4 pk/day smoker, De-gloved arm in farm accident

• DermaFill applied to wound, thus stopping pain and bleeding

Day 3 

Patient requested DermaFill to be covered with a thick secondary dressing as he would be covered in dirt and mud by the end of each day farming and preparing for planting - Cast padding applied over Dermafill then secured with tape

• Where DermaFill remained wet from sweat, dressing fell off when cast dressing removed
• DermaFill re-applied at patient's request
• Patient agreed to allow dressing to set up for 24 hours before returning to plowing fields

Day 8

• DermaFill remained in place, patient patched dressing when it cracked
• DermaFill remained clear (darker areas where bleeding occurred)
• Even in harsh environment dressing prevented infection

Day 21

• DermaFill remains in place
• Patient showering and working in fields for last two weeks

Day 28

• Patient nearly completely epithelialized
• DermaFill simply falls off as tissue heals

7 week follow-up

• Wound completely closed
• Patient required one dressing change over course of therapy
• No pain and cared for wound at home
• One prophylactic course of antibiotic