Facial Redness
Facial Redness
So I’ve been having some trouble the last few weeks with my face turning under my mask and staying red for the majority of the next day, it’s actually starting to get me a bit down!
Last night was my first night with a new mask, changed from a ResMed Airfit F30 FFM to a BMC N5 Nasal Mask, both work great and are providing AHI results of under 5 (pressure 17) I’ve been adjusting humidity levels etc on my Airsense 10 but each day the redness is appearing.
I’m trying as much as I can to stop it, but either mask is providing the redness that’s quite embarrassing the following day.
I’ve tried liners for the F30, and will again try more liners but what confuses me is why all of a sudden after 2/3 months of use my skin has started to have this reaction?
I’ve not changed my cleaning ritual or products used on the masks and I can honestly think of nothing that’s changed. I’m now applying moisturising lotions in the morning since it’s been happening but I’ve spent hours online on these and other forums looking up peoples suggestions but really just wanted to know if anyone has something similar happen to them and if there might be a solution that I have overlooked??
Attached an average picture for reference, apologies about quality.
Last night was my first night with a new mask, changed from a ResMed Airfit F30 FFM to a BMC N5 Nasal Mask, both work great and are providing AHI results of under 5 (pressure 17) I’ve been adjusting humidity levels etc on my Airsense 10 but each day the redness is appearing.
I’m trying as much as I can to stop it, but either mask is providing the redness that’s quite embarrassing the following day.
I’ve tried liners for the F30, and will again try more liners but what confuses me is why all of a sudden after 2/3 months of use my skin has started to have this reaction?
I’ve not changed my cleaning ritual or products used on the masks and I can honestly think of nothing that’s changed. I’m now applying moisturising lotions in the morning since it’s been happening but I’ve spent hours online on these and other forums looking up peoples suggestions but really just wanted to know if anyone has something similar happen to them and if there might be a solution that I have overlooked??
Attached an average picture for reference, apologies about quality.
_________________
Machine: AirSense™ 10 Elite CPAP Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Re: Facial Redness
I've been having issues with redness too but I believe the masks I've tried have triggered my Rosacea. Stress for me is also a trigger and there's been plenty of that around lately so I can't be sure what's the actual cause so I'm treating as Rosacea. Yours definitely looks like a mask reaction of some kind.
- chunkyfrog
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Re: Facial Redness
Could be a reaction to a CLEANING PRODUCT used to clean the cushion;
or even soil/sweat trapped under the cushion.
I also wonder if the mask is being worn too tight.
Cushions are designed to fill with air, like a hovercraft, not tightened down until skin is squashed.
or even soil/sweat trapped under the cushion.
I also wonder if the mask is being worn too tight.
Cushions are designed to fill with air, like a hovercraft, not tightened down until skin is squashed.
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- DreamDiver
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Re: Facial Redness
MBix wrote: ↑Wed Apr 22, 2020 1:40 amSo I’ve been having some trouble the last few weeks with my face turning under my mask and staying red for the majority of the next day, it’s actually starting to get me a bit down!
Last night was my first night with a new mask, changed from a ResMed Airfit F30 FFM to a BMC N5 Nasal Mask, both work great and are providing AHI results of under 5 (pressure 17) I’ve been adjusting humidity levels etc on my Airsense 10 but each day the redness is appearing.
I’m trying as much as I can to stop it, but either mask is providing the redness that’s quite embarrassing the following day.
I’ve tried liners for the F30, and will again try more liners but what confuses me is why all of a sudden after 2/3 months of use my skin has started to have this reaction?
I’ve not changed my cleaning ritual or products used on the masks and I can honestly think of nothing that’s changed. I’m now applying moisturising lotions in the morning since it’s been happening but I’ve spent hours online on these and other forums looking up peoples suggestions but really just wanted to know if anyone has something similar happen to them and if there might be a solution that I have overlooked??
Attached an average picture for reference, apologies about quality.
173895EE-2D18-479B-A91C-0FA2CD98CE85.jpeg
I wear my mask a little tight because the hovercraft method basically means large leaks for me. But I don't wear it so tight it leaves marks. There's definitely a fine balance.chunkyfrog wrote: ↑Wed Apr 22, 2020 7:54 amCould be a reaction to a CLEANING PRODUCT used to clean the cushion;
or even soil/sweat trapped under the cushion.
I also wonder if the mask is being worn too tight.
Cushions are designed to fill with air, like a hovercraft, not tightened down until skin is squashed.
As Chunkyfrog says, it could be a reaction to your cleaning products. I rarely use them. Basically, if I sneeze by accident into my mask, I clean it. Otherwise, just water. There are a couple ways to look at facial masks: Clean them daily, or give in to the facial biome that lives on your mask.
