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Apr 16, 2023

Trouble with Oval Stoma Barrier Adhesion on Uneven Skin

This topic is about someone who has an ileostomy and is facing challenges with getting their stoma barrier to stick properly. Their stoma, affectionately named "Stella," is oval-shaped, and the skin around it is uneven, making it tricky to cut the barrier just right and ensure it stays in place. They are looking for advice from others who have similar experiences with an oval stoma and uneven skin.

Here are some helpful tips and insights:

1. Create a custom template:
- Use heavy construction paper to cut a template that matches the exact oval shape of your stoma. This template can be reused to cut future barriers more accurately.

2. Even out the surface before applying the barrier:
- Use a barrier ring or ostomy paste to fill in any irregularities in the skin. Keep in mind that the paste might sting a little for some people.

3. Consider convexity and product options:
- Determine if you are using a flat or convex system. A convex barrier might provide a better fit on uneven skin.
- Hollister offers oval measuring sheets and stencils, which they can send to you for free along with sample products. However, some people have reported skin sensitivity or allergies, possibly due to dyes in certain Hollister items.

4. Improve adhesion technique:
- After cleaning the area, use Skin Tac adhesive wipes to help the barrier stick better.
- Warm the flange or barrier with a blow-dryer for a few seconds to activate the adhesive before applying it to your skin.

These suggestions involve using products like Hollister's oval measuring sheets, Skin Tac wipes, barrier rings, ostomy paste, and convex barriers, which might help in managing the adhesion issues.
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