What Is Height Increase Surgery?
Height Increase Surgery, also known as Limb Lengthening Surgery, is a remarkable medical procedure that can help individuals achieve their desired height, providing newfound confidence and opportunities. Height Increase Surgery involves cutting the bone in the legs to increase a person’s height and gradually distracting the two pieces apart, allowing new bone to form in the gap created (the principles of Distraction Osteogenesis). It is a procedure that requires planning and monitoring by a team of orthopedic specialists.
History Of Limb Lengthening Surgery:
Limb Lengthening Surgery has a fascinating history that spans over a century. In the early 1900s, Dr.Alessandro Codivilla introduced the concept of height increase using internal fixation devices. However, it wasn’t until the 1950s that Dr.Gavriil Ilizarov revolutionized the field with the development of the Ilizarov apparatus, an external fixation device that allowed for controlled distraction osteogenesis. This technique involved gradually pulling bone segments apart to create a gap for new bone formation.
In the 1960s, Dr.Gerhard Wagner advanced leg lengthening with his callus distraction technique. Fast forward to 2011, and the introduction of the PRECICE nail by Dr.Rainer Baumgart and Dr.Sven-Arne Christophersen brought about a less invasive approach to limb lengthening. This intramedullary device could be remotely lengthened using an external magnetic mechanism, providing improved patient comfort and convenience.
Today, Height Growth Surgery combines these various techniques. It is performed by specialized orthopedic surgeons, serving functional and cosmetic purposes for individuals with height length discrepancies or a desire for increased height.
Cosmetic Limb Surgery: Is It Right for You? Find Out Now!
While the decision to undergo this surgery is a highly personal one, here are some considerations for potential candidates:
Height Dissatisfaction: Candidates are generally those who feel unhappy or self-conscious about their current height and believe that being taller would boost their self-esteem and overall quality of life.
Physically Healthy: Candidates should be in good physical health with no underlying medical conditions that could pose a risk during surgery or the recovery process.
Psychological Assessment: Many surgeons require candidates to undergo a psychological assessment to ensure they have realistic expectations and a stable mental state.
Age: Most surgeons recommend waiting until the candidate’s growth plates have closed, which typically occurs in late adolescence or early adulthood.
Commitment: Limb lengthening surgery is a significant commitment, involving a lengthy recovery process that may take several months. Candidates should be prepared for the physical and psychological demands of the procedure.
Financial Considerations: The cost of cosmetic limb lengthening surgery can be substantial, including the surgery itself, follow-up appointments, and rehabilitation. Candidates should be financially prepared for these expenses.
Height Increase Methods
1. External Method:
This involves inserting an Intramedullary Nail into the bone canal and attaching a device to the outside of the leg, which is used to distract the bone apart manually by our trained staff. The lengthening process itself is painless. Patients may feel tightness and soreness in surrounding soft tissues just after lengthening.
a. LON EXTERNAL METHOD (Lengthening Over Nail External):
The device typically consists of metal rings and pins attached to the bone and connected by rods, centrally placed intramedullary nails inside the bone. This method is well suitable for tibia lengthening.
b. LON MONORAIL (Lengthening Over Nail Monorail):
This variation of the LON external method for height increase uses a single, centrally placed intramedullary nail and a monorail external fixator device on the lateral side of the femur and medial side of the tibia.
2. Internal Method:
This involves inserting a metal rod or nail into the bone and using screws to hold it in place. The rod or nail is then gradually lengthened over time to precisely distract the bone apart by remote control.
a. The PRECICE Intramedullary Leg Lengthening Method:
The PRECICE system utilizes an intramedullary nail that contains a magnetic device that allows for precise lengthening of the bone. The procedure involves inserting the intramedullary nail into the bone, which is then stabilized with proximal and distal interlocking. The lengthening process is controlled by a remote control that adjusts the magnetic device.
Height Increase Strategy
The choice of Height Increase Strategy is a collaborative decision made between the individual and our Limb Lengthening Doctors, considering the unique circumstances and goals of the individual, as well as the expertise and experience of the medical professionals involved.
Bilateral Tibial Lengthening ((lengthening limit:5-8cm)
The prefix “bi-” in the term “bilateral” means “two” or “both.” In Leg Lengthening, “bi-” indicates that the Operation To Increase Height involves both limbs. So, in the case of bilateral Tibial lengthening, it refers to the fact that both Tibial are being treated simultaneously.
Bilateral Femur Lengthening (Lengthening limit:5-8cm)
Both the Femur bone will be lengthened simultaneously.
Quadrilateral Combined Femur & Tibia Lengthening (Lengthening limit:10-16cm)
The prefix “quadri-” in the term “quadrilateral” means “four.” Therefore, quadrilateral limb lengthening is a surgery to make all four limbs longer – the bones in the lower leg (tibia) and the bones in the upper leg (femur). It’s done for people who want to increase their height by more than 5-8cm.
There are three ways to do Quadrilateral Lengthening:
Sequential Tibial and Femoral Lengthening:
The limb lengthening surgeon lengthens both tibias by 5- 8cm each. Then, there’s a minimum of 4 weeks to wait for healing. After that, both femurs are lengthened by 5-8cm.
Sequential Femoral and Tibial Lengthening:
This is the opposite of the first way. First, both femurs are lengthened by 5-8cm each. Then, there’s a minimum of 4 weeks to wait for healing. After that, both tibias are lengthened by 5-8 cm.
Cross Lengthening:
In this method, one femur and one tibia are lengthened simultaneously. For example, the right femur and left tibia are lengthened by 5-8cm each. Then, after a short 4-week interval for healing, the procedure is repeated on the other side – the left femur and right tibia are lengthened by 5-8cm.
Is It Possible To Lengthen Both The Tibia and femurs at Same Time?
Yes, it is possible, but we do not recommend it due to the significant life-threatening & other risks:
Risk Of Fat Embolism:
Simultaneously breaking six bones raises the risk of fat embolism, a dangerous condition where fat globules enter the bloodstream, potentially leading to severe complications.
Prolonged Immobility:
Following the surgery, the patient may experience extreme discomfort and face challenges in performing daily activities due to the required immobilization.
Excruciating Pain:
After such an extensive surgery, the healing process can lead to intense and prolonged periods of extreme pain, further complicating the patient’s recovery and overall well-being.
Quadrilateral Surgery Options
Tibia LON + Femur LON = 10-16 cm
Tibia LON + Femur Precice = 10-16 cm
Tibia Precice + Femur Precice = 13-16 cm
Quadrilateral Recovery
In the process of quadrilateral height recovery, the recovery duration depends significantly on two crucial factors: the interval between lengthening procedures and the extent of the lengthening itself. As a general guideline, the minimum recommended interval time between lengthening sessions is four weeks.
Let us consider a scenario where the goal is to increase the length by 16cm, with an interval of 4 weeks. In this case, the actual lengthening process will extend over 6 to 7 months. Upon reaching the 8th month, the individual may begin walking with the assistance of support aids. By the 9th month, they should be able to walk unaided, although their gait might not be entirely normal. A natural walking pattern can be expected as we progress into the 10th and 11th months. Moreover, around the 15th month, the individual may anticipate the ability to engage in running and jumping.
However, it is important to remember that full recovery from the quadrilateral limb is a prolonged process that exceeds two years. Completing recovery will require dedication and perseverance, but the ultimate goal of restoring limb functionality and mobility will be well worth the effort invested.
If the interval period in the quadrilateral exceeds four weeks, please refer to the bilateral height recovery information provided under the subheading “Timeline For Lengthening and Recovery.”
Comparison Between Different Height Increase Methods
| Parameters | LON EXTERNAL | LON MONORAIL | INTERNAL METHOD |
|---|---|---|---|
|
Safety |
The most trusted & reliable |
Modified version of LON external. Comparatively less safe. |
Very safe & newer technology
|
|
Cost |
Cheaper |
Cheaper |
Expensive |
|
Pin Site Infection |
Less chances |
High chances |
NA |
|
Lengthening
Limit |
5-8 cm |
5-8 cm |
5-8 cm |
|
Segment |
Tibia |
Tibia & Femur |
Tibia & Femur |
|
Pain |
Moderate |
High |
Less |
|
Comfort |
Moderate |
Less |
High |
|
Pin Site Scars |
Tiny |
Longer |
Tiny |
|
Recovery
|
Normal Walk: 6-
7months
Jog: 9-10months
Run: 10-12 months
Athletic abilities:
After 2 years |
Normal Walk: 6-
7months
Jog: 9-10months
Run: 10-12months
Athletic abilities:
After 2 years |
Normal Walk: 5-
6months
Jog: 9-10months
Run: 10-12months
Athletic abilities:
After 2 years |
|
Weight Bearing |
Partial weight
bearing during the
lengthening phase |
Partial weight
bearing during the
lengthening phase
|
Partial weight
bearing during the
lengthening phase |
|
Sleeping pattern |
Straight and side ways |
Only straight |
In any position |
The above-mentioned cost includes:
- Accommodation (3 months for bilateral) and (6 months for Quadrilateral)
- Breakfast is included during the stay (Lunch & dinner are payable)
- Airport pickup and drop
- Pre-operation formalities such as scanogram, BMD, blood test, body weight measurement, and height measurement
- Surgery
- Hospital Stay
- Rehabilitation/Physiotherapy
- Medicine
- X-Ray
- Walking Aids (Walker & Elbow Crutches)
- Nurse and caretaker
- Wi-fi
- Personal room with TV and refrigerator
- Any other complications that may arise during the lengthening phase
Note: Once the accommodation mentioned above period is over, the patient’s stay is chargeable, which is 45,000 INR per month, including all the taxes. The total cost should be paid before the surgery. Payment can be made via cash/card/online transfer/bank transfer. Removing the intramedullary nail after 1.5/2 years is not included in the package. This separately cost 1.20 lakhs, including five days of stay.
Eligibility Criteria
Patients with mental illnesses (such as schizophrenia or bipolar disorder) are not eligible.
The eligibility age is from 15 to 50. For a minor (below 18), the parent’s consent is required for the surgery.
Patients undergoing major surgeries (heart/liver/kidney transplant) are not eligible.
| Do's | Don'ts |
|---|---|
|
Be transparent about your medical history to the doctors |
Not fully disclosing your previous health conditions |
|
Follow healthy diet during the phase |
Alcohol consumption & smoking are not allowed during the phase |
|
Cooperate fully with physiotherapist and follow their instructions religiously |
Do not skip your physio sessions and self exercises recommended by our physiotherapist |
|
Customized food can be provided from our in-house kitchen. Patients can also buy food via online app(s) |
Cooking is strictly not allowed in the room for safety purpose |
|
Regularly take your supplements prescribed by our doctor(s) |
Not consulting our doctor(s) before taking any medication |
|
Cooperate with our doctor & manager |
Do not be non-cooperative with our doctor & manager |
Note: The patient may have to undergo a psychological evaluation by a licensed psychologist. The doctor may/may not decide to move forward with the surgery based on the psychological assessment. The doctor may stop the lengthening at any phase due to any of the above-mentioned “Don’ts.” We request you to be co-operative for your well-being and successful recovery!
| How Does The Process Work? |
|---|
|
Contact Dr Amar Sarin's representative. |
|
Carefully go through the details provided. |
|
Consult with Dr Amar Sarin online or face-to-face at our hospital/rehabilitation centre. |
|
Visa assistance will be provided in case of foreign patients. |
|
Decide your arrival and surgery date. |
|
Once you arrive at the airport, our staff will pick you up. |
|
Stay in our rehabilitation centre. |
|
Go through the medical examination. |
|
Pay the full amount. |
|
Shift to the hospital for the surgery, 3-5 days stay. |
|
Shift back to a rehabilitation centre and get started with the lengthening phase. |
|
The 8 cm target will be achieved in 3-4 months. |
|
Shift to the hospital for frame removal,1-2 days stay. |
|
Shift back to a rehabilitation centre and start with your recovery phase. |
|
In 4-5 months, the patient can walk independently but not normally. At this point, patients are allowed to go back to their homes if they are willing. |
|
Our staff will drop you at the airport. |
TimeLine For Lengthening and Recovery
- Day 1: Admission to the Hospital
- Day 2: Surgery
- Day 4 to 5: Discharge from the hospital and shift to a rehab center
- Day 7: Start with the lengthening phase
- Day 17: X-ray (~1 cm)
- Day 38: X-ray (~3 cm)
- Day 60: X-ray (~5 cm)
- Day 80: X-ray (~7 cm)
- Day 90: X-ray (~8 cm)
- Day 91: Shift to hospital for the device removal
- Day 92: Shifting back to a rehab center. At this point, patients can go back to their homes using a wheelchair if they are willing to
- Day 110+: Walking with walker/crutches phase will start
- Day 140+: Patient can walk independently and can drive the car. Upper-body gym workouts can be started in lying and sitting positions.
- Day 180+: Normal walk can be expected
- 9th to 10th Month: Initialize running and jumping
- 12th Month: Light sports activities are allowed
- 18th to 24th Month: Intramedullary nail can be removed
- 24th+ Month: You can do gym and sports at full capacity
Note: The lengthening and recovery timeline for the Quadrilateral and two surgeries is double the abovementioned timeline. Please be advised that the timetable may vary slightly according to each individual, depending on their target and body condition.
Preparing Yourself For The Surgery
- Stop smoking and drinking alcohol at least a month before the surgery.
- Inform us in advance if you have any pre-existing illness.
- Stop taking fish oil, turmeric powder as a supplement, and aspirin at least a month before the surgery.
- Be mentally strong because you will stay at least 3-4 months away from your family and friends.
- Ensure you have a standard vitamin D, B12, and calcium range.
- Bring loose shorts.
- Bring your ID cards, which the government recognizes.
- Bring the adapters that connect your electronic devices to the Indian power socket.
- If you have one, bring a PlayStation/books/laptop to pass the time.
Physical Preparation
- Strengthening & stretching of quadriceps and hamstrings.
- Stretching of iliopsoas, iliotibial band, and calf muscles.
- Strengthening of tibialis antireal muscles, gluteus muscles, and lower-back muscles.
- Increase range of motion on hip, knee, and ankle joints.
- Make your upper body stronger.
- Increase your lung capacity.
Risks & Complications
Note: Generally, any surgical procedure may lead to complications, and leg lengthening comes under the same category. Other complications may occur, which are not listed here.
Delayed Union
New bone formation takes longer than usual.
Prevention: Follow a healthy diet and take the supplements recommended by us.
Potential Treatment: Self-treated with diet & supplements.
Premature Consolidation
This condition occurs when the new bone tissue grows too quickly, filling in the gap before the bone can lengthen fully.
Prevention: To prevent premature consolidation, we closely monitor the bone lengthening process and adjust the distraction rate as needed. Speed up the lengthening rate by more than 1 mm for a few days if the bone is not lengthening as expected and chances of early joining.
Potential Treatment: If bone consolidate already, we have to break the bone again surgically.
Non-Union
Broken bone fails to heal or fails to join together properly. Various factors, including inadequate blood supply to the bone, infection, poor surgical technique, or premature weight-bearing, can cause non-union.
Prevention: Choosing an experienced doctor for Surgery can avoid non-union. Follow a healthy diet & supplements. If needed, use our ultrasonic stimulation machine to promote bone healing.
Potential treatment: Bone grafting.
Infection
The invasion and growth of gems in the body.
Prevention: Regularly clean your legs and pin areas. Stay hygienic.
Potential treatment: Medicinal management and surgical management.
Equinus feet or Ballerina’s feet
A condition where the foot is held in a downward position; it becomes difficult to pull the ankle and foot up. Usually, this complication occurs after 6 cm in tibial bone lengthening.
Prevention: Rigorous physiotherapy.
Potential treatment: Percutaneous Achilles Tenotomy. This is a minor surgical procedure.
Nerve Injury
Note: To date, our patients have never had fat embolism.
Prevention: We take several precautions to reduce the risk of fat embolism during limb lengthening surgery. Careful planning and preparation before surgery to minimize the amount of bone marrow and fat released during the procedure. Using specialized equipment and techniques to minimize the amount of bone marrow and fat released during surgery, such as using a vacuum to suction bone fragments and special saw blades to minimize the amount of bone dust produced. To ensure the patient doesn’t get fat embolism, we prescribe Xarelto, which is very effective for managing fat embolism.
Frequently Asked Questions
Height Surgery Cost In India can vary based on factors such as the type of procedure, hospital facilities, and location. To get an accurate estimate, it’s recommended to consult with experts like Dr. Amar Sarin, who can provide personalized information based on your specific case and requirements.
Height Increase Surgery Cost can vary widely and is influenced by factors such as the specific procedure, hospital facilities, geographic location, and individual needs. For accurate and personalized cost estimates, it is advisable to consult with experts like Dr. Amar Sarin, who specializes in height increase surgeries and can provide insights tailored to your situation.
Height increase surgery costs can vary depending on several factors, including the specific procedures involved and the hospital’s location. For accurate pricing, it’s best to consult with Dr. Sarin’s clinic directly, as they will provide personalized information based on individual circumstances and desired outcomes.
The duration of height surgery varies depending on the specific procedures performed. Typically, the surgery can take several hours. However, it’s crucial to consult directly with Dr. Sarin for precise information regarding the duration of the procedure and the recovery process. They will provide personalized details based on individual cases.
