The one-piece system that's gentle on the skin, while remaining secure and easy to use! Flexible and discreet, the Esteem+ one-piece system is the all-in-one solution that combines the skin barrier and pouch in a single unit, allowing for a simple, secure, and comfortable experience. Available with a modified Stomahesive® or Durahesive Plus® skin barrier that gently adheres to skin and protects it from break down.