Philips DreamWear Silicone Nasal Pillow CPAP Mask
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Philips DreamWear Silicone Nasal Pillow CPAP Mask

Model: 1146410, 1146411, 1146412... Show more
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DreamWear Silicone Nasal Pillows CPAP Mask – Philips Respironics

The DreamWear Silicone Pillows CPAP mask from Philips Respironics pairs a softer, lighter nasal pillow cushion with the innovative DreamWear mask system. The DreamWear mask system has numerous unique features to keep your line of sight clear, ensure freedom of movement, and enhance your comfort. Airflow from the CPAP machine travels via a top-of-the-head connection through a hollow, open-faced frame to the silicone nasal pillow cushion. The newest nasal pillows from Philips Respironics offer an enhanced fit and seal. The DreamWear Silicone Pillows mask also includes the slip-resistant DreamWear Headgear with Arms. The modular design of the DreamWear line of masks allows for rapid conversion from the under-the-nose cushion to nasal pillows, giving the CPAP user flexible, efficient options. Users can even swap out the headgear and the cushion to change from nasal pillows to full face masks and back as well.


  • Lightweight nasal pillow cushion
  • Unique open frame design
  • Slip-resistant headgear

All-new, all-silicone pillows
Manufactured entirely from soft, smooth silicone, the nasal pillow cushion in the DreamWear Silicone Pillows CPAP mask delivers an even gentler touch inside the nares and under the nose than the original DreamWear Gel nasal pillows. The new pillow design fits and seals even better as well. The cushion shifts less. Less shifting means less friction in the nares. Using data compiled from a vast database of 3D facial scans, Philips Respironics also chose to add a 4th pillow size (medium-wide) to its Silicone Pillows CPAP Mask offering. With small, medium, wide, and medium-wide choices, everyone can find a pillow size to fit their unique facial features.

Unobtrusive, comfortable design
The DreamWear Silicone Pillows mask leaves in place all the features of the existing DreamWear masks for sleep apnea therapy. The Silicone Pillows mask uses the Dream Wear’s hollow silicone frame with a connection to the CPAP circuit at a swivel elbow located on top of the frame at the crown of the head. The top-of-the-head connection keeps the CPAP tubing out of your way and out of your partner’s way all night long. The frame is compressible, so side-sleeping and stomach sleeping do not compromise sleep therapy. The frame encircles the face, with nothing in front of the eyes. The silicone frame comes in three sizes so everyone can match it to their head dimensions. Stable, slip-resistant fit The DreamWear Silicone Pillows CPAP mask comes with the DreamWear Headgear with Arms, the latest enhanced version of DreamWear headgear. The DreamWear Headgear with Arms incorporates an eyeglass-like fit above the ears. The arms run from the silicone frame, over the ears, and to the back of the head strap. The curve of the eyeglass arms halts mask slippage during the night. In a Philips Respironics study, users of the original DreamWear headgear reported better quality sleep and more mask stability when using the DreamWear Headgear with Arms.

Sizing and Fitting

The DreamWear Silicone Nasal Pillow CPAP Mask comes in three frame sizes (small, medium, and large), and the nasal pillows come in four sizes (small, medium, large, and medium-wide). Careful sizing of both the nasal pillows and the frame is key to reaping the full benefits of this mask.

The silicone tip of the pillows should rest inside the nostrils. The circular silicone rim at the base of the tips should rest entirely outside the nostrils.

The Fit Pack includes a medium frame and all four sizes of nasal pillows The medium frame included in the DreamWear Fit Pack fits most people, but if there are leaks or frustrations with tightness or pillow movement away from the nostrils despite having the right size nasal pillows, you may need a smaller or larger frame.

