How cosmetic leg lengthening surgeries are luring patients and courting controversy

Doctors prepare for a leg lengthening surgery. — ABC News

(NEW YORK) — Being tall is a stature that many men have longed for and some are turning to leg lengthening surgery to enhance their looks, but the procedure has also come with controversy.

“Impact x Nightline” takes a look into the medical trend of cosmetic leg lengthening surgeries in an episode now streaming on Hulu, the people who pursue them, and the role that height plays in society, particularly for young men.

One of those men is Hugo Ramirez, who at first glance says he could be mistaken for Dwayne “The Rock” Johnson.

Ramirez says he carries many of the hallmarks of the billion-dollar box office star. His muscles protrude from his body, while simultaneously sporting a shaved head and a rich tan. The entire package comes draped in expensive designer clothing.

Ramirez claims to be about 6-foot-1 in sneakers. But that wasn’t always the case: up until early last year, Ramirez says he was just 5-foot-9; the average height for a man in the United States, according to data from the Centers for Disease Control and Prevention.

“I’m not average,” Ramirez told “Impact x Nightline.” “I don’t like to be average.”

Two years ago, Ramirez says a friend first brought up the idea of cosmetic leg lengthening. The surgery promises to add anywhere from two to six inches to your height. He was sold.

Ramirez, who’d gone under the knife for previous cosmetic surgeries, says he realized this operation would be different.

“It was breaking your legs. That was a big thing to me,” Oksana Ramirez, Hugo’s wife, told “Impact.” “I said, ‘Hugo, I don’t know. I’m actually very scared.’ Because…you never know what can happen, right?”

Las Vegas-based orthopedic surgeon Dr. Kevin Debiparshad, known casually to his patients as “Dr. D,” has performed hundreds of leg lengthening surgeries. His practice claims he performs more cosmetic leg lengthening procedures than any individual surgeon in the country. He operated on Ramirez’s upper legs in late January 2023.

Debiparshad explains that, for generations, limb lengthening surgery was limited in who it was applied to, which primarily included children, patients with deformities, and those who had suffered traumatic injuries He says as the technology advanced, patients began asking whether the surgery could be used for cosmetic purposes.

Doctors perform leg lengthening by surgically breaking the bones of either the upper or lower leg, and then inserting a telescopic rod or “nail”. That device expands inside the bone with the help of an external remote control.

“The bone constantly tries to heal itself,” Debiparshad said. “And then you just continue that process over the next two months [or] two and a half months” until the gap between the bones fills in.” The rods are surgically removed about a year later.

Jerry Agee, a traveling nurse from Mobile, Alabama, also flew to Las Vegas for leg lengthening surgery with Dr. Debiparshad, hoping to add three inches to his 5-foot-5 frame as he says his stature made him feel embarrassed.

“I think height is an extremely important thing when it comes to just life in general,” Agee told ABC News.

“I want to reach stuff in the aisles of a Walmart, and you just can’t ’cause you’re short,” he added.

Agee is nearly three months post-surgery and says despite the intense pain and long rehabilitation, he’s happy to be three inches taller.

Many experts believe that culture plays a critical role in why these procedures are being sought after.

“Those who are taller and more likely to be socially accepted, or more likely to make more money,” ABC News medical correspondent Dr. Darien Sutton said.

Psychotherapist Carli Blau, PhD. said she noticed the presence of height bias in her own practice.

“A lot of women that come to my practice actually set their dating app to only allowing men over a certain height,” she told “Impact.”

New York City matchmaker Anna Morgenstern agreed, saying, “We see men who are taller as the alpha. It’s something that we’ve done for thousands of years.”

Despite the desire to be taller, there are some big drawbacks to leg lengthening surgery– the cost starts at around $72,000 and is also potentially dangerous, with many risks of complications.

Sutton cautions that patients looking into cosmetic leg lengthening should consider the numerous risks including, which may include “damage to muscles…ligaments and tendons, and even permanent nerve damage.”

But Ramirez says his surgery and grueling recovery was still worth it and claimed to be 6-foot-1 with shoes.

Ramirez plans to get a second lengthening surgery on his lower legs this year and said he hopes to reach his “dream height” of 6-foot-3.

Ramirez says after he gets his lower legs lengthened, he’s “done” with elective surgery and he’s looking forward to expanding his family with his wife Oksana.

“Now it’s time to have a baby,” he said.

ABC News’ Tara Guaimano and Tien Bischoff contributed to this report.

