A multi-layered adhesive appliance for topographical application to the skin. The appliance includes a body having a first side and a second side. The body also includes an anchor point and at least one arm including a first end and a second end. The first end is formed as one piece with the anchor point and the second end extends from the at least one anchor point. Further, a skin adhesive layer is coupled to the second side of the body and extends between the anchor point and the at least one anchor point.