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I think my mask is causing eye bags when I wake up
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cpap4uars Offline

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Posts: 18
Joined: Jun 2016

Machine: PR System One REMStar 60 Series Auto with Bluetooth
Mask Type: Not using mask
Mask Make & Model: In process of looking for a new mask
Humidifier: PR System One 60 Series Heated Tube Humidifier with Heated Tube
CPAP Pressure: Currently experimenting
CPAP Software: SleepyHead

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Sex: Female
Location: Florida, United States

Post: #1
I think my mask is causing eye bags when I wake up
The bags under my eyes after using my CPAP are really awful looking.

I did a search about eye bags and CPAP and it seems to be a common issue. One theory is air leakage irritating eyes (don't think that's my case), another theory is air pressure pushing out through the little ducts in the eyes (not sure about that one - I don't feel anything if that's the case), my theory is it might actually be my mask (the DreamWear) because the way it goes on, in order to get a decent seal, the tubes going around the sides of my face put some pressure on the area underneath my cheekbones/eyes. Now it's not uncomfortable to wear it, but I'm thinking that could be a very good reason for the puffiness...I already have bags/dark circles due to allergies most of my life so I certainly don't want to make them worse! Sad

I do really like the nasal cushions though, so I was considering returning the Dreamwear (I have free insurance on it) and trying the Breeze Sleepgear Nasal w/Dreamseal because the cushions are only on the nose and the tube goes in front of my face instead of the side, so in theory, no pressure on the under eye area. I mean I don't really like the idea of a tube in front of my face, but if it saves me from getting eye bags, I think it would be worth it.

Any opinions? Thank you!
06-27-2016 12:40 AM
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green wings Offline

Advisory Members

Posts: 547
Joined: Feb 2016

Machine: Respironics System One RemStar Pro (460)
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: integrated humidifier
CPAP Pressure: 13.0 cm
CPAP Software: SleepyHead

Other Comments: using CPAP since Jan. 2016

Sex: Undisclosed
Location: US

Post: #2
RE: I think my mask is causing eye bags when I wake up
Hi. I just wanted to make sure that you realize that the Breeze mask you're talking about is a nasal mask and not nasal pillows like you have now. It has a triangular nasal cushion that forms a seal around and under your nose.

The terminology used by mask manufacturers can be confusing. I have seen the term "cushion" used about masks like the DreamWear or the Nuance Pro nasal pillows mask, because their nasal pillows are of a different design than traditional nasal pillows masks like the AirFit P10.

Re your question about the tube in front of the face, I have used the Wisp nasal mask which has the same design. You can see the tube when you're awake. It's kind of in the way if you try to put on glasses. It didn't bother me at all when I was sleeping, though.

(06-27-2016 12:40 AM)cpap4uars Wrote:  The bags under my eyes after using my CPAP are really awful looking.

I did a search about eye bags and CPAP and it seems to be a common issue. One theory is air leakage irritating eyes (don't think that's my case), another theory is air pressure pushing out through the little ducts in the eyes (not sure about that one - I don't feel anything if that's the case), my theory is it might actually be my mask (the DreamWear) because the way it goes on, in order to get a decent seal, the tubes going around the sides of my face put some pressure on the area underneath my cheekbones/eyes. Now it's not uncomfortable to wear it, but I'm thinking that could be a very good reason for the puffiness...I already have bags/dark circles due to allergies most of my life so I certainly don't want to make them worse! Sad

I do really like the nasal cushions though, so I was considering returning the Dreamwear (I have free insurance on it) and trying the Breeze Sleepgear Nasal w/Dreamseal because the cushions are only on the nose and the tube goes in front of my face instead of the side, so in theory, no pressure on the under eye area. I mean I don't really like the idea of a tube in front of my face, but if it saves me from getting eye bags, I think it would be worth it.

Any opinions? Thank you!
06-27-2016 07:37 AM
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cpap4uars Offline

Members

Posts: 18
Joined: Jun 2016

Machine: PR System One REMStar 60 Series Auto with Bluetooth
Mask Type: Not using mask
Mask Make & Model: In process of looking for a new mask
Humidifier: PR System One 60 Series Heated Tube Humidifier with Heated Tube
CPAP Pressure: Currently experimenting
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Florida, United States

Post: #3
RE: I think my mask is causing eye bags when I wake up
(06-27-2016 07:37 AM)green wings Wrote:  Hi. I just wanted to make sure that you realize that the Breeze mask you're talking about is a nasal mask and not nasal pillows like you have now. It has a triangular nasal cushion that forms a seal around and under your nose.

The terminology used by mask manufacturers can be confusing. I have seen the term "cushion" used about masks like the DreamWear or the Nuance Pro nasal pillows mask, because their nasal pillows are of a different design than traditional nasal pillows masks like the AirFit P10.

Re your question about the tube in front of the face, I have used the Wisp nasal mask which has the same design. You can see the tube when you're awake. It's kind of in the way if you try to put on glasses. It didn't bother me at all when I was sleeping, though.