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In Brief: Netflix eliminates ‘Obliterated’, and more

Netflix has eradicated the action comedy series Obliterated from its roster after one season, according to The Hollywood Reporter. The series, from Cobra Kai creators Jon Hurwitz, Hayden Schlossberg and Josh Heald, follows a special forces team that celebrates thwarting a deadly terrorist threat to Las Vegas with a night on the town, only to realize that the bomb they disarmed was a dummy. They must work through their hangovers to find the real bomb. Obliterated was scrapped by TBS when the cable channel cut back on its scripted shows and was picked up by Netflix …

Emmy-winning Succession star Matthew Macfadyen has been cast in the Netflix drama Death by Lightning, opposite Man of Steel‘s Michael Shannon, according to The Hollywood Reporter. The series, from Game of Thrones producers David Benioff, D.B. Weiss and Bernie Caulfield, “brings to life the epic and stranger-than-fiction true story of James Garfield, reluctant 20th president of the United States, and his greatest admirer Charles Guiteau — the man who would come to kill him,” Netflix teases …

Starz has dropped the trailer for Mary & George, the British historical drama based on Benjamin Woolley‘s 2017 book The King’s Assassin. The seven-part limited series is inspired by the scandalous true story of a treacherous mother and son — played respectively by Julianne Moore and Nicholas Galitzine — who schemed, seduced and killed to conquer the Court of England and the bed of King James I. Mary & George premieres April 5 … 

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Cast & crew of prison-based story ‘Bosco’ talk making the film + its importance

Peacock

Anytime there’s a film being made that’s based on true events, there’s pressure to get it right, says Bosco director, Nicholas Manuel Pino.

Pino sought out the “challenging” mission to bring to life the story of Quawntay “Bosco” Adams, a prison escapee who was hellbent on showing up for his firstborn child. 

“There was an immense amount of pressure behind it because I love Quawntay,” Pino tells ABC Audio, explaining that it was imperative to humanize him and “try and capture every side of him.”

Pino worked directly with Adams, first by way of 15-minute jail calls, but after Adams argued his own case in court and was released from prison, he “was on set … everyday working,” the director said. 

Though “heavy” in its storyline, Aubrey Joseph, who plays Bosco, gave up the “easiest yes” of his career to join the film.

As for how he prepared for the role, Joseph says he and Pino spent countless hours on Zoom during the pandemic, breaking down and analyzing the script and every scene. 

“[We] made sure that every single bit mattered,” he says. 

It didn’t take much time to add Vivica A. Fox to the cast as Bosco’s mom. The Image Award winner also jumped at the opportunity to join the film because she’s all about supporting independent projects and is proud that Black stories are continuing to be told. 

“I love that finally our stories are being told,” Fox noted. “Without them being pretty, with them being raw and gritty, and that they have a message to the youth about choices.” 

Bosco, also starring Theo RossiNikki Blonsky and Tyrese Gibson, streams on Peacock Friday, February 2.

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Biden to attend dignified transfer of US service members killed in drone attack

Official White House Photo by Adam Schultz

(WASHINGTON) — President Joe Biden on Friday will attend the dignified transfer at Dover Air Force Base of the three U.S. Army reservists killed Sunday in a drone strike in Jordan.

Accompanying him will be first lady Jill Biden, Secretary of Defense Lloyd Austin and Joint Chiefs Chairman Gen. CQ Brown.

They will meet with the families privately before receiving the remains, the White House said.

The Pentagon announced on Monday that Sgt. William Jerome Rivers, 46, of Carrollton, Georgia; Spc. Kennedy Ladon Sanders, 24, of Waycross, Georgia; and Spc. Breonna Alexsondria Moffett, 23, of Savannah, Georgia, were killed in a drone attack over the weekend on the U.S. base in Jordan near the border with Syria and Iraq.

In a press briefing on Tuesday, National Security Council spokesperson John Kirby confirmed that Biden had spoken with families of the fallen.

“He expressed to them how proud we all are of their service, how we mourn and feel sorrow over their loss, made sure that those families knew that, not only was that service and sacrifice, going to be honored and respected, but that they would continue to get the support that they need as they work through what no family wants to have to go through,” he said.

Kirby said that during those phone calls Biden gauged the families’ feelings about his attending the dignified transfer at Dover.

“All of them supported his presence there and so the president will be going to the dignified transfer on Friday,” he said.

Deputy press secretary Olivia Dalton said Thursday that it is protocol for the president to ask Gold Star families for their permission to attend a dignified transfer.

