I think what makes the LT less likely to move is the support tabs on either side of the nose, it's very stable. Also coupled with the adjustable head gear. I think what I might do is buy some Velcro and make my own adjustable straps for it and then see if I get a good result. It should be easy to sew it on (by machine) to the existing mask. It is a comfortable unobtrusive mask for sure.
Thanks for the well wishes, I am doing pretty good, I will be very happy when I can move my arm over my head as well, it's been really hard to sleep knowing I can't move it.
FYI: All three pillows WILL seal for me. The small go "in the nose" further so they actually seem to seal best, but I have essentially 0 leaks with ANY of the 3 pillow sizes, last night was 0 median, 0 95%, 4.8 max with medium pillows.
The head gear does FIT me, but it fits LOOSER than I would likely have chosen were it adjustable -- it just doesn't need as much as one would expect.
Most of my leaks with the P10 actually come from one of two sources:
1) Scrubbing the strap against the pillow and thereby putting pressure on the pillow assembly OR moving it physically out of place. You learn to avoid this when snuggling your pillow -- or to gently apply reverse pressure to equalize and center it back where it belongs -- this hasn't happened to me much in weeks.
2) Messing with the mask fit by hand. This was actually the larger problem and stemmed from being doubtful the mask was properly position and therefore 'testing' it. Fiddling with it was the biggest source of movement which caused leaks.
I just STOPPED fiddling with it with two exceptions which work quite well:
1) Press the 'curved platform' gently flat to my upper lip to make sure it is centered and stable or to do something like scratch my nose without letting it move.
2) Pressing it UPWARDS firmly under my nose to OPEN the space between the curved platform and my upper lip -- again for purposes of scratching mostly. This actually will allow for reach all the way to the BOTTOM surface of the nose behind the pillows.
Conclusion: You 'learn' to keep it in place since the strap is only there to prevent it "falling off" and you literally can reach almost all parts of your nose if you get an itch. Otherwise leaving it alone, keeps it in place.
One additional point: While I can put it on in the dark or even with the air blowing, it works MUCH better if I set the pillows in front of the mirror and make triple sure they are in place. It's more difficult to put properly sized pillows in while the air is blowing.
Sleep study AHI: 49 RDI: 60 -- APAP 10-11 w/AHI: 1.5 avg for 7-days (up due likely to hip replacement recovery)
"We can all breathe together or we will all suffocate alone."