Limb Lengthening Forum

Limb Lengthening Surgery => Limb Lengthening Discussions => Topic started by: FrankGarrett on October 24, 2013, 01:17:54 PM

Title: Osteotomy Incision
Post by: FrankGarrett on October 24, 2013, 01:17:54 PM
Now, I while I'm aware SysOp is trying demonize Dr. Sarin's surgical skills by milking Dr. Sarin's decision the cut a large "C" into a person's leg, does SysOp have a point? Should Dr. Sarin cut a large "C" into people's legs like that? Can it be avoided? Is Dr. Sarin doing this to cut costs or is SysOp spewing defamatory bullshít as always?

If you're a patient, or a prospective patient of Dr. Sarin, what is your opinion on this "C" cut Dr. Sarin gives his patients?
Title: Re: Osteotomy Incision
Post by: Sweden on October 24, 2013, 01:26:11 PM
Yes, the C-cut can and should be avoided. It looks terrible. EVERYONE who looked at my legs wondered what the hell that C-shaped scar is for. Including all of the doctors I've met and orthopedic specialists here in Sweden.

Look at LL Forumorlife's diary where he shows a new guys leg with only 2 staples. That scar will become invisible next year guaranteed.

I'm looking for somewhere I can cut out the C-cut in my legs so it becomes smaller. It is really careless to perform the C-cut.
Title: Re: Osteotomy Incision
Post by: KiloKAHN on October 24, 2013, 05:53:37 PM
Dr. Sarin is the only doctor from patient diaries that I've seen give the C cut. It's not as aesthetically appealing as the smaller cuts from Dr. Sringari and does look kind of odd, but with all the complications that could arise in this procedure, scars are the last thing I'm worrying about. Dr. Sringari's small incision sites still don't convince me to go to him since his qualifications in cosmetic lengthening are not at all transparent. There are many docs I can go to that don't do the C cut and have open credentials where I won't have the lingering feeling that I'll develop premature arthritis or other complications due to improper surgical technique.
Title: Re: Osteotomy Incision
Post by: FrankGarrett on October 24, 2013, 08:45:57 PM
Yes, the C-cut can and should be avoided. It looks terrible.

I can be avoided? So, people can ask Dr. Sarin not to do it? Have any patients done this while you were there? SysOp says Sarin does it to cut financial costs - is this true? Would Sarin be willing to use another technique if it costs more?

Dr. Sringari patients' scars may disappear, but the huge pin loss some of them are having is worrying. If I was his patient, I would be more worried about walking again.

Dr. Sringari's small incision sites still don't convince me to go to him since his qualifications in cosmetic lengthening are not at all transparent.

SysOp is trying to convince people that Sringari is the superior doctor based on the osteotomy incision. The doctor hasn't even had a patient finish lengthening yet and he's somehow better than Sarin. Man, I really loathe Apotheosis. I hope he rots in prison for this. 
-----------------------

I think the C-cut is a problem Sarin needs to eradicate because he has jacked up the price twice this year, so he can't use the money excuse anymore and no-one wants scars. I wear shorts whenever it's sunny during the warmer months, so I would not appreciate having unnecessary scars on my legs if I did externals and people would be wondering what happened to your legs.
Title: Re: Osteotomy Incision
Post by: KiloKAHN on October 24, 2013, 09:19:53 PM
SysOp is trying to convince people that Sringari is the superior doctor based on the osteotomy incision. The doctor hasn't even had a patient finish lengthening yet and he's somehow better than Sarin. Man, I really loathe Apotheosis. I hope he rots in prison for this. 

I think the C-cut is a problem Sarin needs to eradicate because he has jacked up the price twice this year, so he can't use the money excuse anymore and no-one wants scars. I wear shorts whenever it's sunny during the warmer months, so I would not appreciate having unnecessary scars on my legs if I did externals and people would be wondering what happened to your legs.

Dr. Sringari apparently has better bedside manner and gives more time to his patients - can only speculate how an influx of new patients may affect this - and clearly he would give better cosmetic results. Still, the topic where the other site compares osteotomy incisions between Dr. Sarin and Dr. Sringari and refers to them as "lazy doctor" and "good doctor" respectively gave me a chuckle. Not one patient is done lengthening with Dr. Sringari yet and his first patient was a fake. Yet he's already called a good doctor? Maybe for hip and knee replacement, the area he's trained, but for cosmetic lengthening? I would like to see some peer reviewed articles he's given on the subject or maybe find some info about him giving lectures on cosmetic lengthening. Something to give the impression that he knows 100% what he's doing and isn't just in on what he sees as a CLL cash cow.


As for the C cut, it really does need to go. When Dr. Sarin is charging a lot more than just about every other surgeon that does the procedure in Delhi there's no reason to cut costs on the operating table of all places. With regular scars you can come up with any number of reasons as to how you got them, and I even know women who are into the rugged type and find scars attractive. Not sure what believable excuse you could come up with as to why you have big C scars on your legs though.
Title: Re: Osteotomy Incision
Post by: Medium Drink Of Water on October 24, 2013, 09:38:33 PM
I'm not sure what to think about this.  My osteotomy scars were similar to the "good doctor" one at first but spread out but became more circular as the skin stretched.  I'd be interested in seeing a Sarin patient's scars a year later.
Title: Re: Osteotomy Incision
Post by: Sweden on October 24, 2013, 10:24:51 PM
I'm not sure what to think about this.  My osteotomy scars were similar to the "good doctor" one at first but spread out but became more circular as the skin stretched.  I'd be interested in seeing a Sarin patient's scars a year later.

