In their previous article (part 1), the authors outlined the evidence for their approach to the management of skin tears, which included the updated International Skin Tear Advisory Panel (ISTAP) definition (LeBlanc et al, 2018) and introduced the updated Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust’s Skin Tear Pathways for the upper limbs. Here, in part 2, the authors present the recently launched Lower Leg Skin Tear Pathway, explaining the background and rationale for using hosiery liners to apply compression in clinical areas where vascular assessments, ankle brachial pressure index and knowledge of compression bandaging might not be commonplace.