Closure apparatuses and methods for ulcers and irregular skin defects

A method of forming a wound or incision closure apparatus, comprising:

• forming a first base panel comprising a first upper surface and a first lower surface, wherein the first lower surface comprises an adhesive;
• forming a second base panel comprising a second upper surface and a second lower surface, wherein the second lower surface comprises an adhesive;
• and
• forming a plurality of lateral ties coupling the first base panel and the second base panel to each other,
• wherein each lateral tie extends (i) from a first anchor on the first upper surface of the first base panel to at least one second anchor on the second upper surface of the second base panel, and (ii) from the at least one second anchor to a third anchor on the first upper surface of the first base panel, and
• wherein the first anchor and the third anchor are offset from each other along a dimension that is parallel to a longitudinal axis of a gap separating the first base panel and the second base panel, and
• wherein forming the plurality of lateral ties comprises, for each lateral tie:
• permanently coupling a first end of the lateral tie to the first anchor on the first upper surface of the first base panel, and
• reversibly and adjustably coupling a second end of the lateral tie to the third anchor on the first upper surface of the first base panel, and
• coupling a portion of the lateral tie, which is between the first end and the second end, to the at least one second anchor on the second upper surface of the second base panel, and
• wherein the at least one second anchor extends upwardly from the second upper surface of the second base panel.