This will be Biden’s second time attending the somber occasion since taking office.

He last attended a dignified transfer in August 2021 to receive the remains of service members killed in the Kabul airport bombing in Afghanistan.

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Members of Weezer, Wet Leg & Architects voice characters for new BBC animated series ‘Yukee’

Kevin Mazur/Getty Images

Weezer‘s Rivers CuomoArchitects vocalist Sam Carter and Wet Leg are lending their voices to Yukee, a new animated series set to air on the BBC’s children’s channel, CBeebies.

The music education show is set in Northern Ireland and follows a young girl named Yukee who “takes her own beloved red ukulele into a magical garden filled with instrument playing animal friends.”

Among those animal friends are Feathers the pigeon, voiced by Cuomo, and a band of snails named The Slime Sisters, played by the “Chaise Longue” outfit. Meanwhile, Carter takes on the role of the rocking Hoops Van Badger.

“Our unexpected magical musical adventure has turned us into two touring snails, as the Slime Sisters in CBeebies’ new animation Yukee!” Wet Leg says. “We hope we can spark a little love of music making amongst CBeebies fans.”

“Doing this was so much fun and something that I was so thrilled to be asked to do,” Carter adds. “Fun and easy musical learning like this is so important. If it wasn’t for the musical teachers in my school I wouldn’t have ended up with the career I’ve been fortunate enough to have.”

Yukee premieres February 5.

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The top threats facing the 2024 election

PAUL J. RICHARDS/AFP via Getty Images

(WASHINGTON) — The 2024 presidential election is likely to face a complicated array of threats, from voter manipulation to physical violence, according to a new federal assessment — and authorities are already trying to figure out how to handle them.

The confidential analysis, compiled by the Department of Homeland Security, outlines concerns about online activity that could threaten the election’s legitimacy, potential real-world plots that could result in attacks — and the urgent need to thwart them in time.

“Threat actors intent on harming Americans through the use of violence may become more aggressive as Election Day approaches and may seek to engage in or provoke violence at voting locations, government facilities, public meetings, ballot drop box locations, or private-sector vendor locations that support elections,” according to the Jan. 2 DHS bulletin, obtained by ABC News.

The risk looms far beyond the security at local polling places, the document notes, from attempts to “intimidate election workers or election officials,” to potential cyber attacks on “election infrastructure, campaigns, candidates, public officials or political organizations,” to foreign influence operations “designed to undermine” the democratic “processes and institutions, steer policy, sway public opinion or sow division.”

The new assessment comes more than nine months before Election Day, as partisan tensions at home are already at a fever pitch, multiple wars are being waged abroad and political violence has already broken out overseas.

“We are heading into a highly dangerous, perfect storm,” said John Cohen, the former intelligence chief at the Department of Homeland Security, now an ABC News contributor.

“It’s not simply due to the fact that foreign and domestic threat actors will seek to exploit this election to achieve their ideological and geopolitical objectives. We can also expect the political discourse associated with this election will become even more polarized, more angry and more divisive. And all those factors together is what has law enforcement concerned.”

The 2024 race has been marked by increasingly toxic rhetoric, the intermingling of inflammatory campaign trail hyperbole and courtroom theatrics as former President Donald Trump faces four criminal trials, and the continued conflicts in the Middle East and Ukraine. In addition, hate speech, misinformation and disinformation are running rampant on social media, and rapidly evolving technology remains vulnerable, experts say.

Domestic extremists “likely remain emboldened” following the last presidential election, which was punctuated on Jan. 6, 2021, with the insurrection at the U.S. Capitol, the bulletin notes.

And on both sides of the aisle, leading candidates are running on some of the most divisive issues – from abortion, to culture wars, to immigration at the Southern border – which authorities note could prove to be flashpoints.

“Elections that involve candidates connected to issues that historically have prompted violence — including COVID-19 mandates, firearms restrictions, or abortion access — face a heightened threat environment,” the analysis said. “DHS is concerned with identifying and disrupting possible violent acts perpetrated by entities or individuals as retribution for perceived unfavorable outcomes before or following the elections.”

Election officials like Maine Secretary of State Shenna Bellows, as well as the head of the federal government’s election security agency, Cybersecurity and Infrastructure Security Agency Director Jen Easterly, have already been victims of swatting incidents, as have some officials overseeing and involved in Trump’s cases. Separately, the FBI fielded “numerous” fake bomb threats in early January sent to various secretaries of state and state legislatures.

