Composite dressings for improved granulation and reduced maceration with negative-pressure treatment

A method for treating a tissue site, comprising:

• positioning a dressing on the tissue site, the dressing comprising:
• a sealing layer including apertures disposed through a periphery and an interior portion of the sealing layer,
• a first film adjacent to the sealing layer and comprising a non-porous material and a plurality of fluid restrictions, wherein the fluid restrictions extend entirely across the first film,
• a first manifold layer adjacent to the first film and opposite the sealing layer, the first manifold layer comprising a second film of a transparent material having a manifold area comprising blisters and apertures, and
• a second manifold layer adjacent to the first manifold layer, the second manifold layer comprising foam having a contact area that is less than the manifold area;
• inspecting the position of the dressing against areas of the tissue site by visualizing the areas of the tissue site through at least a border area around the contact area;
• and
• adjusting the position of the dressing so that the manifold area of the dressing substantially corresponds to areas of the tissue site within borders of the tissue site.