Thank you! How did I not notice that? Arghh! I'm not so concerned about the comfort of a nasal mask, but I'm thinking that might still put pressure close to my eyes and could cause the same problem - although I did find a place I could purchase and return if I didn't like it.

I don't want the pillows that stick in your nose...I want the design I have now...an open slot that seals against your nose, but with the tube coming up in front of my face and no side straps. Can't find one yet Sad Do you know if the DreamWear is the only one like that??

Thanks green wings.
06-27-2016 02:41 PM
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green wings Offline

Advisory Members

Posts: 547
Joined: Feb 2016

Machine: Respironics System One RemStar Pro (460)
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: integrated humidifier
CPAP Pressure: 13.0 cm
CPAP Software: SleepyHead

Other Comments: using CPAP since Jan. 2016

Sex: Undisclosed
Location: US

Post: #4
RE: I think my mask is causing eye bags when I wake up
The type of mask where the interface is directly with your nostrils comes in three types that I know of. There's the type you have now, which doesn't have any protrusions. The Philips Respironics Nuance Pro Gel has that sort of design. There may be others that I don't know of.

Those masks are a refinement of nasal pillows, which are a design like the AirFit P10 (optional For Her). Those have two small oval protrusions that fit at the entrance to your nostrils.

The third type is called nasal prongs. Awful name, huh? They do go up your nose a bit. I think those must be the oldest design.

Two other nasal pillow masks that I know of but haven't tried on are the Pilairo and the Bella.

If you are ordering the type of nasal pillows mask that has detachable pillows that come in different sizes, the kit that you order initially will usually have 3 different sizes of pillows in it. You just experiment to find the right size.

You're probably realizing by now that this whole mask fitting thing is highly individual.

Oh, the hose-over-the head thing. The Nuance Pro has a loop on the top of the headgear so that you can route the hose up there. The loop is off-center, though, which is less than ideal.

The mask I used for the first 5 months of CPAP use (Wisp Nasal mask) routed the hose overhead. I was worried about switching to a mask that didn't have that option. I've discovered, though, that you can lift the hose and tuck it behind your pillow and it has much the same effect as having it attached to your headgear. Some people use CPAP hose hangers or a hook on the wall for this.



(06-27-2016 02:41 PM)cpap4uars Wrote:  Thank you! How did I not notice that? Arghh! I'm not so concerned about the comfort of a nasal mask, but I'm thinking that might still put pressure close to my eyes and could cause the same problem - although I did find a place I could purchase and return if I didn't like it.

I don't want the pillows that stick in your nose...I want the design I have now...an open slot that seals against your nose, but with the tube coming up in front of my face and no side straps. Can't find one yet Sad Do you know if the DreamWear is the only one like that??

Thanks green wings.
(This post was last modified: 06-27-2016 03:42 PM by green wings.)
06-27-2016 03:34 PM
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cpap4uars Offline

Members

Posts: 18
Joined: Jun 2016

Machine: PR System One REMStar 60 Series Auto with Bluetooth
Mask Type: Not using mask
Mask Make & Model: In process of looking for a new mask
Humidifier: PR System One 60 Series Heated Tube Humidifier with Heated Tube
CPAP Pressure: Currently experimenting
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Florida, United States

Post: #5
RE: I think my mask is causing eye bags when I wake up
(06-27-2016 03:34 PM)green wings Wrote:  The type of mask where the interface is directly with your nostrils comes in three types that I know of. There's the type you have now, which doesn't have any protrusions. The Philips Respironics Nuance Pro Gel has that sort of design. There may be others that I don't know of.

Those masks are a refinement of nasal pillows, which are a design like the AirFit P10 (optional For Her). Those have two small oval protrusions that fit at the entrance to your nostrils.

The third type is called nasal prongs. Awful name, huh? They do go up your nose a bit. I think those must be the oldest design.

Two other nasal pillow masks that I know of but haven't tried on are the Pilairo and the Bella.

If you are ordering the type of nasal pillows mask that has detachable pillows that come in different sizes, the kit that you order initially will usually have 3 different sizes of pillows in it. You just experiment to find the right size.

You're probably realizing by now that this whole mask fitting thing is highly individual.

Oh, the hose-over-the head thing. The Nuance Pro has a loop on the top of the headgear so that you can route the hose up there. The loop is off-center, though, which is less than ideal.

The mask I used for the first 5 months of CPAP use (Wisp Nasal mask) routed the hose overhead. I was worried about switching to a mask that didn't have that option. I've discovered, though, that you can lift the hose and tuck it behind your pillow and it has much the same effect as having it attached to your headgear. Some people use CPAP hose hangers or a hook on the wall for this.

I hate nasal prongs! Sad

I checked out the Nuance Pro Gel, Bella and Pilairo and they have straps under eye area too, so that won't work. How do you feel about the comfort level of nasal pillows? Was it something that took time to get used to or was it fast?

