Cpap mask facial derp wrinkles

Posted by marana1963 @marana1963, 5 days ago

My CPAP mask causes deep grooves in my face that take hours to normalize. Some seem to be coming permanent. I have used both some memory foam and the non-memory foam. I use a gel pad over the bridge of my nose and have tried the cloth covers over the mask itself with no improvement. Any suggestions?

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@marana1963, I also struggle some with CPAP masks and like you have tried many different ones. For awhile I was using an under the nose full face CPAP mask and tried several different ones - Amara View, DreamWear, AirFit F30i. It gave me relief for the bridge of the nose problem and facial marks from a tight mask but was more difficult for my breathing when the mask is pressed up under the nose. I also used a cloth CPAP comfort cover for each of my masks because it feels better on my skin (https://cpapcomfortcover.com/comfort-cover-choices/).

This past year I switched to a Fisher & Paykel Simplus full face mask because it takes the pressure off of the bridge of the nose with a brace on the forehead. It's a little more awkward and I'm not loving it but it does the job and prevents red marks on the bridge of my nose. I've done all this by trial and error but I think I would have been better served to make a visit with my local medical supply store and had a mask fitting done for me with recommendations by a sleep medicine therapist. Do you have a sleep medicine tech that you could ask for suggestions?

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I hope it won't come across as obvious or patronizing...not intended...just trying to be forthright and to actually help to give you impetus for a more productive remediation:

Your mask is wrong, or its fit is wrong. Only those two factors can be at play here. Note that this assumes you're also not getting the wrong therapy or many leaks, but the latter still comes down to those two factors, form and fit.

What makes it clear for me is that you have taken reasonable measures, common fixes, to improve the fit of the mask you have been using, and it still leaves you with pressure marks (have such forceful pressures not resulted in pressure sores by now...no suppurating skin lesions or discolouration?)

If a reduced tension on straps results in disturbing leaks, the kind that might keep you from falling asleep or that awaken you, then it's too light, or the mask design is not suitable for your features. If the correct tension results in no leaks, which is always good, but leaves you with sore areas and pressure indentations, then the tension is better, maybe even 'correct' for that mask as it conforms to your features. But the pressure is making the experience uncomfortable and unsettling. So, the upshot is that you have the wrong mask, in all probability. You must try several others, including sizes of each of them if they come in sizes.

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@gloaming

I hope it won't come across as obvious or patronizing...not intended...just trying to be forthright and to actually help to give you impetus for a more productive remediation:

Your mask is wrong, or its fit is wrong. Only those two factors can be at play here. Note that this assumes you're also not getting the wrong therapy or many leaks, but the latter still comes down to those two factors, form and fit.

What makes it clear for me is that you have taken reasonable measures, common fixes, to improve the fit of the mask you have been using, and it still leaves you with pressure marks (have such forceful pressures not resulted in pressure sores by now...no suppurating skin lesions or discolouration?)

If a reduced tension on straps results in disturbing leaks, the kind that might keep you from falling asleep or that awaken you, then it's too light, or the mask design is not suitable for your features. If the correct tension results in no leaks, which is always good, but leaves you with sore areas and pressure indentations, then the tension is better, maybe even 'correct' for that mask as it conforms to your features. But the pressure is making the experience uncomfortable and unsettling. So, the upshot is that you have the wrong mask, in all probability. You must try several others, including sizes of each of them if they come in sizes.

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Thank you very much. I’m sure you’re right. My equipment provider and my physician worked with me, but cannot solve it. When I sleep on my back, my mouth slides open and defeats everything. So when I sleep on my side, the pillow pushes the edge of the mask against my face and by morning, there’s a Grand Canyon size gully there that lasts for hours. Maybe i should buy a cpap bed pillow! By the way, I have found that Neosporin ointment quickly, solves nose pressure sores

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@johnbishop

@marana1963, I also struggle some with CPAP masks and like you have tried many different ones. For awhile I was using an under the nose full face CPAP mask and tried several different ones - Amara View, DreamWear, AirFit F30i. It gave me relief for the bridge of the nose problem and facial marks from a tight mask but was more difficult for my breathing when the mask is pressed up under the nose. I also used a cloth CPAP comfort cover for each of my masks because it feels better on my skin (https://cpapcomfortcover.com/comfort-cover-choices/).

This past year I switched to a Fisher & Paykel Simplus full face mask because it takes the pressure off of the bridge of the nose with a brace on the forehead. It's a little more awkward and I'm not loving it but it does the job and prevents red marks on the bridge of my nose. I've done all this by trial and error but I think I would have been better served to make a visit with my local medical supply store and had a mask fitting done for me with recommendations by a sleep medicine therapist. Do you have a sleep medicine tech that you could ask for suggestions?

Jump to this post

These are very good suggestions and I appreciate them. I have worked with
my equipment provider and my physician to resolve this problem. I’m going
to get a CPAP pillow I guess because it’s my pillow that smashes the edge
of the mask into my face. I have tried small, medium and large masks as
well as the memory foam and the pure plastic masks. I’m pretty sure this is
all my fault because I sleep on my side. Thanks so much, Donna.

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@marana1963

These are very good suggestions and I appreciate them. I have worked with
my equipment provider and my physician to resolve this problem. I’m going
to get a CPAP pillow I guess because it’s my pillow that smashes the edge
of the mask into my face. I have tried small, medium and large masks as
well as the memory foam and the pure plastic masks. I’m pretty sure this is
all my fault because I sleep on my side. Thanks so much, Donna.

Jump to this post

I'm a side sleeper also and there are some of the masks that don't work quite as well for sleeping on your side. Another thing that has been a big help is a CPAP hose stand to keep the hose above my head and off of the pillow or bed - https://www.amazon.com/PurePAP-Holder-Stops-Tangles-Improving/dp/B08P2F95QR/. I tried a couple of the CPAP pillows but they were much too firm for what I like. I ended up getting a couple of small travel pillows and I put one for my head on top of my normal pillow which is kind of flat - https://www.amazon.com/MyPillow-Multi-Use-Travel-Cover-Daybreak/dp/B0866998LX/ref=asc_df_B0866998LX/

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@johnbishop

I'm a side sleeper also and there are some of the masks that don't work quite as well for sleeping on your side. Another thing that has been a big help is a CPAP hose stand to keep the hose above my head and off of the pillow or bed - https://www.amazon.com/PurePAP-Holder-Stops-Tangles-Improving/dp/B08P2F95QR/. I tried a couple of the CPAP pillows but they were much too firm for what I like. I ended up getting a couple of small travel pillows and I put one for my head on top of my normal pillow which is kind of flat - https://www.amazon.com/MyPillow-Multi-Use-Travel-Cover-Daybreak/dp/B0866998LX/ref=asc_df_B0866998LX/

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I’ll get that stand today!

I have an extra foam pillow, so i just made my own cpap pillow by cutting out a cave where the mask lays. We shall see.

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I use a nasal mask, the N20. It will get displaced if I don't sleep as I have learned to do on either side: I fold both wrists fairly tightly and tuck them on opposite sides of my chin/cheek area, meaning I cross my arms higher near the wrists. The lower wrist keeps the pillow at bay. The hose for the N20, which connects to the front center of the mask, rises up between the wrists from being draped over my waist, kept warmer between the blanket and the top sheet. The two fists support my chin at the same time, but I also tape. Between the two components, I can sleep on my sides with only the occasional deflection, and therefore only the odd leak. This improves the quality of my sleep immensely.

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