My flange went unfinished for a couple of years. As my trailer is painted, as opposed to gelcoat, I decided to add the spacer outside, on top of the roof. Being painted, I can easily hide my mistakes.
Two 3/4 inch plywood cutouts sandwiched together with fibreglass and resin. I then was able to flush mount the flange on the inside. gives that little extra headroom. I could then put screws,from the inside, through my roof directly into the fibreglassed plywood.
I will be posting a video shortly.