This topic is about managing long-term care for an ileostomy, specifically whether the "crusting" method is necessary for maintaining healthy skin around the stoma. The person sharing their experience has been using this method to prevent skin issues but is questioning if it's needed permanently. Here are some helpful insights and advice:

1. Crusting, which involves applying stoma powder followed by a liquid skin barrier, is mainly needed for raw, weeping, or irritated skin. If your skin looks healthy, you might not need to crust every time. Healthy skin often allows for better adhesion of the appliance.

2. Continue using the crusting method if your skin is red, sore, itchy, or weeping. Once your skin returns to normal, you can stop crusting.

3. Using a barrier ring or wax ring under the flange can protect your skin, fill small gaps, and potentially prevent future irritation, which might make routine crusting unnecessary.

4. If you notice persistent redness despite using good techniques, consider the possibility of an adhesive allergy. Trying products from different manufacturers like Hollister, Convatec, or Coloplast might help.

5. Ensure that the flange is sized correctly. Cut the opening to match your stoma size precisely, and use the barrier ring to adjust for minor imperfections.

6. Remember that healing can take time, and three months post-surgery is still early. Occasional skin issues might still occur.

7. Some alternative products that others have found helpful include:
- Coloplast convex wafers, which are designed for round abdomens.
- Drysol, a topical drying agent, can help reduce moisture before applying the wafer.
- Benzoin compound, an alcohol-based product, was tried by one hospital but can sting and may not improve adhesion.

8. If your skin remains irritated after each change, consider consulting a certified ostomy nurse. They can help identify the cause of the irritation rather than relying on permanent crusting.