Dressings, systems, and methods are disclosed, in some embodiments, that involve treating a tissue site with reduced pressure. In one embodiment, a dressing may include a dressing bolster, a retention pouch, and a sealing member. The dressing bolster may be adapted to apply a compressive force to the tissue site capable of closing a wound or incision therein. The retention pouch may be adapted to retain and manage fluid extracted from the tissue site to keep the tissue site substantially free of fluid and to prevent clogging of the dressing. The sealing member may provide a seal over the retention pouch, the dressing bolster, and a portion of an epidermis surrounding the tissue site. Other dressings, systems, and methods are disclosed.
