I have tried 5 different masks so far, and I am back to the first mask I tried which is the same AirFit P10 you are using.
Tried a Mirage Quattro full face, and it was a disaster. I couldn’t make it stop leaking. It blew air in my eyes and made rude noises. I never got to the point where I could wear it a full night.
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I tried a ResMed AirFit F20 full face and it was better, and I managed to wear it a total of about 5 full nights. However it still leaked some, and when I got it to the point where leaks were reasonable it started to make a blister on the bridge of my nose. Gave up on it. I never tried the cloth mask liner trick, and that may have helped.
Also tried the ResMed Mirage FX Nasal mask that my wife uses. It was more comfortable than the two full face masks, but not nearly as comfortable as the nasal pillow, and had all the disadvantages of not covering the mouth.
Tried a F&P Brevida nasal pillow based on some rave reviews of it. It was pretty good and has a much better headgear with a sensible adjustment system compared to the P10. However, it seems to stick out more than the P10 and seemed easier to dislodge when changing positions at night. I had the fit pack and tried both the large and small. But, it in particular irritated the part of my nose between the two nares. I pawned that one off on my wife and she finds it much better than the Mirage FX. The small size restricted flow on exhale, but the large size works for her.
That brings me back to the P10 which I am using again after the mask merry-go-round. I had trouble keeping it on all night, and was opening my mouth letting air out and causing a major leak. I now use a Breathewear Halo chin strap and it sure keeps the mask on all night. It did not totally solve the mouth opening problem, so I reluctantly tried the tape on the mouth trick with 1″ medical paper tape. I have now gotten very used to it, and have many night with essentially zero leakage. It is quite the Jerry rigged setup but it works for me.
As for the nose irritation I tried the medium and large insert sizes. The medium sealed better but seemed to go too far into my nose and irritated the skin quite a lot. The large is now working best for me. As for the nose irritation mine seems to be mainly on the exterior edge of the nares. In the morning after taking my mask off and showering I put some OTC 1% hydrocortisone cream on my nose. I found after doing that for a week or two the skin toughened up and I no longer need the cream.
Hope that helps some,
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