Questions addressed in order
1. My lower body has always been very muscular. When I was a competitive bodybuilder(almost 10 years back), that was a good thing; Now? Not so much. I tried for the past couple of years to atrophy my legs into losing their mass, but to no avail. To give you an idea, my hips are 40" while my waist is 30" currently. Hence, I would actually prefer to get rid of some mass.
2. I have talked to a physical therapist and I am confident I can maintain my current physique with a few different methods. One) eating very very clean 2) Electrical Stimulation every day 3) isometric exercises every day 4) stem cell injections
The way I am genetically coded makes it quite easy for me to retain muscle (especially if I am not being lean, say going up to 15% or so bf).
However, I could care less even if if I lost a bit; I gain back mass fast and people are amazed at how big I am now.
As a reference, I have maintained my current physique (abs at 210) without stepping foot in a gym for the past 4 years. I do not have the time anymore and pushups and situps have been enough to maintain.
On dedication - I have put a lot into my body, but I have forgotten it at times too. For a couple years, I went on Elon Musk-like bursts of not caring and then caring too much. Especially since I deal with guys in their 50s or 60s who have not, as a rule, seen the joys of the barbell. I am also planning to bulk up for the surgery as I want the extra fat to help with recovery.
3. I am still arguing with the good Doctor over this. I want to do it all in one go. I am buying an apartment an hour away from him and I have a good amount of influence through some political connections, so he is not likely to let me get hurt. I am unconvinced after reviewing studies, that it would be worse on me to do it all in one go.
4. I have very short legs. When I was at University, I was recruited as a gymnast relentlessly. I was also a very natural powerlifter for the leg assisted lifts (deadlift, squat). 500lb squat and 620lb deadlift at age 16 with 6 months training. My proportions will only be off by an inch or so using the Lee Haney method applied for 6'2" and I have already tested this using 5" lift boots for years at business meetings (only way for my size to look natural).
5. This was another argument with the good Doctor. Doing exact math on my proportions, 8cm is better for my looks. Also, my tibia is disproportionately shorter than my femur. Pain is pain. If I did not damage my knees alraedy when I abused them in weight training, then I doubt this will be the nail in the coffin.
In the past couple years, as I acquired more resources, I have begun spending quite a bit of money ensuring I do not have future problems and generally perfecting myself for my future plans. I did a rhinoplasty and some other procedures as well in addition to having all kinds of diagnostic work done so I can anticipate most problems. I am also of the opinion that technology will exist in 10-20 years that will be able to regrow joints and tendons, so I see my window of pain as temporary regardless.
6 (not related to any of your specific comments). I was not going to add this, but I think it will do a service to those considering the operation without my context.
Just under a year ago, my fiancee passed away. With her gone, my appearance will not affect or dishearten anyone (no immediate family). I could care less about my appearance as I always accomplished things in my life with a blend of charisma and blind confidence. For reference, my fiancee was 5'11 and was a model; I was dating her before I got to my current financial position.
I have future ambitions that I have determined would benefit from me possessing a certain look. That is the reason I am undergoing this. Though I will admit that I do not sanity check myself much anymore, so it could be just to see if I can handle it(who knows?
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Thank you for the questions @Tallerdream. I hope I was able to provide some context.