I think there are designs with nasal pillows (not the cushion I have now) that don't have face straps and go over the head, I just have to look again because I forgot.
06-27-2016 03:51 PM
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DariaVader Offline
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Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 for Her
Humidifier: H5i humidifier with ClimateLine heated hose
CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

Sex: Female
Location: Oregon

Post: #6
RE: I think my mask is causing eye bags when I wake up
eye puffiness can be caused by sinus junk, air leakage, and lymph drainage issues, or a combination.

I use xlear before masking up, a p10 mask, and a caffeinated eye cream in the morning. I also found some youtube vids on manual lymph drainage for the face. the p10 lies just under the eyes on my face, and I do think it may contribute - but the combination of xlear and the caffeinated eye cream really help, alot!

Water retention with cpap is another issue that seems to be common. I use an EPR of 3 on my resmed S9 and that seems to help -- am considering asking for a Bilevel to get greater pressure relief - as PR is known to help with the water retention problem in those who exerience it.

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
(This post was last modified: 06-27-2016 05:11 PM by DariaVader.)
06-27-2016 05:09 PM
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cpap4uars Offline

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Posts: 18
Joined: Jun 2016

Machine: PR System One REMStar 60 Series Auto with Bluetooth
Mask Type: Not using mask
Mask Make & Model: In process of looking for a new mask
Humidifier: PR System One 60 Series Heated Tube Humidifier with Heated Tube
CPAP Pressure: Currently experimenting
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Florida, United States

Post: #7
RE: I think my mask is causing eye bags when I wake up
(06-27-2016 05:09 PM)DariaVader Wrote:  eye puffiness can be caused by sinus junk, air leakage, and lymph drainage issues, or a combination.

I use xlear before masking up, a p10 mask, and a caffeinated eye cream in the morning. I also found some youtube vids on manual lymph drainage for the face. the p10 lies just under the eyes on my face, and I do think it may contribute - but the combination of xlear and the caffeinated eye cream really help, alot!

Water retention with cpap is another issue that seems to be common. I use an EPR of 3 on my resmed S9 and that seems to help -- am considering asking for a Bilevel to get greater pressure relief - as PR is known to help with the water retention problem in those who exerience it.

Interesting Daria! Well, I decided to return my mask anyway because it was definitely a contributing factor. If I posted a pic of me wearing it (don't want to subject myself to the humiliation though, lol) you'd see how the side straps were pushing up on my cheeks and squishing my under eye area somewhat.

My nose has been in good shape lately (at least I thought). I have an RX antihistamine nasal spray and also use Nasacort. But I do have a tendency to wake up with slight puffiness anyway, this was just 3x as bad and felt awful.

What brand eye cream do you use? I might have to get some!
06-27-2016 05:31 PM
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DariaVader Offline
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Monitors

Posts: 1,824
Joined: Nov 2014

Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 for Her
Humidifier: H5i humidifier with ClimateLine heated hose
CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

Sex: Female
Location: Oregon

Post: #8
RE: I think my mask is causing eye bags when I wake up
Andalou Naturals, Luminous Eye Serum, Brightening is the one I have been using. the P10 does the same under the eyes - but controlling all the other stuff seems to mitigate it anyways. I can't praise the xylitol nasal spray enough - and longterm use of antihistamine spray is likely to backfire on you... just saying Big Grin

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
06-27-2016 05:44 PM
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cpap4uars Offline

Members

Posts: 18
Joined: Jun 2016

Machine: PR System One REMStar 60 Series Auto with Bluetooth
Mask Type: Not using mask
Mask Make & Model: In process of looking for a new mask
Humidifier: PR System One 60 Series Heated Tube Humidifier with Heated Tube
CPAP Pressure: Currently experimenting
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Florida, United States

Post: #9
RE: I think my mask is causing eye bags when I wake up
(06-27-2016 05:44 PM)DariaVader Wrote:  Andalou Naturals, Luminous Eye Serum, Brightening is the one I have been using. the P10 does the same under the eyes - but controlling all the other stuff seems to mitigate it anyways. I can't praise the xylitol nasal spray enough - and longterm use of antihistamine spray is likely to backfire on you... just saying Big Grin

Thank you for the valuable info! I am going to get that cream...I need it either way and I remember caffeine is good for puffiness.

I'm currently considering the Swift LT For Her because the straps are much farther down on the face (at least it appears to be). If you've ever tried that one, let me know...
06-27-2016 06:34 PM
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DariaVader Offline
Apnea Board Facebook Editor
Monitors

Posts: 1,824
Joined: Nov 2014

Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 for Her
Humidifier: H5i humidifier with ClimateLine heated hose
CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

Sex: Female
Location: Oregon

Post: #10
RE: I think my mask is causing eye bags when I wake up
I have tried the Swift FX and the P10 only. the FX did not hit any lower than the P10, and the jetstream of air.... was *much* worse on my eyes than what I get through my lovely diffused little P10 (the diffuser is it's biggest selling point...)

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
06-27-2016 06:37 PM
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