Deciding the Order of Limb Lengthening Surgeries: Femur Before Tibia or Vice Ver

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Originally, I planned to undergo simultaneous limb lengthening of both my tibias and femurs in Korea. My idea was to start with surgery on either the tibias or femurs, complete the lengthening process, and then immediately proceed with surgery and lengthening of the other bone.

However, I'm now considering spacing out the surgeries by a year—doing one first and then the other later. I'm wondering whether I should lengthen my femurs first and then my tibias, or if the order doesn't make a difference.

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Smart decision on spacing them out a year or more, or you would have fcked yourself up bad. My advise do femurs first that way you can get a taste of the least painful one of the two. If you're still ballzy enough for the Tibia, just know it'll be just as painful if not more. From what I've heard Tibia is more painful of the two for those that have done it.

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If you want to do tibia and femur at once, then tibia first and femur 3 weeks later. If you want to do both bones, 1 year break, then you do femur first and tibia a year later.

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What is your goal? If you want to lengthen your tibia to 4 cm and your femur to 5 cm, do it at once. One pain and one rehabilitation. If you want to do more, then you divide it into two years.

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Quote from: Robert Adam on October 31, 2024, 07:12:53 AMIf you want to do tibia and femur at once, then tibia first and femur 3 weeks later. If you want to do both bones, 1 year break, then you do femur first and tibia a year later.

Out of curiosity have you done quad or bilateral?

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Quote from: adclleva on October 30, 2024, 08:49:28 PMOriginally, I planned to undergo simultaneous limb lengthening of both my tibias and femurs in Korea. My idea was to start with surgery on either the tibias or femurs, complete the lengthening process, and then immediately proceed with surgery and lengthening of the other bone.

However, I'm now considering spacing out the surgeries by a year—doing one first and then the other later. I'm wondering whether I should lengthen my femurs first and then my tibias, or if the order doesn't make a difference.

First it depends how total quad lengthening is your goal. If you want 8 femur + 5 tibia, do it separate.

Regarding order, it depends of your femur-tibia ratio. If your femur is short, do first femur at maximum of 8-9 cm and then look at you in the mirror. If you are well proportioned just stop there, otherwise you will look weird with a very long tibia in ratio with femur...

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I'm 168-ish cm, and I'm aiming to do 5cm for tibias and 6cm for femurs. I've seen people do like 6cm tibias and 7cm femurs which I find pretty wild.

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Tibia is the harder of the two. Recovery wise. Pain is subjective.

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If you're going to space them out, then you should do femurs first. You might find that just femurs is enough to resolve your height dysphoria and decide not to even do tibias.