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Ostomy Barriers: 1-Piece vs 2-Piece Ostomy Systems

Ostomy wafers adhere to the skin around your stoma and connect to an ostomy bag. Ostomy wafers are also called baseplates, barriers, and flanges. The skin barrier is designed to protect delicate stomal skin from caustic output. These are two types of ostomy systems: When ostomy wafers are pre-attached to the bag and cannot come apart, it's considered a 1-piece ostomy system. While 2-piece systems are separate and connected to one another by the user. If you use a 1-piece system, both the wafer and bag must be disposed of when the bag is full. With a 2-piece system, you can remove the bag from the flange and throw it away, leaving the wafer attached to your body.

If you choose to use 2 piece ostomy bags, keep in mind that flanges will only connect with an ostomy pouch system from the same brand’s product line. You cannot use a flange from one brand and connect it to a pouch from a different brand. This also applies to different product lines manufactured by the same company. For instance, you cannot use a Coloplast Sensura flange with a Coloplast Assura pouch. Brands often use colors to represent stomal opening sizes, making it easier to match up the wafer with the corresponding pouch. This is another benefit of staying within the same product line once you find the wafer size that works best with your stoma.

Customizable Wafers

Cut to fit wafers allow you to customize the size and shape of the opening in the barrier. They are beneficial for new ostomates, because after surgery the stoma will change size and shape. These are also helpful for people who are in between sizes or don’t have a perfectly round stoma. Pre-cut wafers or flanges have an existing hole cut out, preventing you from having to cut the opening yourself. For those with established and rounder stomas, using a pre-cut flange can save you the time of fitting the wafer once you know which flange size works best for you.

Ostomy Seals

It is rare that an ostomy barrier will fit perfectly around your stoma. Usually there is a small gap between the stoma and the hole of the barrier. Leaving open gaps can cause stoma output to leak under the wafer, which could damage stomal skin. Ostomy seals are placed underneath your wafer to fill in the gaps between the ostomy wafer and your stoma. These barrier rings are made from a flexible material and can be fitted to the size and shape of your stoma. We also carry moldable flanges, which have a barrier ring-like material already built into the flange.

Skin Protection

Skin prep wipes and ostomy barrier sprays can also protect your stoma from redness and irritation or help treat damaged skin. Barrier sprays and wipes form a thin layer on the skin that shields it from moisture and output. Some ostomates apply stoma powder to the skin and follow up with skin prep product afterward. This process, known as crusting, protects the stomal skin and helps the wafer adhere to the body.

Buy Ostomy Wafers Online

Order ostomy products and supplies online that can be quickly shipped to your door. Shop our large collection of ostomy wafers now.

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Picture of Coloplast Assura - 2-Piece Skin Barrier with Belt Tabs (Pre-cut)

Coloplast Assura - 2-Piece Skin Barrier with Belt Tabs (Pre-cut)

  • Unique spiral adhesive offers a firm grip
  • Flat standard wafer with belt tab
  • Stoma sizes: 1 3/16", 1 9/16", and 1 3/4"
From: $31.45
Picture of Coloplast Assura - Convex Light Skin Barrier with Belt Tabs (Cut to Fit)

Coloplast Assura - Convex Light Skin Barrier with Belt Tabs (Cut to Fit)

  • Convex shape allows light pressure to skin, helps reduce risk of leakage
  • Flexible skin barrier moves with the body and increases comfort
  • Stoma size: 5/8" - 1 5/16"
From: $39.45
Picture of Hollister New Image Convex CeraPlus Skin Barrier with Floating Flange and No Tape Border

Hollister New Image Convex CeraPlus Skin Barrier with Floating Flange and No Tape Border

  • CeraPlus (extended wear) skin barrier, convex
  • Infused with ceramide for enhanced skin protection
  • Reduces transepidermal water loss (TEWL) from damaged skin
  • Maintains the skin's natural moisture barrier
  • Long-lasting adhesive properties for secure and reliable seal
  • Available in cut-to-fit option for personalized fit
  • Tape border-free design for gentle application and removal
  • Latex-free for individuals with latex allergies or sensitivities
  • Box of 5
From: $52.95
Picture of Coloplast Assura - Convex Light Skin Barrier with Belt Tabs (Extended Wear - Cut to Fit)

Coloplast Assura - Convex Light Skin Barrier with Belt Tabs (Extended Wear - Cut to Fit)

