ConvaTec Esteem synergy® Adhesive Coupling Technology™ Stomahesive® Two-Piece Pre-Cut Skin Barrier with Landing Zone Flange and Flexible Tape Collar 1-3/8" Stoma Size, 4" L x 4'' W Overall Dimensions, Small Size, White, Low ProfileThe Esteem synergy® ostomy system features an innovative Adhesive Coupling Technology™. Instead of plastic rings, a patented foam adhesive allows the pouch to be securely attached to the skin barrier on a clear plastic “Landing Zone” flange. The result is a low profile, flexible, two-piece system. Stomahesive® skin barriers are designed to be gentle on peristomal skin.Stomahesive® skin barriers are recommended for people whose stoma output is semi-formed to formed. It holds securely to skin while helping to protect against irritating output.Clear, flexible landing zone securely attaches skin barrier to flexible foam collar of pouch.Skin barrier are avialable with flexible fabric collar, or without a fabric collar, pre-cut and cut-to-fit.