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

A dressing for treating a tissue site with negative pressure, the dressing comprising:

• a manifold comprising a first surface and a second surface opposite the first surface;
• a first layer adjacent to the first surface and a second layer adjacent to the second surface, the first layer and the second layer each comprising a polymer film;
• a plurality of fluid restrictions in the polymer film of both the first layer and the second layer;
• and
• a sealing layer adjacent to at least one of the first layer and the second layer, the sealing layer having a plurality of apertures fluidly coupled to the fluid restrictions, wherein one or more of the plurality of apertures is sized to expose both the fluid restrictions and a portion of the polymer film around the fluid restrictions to the tissue site through the sealing layer, and wherein a dimension of one or more of the fluid restrictions in the polymer film exceeds a dimension of one or more of the plurality of apertures.