You say you just started the N5 last night. Is this the first time you saw this red imprint? It may be the direct result. I know you have a relatively high pressure, but if you can loosen the straps a bit, it may help. If you have to tighten the straps so much that this imprint is inevitable, consider that the size of the N5 is tiny, especially compared to the F30. The same amount of strap tightness over a wider, larger mask size would be far less impactful as an imprint. It's like the difference between a spoon pressed against your face all night and a fork at the same pressure. The fork is going to leave the worse mark. It may even become painful over time, or push your incisors inward. If this is the case, it may be worth going to a full face mask like the Airsense F20 or back to your F30.
Normal body flora can change. It's probably some normal body flora gone a little out of control in response to direct contact with silicone for extended periods. The image you posted looks like a BMC N5 nose-print. If it appeared this way on the bridge of your nose before the N5, using the F30, then something else may be involved, and the N5 is just exacerbating the issue. If it didn't coincide with the change to the N5, other things since the pandemic started may be contributing factors: Getting enough sun... Getting enough exercise... Diet changes... Family members moving back in with you... Other new stressors that may be difficult to control.
Liners work best for me to reduce silicone-to-skin irritation. I take old t-shirts and cut them into just the right size. It might take a few tries, but heck, if you have old t-shirts, why not? The other possibility it to buy white knit jersey paint rags in bulk from home depot and cut them out of that.
I hope this helps!
Chris
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Re: Facial Redness
Thanks for the tips and replies everyone. Sorry I should have mentioned this had started in the last few weeks with the Airfit F30 ffm, obviously with that one the marks were a little lower around my nose and down the sides over my mouth to under my mouth, so when trying the N5 last night the same result happened just in the new area as indicated by the picture.
I really don’t think it’s any cleaning product as I can the N5 a warm rinse for a few mins before using it for the first time and as we can see the same result.
As for mask tightness I don’t have them tight enough to completely get rid of the hovercraft more of a midway point, any looser and it results in ridiculous leaks, that goes for both masks though I’m still adjusting the N5 as I go but don’t believe tightness is the issue, especially considering how long the marks are staying visible for the next day.
It’s funny you mention cutting up tshirts @DreamDiver, I did exactly that before reading your post tonight. I used some RemZZZ liners on the Airfit F30 and had some decent results in it reducing the marks but not completely so I was hoping there may be something that would help but. As far as stress goes this was happening a little before the full impact stresses of COVID19 so I don’t think that’s to blame.
I’m think you’re right in that it’s just the contact the silicone is having over an extended timeframe. I’m considering looking at the AirTouch F20 I believe it is that’s a memory foam type instead of silicone, but some of the reviews leave me nervous.
I guess for now mask lines and T-shirts might be the best option!
I really don’t think it’s any cleaning product as I can the N5 a warm rinse for a few mins before using it for the first time and as we can see the same result.
As for mask tightness I don’t have them tight enough to completely get rid of the hovercraft more of a midway point, any looser and it results in ridiculous leaks, that goes for both masks though I’m still adjusting the N5 as I go but don’t believe tightness is the issue, especially considering how long the marks are staying visible for the next day.
It’s funny you mention cutting up tshirts @DreamDiver, I did exactly that before reading your post tonight. I used some RemZZZ liners on the Airfit F30 and had some decent results in it reducing the marks but not completely so I was hoping there may be something that would help but. As far as stress goes this was happening a little before the full impact stresses of COVID19 so I don’t think that’s to blame.
I’m think you’re right in that it’s just the contact the silicone is having over an extended timeframe. I’m considering looking at the AirTouch F20 I believe it is that’s a memory foam type instead of silicone, but some of the reviews leave me nervous.
I guess for now mask lines and T-shirts might be the best option!
_________________
Machine: AirSense™ 10 Elite CPAP Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Re: Facial Redness
The biggest drawback to the AirTouch with the memory foam is life of the cushion. I know that it is recommended that it be replaced once a month but with some common sense care I know people getting 3 months out of a cushion. Maybe even a bit longer if they use a mask liner.
Speaking of mask liners....take a look at Karen's mask liners. They are probably a lot better than the RemZZZs which is essentially disposable and quite thin.
https://www.padacheek.com/
Finally...do you just have to use a full face mask because of chronic nasal issues that force you to mouth breathe and you can't ever clear the nose enough to use a nasal mask with much less footprint on the face like nasal pillows?
Maybe find something that doesn't cover the nose at all???
Speaking of mask liners....take a look at Karen's mask liners. They are probably a lot better than the RemZZZs which is essentially disposable and quite thin.
https://www.padacheek.com/
Finally...do you just have to use a full face mask because of chronic nasal issues that force you to mouth breathe and you can't ever clear the nose enough to use a nasal mask with much less footprint on the face like nasal pillows?
