This topic is about finding ways to prevent wrinkles in the fabric-taped border of an ostomy base plate. Wrinkles can be frustrating because lifting the tape to smooth them out can reduce the adhesive strength. Here are some practical tips to help apply the base plate smoothly on the first try:
1. When removing the backing paper, do it slowly and smooth the fabric down at the same time. Some people prefer to remove the entire backing first and then place the wafer in one motion.
2. If you need to lift and re-stick the tape, consider using an adhesive wipe or spray like Skin-Tac to help maintain the adhesive strength.
3. Flange extenders can be useful to cover or reinforce any wrinkled sections.
4. Your body position can make a difference. Many find that standing results in fewer wrinkles compared to sitting. If standing is difficult, lying down is another option.
5. Take your time and be careful. Applying the base plate in front of a mirror can help, and remember that a small wrinkle usually does not affect the seal.
6. Try the step-by-step hand-stretch method:
- Stand up.
- Warm the wafer against your skin for about a minute.
- Fold the fabric tabs outward, center the wafer over the stoma, and press the top edge first, then the bottom.
- Pull one side’s paper backing downward, gently stretch and press that side, then repeat on the other side while keeping the fabric taut.
- Rub around the entire tape border with your fingers to seal it; body heat helps with final adhesion.
7. Another technique is the one-hand "bottom-to-top" method: start at the bottom, pull the fabric tight up both sides with both hands, finish at the top with one finger, then rub all around.
8. Some products that might help with better adhesion or finishing include Hollister 2-piece wafers with fabric or paper tabs and Welland Barrier Spray, which can be lightly misted before application.
9. Remember, minor creases generally do not compromise wear time. Some users report achieving a 7-day wear even with a few creases.
See full discusison