To get the best fit for comfort and effective CPAP delivery:

  1. First, place the nasal pillows under the nose
  2. Next, position the elbow connector at the top of the head
  3. Pull the headgear behind the head
  4. Adjust the fit evenly with both tabs on the headgear

Care of the Mask

Recommended cleaning frequency

  • Daily: nasal pillow, frame, elbow, and tubing quick release
  • Weekly: headgear, arms, and fabric wraps

Cleaning process

  1. Wash in warm soapy water using mild dish soap
  2. Rinse thoroughly in clean water
  3. All parts should be air-dried out of direct sunlight.

Important: Do not clean with products containing alcohol, scents, antibacterial agents, antiseptics, bleach, chlorine, or moisturizers. Do not soak any parts for more than 10 minutes.  

In the Package

  • DreamWear Frame
  • DreamWear nasal pillow(s)
  • DreamWear headgear with Arms
  • DreamWear Cloth frame wraps
  • DreamWear elbow connector to CPAP machine

Operating Range:

4 to 20 cmH20


I have a DreamWear Gel Pillow mask already. Can I use the updated all-silicone nasal pillows with it?
Yes, you sure can! The new all-silicone nasal pillows will snap right into your existing DreamWear frame. If you do not have the DreamWear Headgear with Arms at this time, the earlier DreamWear fabric headgear will also continue to work. If you use the under-the-nose mask, you can also give the silicone nasal pillows a try without purchasing anything but the nasal pillows. If you use the DreamWear full-face mask, you need to purchase the headgear with arms and the silicone nasal pillows.

Have the DreamWear Gel Pillows been discontinued?
Philips Respironics has announced they plan to discontinue the original DreamWear Gel Pillows at some point. Current DreamWear Gel Pillows customers who helped in product development overwhelmingly described the DreamWear Silicone Pillows as more comfortable and better fitting.

Are there any tips to be sure I get all the parts oriented correctly?
The Philips Respironics logo should face out on the back of the headgear and the DreamWear logo is on the right side of the headgear. The arms are marked R and L for right and left. The R&L stamps should face out. Line up the arrows on the pillow cushion with the arrow on the frame.  

Recommended If You Have Facial Hair

If you are still shopping and looking for additional guidance on masks to consider, read on!

We all have unique facial structures and RespShop stocks a large variety of masks for CPAP so that everyone can find something that works best for them. Facial hair simply adds another wrinkle to the search for the mask that is your ticket to better sleep. Nasal Pillow masks do not anchor to the lower lip and are an easy solution. Many nasal pillow masks have narrow frames and thin headgear straps, adding up to less surface area that needs to lay flat. The DreamWear Nasal Pillow mask is a great choice for beard loving person.

When shopping for a CPAP mask to wear with facial hair, don’t fall into the trap of sizing up. Use the size guide and select the size that fits your facial structure. Over-sizing results in leaks, frustration, and discomfort.  

Final comments

Everything about the DreamWear mask system screams customer friendly. The new DreamWear Silicone Nasal Pillow mask is no different. By adding a medium-wide nasal pillow size option, Philips Respironics has closed the gap on the most common complaint about the DreamWear Gel Pillows. The DreamWear Silicone Pillow mask takes a soft, unobstructed design and makes it softer, more stable, and more comfortable. It retains one of my favorite aspects of the DreamWear, its modularity. I appreciate that current DreamWear Gel Pillow users can upgrade just by buying a new cushion. With very little effort, you can even swap in an under-the-nose mask or an over-the-mouth mask, giving you the flexibility to meet any changing sleep needs.  

