Negative pressure wound therapy (NPWT) has gained rapid acceptance by clinicians, including plastic surgeons, for the management of acute and hard-to-heal wounds (Moues et al, 2005). The delivery of NPWT to the wound takes two forms, each of which was developed independently, with the major difference between them being the type of dressing used — foam or gauze (Chariker et al, 1989; Argenta and Morykwas, 1997). Both foam and gauze result in the formulation of granulation tissue, but gauze can be easier to fit onto larger or irregular wounds.