This topic is about someone who recently changed their ostomy bag and is concerned about whether their stoma and the surrounding skin look okay. They shared photos and are seeking advice on whether their appliance looks "bad."

Here are some helpful suggestions and insights from others:

1. Consider a Surgical Solution
- Some people think the stoma might be retracted, like an "innie," and suggest a surgical revision to make it protrude about an inch above the skin.
- It's a good idea to get at least two independent surgical opinions. Some suggest avoiding the original surgeon. One person mentioned that the recovery from this surgery was easier than the original bowel resection.

2. Try Changing the Appliance
- Switching from a flat to a convex system might help by pressing the skin down and lifting the stoma.
- You can contact companies like Coloplast, ConvaTec, and Hollister for free samples of convex wafers.
- The ConvaTec Active Life convex bag, which is a hard convex, comes recommended.
- Hollister's convex pouching systems are also suggested.
- Use supporting accessories with the convex wafer or bag:
- Consider using the Hollister Cera Ring or other moldable/convex barrier rings.
- Barrier strips around the wafer edges can help reduce leaks.

3. Take Care of Skin Irritation
- Try the "crusting" method by alternating skin-prep wipes and ostomy powder on raw areas before applying the wafer.
- Make sure the skin is completely dry. You can use an adhesive remover wipe or spray during changes.
- If leakage happens, change the appliance more frequently. Some people find it helpful to change right after showering for a clean surface.

4. Pay Attention to Fit and Sizing
- Measure the stoma weekly and adjust the wafer opening as the stoma size changes.
- Using a convex system along with proper sizing might help reduce the leakage visible around the stoma.

These suggestions involve products like the ConvaTec Active Life hard convex bag, Hollister convex systems, Hollister Cera Ring, and general convex wafers from Coloplast, ConvaTec, and Hollister. Additionally, adhesive remover wipes or sprays, skin-prep wipes, ostomy powder, and barrier strips are mentioned as useful tools.