Maybe find something that doesn't cover the nose at all???
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Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/ |
I may have to RISE but I refuse to SHINE.
Re: Facial Redness
I found the DreamWare (Reperonics) to be great. It does not pressure over the nose, just by design. (see link to my mask below)
I use the full face ask, allergies make my nose useless several months of the year; although the filter in my CPAP seems to do a good job in keeping some of it out....
Anywhoo; The specs say that there is no issue up to a pressure of 20, yet i've seen reviews / statements that pressure over 15 becomes challenging.
I saw one review on this mask making a statement on pressure marks
The fact that the mask design has tubes coming down the face left & right, allowing for side sleep has one remark on 'restricting pressure" at higher pressure values.
Being new to the CPAP experience I chose this mask based on the reviews and the sales pitch, especially the connection at the top of the head, rather than in front of your face. It has not disappointed me
And maybe start of autumn / winter in your part of the world just has an effect on your skin
I use the full face ask, allergies make my nose useless several months of the year; although the filter in my CPAP seems to do a good job in keeping some of it out....
Anywhoo; The specs say that there is no issue up to a pressure of 20, yet i've seen reviews / statements that pressure over 15 becomes challenging.
I saw one review on this mask making a statement on pressure marks
The fact that the mask design has tubes coming down the face left & right, allowing for side sleep has one remark on 'restricting pressure" at higher pressure values.
Being new to the CPAP experience I chose this mask based on the reviews and the sales pitch, especially the connection at the top of the head, rather than in front of your face. It has not disappointed me
And maybe start of autumn / winter in your part of the world just has an effect on your skin
_________________
Machine: DreamStation Go Auto CPAP Machine |
Mask: DreamWear Full Face CPAP Mask with Headgear - Fit Pack (S, M, MW, L Cushions with Medium Frame) |
Additional Comments: Also use DreamWear Nasal mask (L) - outside of allergy season |
- DreamDiver
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Re: Facial Redness
Sounds like you're well on your way!
The other reason to not go with AirTouch is that the foam may feel too hot against the skin as compared with silicone. I tend to wear my silicone masks way past their suggested expiry date, so AirTouch would be out of the question with regards to durability for me.Pugsy wrote: ↑Wed Apr 22, 2020 9:11 amThe biggest drawback to the AirTouch with the memory foam is life of the cushion. I know that it is recommended that it be replaced once a month but with some common sense care I know people getting 3 months out of a cushion. Maybe even a bit longer if they use a mask liner.
Speaking of mask liners....take a look at Karen's mask liners. They are probably a lot better than the RemZZZs which is essentially disposable and quite thin.
https://www.padacheek.com/
...
And Karen (pad-a-cheek on this venue) is awesome with all things regarding fabric liners and mask straps. She invented one that's sold on cpap.com as well as through her own website.
A similar mask in the ResMed line (I have not tried it) is the ResMed AirFit F30i Full Face.
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Most members of this forum are wonderful.
However, if you are the target of bullying on this forum, please consider these excellent alternative forums:
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Be well,
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Re: Facial Redness
Only being relatively new to CPAP (Started December 2019) I only ever tried the full face masks out because I assumed I was a mouth breather, but I bought the nasal mask on sale because of the reaction my face started having to the AirFit F30 after a few months and the first two nights results with a nasal mask have been outstanding, AHI down to under 2 both nights. So this makes me think maybe a nasal pillow might be okay for me, I will have to do a bit of research as I worry my pressure might not work well with it, but of course I'm still learning.Pugsy wrote: ↑Wed Apr 22, 2020 9:11 amFinally...do you just have to use a full face mask because of chronic nasal issues that force you to mouth breathe and you can't ever clear the nose enough to use a nasal mask with much less footprint on the face like nasal pillows?
Maybe find something that doesn't cover the nose at all???
I emailed Karen at Pad A Cheek and while she hasn't had experience directly with the BMC N5 she was super helpful and can design and make one for it once I send through the size of it. Amazing service!
It's funny you mention this, last night, being the second I've used a nasal mask, I woke up in the middle of the night with below my nose / gums teeth hurting somewhat, I had the straps as loose as I possibly could without leaks but it was actually painful enough to switch back to the AirFit F30, I guess it's all part of the journey as when I first used the AirFit my nose was quite sore.
As for the facial redness, from what I've read and all your help I think it just is what it is going forward and it'll come down to using liners / trying a nasal mask / trying the memory foam of the Airtouch F20 possibly. And as annoying as the redness can be, having my AHI drop from 140+ down to under 5 has improved my life, probably saved my life too!
Thanks again for all the tips and information from everyone!
