Patient bit by a water moccasin on thumb

Necrotic tissue debrided to the bone

DermaFill in place

• X 72 hours
• Patient pain free
• No secondary dressing required
• One course of antibiotics ordered

Day 32

• Single application
• Soft tissue repaired
• Dressing still attached to nail bed

Day 32

• Single application
• Soft tissue repaired
• Dressing still attached to nail bed

4 month follow-up

• Soft tissue healed scar free
• nail healed
• single application
• Pain free recovery