Pre-Surgery
Physical Preparation: Build Strength Before Surgery
In the weeks leading up to your procedure, we focus on improving strength, flexibility, and mobility. A strong lower body and core will make daily movement much easier during recovery, especially while using assistive devices such as crutches or a walker.
Recommended pre-surgery exercises include:
- Quadriceps and hamstring strengthening
- Glute activation and hip mobility work
- Calf and ankle flexibility exercises
- Core stability training
- Upper body strengthening to support crutch use
These exercises help your muscles adapt before surgery so that your legs and core can better support you during the lengthening phase. Patients who come into surgery stronger typically experience less difficulty with mobility afterward and progress more quickly through rehabilitation.
Nutritional Preparation: Fuel Your Body for Healing
Your body needs proper nutrition to recover efficiently after height lengthening surgery. Dr. Mahboubian often recommends adjusting your diet several weeks before your procedure to ensure optimal vitamin and mineral levels.
A healthy pre-surgery diet includes:
- Fresh fruits and vegetables
- Whole grains
- Lean proteins (chicken, fish, tofu, lentils)
- Calcium-rich foods for bone health
- Healthy fats to support cellular repair
Mental Preparation: Set Realistic Expectations
Emotional and mental preparation is just as important as physical conditioning. Lengthening surgery is a transformative process, and it’s normal to experience pain and discomfort, especially in the early days post-surgery.
Patients should be prepared for:
- Moderate to significant pain immediately after the procedure
- Gradual improvement as the body heals
- Ongoing discomfort during the lengthening phase
- Temporary mobility challenges while using assistive devices
Understanding the expected stages of recovery helps reduce anxiety and ensures you feel prepared, motivated, and mentally strong. Many patients find that journaling, meditation, or speaking with former patients helps set the right expectations.
What to Expect After Preparation
Coming into surgery strong, well-nourished, and mentally ready sets you up for a smoother recovery. With proper preparation,
most patients report feeling more confident, more capable, and more in control of their healing journey.
Frequently Asked Questions
How early should I begin preparing before surgery?
Most patients begin preparation 4–6 weeks before surgery, but starting earlier provides even better mobility and strength.
Will I need to stop any medications ahead of surgery?
Some medications—especially blood thinners or certain supplements—may need to be adjusted. This will be reviewed during your consultation.
Do I need to quit smoking or drinking before surgery?
Yes. Smoking, vaping, and heavy alcohol use can slow bone healing. Patients are encouraged to stop these several weeks before surgery.
How long do I need to stay in Los Angeles after the procedure?
Patients typically remain in the area 6–12 weeks for follow-up imaging, monitoring, and physical therapy.
What mobility aids will I need after surgery?
Most patients use crutches or a walker at minimum. Some may use a wheelchair depending on their comfort and lengthening plan.
When does physical therapy begin post-surgery?
Physical therapy usually starts within a few days of surgery to maintain mobility and joint health.
What exercises should I focus on most before surgery?
The most important areas are the quadriceps, hamstrings, glutes, and core. These muscles support mobility during recovery and make using crutches easier.
Can I continue working out normally before surgery?
You may continue exercising as long as activities are safe and do not cause pain. High-impact activities should be avoided unless approved by the doctor.
What foods should I avoid before surgery?
Processed foods, excessive sugar, fast food, and alcohol can increase inflammation and slow healing. A clean, nutrient-rich diet is recommended.
Do I need to take supplements before the procedure?
Some patients benefit from calcium, vitamin D, or a multivitamin. Your doctor will determine whether supplements are necessary based on your medical exam.
Should I arrange help at home during the early recovery period?
Yes. Assistance with cooking, cleaning, and transportation is recommended during the first 1–2 weeks post-surgery.
Will I be able to walk immediately after surgery?
You will use mobility aids such as crutches or a walker. Weight-bearing varies by patient and device type but is usually limited at first.
What clothing should I bring or prepare for after surgery?
Loose, comfortable clothing—especially pants that fit over the frame or external fixator—is recommended. Slip-on shoes also make dressing easier.
How do I prepare mentally for the process?
Practices like journaling, meditation, and speaking with former patients help set realistic expectations and reduce anxiety before surgery.
Can I travel alone for the surgery?
It’s strongly recommended to bring a companion for at least the first few days, as mobility may be limited and assistance will be helpful for transportation and daily activities.