A Maryland native who was born with dwarfism and endured painful months-long limb-lengthening procedures is using her experience (and new look) to raise awareness for the genetic disorder.
Chandler Crews, 31, who heads up the nonprofit Chandler Project, tells a heartrending tale of expecting to grow up and be just like her sister, but was sorely disappointed.
- Chandler Crews, 31, was born with achondroplasia, the most common form of dwarfism.
- She underwent multiple limb-lengthening surgeries starting at age 16.
- Her procedures corrected bowed legs, reduced pain, and allowed her to live more independently.
Then, when she turned 16, the answer came in the form of three bone-cutting and stretching operations for her legs and arms, which, fortunately, were deemed necessary and thus covered by her life insurance.
Today, she stands a proud 4 feet 11 and is using every inch to spread the word.
Chandler Crews could say the word achondroplasia by the time she was 2
Table of Contents
- 1. Chandler Crews could say the word achondroplasia by the time she was 2
- 2. Crews’ childhood was characterized by hospital visits
- 3. People had the habit of patting Crews on head like she was a “show dog”
- 4. Aside from the pain that influenced her decision to get the limb-lengthening procedures, she “just wanted to be normal”
- 5. Her second biggest priority was: “I also just wanted to be normal.”
- 6. Crews says her longer arms mean the most to her
- 7. Many achondroplasia cases stem from incorrect DNA replication, with conceiving late in life adding to the risk
- 8. Netizens think she “looks cute either way”
- 9. Thanks! Check out the results:
- 10. Total votes · Newsletter Subscribe to Access Exclusive Polls
- 11. What are the potential psychological impacts of undergoing limb lengthening surgery, adn how can patients prepare for them?
- 12. Astonishing transformation: Teen with Dwarfism Discloses Jaw-Dropping Image After Height Surgery at Age 31
- 13. Understanding Dwarfism and Growth Hormone Deficiency
- 14. The Rise of Limb Lengthening Surgery
- 15. How Limb Lengthening Works: A Step-by-Step Overview
- 16. The Case of the 31-Year-Old: A Remarkable Before & After
- 17. key considerations for Adult Limb Lengthening
- 18. Types of Limb Lengthening Devices
- 19. Benefits Beyond Height: Improved Quality of Life
- 20. Finding Qualified Surgeons and Centers
- 21. Practical Tips for Potential Patients
Image credits: chancrews
“I knew the word ‘achondroplasia’ by the time I was able to talk.
“At 2 years-old I was able to say, ‘I have achondroplasia.’”
This utterance came despite Crews’ young mind not being able to comprehend the word’s meaning.
“[I] didn’t fully understand what it meant,” she wrote of the most common version of dwarfism that is triggered by an FGFR3 gene, and characterized by a normal-sized torso, but a larger forehead and disproportionately smaller limbs.
Image credits: chancrews
“By the time I was about 4, I knew having achondroplasia was the reason why I was smaller than all the girls in my dance class. As I got older, I began to understand it more and more,” she continued.
Crews’ childhood was characterized by hospital visits
The mutation’s effects surpass size and appearance. In Crews’ case, it had her mother living with the fear that it would suddenly take her daughter’s life.
Image credits: chancrews
This fear stemmed from a string of comorbidities faced by individuals with achondroplasia, including ear infections, bowed legs, spinal curvature, and hearing loss.
The bigger peril came from the threat of a brainstem compression and severe sleep apnea.
Thanks to these symptoms, Crews’ childhood is characterized by hospital trips.
People had the habit of patting Crews on head like she was a “show dog”
Image credits: chancrews
In retrospect, what hurt the now 31-year-old the most was the way people treated her.
“For so long, the compliments and kind remarks I received, and thought were genuine, were really just a facade,” she recalled.
While her brother was being complimented for his intelligence and her sister lauded for her art, Crews would get a pat on the head for “just being…me.”
She remembers feeling like a “show dog” because of the head patting and people wanting to shake her hand.
By the age of 16, she started speaking up and telling these individuals that she did not like being touched.
Her assertiveness resulted in calls for her parents to discipline her because she was “unmannered.”
Aside from the pain that influenced her decision to get the limb-lengthening procedures, she “just wanted to be normal”
Crews started her limb-lengthening procedures at the same age.
“At 16, I spent seven months in and out of a wheelchair,” she recalled, and then underwent the procedure again three years later.
These detracted from her parents’ narrative on embracing her dwarfism.
Image credits: chancrews
She explained her motivation, saying: “My choice to lengthen was first and foremost for my health. My legs were so bowed I was going to need to straighten them. And with their malalignment, it was causing hip and back pain.”
Her second biggest priority was: “I also just wanted to be normal.”
“I wanted to go to college and live in the dorm with my best friend, and walk class to class across campus. I didn’t want to ask for help from Student Disability Services. I wanted to drive a car with no adaptations,” she explained.
Image credits: chancrews
“Today, at 26,” she wrote on Love What Matters in 2020. “I’m happily walking independently and pain-free, while some women my age with achondroplasia are confined to a wheelchair for the rest of their [lives]just because of their condition.
“I’m in no way saying lengthening would have prevented that for them. But when it comes to achondroplasia, you just never know what cards you’re going to be dealt.”
Crews says her longer arms mean the most to her
Image credits: chancrews
Crews’ Instagram account depicts a proactive advocate for the achondroplasia cause.
“When it comes to limb lengthening, height gets all the hype,” she captioned a video of herself doing exercises.