  • DreamWear Silicone Nasal Pillow Mask Patient BrochureDownload
  • DreamWear Silicone Nasal Pillow Mask Patient FAQsDownload
Model 1146410, 1146411, 1146412, 1146413, 1146414, 1146415, 1146416, 1146417, 1146448, 1146449, 1146450, 1146468, 1146451
HCPCS Code A7034, A7035
  • DreamWear Silicone Nasal Pillow Mask Sizing GuideDownload
  • Dreamwear Mask Family Fitting GuideDownload

Your chosen size:

  • DreamWear frame
  • DreamWear nasal pillow cushion
  • DreamWear Headgear with Arms
  • DreamWear cloth frame wraps
  • DreamWear elbow connector to CPAP machine

FitPack (1146468):

  • DreamWear Medium frame
  • DreamWear nasal pillow S/M/L/MW size
  • DreamWear Headgear with Arms
  • DreamWear cloth frame wraps
  • DreamWear elbow connector to CPAP machine
4.2 Based on 17 reviews
Sebastian A 06/19/2021
5 of 5 Stars!

I was a bit skeptical about this updated mask after reading the reviews on here. But I can safely say that I personally like the new cushions a lot. For reference, I used the new cushions with my old Dreamwear frame.
I think the updated cushions are comfortable. I will admit it took a few days to get used to it but now, I prefer it over my old one. They are definitely unobtrusive like my old ones and make it easier for me to use my phone before I go to bed.
Also, I sleep on my side mainly but I haven't had any problems from doing so.
But I will say I don't really see a major difference between my old nasal pillows and the ones I use now. So, I'm not sure if the old one is still available but if it is, I would just pick whichever one you're more used to / has a better price. They both function well and are comfortable.

Abe S 06/11/2021
5 of 5 Stars!

In short, this is a great mask that fits my needs perfectly. I don’t have huge brand preferences so when I was looking for a new mask, I just looked around at whatever seemed popular. The dreamwear has a lot of reviews and the design looked interesting so I took a shot.

Comfort is good with the mask. Doesn’t feel heavy or painful to wear for a whole night. I like the hose attaching on top so I can keep the hose out of the way. Pillow fits in my nose well, doesn’t cause any irritation. Seal is excellent, haven’t had any leaks.

Adjustment to my head was issue free as well. It fits well and holds on through the night. There are different frame sizes so be sure to use the size gauge before you order. I like the dual airway design since it lets me sleep on my side. I can also wear my reading glasses pretty easily with this mask.

Paul L 05/24/2021
2 of 5 Stars!

Subject: Hard to breathe
I just started using a CPAP and have been trying out different masks. This mask in particular I found hard to breathe in, I was almost gasping for air after 10-20 minutes of use. It's hard to exhale and that's even when adjusting the EPR. So far I have found that I am more comfortable wearing a full face mask.

Hi there,

I'm really sorry to hear this mask didn't work for you!

We do offer a 30 day exchange policy on masks which didn't work for you. Please call our customer service line at 1-866-936-3754 and we can get you sorted out.

Marco S 05/06/2021
5 of 5 Stars!

I’ve been a long time user of Phillips Respironics masks and in particular the nasal cushion DreamWear. Recently however, I decided I wanted to give nasal pillows a try instead, since cushions are a little obtrusive. I was happy to discover there was a DreamWear nasal pillow variant and so I ordered it. After a few weeks now of using this mask, I have nothing but good things to say about it.

Pillow: As mentioned, I purchased this mask because I wanted to give nasal pillows a try. I was a little worried how they wouudl feel compared to the cushions I was used to but so far it’s great. It sits firmly “in” my nose without being painful or irritating. I’m able to get a good seal and so I haven’t had any leakage issues. I ordered the package with all 4 pillow sizes which I think is a good idea for anyone, even if you think you know your size already.

Headgear: The design was relatively new to me since it’s kind of like eye glasses where it sits above the ears. Admittedly, the first night I had with it, it was a little uncomfortable because the part above the ears is naked silicon. I found out however that the box came with cushions to wrap around them and after I put those on, it felt much much better. Overall the frame sits well on my head and I was able to adjust it easily.

Other notes: I’ve been a long time user of DreamWear masks because of the dual tube design. It makes side sleeping very comfortable and I’ve had no issues sleeping on my side with this mask either. Don’t worry about compressing one tube when you lie on one side, as the other tube will deliver plenty of air. Swiveling connector on the top of the head is great too, it’s allowed me to keep the tube completely off my body.

