CPAP Mask for Side Sleepers

I was asked recently whether I thought the Comfort Curve mask I use is suitable for a side sleeper. People who sleep on their sides for most of the night tend to find that conventional nasal cushion CPAP masks dig in to the pillow, being pushed side ways causing leaks or added pressure on the opposite side which may cause skin irritation and red marks on the face.

Whilst I sleep mostly on my back I do think the Comfort Curve is a decent option for side sleepers. I’ve tried it myself and the extra pressure caused by the contact with the pillow does not cause major interference with how the mask sits. Depending on the pillow type you have, the cheek pad resting on the side of your face can make your cheeks slightly sore. Therefor, I don’t think the Respironics Comfort Curve mask is the best option for someone sleeping on his or her side.

I have no experience with ‘nasal pillows’ myself but have heard great feedback from side sleepers. Unlike a conventional CPAP mask with a cushion that sits around your nose, a nasal pillow literally plugs into your nostrils (or nares as they say in the US) therefor not touching your face at all. No material goes to the side of the nose so you are free to lay on your pillow on your side. With a medium firm pillow that doesn’t cause your face to sink in it completely (like some feature and down pillows) the pillow’s surface won’t get near enough to your nose to disrupt the way the nasal pillow mask is worn.

Nasal Pillow Mask

This image illustrates the point. This man may be lying on his back there but as you can see, nothing would stop him from sleeping on his side. Minimal contact with the most sensitive parts of the face is made so red marks and skin irritation is likely to be avoided with a mask interface like this. Like with wearing a hat or cap, most people don’t get any skin rashes, marks or itching at the forehead.

This examples is a Respironics Comfort Lite 2 but it’s not the only one like this. In the UK you can also get the ResMed Mirage Swift II though with the tube sticking out on one end, this may only be suitable for side sleepers who know which side they sleep on consistently. Puritan Bennett does the Breeze SleepGear CPAP nasal pillow interface and UK/E.U. readers can order it here. Like the Comfort Lite 2, the sides of the face are completely free to be flat on the pillow, making this a great solution for side sleeping CPAP users. Unfortunately, because these types of masks plug into the nose only, they are not suitable for mouth breathers (if you are, keep reading though, solution to follow).

Similar designs, suitable for side-sleepers: Snapp-X by VIASYS and Fisher & Paykel’s Opus.

Having spoken of the various CPAP mask options for side sleepers, did you know you can also change your pillow to accommodate your mask, instead of the other way around?

Contour Living’s CPAP Sleep Aid

This clever design features a cut-out where the mask and tube sits, making room for this gear so it doesn’t dig into the pillow, putting pressure on the face. The pillow is called the CPAP Sleep Aid and you can read more about it on the manufacturer’s website here.

So to sum this post up, if you suffer from marks on your face, skin irritation or just generally prefer to sleep on your side you have two options. Go for a ‘nasal pillow’ mask interface or opt to change the actual pillow you sleep on.

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7 comments

  1. Positive Airway Pressure Oct 29

    Very interesting. Many more CPAP masks that are available in the US should be available here.

  2. CPAP Machine May 20

    That’s a great idea for the larger full face masks. I sleep on my side and have a smaller nasal mask. Once in awhile I’ll have a problem with the mask moving a little, but not very often because I don’t move much when I sleep.

  3. zam Jun 15

    CPAP mask is solution for sleep apnea. but the problem is suitable or not to our face.

  4. Ray Sep 26

    I have modified/upgraded my cpap pro / no mask. Go to cpapproparts.info to get details.
    Now I love My CPAP Pro …. and it is quiet & doesn’t wake me with leaks around my nose… no marks on my face… WOW

  5. C. Towsley Jan 5

    My repironics mask have all broken with what I believe to be design flaw where the the head grear attaches to the mask. Look at your masks closely and you can see the plastic seam that usually breaks. This cheap plastic then costs us $60+ to replace. Rip off or what? If you have had this problem please contact me Mctowsley@aol.com and we will see what we can do together.

  6. Vernita Green Feb 2

    Although I’m still pending for my sleep study to see if I actually get a CPAP mask, one of my biggest concerns at the outset was the fact that I can really only fall asleep on my side. Up until now, I had never seen a mask that looked like it would be the least bit comfortable in that position, but the Respironics mask above looks ideal (even though I don’t like things up my nose either).

  7. Robert Apr 6

    After prescribed for a cpap machine, I searched diligently to find a suitable mask, trying on several brands of nasal-only (not nasal pillows) and full-face masks overnight. I have experienced the well-expressed problems of leaks and strap tension, noise, and skin irritation.
    Various mask cushion designs did not fully eliminate leaks; after stopping leaks, the slightest moving started leaks again, and reducing leaks led to tighter straps. The design of the mask air inlet swivel and venting, et al., are the main source of noise, which varies with mask brand and style. However, for me the greatest frustration came because of “soft” cushion pressing down upon and rubbing over the bridge of the nose.
    I have solved the irritation problem by putting a soft cloth strip across nose bridge under the mask cushion.
    I am going to try the cloth mask, introduced 1-2 years ago. Their design should solve leaks and strap tension, and skin abrasion. I hope the straight-through swivel without deflector will create minimal noise.

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