ConvaTec Esteem synergy® Adhesive Coupling Technology™ Convex Moldable Durahesive® Skin Barrier with Landing Zone Flange and Flexible Tape Collar 1-1/4" to 1-3/4" Stoma Size, White, LargeThe 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. Convex is good for people with a recessed or flat stoma. Moldable allows for improved skin protection over traditional barriers.Innovative Adhesive Coupling Technology™ creates a secure seal.Skin barrier provides added protection from liquid output. Skin barriers will turtleneck or gently swell up and hug the stoma, better protecting the skin around your stoma.Innovative mold-to-fit convex skin barrier easily shapes to create a customized stoma opening to confirm to irregularly shaped stomas.Fabric collar increases flexibility.Starter hole roll back to create opening for stoma.Clear flexible landing zone securely attaches skin barreir to flexible foam collar of pouch.