Reduced-pressure dressings employing tissue-fixation elements

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

• a first foam member;
• a second foam member coupled to the first foam member, the second foam member having a density higher than a density of the first foam member;
• an adhesive member coupled to the second foam member;
• and
• a sealing member configured to create a sealed space.

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

• an open-cell foam member configured to distribute reduced pressure;
• a fenestrated film coupled to the open-cell foam member;
• and
• an adhesive layer coupled to the fenestrated film opposite the open-cell foam member, wherein the adhesive layer includes one or more openings configured to allow fluid flow through the adhesive layer.