Unfortunately, I think it has to do with age. Marks on my face when I was kid went away right away but now that I am one year away from Medicare, I've found that it takes most of the day to go away.
As for leaks, it took 4 masks that fit the shape of my face and sometimes when my cushion is more than a month old, it leaks more. Are you familiar with cpap wipes for the morning to clean off facial oils? That will help keep the cushion flexible.
Although after trying 7 or 8 FF masks the Mirage Quattro is the only mask I can get close to working for me, I still consider it a medieval torture device. I sometimes get the marks on the side of my face, but the upper bridge of my nose is the spot that really takes a beating. And that stuff about not being supposed to keep it tight didn't work at all for me, unless you like LL numbers in the 80-93% range with correspondingly poor AHIs.
And yes I've tried Remszees, Gecko gelpads, band aids, 3M hospital tape, you name it. My DME RRT actually told me he had a client who had taped a feminine hygiene product to the bridge of his nose in an effort to get relief. I did it as a joke to see what my wife would say and the result isn't printable here.
So yes it's miserable but it's the best I can do for the time being. My DME has a FitLife ordered for me to try (covers your eyes too like a diver's mask) but I have low expectations. That's the only thing I haven't tried.
I will say it does help some to wash your face with soap and water just before retiring, and also completely disassembling the mask every morning and washing the seal with baby shampoo-but it's a PITA!
I use the mirage quattro and the pad a cheek liner works well with it.She started that company just because of the strap mark problems.
Mine keeps the mask clean from my very oily skin, wicks away the mask moisture and makes the mask feel soft . It doesn't slide around my face with the liner. They are washable and I usually go 4 days between washings. I hand wash it and air dry it it the morning so its ready to go in the evening. I have a second one for backup . It has a nose protector tab at the top .
My leak rate went down ,and you should still wash your face before bed to help.
You can sew your own out of old t-shirts but hers are real nice and soft. No way would I try to make one.
I don't have the mask real tight but I have the head board support on the hose ,that helps with the hose weight and keeps it over my head so I can turn from side to side. I have a 18 inch hose extension off the mask to a swivel coupling then to a 6 foot hose- another swivel coupling and 12 inch hose to humidifier. That helps stop rainout and gives me lots of freedom of movement.
I clean the mask ,18 inch hose and liner every 4 days . Then every 2 weeks I clean the headgear,tank and the other hoses. Soak in Capful of bleach to a gallon of water after I wash everything in dawn . Then a good rinsing.
I ordered a CPAP Seal Gel Liner from ebay. It's expensive for something so simple but I am desperate so when I use it I will keep you posted. Haqs anyone heard of this or used it? Any comments would help.
When I had my sleep study to go from a nasal to a full face mask we tried the mask that covered my entire face - not an option - couldn't even get it to start to seal. I find my face mask works fine with a little bit of leakage.