Hollister Adapt CeraPlus Hydrocolloid Barrier Extenders — Ceramide-Infused, 3-Piece, Reduces Edge Lifting & Leaks

Ceramide-infused hydrocolloid. Three-piece crescent design. Frames your skin barrier, stops edge lifting, extends wear time. Hollister Adapt CeraPlus Barrier Extenders (79402) are thin, flexible, crescent-shaped hydrocolloid strips designed to frame and reinforce the outer edge of any ostomy skin barrier — creating an additional adhesive seal around the flange perimeter that reduces barrier edge lifting, prevents leakage and soil build-up, and extends barrier wear time. The CeraPlus formula infuses each strip with ceramide — a natural lipid component of healthy skin — that helps protect and maintain peristomal skin health at the adhesive contact zone throughout the wear period. The three-piece configuration makes positioning simple: each set of three crescent strips surrounds the skin barrier completely, and the individual strip format allows users to apply only the strips where they need reinforcement rather than committing to a rigid full-frame. Latex-free. Box of 30 sets.

✔ CeraPlus Ceramide Formula — Protects Peristomal Skin at Contact Zone    ✔ Thin, Flexible Hydrocolloid — Conforms to Body Folds & Creases    ✔ 3-Piece Crescent Design — Frames Barrier, Easy Positioning    ✔ Reduces Edge Lifting — Increases Adhesive Perimeter    ✔ No Tape or Paste Required    ✔ Latex-Free

Product Details

Who Needs Barrier Extenders — The Problem They Solve

Standard ostomy skin barriers are designed to adhere flat against the abdominal skin surface. For many ostomates — particularly those who were fitted shortly after surgery when the abdomen is flatter — the standard barrier holds well and wear time meets expectations. But a significant portion of ostomy users encounter conditions that cause the barrier's outer edges to lift prematurely, breaking the seal and creating the pathway for leakage, output contact with peristomal skin, and the skin breakdown that follows.

The three most common conditions that drive barrier edge lifting are:

• Parastomal hernia: A parastomal hernia changes the abdominal contour around the stoma, creating an irregular, rounded surface that a flat skin barrier cannot fully conform to. The barrier center may adhere, but the edges — particularly at the lateral margins — lift away from the hernia curve. Barrier extenders fill in the gap between the flat barrier edge and the raised hernia surface, extending adhesive contact across the full perimeter even on the irregular contour.
• Abdominal folds and creases: Body weight, age, and surgery can produce peristomal skin folds, soft tissue rolls, and creases that cut across the barrier adhesive zone. When the skin folds, the flat barrier edge is pulled away from the skin surface — the crease becomes a channel for output to migrate under the barrier. Barrier extenders' thin, flexible hydrocolloid construction conforms into and across these folds rather than bridging over them, maintaining adhesive contact even across irregular skin topography.
• Non-tape-bordered pouches: Some ostomy systems — particularly one-piece pouches and certain two-piece systems — do not include an integrated tape border around the skin barrier. For users of these systems, the barrier's adhesive perimeter is the entire fixation system. Any edge lift means immediate leakage risk. Barrier extenders replace the function of the missing tape border, adding a wide, flexible hydrocolloid adhesive frame that holds the barrier edges down across the full perimeter.

Barrier extenders are also widely used by active ostomates — swimmers, athletes, and anyone whose daily activity creates additional mechanical stress on the barrier edge — and by users who simply want additional security and peace of mind beyond what their standard barrier provides.

The CeraPlus Formula — Why Ceramide Matters for Peristomal Skin

Peristomal skin — the skin directly surrounding the stoma that is in contact with ostomy adhesives — is one of the most adhesive-stressed skin surfaces on the body. Every barrier change involves adhesive application and removal, and the cumulative effect of this repeated mechanical stress, combined with the moisture and output exposure inherent to ostomy management, can compromise the skin barrier function of the peristomal skin over time. This manifests as redness, erosion, weeping, and ultimately the breakdown that makes achieving a reliable seal even harder.

Ceramides are lipid molecules that are a natural structural component of healthy skin — they make up a significant portion of the skin's stratum corneum and are the primary molecules responsible for maintaining the skin's moisture barrier function. When skin barrier function is compromised by adhesive trauma, moisture exposure, or aging, ceramide levels in the peristomal skin decline, and the skin's ability to protect itself from further damage is reduced. Hollister's CeraPlus formula infuses the hydrocolloid adhesive with ceramide so that the adhesive-skin interface actively delivers ceramide to the peristomal skin throughout the wear period — working to maintain the skin's moisture barrier function and support skin health from the moment of application.

• Ceramide-infused formula — delivers natural skin lipids to the peristomal contact zone throughout wear
• Helps maintain moisture barrier function of peristomal skin from Day 1
• Supports skin health under repeated adhesive application and removal cycles
• Thin, flexible hydrocolloid — strong adhesion without stiffness or bulk
• Conforms naturally to body folds, skin creases, and irregular peristomal contours
• Flexible with body movement — maintains seal during daily activity without pulling or lifting
• Waterproof — secure adhesion even with moisture exposure during bathing, showering, and perspiration
• Latex-free — safe for patients with latex sensitivity

How to Apply — The 3-Piece Configuration

Each barrier extender set consists of three individual crescent-shaped strips. The three-piece design is intentional — it allows the extender set to surround the typically circular or oval skin barrier with curved strips that follow the barrier's perimeter geometry, rather than using straight strips that would bridge over the barrier edge on a curve. The wide strip width maximizes the adhesive contact area added at each section of the perimeter.

1. Complete your standard skin barrier application — the barrier extenders are applied over and around the outer edge of an already-applied skin barrier, not as a base layer beneath it
2. Peel the backing from one crescent strip
3. Align the inner curved edge of the strip along the outer perimeter of the skin barrier, overlapping slightly onto the barrier edge
4. Press firmly from the barrier edge outward onto the surrounding skin, smoothing the strip down to ensure full contact — pay particular attention to any skin folds or creases within the strip's adhesive zone
5. Repeat with the second and third strips to complete the frame around the full barrier perimeter
6. Individual strips may also be applied selectively — if edge lifting consistently occurs at a specific location (e.g., one side of a parastomal hernia), use strips only at the problem area rather than completing a full frame

Tip: Barrier extenders can be changed independently of the skin barrier if edge lifting or loosening occurs before the full barrier change interval — simply remove the lifted strip and replace with a new one without disturbing the skin barrier itself.

Adapt Barrier Extenders vs. Adapt Barrier Rings — Which Accessory Is Right?

Hollister's Adapt line includes both barrier extenders and barrier rings — two different accessories that address different ostomy sealing challenges. Understanding the distinction prevents misapplication:

• Adapt Barrier Extenders (this product — 79402): Address the outer perimeter of the skin barrier — they frame the outside edge of the flange to prevent edge lifting and add adhesive perimeter coverage. They work on the seal between the barrier's outer edge and the surrounding skin.
• Adapt Barrier Rings: Address the inner opening of the skin barrier — they fill the gap between the stoma opening cut in the barrier and the stoma itself, preventing output from migrating under the barrier from the center. They work on the seal between the barrier's inner opening and the stoma base.

Many ostomates use both together — rings to seal the inner stoma interface and extenders to seal the outer barrier perimeter — for a fully secured barrier on all sides.

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Questions about Hollister Adapt accessories or any of our ostomy supplies? Call 1-866-218-0902 — our team is ready to help.