This topic is about dealing with skin concerns after a stoma revision surgery. The person who had the surgery is experiencing some discomfort and is trying to figure out if the issue is skin separation or maceration. Here are some helpful insights and advice shared by others:

1. **Maceration vs. Separation**
- Many people believe the issue is maceration, not separation, and suggest that the skin should improve as it dries out.
- Healing after surgery can take time. It's important to keep an eye on any worsening pain or if the gap expands, and to seek medical help if needed.

2. **General Healing Observations**
- Several people have commented that the stoma looks good, is well-shaped, and is healing nicely.
- It's normal for the stoma to shrink after surgery. Others have experienced a similar reduction in size from 32 mm to 25 mm.

3. **Appliance Fitting**
- Make sure the wafer is cut to fit the current size and shape of the stoma to protect the surrounding skin.
- If the skin around the stoma is red or irritated, it might mean the opening is too large.

4. **Management of the Red Bump**
- The small red bump might be "proud flesh" or over-granulation, which can bleed, especially if on blood thinners. It's important to report any persistent pain or bleeding to a healthcare professional.

5. **Skin Protection Products**
- One person found success in treating skin erosion by using a Welland Hyperseal barrier ring infused with Manuka honey, which helps promote healing.

6. **Overall Encouragement**
- Stick with the current care routine, give it time, and keep monitoring the situation. Many people have reassured that the stoma looks healthy and is healing as expected.