This topic is about finding the right skin prep and barrier options for someone with a sunken or flat stoma that frequently leaks. After surgery, the stoma sits at or below skin level, making it challenging to find a solution that prevents leaks and skin irritation. Here are some helpful tips and advice shared by others who have faced similar challenges:

1. Consider using 3M Cavilon No Sting Barrier Spray. Many people find that appliances stick well to this film. Apply a light coat by spraying the back of your hand first to gauge the amount, and let it dry quickly.

2. Try convex systems:
- Hard or deep convex wafers or pouches can help push the stoma outward, reducing leaks.
- A specific product mentioned is the Convatec Active Life hard deep convex pouch.
- Some users combine convex pouches with a Hollister CeraRing, attaching the ring to the pouch opening rather than directly on the skin to avoid misalignment with a flat stoma.
- Reach out to manufacturers like Hollister and Convatec for free samples and access to their stoma nurses, who can offer virtual consultations.

3. Consider using barrier film instead of rings or powder:
- Some people with short or flat stomas find that using a barrier wipe or film alone, along with a hard convex wafer, can solve leaks and heal sore skin.
- StoCare barrier wipes, available on Amazon, are noted for reducing soreness and improving adhesion.

4. Application technique tips:
- Ensure your skin is clean and dry. Use a small amount of stoma powder only on weepy areas, then gently tap a barrier wipe on top to seal it. Keep these products away from the outer adhesive tape area.
- Warm the wafer or baseplate before applying it by tucking it inside your clothing. Press it with a warm hand for 30 seconds to 2 minutes.
- Stand or lie back to keep your abdomen as flat as possible during the change.
- Fold back an inch of the wafer’s adhesive shield before placing it for easier removal later.

5. Removal and cleanup:
- Adhesive remover wipes are effective; let them sit for a minute before peeling off the wafer.
- If using an adhesive remover spray, avoid spraying areas coated with barrier wipe, as this can make the tape adhesive gooey and hard to clean.

6. General cautions and support:
- Keep barrier wipe or stoma powder away from the wafer’s outer tape border to prevent issues.
- It’s strongly recommended to have a stoma or ET nurse assess your situation to prevent further skin damage and to help you find the correct convexity.