This topic is about managing and protecting the skin around a severely retracted colostomy, which is causing irritation and discomfort. The person dealing with this issue has shared their current routine and challenges, and is seeking advice and insights from others who might have faced similar situations. Here are some helpful suggestions and insights gathered from the discussion:

- **Surgical Review**
- It's important to have the stoma evaluated by a skilled colorectal surgeon, as surgical revision or relocation might be necessary. The current level of retraction may not be solely due to abdominal fat.

- **Skin-Protectant Products**
- Consider using true liquid barrier films like Marathon or 3M Cavilon Advanced Skin Protectant instead of standard prep wipes.
- Brava Protective Sheets can be placed under the wafer to protect sensitive skin, providing quick relief for some users.
- Using a Fluticasone (Flixotide) inhaler on clean, dry skin before applying the wafer can help reduce allergic inflammation. Taking a daily oral antihistamine might also be beneficial.

- **Alternative Appliances & Accessories**
- Try deep-convex systems such as the Coloplast SenSura Mio Deep Convex Barrier or the Marlen UltraMax Deep Convexity Barrier. Request free samples to find the best fit.
- For barrier rings, the Marlen UltraSeal Barrier Ring swells less and can be attached to the underside of the wafer.
- Avoid the Ostoform Flow-Assist seal for colostomies with thick output, as it is designed for liquid ileostomy effluent.

- **Support Belts**
- Nu-Hope custom-sized ostomy belts distribute pressure evenly and reduce bruising by not relying on wafer tabs.
- Consider wider "bag-through-hole" belts from MyOstomyBag.com for similar support, and check if they are covered by insurance.

- **Troubleshooting Leaks & Allergies**
- To check for adhesive sensitivity, place an unused wafer on the opposite side of the abdomen and watch for any redness or itching.
- Aim for zero leaks by trying products from different manufacturers until you achieve reliable wear for 5-7 days.

- **General Encouragement**
- Protecting the skin is crucial; once it becomes raw and weepy, adhesion becomes difficult.
- Forums can offer practical advice that might not be available from clinicians, so it's important to advocate for yourself and seek out the best solutions.