“But in hindsight, I feel like it’s more about length over height.”
“What may be mundane for some, such as – pulling off the barre / messy buns / zipping up dresses / sitting a safe distance from the steering wheel / reaching over a stove / long sleeves with no alterations […] is EVERYthing and more to me.”
In another photoshe can be seen standing with associates in front of a banner bearing the name Chandler Project, her nonprofit initiative offering support and advocacy for people with dwarfism.
Many achondroplasia cases stem from incorrect DNA replication, with conceiving late in life adding to the risk
The National Library of Medicine notes that one in every 15,000 to 40,000 people in the U.S. has the condition, while its prevalence is considerably less (between 1:20,000 and 1:30,000) in Europe.
Image credits: chancrews
A study by Stat Pearls explains that the word achondroplasia means “without cartilage formation,” and notes that 80 percent of all cases stem from errors during DNA replication.
It further notes that conception at an advanced paternal age increases the risk, while individuals with the disorder have an average lifespan of 61 years.
Netizens think she “looks cute either way”
Thanks! Check out the results:
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What are the potential psychological impacts of undergoing limb lengthening surgery, adn how can patients prepare for them?
Astonishing transformation: Teen with Dwarfism Discloses Jaw-Dropping Image After Height Surgery at Age 31
Understanding Dwarfism and Growth Hormone Deficiency
Dwarfism, a condition characterized by short stature, isn’t a single disorder. It encompasses over 200 different conditions, with the most common cause being a deficiency in growth hormone (GH). As highlighted by medical resources, this hyposecretion of GH during childhood directly impacts skeletal growth, leading to considerably reduced physical growth. It’s crucial to differentiate this from other causes of short stature and understand the underlying hormonal imbalances. Conditions like acromegaly (excess GH in adulthood) and diabetes mellitus (related to insulin) are distinct and require separate medical attention.
The Rise of Limb Lengthening Surgery
For individuals with dwarfism caused by GH deficiency or skeletal dysplasias, limb lengthening surgery has emerged as a transformative option. This complex procedure, traditionally reserved for significant leg length discrepancies, is now increasingly sought after by adults wishing to gain height. The surgery involves surgically cutting a bone (typically in the femur, tibia, or fibula) and gradually lengthening it over several months using an external or internal lengthening device.
How Limb Lengthening Works: A Step-by-Step Overview
- Osteotomy: The bone is surgically cut.
- Distraction Phase: An external or internal device is applied.This device slowly separates the bone segments, stimulating new bone growth in the gap. This process typically adds 1mm of length per day.
- Consolidation Phase: Once the desired length is achieved, the device remains in place to allow the new bone to harden and consolidate.
- Rehabilitation: Extensive physical therapy is crucial to regain strength, mobility, and function.
The Case of the 31-Year-Old: A Remarkable Before & After
Recent media coverage has focused on a 31-year-old individual who, after living with dwarfism since adolescence, underwent multiple stages of limb lengthening surgery. The disclosed “jaw-dropping” image reveals a significant height increase,demonstrating the potential impact of this procedure.While specific details regarding the type of dwarfism and surgical techniques used are often kept private, the case underscores the growing accessibility and refinement of these procedures.
key considerations for Adult Limb Lengthening
Patient Selection: Not everyone is a suitable candidate. Thorough medical and psychological evaluations are essential.
Surgical Risks: Like any major surgery, limb lengthening carries risks, including infection, nerve damage, blood clots, and non-union (failure of the bone to heal).
Recovery Time: The entire process, from surgery to full rehabilitation, can take 18-24 months or longer.
Cost: Limb lengthening surgery is expensive, often exceeding $75,000 – $200,000 depending on the complexity and location.
Psychological Impact: Adjusting to a new height and body image requires significant emotional support.
Types of Limb Lengthening Devices
The choice between external and internal devices is a critical decision.
External Fixators: These devices are mounted outside the body and connected to the bone with pins. They are generally less expensive but require more diligent pin site care to prevent infection.
Internal Lengthening Nails (ILNs): These devices are implanted inside the bone and controlled magnetically. They offer greater stability and a lower risk of infection but are more costly. The Precice nail is a commonly used ILN system.
Benefits Beyond Height: Improved Quality of Life
While the primary motivation for limb lengthening is often increased height, patients frequently report significant improvements in other areas:
Increased Reach: Simple tasks like reaching shelves or operating machinery become easier.
Enhanced Self-Esteem: Many individuals experience a boost in confidence and body image.
Reduced Physical Strain: Improved biomechanics can alleviate pain and strain on joints.
Greater Social Inclusion: Increased height can reduce social stigma and improve opportunities.
Finding Qualified Surgeons and Centers
choosing an experienced and qualified surgeon is paramount. Look for orthopedic surgeons specializing in pediatric orthopedics and adult reconstruction with specific expertise in limb lengthening. Reputable centers will have a multidisciplinary team including surgeons, physical therapists, and psychologists. researching hospital affiliations and patient testimonials is also crucial.
Practical Tips for Potential Patients
Complete Medical Evaluation: Undergo a thorough assessment to determine the cause of your short stature and your suitability for surgery.
Realistic Expectations: understand the risks, benefits, and limitations of the procedure.
Financial Planning: Explore insurance coverage and financing options.
Strong Support System: Enlist the support of family, friends, and a mental health professional.
Commitment to Rehabilitation: Be prepared for a long and challenging recovery process.
