Managing macerated peristomal skin due to continuous leakage can be quite challenging for new ostomates. This involves taking steps to protect and heal the skin around the stoma, which can become irritated and damaged from constant exposure to leaks. Here are some helpful tips and advice to manage this situation:

1. Consult a stoma nurse or physician as your first step. They can assess your skin, determine whether you have an ileostomy or colostomy, and suggest any necessary changes to your products.

2. When removing the wafer, do it gently. Use a medical adhesive remover spray or wipe under an edge, lift the tape slowly, and "push" the skin down rather than pulling the wafer up.

3. Avoid changing the wafer too frequently, as unnecessary removal can tear the skin.

4. Make sure to apply the wafer to clean, completely dry skin. Moisture under the wafer can lead to leaks and further skin maceration.

5. Warm the flange or wafer before applying it. You can do this by using a blow-dryer on low for about 30 seconds or by pressing a warm hand over it for around 5 minutes to improve adhesion.

6. Cut the opening of the wafer so that it fits snugly around the stoma with no skin showing. Gaps can allow effluent to reach the skin and cause maceration.

7. If your stoma is level with or recessed below the skin, consider switching from a flat to a convex wafer to improve the seal.

8. Consider using additional sealing aids:
- Mouldable rings or stoma paste can help fill uneven skin surfaces.
- Barrier sprays or films, like 3M Cavilon Barrier Film, can protect irritated or weeping skin. Users report that it stops soreness and does not sting.

9. If you have frequent liquid, acidic output, which is typical of an ileostomy, be extra vigilant about maintaining a good seal, as this type of output can irritate the skin faster than colostomy output.

10. Developing good habits such as ensuring a proper fit, gentle removal, dry skin, and warmed adhesive can greatly reduce leaks and subsequent skin damage.