This topic is about dealing with stoma leakage and skin erosion after changes in the abdomen, such as weight loss or medication adjustments. The goal is to re-establish a reliable seal around the stoma to prevent leaks and protect the skin. Here are some helpful tips and insights:

1. Consider using just the moldable ring without the protective sheet. This can reduce the thickness and help the stoma fit better into the pouch, minimizing leaks. Opt for a thinner ring, around 2.5 mm, instead of a thicker one.

2. Use true liquid skin protectants like 3M Cavilon Advanced Skin Protectant or Medline Marathon Liquid Skin Protectant. These products create a strong barrier on the skin, protecting it from erosion while still allowing the wafer to stick properly. Regular "no-sting" barrier wipes or sprays won't offer the same level of protection.

3. Avoid using barrier creams under the wafer, as they can prevent it from sticking well.

4. If the skin around the stoma is red and irritated, it's important to act quickly. When the skin is very irritated, wafers don't adhere well. Apply a true liquid skin protectant before putting on the next pouching system.

5. After applying the new appliance, hold it firmly in place for 15–20 minutes. This can help improve adhesion, especially once you remove any extra convexity or protective sheets.