high cheekbones and mask fitting

Does anyone else have high cheekbones where their mask has to be tightened down severely to make the other areas seal?

What masks work in this case?

Why does Resmed (and others) not use 3D scanning technology to make standard mask bases with different silicone seals / cushions to fit different faces?

I think every sleep clinic that does mask fittings should have your face scanned in and see which masks fit your face. Trial and error is so '70's.

I have tried the quite a few full face (a misnomer there for sure) masks that cover nose and mouth. Resmed's medium mask is too large and small is too small, so I use a medium which means I have to have my mouth slightly open to have my mask fit in the cleft of my chin and still fit the bridge of my nose. This makes me be a mouth breather, and causes dry mouth problems.

Are there any reliable solutions in the near future?
Thanks!

"Resmed's Medium is too large" - Resmed makes a lot of different FF masks, which one are you referring to?

stubones99 wrote:Does anyone else have high cheekbones where their mask has to be tightened down severely to make the other areas seal?

What masks work in this case?

I have very high cheekbones. And I would never put up with a mask that "has to be tightened down severely to make the other areas seal".

I use a Swift FX nasal pillows mask, and I can wear that mask ridiculously loose and yet have almost no problems with leaks. I've also worn the Resmed P10 pillows mask and a Pilaro pillows mask without any problems. I did have problems with the Swift LX and the Opus 360 nasal pillows masks' somewhat more rigid side straps "rocking" on my cheekbones, and I rejected those masks for that reason.

Now I am lucky enough to be able to use the nasal pillows masks. If I had to use a full face mask, I might very well have more problems.

Even so, I wonder if over tightening your mask is adding to the problems. Many modern masks use air filled cushions for the seal, and if the straps are too tight, the cushion cannot fully inflate.

I have tried the quite a few full face (a misnomer there for sure) masks that cover nose and mouth. Resmed's medium mask is too large and small is too small, so I use a medium which means I have to have my mouth slightly open to have my mask fit in the cleft of my chin and still fit the bridge of my nose. This makes me be a mouth breather, and causes dry mouth problems.

If you are NOT a mouth breather in the first place, there is no need to use a full face mask. You may have much better luck trying a nasal pillows or a nasal mask.

Samething here. Skinny check bones. Interesting that you too have to deal with this too. And yes I have to tighten my head gear a lot. Can't use nasal ones. I've tried.
Perhaps our best solution is to tape our mouths.
It's a pain to have to open the mouth in order to not have a leak. It's a bit backwards from everyone else.
Sometimes lowering the face mask a bit more down on the chin helps.
But I still use my cpap.

Why do you feel that you have to ride the mask in the cleft of your chin? I purposely wear a larger mask than I should so that I can ride the mask on the lowest point of my chin. This allows me to move my mouth without causing any leaks (and it's more comfortable too).

stubones99 wrote:Why does Resmed (and others) not use 3D scanning technology to make standard mask bases with different silicone seals / cushions to fit different faces?

*COST*

stubones99 wrote:tightened down severely

You definitely doing something wrong. Try some other models of mask and make double sure you follow the manufacturer's fitting and headgear adjustment guide. You have to develop a little bit of skill at this.

stubones99 wrote:I think every sleep clinic that does mask fittings should have your face scanned in and see which masks fit your face. Trial and error is so '70's.

Most people would refuse to pay the cost. It's enough trouble getting them to have a sleep study because they don't want to pay the deductibles.

Besides, many of us are problem solvers who try different masks and work until we get one that does a good job for us. I have no need for a facial scan and no need for a customized mask.