I'm not good on advice being new to this game -- started cpap Jan. 1. But I had a nasal mask and it really did a number on my nose. I was away from home and couldn't change masks, so I just stayed with what I had. Someone on the forum had suggested neosporin and cutting the long tails off bandaids so that they will just have enough tape to hold, and using them as a pad for the mask. I did it and it helped, but my nose remained red and sore. When I got home I bought a Swift LT and really like it. My nose is returning to normal. But your nose is so sore that even a pillow mask hurts. I don't know what to tell you about that. I sure feel for you. Sounds like you need something to get rid of the inflamation -- maybe neosporin topically, or Aleve, which has anti inflamatory qualities. I'm not a Dr -- so just guessing.