This is close to 1 year now and it'll only fade a little bit more.

From today:

(http://i.imgur.com/pqGd1Ry.jpg)
Title: Re: Osteotomy Incision
Post by: Muse on October 24, 2013, 11:56:59 PM
To demonize/praise the two LL Doctors based on surgical scar is how Sysop-Apotheosis play head of medical board over there. However LL is about growing taller and recovering normal physical functions with minimal complications, that's the main criteria for whether the process was good or bad..

It's telling that Sysop-Apotheosis is well aware of all the complications that Sarin patients have faced, and chose not to bring that up as the reason he removed Sarin from "recommended" list.  He deflect to reasons like scars, weight bearing and hygiene.

All of that is minor issues compared to actual complications and results of patients.   I suppose if people think LL is too risky/dangerous in India or Betz, that affect his "business". 
Title: Re: Osteotomy Incision
Post by: Medium Drink Of Water on October 25, 2013, 01:23:06 AM
I would actually trade scars with you Sweden.  My right leg was fine, but my left leg's osteotomy scar turned into a hypertrophic lump about 1.5 cm in diameter.  No doctor wanted to do anything to it because the skin there is so super-thin.  I envy a nice line-scar there even if it's curved.

And this was the work of one of SysOp's recommended doctors. (I suppose yours was too at the time, but mine is still on the list.)
Title: Re: Osteotomy Incision
Post by: Adriano on October 25, 2013, 02:56:07 AM
Now, I while I'm aware SysOp is trying demonize Dr. Sarin's surgical skills by milking Dr. Sarin's decision the cut a large "C" into a person's leg, does SysOp have a point? Should Dr. Sarin cut a large "C" into people's legs like that? Can it be avoided? Is Dr. Sarin doing this to cut costs or is SysOp spewing defamatory bullshít as always?

If you're a patient, or a prospective patient of Dr. Sarin, what is your opinion on this "C" cut Dr. Sarin gives his patients?

The C cut be avoided and or made smaller. It does cut costs.

The trueth is Syup knew about the c cut ages ago but it was not an issue until he lost business with Dr Sarin.

Now he is using it  to scare ppl away from Dr Sarin.
Title: Re: Osteotomy Incision
Post by: Russianblues on October 25, 2013, 12:03:20 PM
The scars on old forum  referenced by Sysops as small osteotomy incision belong to me.


Interesting to note that I brought this up with Sringari and he said he is always trying to reduce scarring and future patients will have even smaller scars.

I was most worried about my knee scarring the most prior to the surgery though as the skin there seems to scar the worst, but it's already quite discrete even with the staples still in. I don't give a   about scars now, I just want to be done with this and go home :(


Title: Re: Osteotomy Incision
Post by: Russianblues on October 25, 2013, 12:06:06 PM
Sweden have you been using any scar removal creams such as Mederma?


Title: Re: Osteotomy Incision
Post by: Sweden on October 25, 2013, 02:00:41 PM
Sweden have you been using any scar removal creams such as Mederma?

No, nothing.
I used to massage my legs with coconut oil but it got so sticky that I had to stop. There was oil all over the place.

Since you're a Sringari patient - tell us if "The Phantom" was real or not?  ;)
Title: Re: Osteotomy Incision
Post by: Russianblues on October 25, 2013, 02:26:50 PM
I only got here on the 10th, but, I think we all know the answer to that.
Title: Re: Osteotomy Incision
Post by: NBW on October 25, 2013, 04:19:06 PM
Sweden have you been using any scar removal creams such as Mederma?
Does Mederma really work? I had a tube last year and it didn't seem like it changed anything
Title: Re: Osteotomy Incision
Post by: Russianblues on October 25, 2013, 04:27:49 PM
I've still got my staples in so I can't use it myself yet, but, reading the reviews on Amazon it seems like its hit and miss. Luckily it seems to be more effective on recent scars and smaller scars, not good for scars like those from a cesarean from a few years ago for example.


My roommate uses coconut oil on his scars and his osteotomy scar has nearly dissipated.
Title: Re: Osteotomy Incision
Post by: Muse on October 25, 2013, 06:53:30 PM
Extreme weather (too hot or too cold) will also affect the scar.  Try and avoid exposure to the sunlight or extreme air conditioning.

Some Medical doctors tend to discredit the effect of scar gel,  but maybe that's because they want to do surgery to remove scars. Personally I believe they do work, but not for everyone. There are personal factors that affect how scars heal for everyone. 

Diet is another possible factor, taking in certain Vitamin sources could help.

The first 3-6 months are the most important period for healing.  Scars should reach their permanent state in about one year.
Title: Re: Osteotomy Incision
Post by: Metanoia on October 28, 2013, 11:40:59 AM
Hi,

I don't know Dr. Sarin, but i think his C-cut might have to do with prevention of Compartment Syndrome. Small incisions make smaller scars, but increase the likelihood of Compartment Syndrome. Compartment Syndrome is quite common for Tibia surgeries.
Title: Re: Osteotomy Incision
Post by: NBW on October 28, 2013, 12:40:13 PM
Hi,

I don't know Dr. Sarin, but i think his C-cut might have to do with prevention of Compartment Syndrome. Small incisions make smaller scars, but increase the likelihood of Compartment Syndrome. Compartment Syndrome is quite common for Tibia surgeries.

I believe Dr. Sarin's intention of doing the C-cut was to reduce costs/time. It was mainly contributed to his laziness and lack of care for the patients I suppose.

It's very ugly indeed.