complete control.
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