Thank you for the great insights.

I loosened the straps more and it does seem improved, but still a little sore this morning. I will check in with my provider on Monday and see if a different mask is warranted.

I just started CPAP 2 nights ago and my cheeks are getting very sore. Could it be that may mask is not the right size? I have the N20 and am using the smallest mask in the kit that came with my machine.

My skin is not irritated the soreness is in the tissue/bone.