I've had my ileostomy for 3 weeks now. I'm using the Sensura Mio. It's a convex pouch. I have a stoma that is almost flush with my skin and the ostomy is pointing south. It's been hard finding the right appliance that will work. I use stoma powder and skin barrier several layers for crusting because my skin is still irritated, then a barrier ring, then the appliance. I still have skin issues and when I change my appliance, I can see output on the barrier ring. I'm wondering if I should stop using the barrier ring and instead use stoma paste, then the appliance. I have the one from Coloplast because it's alcohol-free. I started to use it last change but it was so thick I couldn't get it around my stoma. Anyone have success with just stoma paste and an appliance? If so, what's the trick to getting the paste on?