  • Stoma size: 5/8" - 1 11/16"
  • Convex shape allows light pressure to skin, helps reduce risk of leakage
  • Flexible skin barrier moves with the body and increases comfort
  • Extended wear wafer, allows for longer wear time between changes
From: $54.45
Picture of Coloplast Assura - Convex Light Skin Barrier with Belt Tabs (Pre-cut)

Coloplast Assura - Convex Light Skin Barrier with Belt Tabs (Pre-cut)

  • Convex shape allows light pressure to allow the stoma to protrude
  • Unique spiral adhesive offers a firm grip
  • Flexible skin barrier moves with the body and increases comfort
  • Pre-cut skin barrier with belt tab
From: $39.45
Picture of Convatec Natura Durahesive Moldable Skin Barrier with Accordion Flange

Convatec Natura Durahesive Moldable Skin Barrier with Accordion Flange

Convatec Natura Durahesive Moldable Skin Barrier with Accordion Flange Features:

  • Natura Accordion Flange: Streamlines pouch application for enhanced comfort.
  • Moldable Technology: Proven skin protection for a secure fit.
  • Durahesive Skin Barrier: With Mold-to-Fit opening and hydrocolloid tape collar.
  • Quantity: 10 units per box, providing ample supply for your needs.
  • Color: Discreet tan for a subtle and natural appearance.
  • Versatile Use: Compatible with Colostomy, Ileostomy, and/or Urostomy.
  • This is for ostomy wafers, ostomy bags sold separately
From: $74.95
Picture of Coloplast Assura - Convex Skin Barrier Flange with Belt Tabs (Extra Extended Wear - Cut to Fit)

Coloplast Assura - Convex Skin Barrier Flange with Belt Tabs (Extra Extended Wear - Cut to Fit)

  • Delivers extra-extended wear time
  • Convex shape is ideal for hard to fit stomas
  • Skin barrier can be cut to fit
From: $50.45
Picture of Coloplast Assura - Convex Skin Barrier with Belt Tabs (Pre-cut)

Coloplast Assura - Convex Skin Barrier with Belt Tabs (Pre-cut)

  • Assura spiral adhesive offers a secure hold
  • Convex flexible skin barrier, easy to use
  • Pre-cut Coloplast ostomy flange with belt loops
From: $40.45
Picture of Convatec Natura Stomahesive Moldable Skin Barrier with Accordion Flange

Convatec Natura Stomahesive Moldable Skin Barrier with Accordion Flange

Convatec Natura Stomahesive Moldable Skin Barrier with Accordion Flange Product Features:

  • Customizable Fit: Mold-to-fit opening and accordion flange provide a personalized and secure fit for optimal comfort.
  • Gentle on Skin: Hydrocolloid tape collar ensures reliable peristomal skin protection and is gentle on both dry and wet skin.
  • Versatile Usage: Suitable for various ostomy types, including colostomy, ileostomy, and urostomy, accommodating different needs.
  • Day and Night Comfort: Designed for 24/7 wear, offering comfort during both daily activities and overnight use.
  • Shower and Swim Ready: Water-resistant design allows for use in the shower or while swimming, promoting an active lifestyle.
  • Convenient Sizing: Available in three sizes (CON421033, CON421034, CON421035) to fit different stoma sizes. Each box contains 10 units for added convenience.
From: $57.45
Picture of Coloplast Assura - Convex Skin Barrier with Belt Tabs (Cut to Fit)

Coloplast Assura - Convex Skin Barrier with Belt Tabs (Cut to Fit)

  • Flexible skin barrier thats gentle on skin
  • Unique spiral adhesive offers a secure hold
  • Cut-to-fit Coloplast ostomy flange with belt loops
From: $39.45
Picture of Coloplast Assura - Skin Barrier Flange with Belt Tabs (Extra Extended Wear - Pre-cut)

Coloplast Assura - Skin Barrier Flange with Belt Tabs (Extra Extended Wear - Pre-cut)

  • Unique transparent adhesive that's gentle on skin
  • Provides outstanding protection and flexibility
  • Designed for extra-extended wear
  • Assura skin barrier with belt loops
From: $38.95
Picture of Convatec Natura Durahesive Skin Barrier, Cut-to-Fit, Convex with Accordion Flange

Convatec Natura Durahesive Skin Barrier, Cut-to-Fit, Convex with Accordion Flange

Convatec Natura Durahesive Skin Barrier, Cut-to-Fit, Convex with Accordion Flange Product Features:

