This topic is about managing the challenges of a recessed or retracted colostomy stoma, particularly dealing with burning and leakage issues. The person who started the discussion has tried various products without success and is seeking long-term solutions to control pain, skin damage, and leakage. Here are some helpful suggestions and insights shared by others:

1. Surgical Revision
- Consider consulting a surgeon or a colorectal center to explore the possibility of having the stoma revised. This procedure might not require full open surgery, although success can vary.

2. Barrier Rings Under Convex Wafers
- Use a standard or convex barrier ring directly against the stoma before applying a convex wafer or pouch. This helps absorb output before it reaches the skin.
- Hollister Adapt Convex Barrier Rings are recommended as they swell on contact with liquid, effectively sealing gaps. Some people prefer molding the ring onto the baseplate to ensure a complete seal.

3. Full Hollister Pouching Systems
- Many people have found success with Hollister’s two-piece convex systems for recessed stomas, noting a significant reduction in leaks and increased confidence when leaving home.

4. Skin-Protective Products
- Marathon Liquid Skin Protectant is praised for its effectiveness on weeping or deeply recessed skin, though it can be pricey. Checking online marketplaces like eBay might offer better prices.
- Domeboro Medicated Soak can soothe irritated, weeping skin when used at each change.
- The FlowAssist device may help divert stool away from the skin.

5. Layered Powder/Skin-Prep Technique
- Apply stoma powder on raw skin, blot off the excess, and seal with a skin-prep wipe. Repeat the powder and wipe process once more. This "crusting" technique can help a wafer adhere even if the skin is slightly weepy.

6. General Tips
- Keep your supplies simple, as too many layers can hinder adhesion.
- Seek help from an ostomy or wound-care nurse promptly, as delays can worsen the cycle of leakage and damage.
- Once the skin is healed, ensure there are no gaps, as even a tiny gap can lead to leakage.