People with chronic leakage, fitting problems or very sensitive skin may find skin barrier rings beneficial. The rings, or seals are similar to a flange but made out of different material that is hypoallergenic and soothing to the skin. Rings come in different thicknesses and can be moulded or stretched by hand to custom fit around the stoma. You should see your Ostomy Nurse for help learning to apply a barrier ring correctly.
Paste is often misused and, it could be argued, misnamed. (It could be said that ‘putty’ might be a better term.) This product should not be used as an adhesive and only be used to fill in any uneven areas on the skin under the flange to make the skin level and gain a good seal. The other function of paste is a caulking material around the base of the stoma to keep discharge from leaking and getting under the wafer.
Your NSWOC may recommend skin barrier powder to dry a raw, weepy area on your skin. To apply, clean the irritated area with water and pat as dry as you can. Lightly dust the powder over the affected area. Brush off the excess and apply your pouch as usual. Some people dab or spray a skin sealant over the powder before applying their flange (also known as the Crusting Technique). It is best to stop using once the skin has healed unless otherwise instructed by your NSWOC.