They likely lack true expertise, merely handling a high volume of patients. They are often chosen by Japanese patients, though this may be more a result of marketing than quality. While there are a few Japanese Twitter diaries, including one where a girl gained 16cm and returned for photos with Buldu after three years, it’s unclear if this indicates genuine satisfaction.
The reason for the excessive negative feedback they receive here might stem from their habit of pushing lengthening to the maximum limit and aggressive marketing tactics, which, combined with a heavy patient load, seem to prioritize quantity over quality.
Same issue here – I’m not extremely muscular, but my legs account for a significant portion of my weight. I believe it’s best not to bulk up too much muscle before undergoing limb lengthening to avoid potential muscle discomfort when lying down.