Topic Explanation:
The discussion revolves around a sudden issue of ostomy appliance leaks experienced by an individual who has had an ileostomy for 32 years. Despite previously achieving a wear time of 6 to 7 days using a combination of a Torbot faceplate, Sealtite gasket, Eakin ring, and paste, the individual now faces leaks as early as the day of the change. The person has noticed a new dip on the left side of the stoma, which has always been flush. Attempts to resolve the issue with a stoma nurse and switching to Hollister New Image with a belt have not been successful, leading to a request for advice and suggestions from the forum community.

Advice and Insights from Replies:
1. Use of Medical Adhesives and Heat Application:
- Applying medical adhesive and using a hair dryer to warm the wafer before application can help enhance the seal.

2. Exploration of Different Pouch Systems:
- Trying different types of pouches, such as the Pelican pouch recommended by a user, which is a one-piece drainable pouch with a pliable backing plate that contours well to the skin.
- Consideration of pouches with convexity, which might help manage the stoma better and prevent leaks, especially around uneven skin surfaces.

3. Barrier Enhancements and Modifications:
- Utilizing Eakin seals or similar products to create a better seal around the stoma. Cutting a slit in the seal to accommodate dips in the skin can be beneficial.
- Applying paste directly to areas prone to leakage and using additional barrier strips like Adapt Barrier Strip or Genairex Barrier Strip to "picture-frame" the barrier for added security.

4. Support Accessories:
- Using a belt with the ostomy appliance to ensure a tighter fit and possibly push the stoma outwards for better drainage into the pouch.

5. Routine and Product Adjustments:
- Regularly changing products and brands as needed, based on changes in body shape, stoma condition, or lifestyle.
- Seeking samples from suppliers to test different products without committing to bulk purchases initially.

6. Personal Care Techniques:
- Adjusting personal hygiene routines, such as using specific types of soap (e.g., Ivory soap) that are less likely to interfere with the appliance's adhesive.
- Considering protective measures during showers, such as using rubber pants or special shower covers to prevent