A fiber-microsphere composite scaffold including a first layer of material selected from one of a layer of bioresorbable microspheres and a layer of bioresorbable fibers; and a second layer of material selected from the other of the layer of bioresorbable microspheres and the layer of bioresorbable fibers. A fiber-microsphere composite scaffold reduced pressure tissue treatment apparatus is also included as well as methods for making fiber-microsphere composite scaffolds.