_________________
Machine: AirSense™ 10 Elite CPAP Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Re: Facial Redness
Hi MBix,
My experience with a nasal pillow headgear is that rubber/latex content in the padding/straps of the headgear can cause an allergic reaction, or something a dermatologist might call "contact dermatitis".
QUOTE: Contact dermatitis is a red, itchy rash caused by direct contact with a substance or an allergic reaction to it.
I know my experience (with an F&P Opus 360 nasal pillow headgear) is not directly applicable to a face mask, but since people may have similar problems I would like to mention that my solution to the problem was/is to wrap the headbands and the cheek-straps of the headgear with some gray fairly solid felt that I got in a fabric store (Joann's or some such). Nothing special about the felt, it just seemed nice and soft. I used a glue gun to close the seams of each felt pad/wrapper that I made. I realize my method may not be practical to pad the circumference of a full face mask, but it works great for my nasal pillow headgear.
After padding, the rashes pretty much disappeared after a week or two, I think it was. If anyone is particularly interested, send a message and I'll post a photo of the modification.
Sleep well.
My experience with a nasal pillow headgear is that rubber/latex content in the padding/straps of the headgear can cause an allergic reaction, or something a dermatologist might call "contact dermatitis".
QUOTE: Contact dermatitis is a red, itchy rash caused by direct contact with a substance or an allergic reaction to it.
I know my experience (with an F&P Opus 360 nasal pillow headgear) is not directly applicable to a face mask, but since people may have similar problems I would like to mention that my solution to the problem was/is to wrap the headbands and the cheek-straps of the headgear with some gray fairly solid felt that I got in a fabric store (Joann's or some such). Nothing special about the felt, it just seemed nice and soft. I used a glue gun to close the seams of each felt pad/wrapper that I made. I realize my method may not be practical to pad the circumference of a full face mask, but it works great for my nasal pillow headgear.
After padding, the rashes pretty much disappeared after a week or two, I think it was. If anyone is particularly interested, send a message and I'll post a photo of the modification.
Sleep well.
_________________
Mask: Opus 360 Nasal Pillow CPAP Mask with Headgear |
Additional Comments: Humidifier is integrated with the S8, not sure what to select. Mask is Fisher & Paykel Brand. |
Re: Facial Redness
Here is a photo of my simplified and enhanced opus360 mask with the felt padding. Sorry it took so long. I just saw the private message today.
Sleep well.
Crap: "The image file you tried to attach is invalid." Why ????? Hmm, changed from jpg to png, got bigger but maybe now it works?
Sleep well.
Crap: "The image file you tried to attach is invalid." Why ????? Hmm, changed from jpg to png, got bigger but maybe now it works?
_________________
Mask: Opus 360 Nasal Pillow CPAP Mask with Headgear |
Additional Comments: Humidifier is integrated with the S8, not sure what to select. Mask is Fisher & Paykel Brand. |
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- DreamDiver
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Re: Facial Redness
What a great solution!
Chris
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Mask: ResMed AirFit™ F20 Mask with Headgear + 2 Replacement Cushions |
Additional Comments: Pressure: APAP 10.4 | 11.8 | Also Quattro FX FF, Simplus FF |

Most members of this forum are wonderful.
However, if you are the target of bullying on this forum, please consider these excellent alternative forums:
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Be well,
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- chunkyfrog
- Posts: 34545
- Joined: Mon Jul 12, 2010 5:10 pm
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Re: Facial Redness
Funny, now cpappers are not the only people getting mask marks . . .
And our lines are mostly hidden by the masks everyone wears in the daytime.
But medical personnel are getting some of the WORST marks ever.
Fear will make you crank that sucker DOWN.
And our lines are mostly hidden by the masks everyone wears in the daytime.
But medical personnel are getting some of the WORST marks ever.
Fear will make you crank that sucker DOWN.
_________________
Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear |
Additional Comments: Airsense 10 Autoset for Her |
Re: Facial Redness
I feel like I have to stick up for the AirTouch mask.DreamDiver wrote: ↑Wed Apr 22, 2020 9:35 am
The other reason to not go with AirTouch is that the foam may feel too hot against the skin as compared with silicone. I tend to wear my silicone masks way past their suggested expiry date, so AirTouch would be out of the question with regards to durability for me.
And Karen (pad-a-cheek on this venue) is awesome with all things regarding fabric liners and mask straps.
Been using it for quite a while. I haven't had the foam degrade, I use it for at least a couple months, probably longer, don't really keep track. I try to remember to get a new one every month since that's what my insurance covers, but I don't replace them that often.
They aren't hot. If anything, it probably breathes better than silicone.
And, yes, Karen at Pad-A-Cheek is awesome!
_________________
Machine: DreamStation 2 Auto CPAP Advanced with Humidifier |
Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear |