Why Choose CeraPlus™ Ceramide Technology

What Are Ceramides? Ceramides are naturally occurring lipids (fats) that help form the skin's protective moisture barrier. As we age or experience skin trauma from adhesive removal, ceramide levels can decline, leading to dryness, irritation, and compromised skin integrity.

How CeraPlus™ Works: Hollister's CeraPlus™ hydrocolloid is infused with ceramides that gradually release onto peristomal skin during wear. This helps replenish the skin's natural moisture barrier, potentially reducing irritation, supporting healing, and maintaining healthier skin between barrier changes. Combined with extended-wear adhesive properties, CeraPlus™ delivers both skin protection and reliable adhesion for multi-day wear (typically 3-7 days).

Tape Border Advantage: The tape border reinforces barrier edges to resist lift during movement while providing gentler removal than all-hydrocolloid barriers—the tape lifts away from skin more easily, reducing trauma during barrier changes.

Key Features & Benefits

• CeraPlus™ ceramide-infused hydrocolloid releases ceramides to help maintain skin's natural moisture barrier and support peristomal skin health
• Extended-wear formula resists erosion and breakdown—supports multi-day wear (3-7 days typical)
• Tape border provides dual benefits: edge security (reduces lift) + gentler removal (less skin trauma)
• Cut-to-fit opening up to 1¼″ (32 mm) for precise, chair-side customization to your stoma size
• Flat (non-convex) profile designed for regular or protruding stomas on even peristomal surfaces
• 1¾″ (45 mm) New Image™ coupling snaps securely to matching 45mm New Image™ pouches (drainable, closed, or urostomy)
• Compact, low-profile design comfortable under clothing and during movement
• Two-piece system convenience—change pouches throughout the day without removing the barrier
• Latex-free construction; sterile, single-patient use

Clinical Applications

Best For:

• Regular or protruding stomas that sit at or above skin level
• Even, relatively flat peristomal surfaces without significant creases or softness
• Patients with smaller to medium stomas (up to 1¼″ diameter)
• Users with sensitive or compromised peristomal skin who may benefit from ceramide support
• Patients needing extended wear time (3-7 days) to reduce frequency of barrier changes
• Anyone wanting skin-friendly technology alongside reliable adhesion
• Active patients requiring durable adhesion with edge security from tape border

CeraPlus™ May Be Especially Helpful For:

• Older adults with naturally declining ceramide levels
• Patients experiencing peristomal skin dryness or irritation
• Users who've had repeated barrier changes causing skin trauma
• Situations where supporting skin health is a priority alongside ostomy management

⚠ Important: This is a FLAT (non-convex) barrier. If you have a retracted or flush stoma, or if flat barriers consistently fail to maintain a seal, consult with an ostomy nurse about trying a convex barrier instead.

Usage & Application

Sizing & Cutting:

1. Measure your stoma diameter at its widest point
2. This barrier accommodates stomas up to 1¼″ (32mm)
3. Cut the barrier opening 2-3 mm (about ⅛″) larger than your stoma to allow for slight swelling
4. Cut carefully with sharp scissors, creating smooth, rounded edges (no sharp corners)
5. For oval stomas, create a custom template and trace onto barrier backing

Skin Preparation:

1. Clean peristomal skin thoroughly with water (avoid soaps with oils or moisturizers)
2. Pat skin completely dry—no moisture or oils should remain
3. Trim hair if necessary (clip close or shave; don't wax)
4. Ensure skin is at room temperature (not sweaty)

Application:

1. Warm the barrier between your hands for 30-60 seconds to activate adhesive
2. Remove backing paper carefully
3. Center the cut opening over your stoma
4. Apply from bottom up, pressing the hydrocolloid center first, then smooth outward
5. Press the tape border edges firmly, working from center toward outer edges
6. Hold hand warmth over the entire barrier (especially edges) for 1-2 minutes
7. Attach compatible 1¾″ (45mm) New Image™ pouch and verify secure coupling

Wear Time & Monitoring:

• Typical wear time: 3-7 days with CeraPlus™ extended-wear formula
• Empty pouch when ⅓ to ½ full to prevent weight from stressing the seal
• Monitor tape border edges daily for signs of lifting or loosening
• Check hydrocolloid for erosion or color changes
• Replace barrier if you notice:
  • Leakage under the barrier
  • Itching, burning, or discomfort
  • Edges lifting more than ¼ inch
  • Visible erosion or breakdown of adhesive

Removal:

1. Support skin with one hand
2. Gently lift tape border edge first (easier removal than hydrocolloid alone)
3. Continue lifting slowly, supporting skin as you peel
4. Use adhesive remover wipes if needed for comfortable removal
5. Clean and assess skin before applying new barrier
6. Notice the ceramide benefit: Many users report softer, healthier-looking skin after using CeraPlus™ barriers

1¾″ (45mm) Coupling Size Context

The 1¾″ (45mm) coupling is the smallest New Image™ coupling size, offering several advantages:

Advantages of 45mm Coupling:

• ✅ Most compact/discreet profile under clothing
• ✅ Lightest weight of all coupling sizes
• ✅ Perfect for smaller stomas (up to ~1¼″)
• ✅ Less material against skin for comfort
• ✅ Ideal for thinner body types or smaller torsos

New Image™ Coupling Size Range:

• 1¾″ (45mm) — Smallest; for stomas up to ~1″-1¼″
• 2¼″ (57mm) — Standard; for stomas up to ~1½″
• 2¾″ (70mm) — Medium-large; for stomas up to ~2½″
• 3½″ (89mm) — Large; for stomas up to ~4″
• 4″ (102mm) — Extra-large; for stomas over 4″

Cut-to-Fit Range: Up to 1¼″ (32mm)

This barrier's maximum 1¼″ (32mm) opening is designed for smaller stomas:

If Your Stoma Is:

• ✅ ≤ 1¼″ (32mm): This barrier is appropriate—cut to your size
• ⚠ > 1¼″ (32mm): Choose a barrier with a larger cut-to-fit range

Sizing Tips:

• Measure your stoma when it's relaxed (not active/pushing)
• Account for slight swelling throughout the day
• Cut 2-3mm larger than measured size
• If your stoma varies significantly in size, choose a barrier with more margin

CeraPlus™ vs. Flextend® vs. Standard

Hollister offers multiple extended-wear options. Here's how CeraPlus™ compares:

CeraPlus™ (This Barrier):

• Ceramide-infused for skin health support
• Extended-wear adhesion (3-7 days)
• Best for users prioritizing skin protection alongside wear time
• Ideal for sensitive or compromised peristomal skin

Flextend® (Alternative):

• Maximum erosion resistance focus
• Extended-wear adhesion (3-7 days)
• Best for very active users or high-output situations
• Prioritizes durability over skin conditioning

Standard Hydrocolloid:

• Basic adhesion (2-4 days typical)
• Lower cost per barrier
• Best for users changing barriers frequently or with sensitive skin requiring shorter wear

Product Specifications

• System: 2-piece New Image™ (Hollister)
• Barrier Type: Flat (non-convex) with CeraPlus™ ceramide-infused extended-wear hydrocolloid
• Border: Tape border for edge security and gentle removal
• Coupling/Flange Size: 1¾″ (45 mm)—compatible ONLY with 1¾″ New Image™ pouches
• Opening: Cut-to-fit up to 1¼″ (32 mm)
• Best For: Regular/protruding stomas, flat peristomal surfaces, smaller stomas, skin health support, extended wear
• Typical Wear Time: 3-7 days (individual results vary)
• Profile: Low-profile, flat design (no convexity)
• Ceramide Technology: CeraPlus™ infused hydrocolloid
• Latex: Not made with natural rubber latex
• Sterility/Use: Sterile, single-patient use
• Packaging: 5 barriers per box