  • Customizable Fit: Cut-to-Fit design in three flange sizes for a personalized and comfortable fit.
  • Skin-Friendly Options: Choose between an Acrylic tape collar (standard) or a Hydrocolloid tape collar for sensitive skin.
  • Durable and Resistant: Highly durable material resistant to liquid output for extended wear.
  • Leak Prevention: "Turtleneck" design helps prevent leaks, providing added skin protection.
  • Recommended Usage: Ideal for urostomy, ileostomy, and colostomy with liquid stoma output consistencies.
  • Convenient Packaging: Sold by the Box of 10 for easy and efficient supply management.
From: $104.95
Picture of Coloplast Assura - Skin Barrier Flange (Extra Extended Wear - Cut to Fit)

Coloplast Assura - Skin Barrier Flange (Extra Extended Wear - Cut to Fit)

  • Extended wear time
  • Transparent adhesive for secure, flexible hold
  • Cut-to-fit skin barrier with belt loops
From: $38.95
Picture of Hollister CeraPlus New Image - Soft Convex Skin Barrier with Floating Flange (Pre-cut)

Hollister CeraPlus New Image - Soft Convex Skin Barrier with Floating Flange (Pre-cut)

Hollister CeraPlus New Image - Soft Convex Skin Barrier Product Features:

  • Sold in boxes of 5 for convenience and value
  • Features an adhesive tape border for secure attachment
  • Soft convexity ensures a comfortable and snug fit
  • Infused with Remois technology and ceramide for skin health
  • Available in various flange sizes and pre-cut options
  • Flexible design conforms to uneven skin surfaces
  • Innovative floating flange prevents pressure on the abdomen
  • Latex-free formulation suitable for individuals with sensitivities
From: $52.95
Picture of Coloplast Assura - Skin Barrier Flange with Belt Tabs (Cut to Fit)

Coloplast Assura - Skin Barrier Flange with Belt Tabs (Cut to Fit)

  • Unique spiral adhesive offers a secure hold
  • Flexible skin barrier provides a comfortable, long-wearing hold
  • Cut-to-fit Coloplast ostomy flange with belt loops
  • Box of 5
From: $31.45
Picture of Coloplast Assura Extra - Convex Light Extended Wear Skin Barrier with Belt Tabs (Pre-cut)

Coloplast Assura Extra - Convex Light Extended Wear Skin Barrier with Belt Tabs (Pre-cut)

  • Extended wear adhesive works well on more aggressive output
  • Audible click for secure comfort and fit
  • Convex feature is ideal for those with a slightly retracted stoma
From: $55.45
Picture of Hollister CeraPlus New Image - Soft Convex Skin Barrier with Floating Flange (Cut to Fit)

Hollister CeraPlus New Image - Soft Convex Skin Barrier with Floating Flange (Cut to Fit)

CeraPlus New Image - Soft Convex Skin Barrier with Floating Flange (Cut to Fit) Product Features:

  • Sold in boxes of 5 for convenient supply
  • Adhesive tape border for added security
  • Soft convex design for gentle pressure and optimal fit
  • Cut-to-fit option for customization
  • Integrated floating flange for enhanced comfort
  • Latex-free construction for compatibility
  • Easy-to-use and reliable ostomy care solution
  • Provides peace of mind and confidence for users
From: $52.95
Picture of Coloplast SenSura Click - Standard Wear Barrier (Pre-cut - Convex Light)

Coloplast SenSura Click - Standard Wear Barrier (Pre-cut - Convex Light)

  • Latex free
  • Convex Light barrier for flushed, skinfold, or retracted stomas
  • Double layer protection, strong protective layer and skin friendly layer
From: $35.95
Picture of Coloplast SenSura Click - Standard Wear Barrier (Cut to Fit - Convex Light)

Coloplast SenSura Click - Standard Wear Barrier (Cut to Fit - Convex Light)

  • Latex free
  • Convex light barrier for flushed, skinfold, or retracted stomas
  • Double layer protection, strong protective layer and skin friendly layer
From: $36.45
Picture of Coloplast SenSura Click - Standard Wear Ostomy Barrier (Pre-cut - Flat)

Coloplast SenSura Click - Standard Wear Ostomy Barrier (Pre-cut - Flat)

  • Latex free
  • Includes belt tabs
  • Pre-cut standard wear barrier
  • Double layer adhesive, audible click-lock security ring
From: $27.95
Picture of Coloplast SenSura Click - Standard Wear Barrier with Belt Tabs (Cut to Fit)

Coloplast SenSura Click - Standard Wear Barrier with Belt Tabs (Cut to Fit)

