The 2 most common surgical options are UPPP and MMA. Both are pretty painful and success rates leave quite a bit to be desired. Operations are considered successful if they reduce obstruction enough to allow CPAP treatment pressure to be reduced - success to the point of no longer needing CPAP at all is rare. It all depends on the specifics of any one person's airway and the nature of obstruction though. If you are willing to endure the pain and risk the odds, then you need to consult with a really good ENT about UPPP and a really good Maxillo-facial surgeon about MMA. I would recommend consulting a good Internist first, then if s/he feels surgical options are indicated in your specific case they can refer you to the proper surgeon. Questions you really need to ask them: what are the odds of not just success, but success to the point of not needing CPAP anymore (and that means asking about the odds of not needing CPAP 10 years after the surgery too) and specifics about how painful it will be and how difficult recovery will be. Always keep in mind when getting the answers from a surgeon that surgeons have a bias toward seeing most medical problems as nails and the scalpel as a hammer.
Surgical options exist, but the vast majority of apneacs are far better off sticking with CPAP for now - who knows, maybe they'll come up with a new surgical procedure in a few years that's wildly successful for most people...it could happen.
If you check into the current options, make sure to approach them with a healthy dose of skepticism.
I really appreciate your response & your information. I have learned more about Sleep Apnea & my CPAP in the last 48 hrs. than I have the entire time dealing with this place that supplies my equipment. I am really disappointed in them. Another reason that my first night with the nose mask was so bad was I had a lot of anxiety over the fact that no matter how tight I made the chin-strap, my lips would still sometimes "motor-boat" due to air releasing. Although I have only been using this machine since May 2013, I cannot sleep without it. Although I will fall asleep without any problem, when I awake I will experience head-injury-like pain all day long. I experienced chronic migraines multiple times/week for 8 years, until I discovered it was my sleep that was causing them. I would love to have the luxuries that you now experience with the nose-pillows, but I am now clinging to my ffm like a life preserver. Prior to trying the nm w/chinstrap I complained about the ffm.
I would also like to learn how to be able to look at my recorded sleep activity variables, they way that you described you do. I also need to get exact identification on my masks & machine so that others know precisely what I am using.
I am going top hang in there. I really love this site. All of the people that have offered advice & insight have helped me greatly.
Thank You All Again! I am Very Grateful
What kind of chin strap did you try?