In height increase surgery ,osteotomy (bone cutting)is done on both legs or tighs .

Then an external fixator is installed on both legs to start lengthening . this frame, add one mm/day to add space between bone ends .

Human body is able to reproduce new tissue in this gap and this ability make a longer ,normal limb . usually lengthening will occur with average of 1 mm/day although candidates may differ in this case.

I’ve started limb lengthening since 2001 with acceptable results reported on AOTS .

After 6 cm lengthening , we remove external fixator in operating room and fix lengthening site by 5 pins and fiberglass cast (usually 3 months after first operation ).

So , walking is possible with more confidence .this cast should be removed till enough bone formation become apparent(usually after 3-4 months).

Important points:

1- Diet has vital importance for bone repair (proteins, milk, fruits and fresh vegetables )

2- Avoiding any kind of smokes ,alcoholic or soft drinks

3- Regular exercises and physiotherapy.

4- Taking control x ray every 2 weeks to follow lengthening progress.

5- If your physiotherapist at your city is not your doctor’s preferred one , his or her result should be acceptable unless candidate should stay at Tehran and get help from recommended and experienced one.

6- After complete union usually internal nail removal is preferred (1.5 -2 years after operation).

7- Skin scar depends on genetic basis and lengthening amount . and it’s recommended to see it on at least 3 or 4 already operated persons to anticipate your result .

8- This operation is not recommended for men older than 55 y and women older than 45 y.

9- If knee deviation is present before surgery, it will be corrected by first operation with rapid lengthening of 1-2 cm proportionately.

10- For those candidate who have already leg length discrepancy, this problem also can be corrected during adjusted lengthening.

11- Heavy and competitive sports can be possible at least 18 months later .

12- Attraction of Overseas candidates during last 14 years of experience is one very interesting points which can be related to both affordable cost and our good results.

13- It should be noted during lengthening you can not attend work place but will be able to live independently at home and walk with crutch or walker.

14- Lengthening site after complete union will get normal stability , without any weakness.

15- Essentially ,lengthening steps should be done strictly according to prescription ,especially after 4 cm if you do

not have enough physiotherapy and exercise, it can cause slower and painful progress.