This topic is about dealing with a stoma that sometimes retracts, causing leaks under the Coloplast Brava Convex Flip system. The person sharing their experience has an ileostomy that usually sticks out a bit but has recently started to pull back, becoming flat or even inverted. This change led to leaks shortly after applying a new appliance. The stoma returned to its normal position after about 40 minutes. This has happened twice, and the person is seeking advice on how to prevent leaks and manage a stoma that occasionally retracts.

Here are some helpful tips and insights:

1. Consider using more aggressive convexity:
- Try switching to a stronger convex pouching system or add a supplemental convex insert, like an SAR Aloo ring, under the wafer to help push the tissue toward the stoma opening.
- Keep using or tighten a stoma belt to ensure the wafer is held firmly against the abdomen.

2. Seek professional follow-up:
- It might be beneficial to consult a colorectal specialist instead of a general surgeon. They can evaluate whether the stoma might need surgical revision.
- Surgical options could include refashioning or relocating the stoma to ensure it protrudes more, which can make it easier to place and seal the appliance effectively.