“We’re constantly being vigilant for – what’s the tipping point?” said Elizabeth Neumann, who was a DHS assistant secretary during the first years of Trump’s presidency and is now an ABC News contributor. “There are barrages of threats coming from multiple vectors – and multiple components of election infrastructure. It’s not just the voting machine – there’s multiple pieces that you’re worried about.”

The complex interplay of state and local election systems also means “different potential threat vectors and areas for protection,” the DHS bulletin said.

Online threat actors “seek to undermine the confidentiality, integrity, and availability of US election infrastructure,” the bulletin said – through phishing, IT disruptions, credential harvesting, supply chain compromise or brute force attacks.

Cyber attacks on local election infrastructure “have the potential for the greatest impact on the ability of jurisdictions to conduct elections,” the document said – attacks “on the integrity of state-level voter registration, poll books, and election websites, as well as on the preparation of ballots, voting machines, and tabulation systems.”

Threats may also target “agencies or civic organizations responsible for registering voters” or whose “infrastructure may feed into” those systems, the analysis said.

“These threats are not hypothetical. We’ve seen them occur. It may not have been such that it disrupted the election. But they still can have deep impacts,” Neumann said.

During the 2022 election cycle, the Elections Infrastructure Information Sharing and Analysis Center received at least 85 reports of malicious cyber activity from election offices across 56 state, local, tribal and territorial entities, attempting to “find and exploit cybersecurity vulnerabilities,” the bulletin said.

“Just because we’ve shored up important vulnerabilities doesn’t mean new vulnerabilities can’t be introduced,” Neumann said. “The spectrum here is wide, and exponentially expanding.”

Would-be hackers’ incursion into election infrastructure is not the only threat lurking online: the mushrooming influence of false and misleading information on the internet could sway voters’ minds even before they reach the ballot box, the document warns.

Foreign governments could attempt “to influence US policy, distort political sentiment and public discourse, sow division, or undermine confidence in democratic processes and values to achieve strategic objectives,” the bulletin said – advising to look out for “indications that entities are producing or amplifying misleading information about the time, manner, or place of voting, including providing inaccurate election dates or false claims about voting qualifications or methods.”

Foreign actors could try to “influence US voters through psychological operations, the infiltration of political parties, or the covert dissemination of false or misleading information through social media or other means,” the document said.

Just before New Hampshire’s first-in-the-nation primary earlier this month, a fake robocall appearing to impersonate the voice of President Joe Biden began circulating, encouraging voters not to go to the primary polls and to “save your vote” for the general election.

“Your vote makes a difference in November, not this Tuesday,” the recording said – prompting a criminal investigation by New Hampshire’s Attorney General.

“You don’t have to hack into voter tabulation systems to disrupt an election,” Cohen said. “If a foreign adversary, or a terrorist group, can misinform voters, in a way that influences their opinions and decision-making before they enter or as they enter the ballot box, then these adversaries can influence the outcome of the election.”

Copyright © 2024, ABC Audio. All rights reserved.

Gas explosion sparks massive fire in Nairobi, killing three and injuring 298

Firemen fight a blaze following a series of explosions in the Embakasi area of Nairobi, Kenya on February 2, 2024. (Photo by LUIS TATO/AFP via Getty Images)

(LONDON) — At least three people were killed and 298 others were injured late Thursday when a gas explosion sparked an inferno in Kenya’s capital as residents were asleep, authorities said.

A fire resulting from a gas explosion was reported in the Mradi area of Nairobi’s Embakasi neighborhood at 11:30 p.m. local time. The wounded were evacuated and transported to various hospitals across the city, according to a statement from the Kenya Police Service.

Dozens of others received medical treatment on site, according to Emergency Plus Medical Services, a private ambulance service owned by the Kenya Red Cross Society.

The blaze, which burned homes and warehouses, has since been contained and the scene secured, police said.

Kenya Police Service Deputy Inspector General Douglas Kanja visited the site Friday morning and a multi-agency team remains on scene, according to police.

The Kenya Red Cross said in a statement Friday that its staff were currently at the site “providing first aid and psychosocial support services to those affected.” The organization also said it had set up a “tracing desk” and was assisting with search and rescue efforts. So far, 21 children who were separated from their families in the aftermath of the explosion have been reunited with their parents, according to the Kenya Red Cross.

