Although complications from gel injection breast augmentation were documented over 20 years ago, they are still encountered today. This case report involves a 46-year-old patient who first had breast implants in 2004, with replacements in 2019. In April 2022, the implants were swapped for smaller ones. In December 2022, the patient underwent a gel injection boost augmentation. We first saw the patient in June 2023 when she was admitted to our emergency room in septic condition. Initial treatment included lavage and drainage, followed by intensive care unit admission. Once stabilized, a significant amount of gel was removed from the breast tissue. However, the procedure had to be repeated months later and hemostatic net sutures were added for 2 days. No more relapses occurred following this treatment. We strongly advise against using gel injections for breast augmentation, as they can lead to severe complications and unsatisfactory cosmetic outcomes.

Sarcomas affecting weight-bearing areas of the foot are a rare disease and represent a reconstructive challenge. The medial plantar artery (MPA) flap offers an optimal "like with like" reconstructive option for the sole. However, it has certain limitations such as the limited reach of the vascular pedicle, vascular impairment associated with retrograde flow flap or the morbidity of using contralateral foot as a free flap donor site. We present a case of a 30-year-old male with left sole forefoot defect after sarcoma excision. Because of the previous excision surgery along with the wish to avoid morbidity in the contralateral foot, reverse flow MPA flap and contralateral free MPA flap were ruled out. Reconstruction using an ipsilateral anterograde flow MPA flap with pedicle extension using a grater saphenous vein loop to advance the flap and reach the defect was proposed. After 9 months of reconstruction, the patient achieved full weight-bearing and ambulated normally without any complications. We propose this method of elongating the pedicle of the MPA flap as an optimal procedure, capable of encompassing mid-size defects in the entire sole of the foot. This approach reduces the morbidity associated with using the contralateral foot and avoids sacrificing other vascular axis in the affected foot for use as a recipient vessel. Although complications of the harvesting site are known, we believe that MPA flap is still the best option for reconstructing the weight bearing area.

Supernumerary breasts are a rare congenital malformation that can cause physical and psychological problems such as pain, infection, bleeding and aesthetic discomfort. In this article, we present a series of cases with bilateral axillary supernumerary breasts who were treated with liposuction and mastectomy, with satisfactory results. We also discuss the different surgical techniques available for the treatment of supernumerary breasts and their respective advantages and disadvantages.

Schwannomas are the most common peripheral nerve sheath tumors in adults, originating from Schwann cells of the peripheral nerve sheath. These tumors are benign, solitary, non-invasive, and encapsulated, with no gender preference. They are more commonly observed in individuals in their fourth decade of life. In this case series, we present schwannomas arising from various peripheral nerves across different age groups, with varying clinical presentations, and their management without any postoperative functional deficits.

Regenerative medicine has gained significant attention due to its diverse strategies for tissue restoration and restructuring. This therapeutic approach combines knowledge from cellular biology, tissue engineering, and translational medicine, providing new hope for treating conditions that previously lacked definitive therapeutic options. Although natural tissue regeneration occurs in some organs, such as the liver, and in superficial epidermal injuries, this process is limited. Tissue regeneration involves replacing damaged cells with cells of the same type, fully restoring tissue structure and function, while healing often results in scar tissue that may not have the same functional properties. Given this limitation, regenerative medicine aims to enhance the body's regenerative capacity. The manipulation of growth factors, such as platelet-derived growth factor and vascular endothelial growth factor, has been shown to increase vascularization and cell proliferation. Autologous fat grafting has emerged as a vital tool in regenerative medicine, demonstrating efficacy in promoting tissue regeneration due to its rich composition of mesenchymal stem cells and growth factors. Case studies illustrate that lipografting can improve wound healing in patients with chronic ulcers and contribute to aesthetic and functional outcomes in breast reconstruction. This study reports a case of a 27-year-old male who sustained severe trauma to his left hand in a car accident, resulting in complex injuries. Despite the potential for amputation, the decision was made to preserve the limb. A series of surgical interventions, including necrotic tissue debridement and lipografting, were conducted over several weeks, resulting in significant tissue regeneration. By the fifth week, the wound bed exhibited adequate granulation tissue, and a skin graft was applied, demonstrating successful integration and functional recovery. This case underscores the potential of regenerative medicine techniques, specifically lipografting, in limb salvage and tissue repair. Further research is needed to enhance understanding and application of these strategies in treating complex wounds and improving patient outcomes.