The topic at hand is about dealing with adhesion issues related to the Coloplast SenSura Mio Click two-piece ostomy system. The person sharing their experience has had a permanent ileostomy since November 2022 and initially found this system to work well, with a typical wear time of 2 to 4 days per wafer. However, they have recently encountered problems with the wafer not adhering properly. They are seeking advice and insights from others who might have faced similar challenges. Here are some helpful suggestions and insights shared by others:

1. Belt Support
- Many users find that using a belt, such as Coloplast belts or wrap belts, is essential for achieving a 4 to 5-day wear time.
- To prevent skin irritation, one user suggests padding the belt with neoprene, a material used in wetsuits.

2. Reinforcement Strips/Tape
- Coloplast Brava curved elastic tapes or strips can be placed around the wafer to help keep the edges down and extend wear time.
- Some users combine half a barrier ring under uneven skin with Brava elastic tapes on top for better adhesion.

3. Alternative Adhesives/Skin Prep
- Applying Friars Balsam (tincture of benzoin) to the peristomal skin before applying the wafer can create a very sticky surface, though it may sting briefly if the skin is broken.
- Probond prosthetic glue can be used to bond a homemade or standard wafer more firmly, especially when used with a belt for added security.

4. Warming Technique
- Using a hair-dryer on low heat to warm both the wafer and the skin just before application is considered more effective than warming under the arm.

5. Barrier Wipes
- Some members have found that skin-barrier wipes can actually shorten wear time. If the skin isn’t irritated, it might be worth trying to omit them.

6. Barrier Rings & Mixing Brands
- Switching from Coloplast SenSura Mio barrier rings to Hollister barrier rings improved adhesion for one user.
- Mixing brands, such as using a Hollister barrier ring with a SenSura wafer and Brava elastic strips, created a successful combination for another user.

7. Extended-Wear Products
- Users have confirmed that Coloplast’s extended-wear options, like the SenSura Mio Convex Drainable One-Piece with Xpro adhesive, offer longer wear times when paired with a belt and strips.

8. General Tips
- Always apply firm pressure for several minutes after securing the wafer.
- While belts can be removed for special occasions, most users prefer the added security they provide to avoid leaks or blowouts.