Meanwhile, Nairobi City County has waived the hospital bills for all victims and begun distributing essential food and non-food items to the affected families, according to a statement from Kenyan government spokesperson Isaac Mwaura.

The incident remains under investigation and the government is calling on people to donate blood and items to support the victims, Mwaura said.

The explosion apparently occurred at an illegal liquefied petroleum gas (LPG) plant. Kenya’s Energy and Petroleum Regulatory Authority (EPRA) confirmed that it had rejected applications for construction permits for an LPG storage and filling plant at the site in 2023.

The main reason for the rejection was failure of the designs to meet the safety distances stipulated in the Kenya Standard,” the agency said in a statement Friday. “EPRA noted the high population density around the proposed site and the applicant was requested to submit a Qualitative Risk Assessment clearly indicating the radiation blast profiles in the unfortunate case of an explosion like the one that happened yesterday.”

“The applicant never provided the requested QRA resulting in the rejection of the applications,” EPRA added. “Email correspondences providing reasons for the rejection were sent to the applicant.”

EPRA said it takes actions to “ensure that operating licenses for all plants rated below the high safety integrity status are revoked” and that “illegal plants operating across the country” are demolished.

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Scoreboard roundup — 2/1/24

iStock

(NEW YORK) — Here are the scores from Thursday’s sports events:

NATIONAL BASKETBALL ASSOCIATION
LA Lakers 114, Boston 105
New York 109, Indiana 105
Philadelphia 127, Utah 124
Cleveland 108, Memphis 101

TOP-25 COLLEGE BASKETBALL
Nebraska 80, Wisconsin 72
Arizona 91, California 65

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‘Mr. and Mrs. Smith’ series delivers the action of the original, and little more

Amazon MGM Studios

Mr. & Mrs. Smith are back in action. The 2005 movie starring Brad Pitt and Angelina Jolie as married spies is now a TV show, debuting Friday on Prime Video. This time around Donald Glover and Maya Erskine star as secret agents in a fake marriage.

Francesca Sloane co-created the series with Glover. She tells ABC Audio that the movie and show are similar, but different, explaining, “I feel like in terms of taking it to television, and taking sort of this very campy popcorn date movie, and really kind of leaning into the characters and the humanity and the in-between moments while still having, you know, the big iconic set pieces and whatnot, that felt like a really big swing and really challenging and really exciting to try and do.”

It’s a delicate balance Sloane thinks they managed to pull off.

“We do have really great foot chases and explosions and shoot-’em-ups and all of that,” she says. “But at the end of the day, what matters to us most is sort of the heart between these two people and their relationship.”

The female half of the spy team, PEN15‘s Erskine, is not so sure she’d make a great spy in real life.

“I’m a horrible liar, so I don’t know,” she shares. “But if I were approaching it — like, I find acting and spying to be very similar. Like, they actually have a good crossover, and you’re playing other characters and you are observing people very closely. So, maybe.”

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Black Pumas return to the Grammys with live-influenced “More Than a Love Song”

Courtesy CBS/The Recording Academy

Black Pumas‘ “More Than a Love Song” is nominated for Best Rock Performance at Sunday’s Grammys. It’s a fitting category for the track to be up for, since it was heavily influenced by the duo’s live show.

Speaking with ABC Audio, guitarist/producer Adrian Quesada shares that he and bandmate Eric Burton got to experiment with “More Than a Love Song” in concert before they recorded it for their 2023 sophomore album, Chronicles of a Diamond.

“When we start playing a song live, they kinda morph and take on another form,” Quesada explains. “They kinda have a life of their own and really just take off.”

“Every night, things just change a little bit, and it’s based on the reaction of an audience,” he adds. “If we feel like, ‘Oh, they’re liking that part,’ then that part suddenly becomes more of a focal point.”

Black Pumas have been nominated for several Grammys previously, including Record of the Year for their breakout single “Colors” and Album of the Year for the deluxe edition of their 2019 self-titled debut. All of that success was certainly “a little bit of a surprise” for Quesada.

“I knew [‘Colors’] was a special song, but, I mean, a lot like everything else with the album, it just exceeded our expectations,” Quesada says. “I didn’t realize it would be so universally acclaimed like that. I didn’t realize it would work across so many different styles of music and genres and parts of the world and everything.”

The 2024 Best Rock Performance nominees also include Foo Fighters‘ “Rescued,” Arctic Monkey‘s “Sculptures of Anything Goes,” boygenius‘ “Not Strong Enough” and Metallica‘s “Lux Æterna.”

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