Topic Explanation:
The forum topic is about seeking advice on how to heal a skin tear under a colostomy wafer. The individual accidentally tore the skin when removing the wafer and has tried various methods, but the tear is still open and bleeding. They are looking for suggestions to promote healing and prevent leaks.

Advice and Insights:
- Consider using a piece of 3M Micropore tape over the wound before applying the appliance to aid in healing.
- Look into using a wafer infused with 'ceramide' as it can be gentle on the skin and aid in healing.
- If possible, try not to apply the wafer directly over the torn skin to allow it to breathe and heal.
- If unable to let the tear breathe, consider placing a pile of ostomy powder directly on the tear before installing the new wafer to prevent adhesion in that specific spot.
- Seek advice from an ostomy nurse or consider scheduling a tele-visit with one for additional proven suggestions.
- Consider using DuoDerm as a potential solution for promoting healing.