  • Cut to fit in a variety of barrier sizes
  • The click tells you it is locked securely, brings peace of mind and confidence
  • Double layer protection, strong protective layer and skin friendly layer
From: $27.95
Picture of Coloplast SenSura Click Xpro - Extended Wear Barrier (Pre-cut - Flat)

Coloplast SenSura Click Xpro - Extended Wear Barrier (Pre-cut - Flat)

  • Latex free
  • Belt tabs included
  • Pre-cut Xpro extended wear two-piece barrier
  • Double layer adhesive, audible click-lock security ring
From: $31.45
Picture of Coloplast SenSura Click - Xpro Extended Wear Barrier w/Belt Tabs (Cut to Fit)

Coloplast SenSura Click - Xpro Extended Wear Barrier w/Belt Tabs (Cut to Fit)

  • The click tells you it is locked securely, brings peace of mind and confidence
  • Double layer protection, strong protective layer and skin friendly layer
  • Ideal for those with high output and users whose skin adhesive tends to break down more quickly
From: $30.45
Picture of Coloplast SenSura Mio Click - 2-Piece Ostomy Barrier (Convex Deep - Pre-cut)

Coloplast SenSura Mio Click - 2-Piece Ostomy Barrier (Convex Deep - Pre-cut)

  • Evens out divots, creases, and folds
  • Ideal for stomas that need a lot of protrusion help
  • A deep curve, helps fill deep inward areas around the stoma
From: $41.45
Picture of Coloplast SenSura Click Xpro  - Extended Wear Barrier (Cut to Fit - Convex Light)

Coloplast SenSura Click Xpro - Extended Wear Barrier (Cut to Fit - Convex Light)

  • Ideal for high output urostomies
  • Convex Light barrier for flushed, skinfold, or retracted stomas
  • Double layer protection, strong protective layer and skin friendly layer
From: $42.95
Product Information

Ostomy Barriers: 1-Piece vs 2-Piece Ostomy Systems

Ostomy wafers adhere to the skin around your stoma and connect to an ostomy bag. Ostomy wafers are also called baseplates, barriers, and flanges. The skin barrier is designed to protect delicate stomal skin from caustic output. These are two types of ostomy systems: When ostomy wafers are pre-attached to the bag and cannot come apart, it's considered a 1-piece ostomy system. While 2-piece systems are separate and connected to one another by the user. If you use a 1-piece system, both the wafer and bag must be disposed of when the bag is full. With a 2-piece system, you can remove the bag from the flange and throw it away, leaving the wafer attached to your body.

If you choose to use 2 piece ostomy bags, keep in mind that flanges will only connect with an ostomy pouch system from the same brand’s product line. You cannot use a flange from one brand and connect it to a pouch from a different brand. This also applies to different product lines manufactured by the same company. For instance, you cannot use a Coloplast Sensura flange with a Coloplast Assura pouch. Brands often use colors to represent stomal opening sizes, making it easier to match up the wafer with the corresponding pouch. This is another benefit of staying within the same product line once you find the wafer size that works best with your stoma.

Customizable Wafers

Cut to fit wafers allow you to customize the size and shape of the opening in the barrier. They are beneficial for new ostomates, because after surgery the stoma will change size and shape. These are also helpful for people who are in between sizes or don’t have a perfectly round stoma. Pre-cut wafers or flanges have an existing hole cut out, preventing you from having to cut the opening yourself. For those with established and rounder stomas, using a pre-cut flange can save you the time of fitting the wafer once you know which flange size works best for you.

Ostomy Seals

It is rare that an ostomy barrier will fit perfectly around your stoma. Usually there is a small gap between the stoma and the hole of the barrier. Leaving open gaps can cause stoma output to leak under the wafer, which could damage stomal skin. Ostomy seals are placed underneath your wafer to fill in the gaps between the ostomy wafer and your stoma. These barrier rings are made from a flexible material and can be fitted to the size and shape of your stoma. We also carry moldable flanges, which have a barrier ring-like material already built into the flange.

Skin Protection

Skin prep wipes and ostomy barrier sprays can also protect your stoma from redness and irritation or help treat damaged skin. Barrier sprays and wipes form a thin layer on the skin that shields it from moisture and output. Some ostomates apply stoma powder to the skin and follow up with skin prep product afterward. This process, known as crusting, protects the stomal skin and helps the wafer adhere to the body.

Buy Ostomy Wafers Online

Order ostomy products and supplies online that can be quickly shipped to your door. Shop our large collection of ostomy wafers now.

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