Overall, the DreamWear nasal pillow version lives up to the high standards set by the DreamWear line. I like the new design and have no qualms about making this my new primary mask going forward.

Joseph C 03/22/2021
5 of 5 Stars!

Out of the nasal based masks that I've used, this has been the best thus far. The nose pillows helps a lot to keep the air flow centered. I'm a side sleeper so this type of mask is my only true option.

Paul L(Verified Purchase) 03/18/2021
3 of 5 Stars!

Looks great. Unfortunately this is something I need ASAP. I selected 2 day shipping but in reality it is going to take over 5 days to get to my house. Very disappointing. Should update the website to reflect realistic delivery times. These are medical items and are needed. I would have bought elsewhere if I had know but it has already shipped.

I am so sorry to hear that shipping will take longer then was promised by the shipping company. With Covid demands it is proving very difficult to predict shipping times and in most cases they arrive on time. Please give us a call at 866 -936-3754 and we can help you with this issue. Ellie from Respshop

Mark M 03/04/2021
5 of 5 Stars!

One night with this new headgear caused my head to be sore for over 2 weeks!! I was sent this new mask in place of their old version. Seemed ok till I started using it. There is a raised area where the new hard plastic extenders connect to the headgear about the size of a dime. One night while sleeping on my side, that raised area pressed into the side of my head. In the morning, it felt like my head was in a one-sided vise! My pillow is firm, but this pain was unprecedented and long lasting. My head was very sore in that area for at least two weeks, and still is sore to the touch for a while. It was like sleeping with a rock against the side of my head. What were they thinking when they changed their design? Obviously, they didn't test it out very thoroughly with side sleepers. And I'm told that the old headgear is not being made anymore. I'll be looking for a new company to get my cpap equipment, if they don't wise up and go back to the original. Thanks for nothing.

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Have a question on this item? Ask here and we will answer it in 12-24 hours, usually in a few business hours! Questions and answers will appear here after we answer. You may also have email notifications.
My Husband received a replacement for Phillips c-pap that was called back. He now has a Philips 1143581 in which he need another new MASK, the one sent with his replacement has too many straps and being 82 it not easy for him put on. Please see if we can order and easy Mask that fits his replacement Phillips c-pap 1143581. Otherwise,we had no control over having my good working c-pap machine replaced,
at least you can send me a mask that is easy to put on and use as I use it most every day and night.
Your help will be greatly appreciated.
JW Brpwder
Hello, we would be happy to help. Please contact our customer service department at 1-866-936-3754. We will be able to help you find a mask that will work for him.
How often do these need replaced?
Generally the nasal pillows get changed out every 3 months and the full mask (frame and headgear) should be changed out every 6 months.
Two nights and this is by far the best nasal pillow mask in ten years of CPAP use. However, the swivel at the top (where it attaches to the mask, not the hose) squeaks when I turn over. Is there anything that can be done to fix this without compromising the mask?
At this time there is not. I would recommend washing that area and just moving it. The mask is new so it can do that till it is used. Thank you
Does this work with resmed?
I am not exactly sure what you mean but this mask will work with a ResMed machine (the ResMed Airmini is the exception).
The dream ware mask I use comes apart at nose peace an leaks is this fixed in the new masks?
I am sorry that this is happening. I have not heard that being an issues with the new ones. Please contact our office for further direction. Thank you
If I order the Dreamwear newest headset will that work with my Respshop CPAP Machine? Can you get the under the nose cushions that fit under the nose not the nostril pads?
Yes, it will work with your ResMed CPAP device - unless it is the ResMed AirMini travel CPAP, which requires an adapter.

You can get it with under the nose cushions, follow this link:
does this kit come with the hose attached as the photo shows/
NO, I am sorry the hose is old separately.
Do you carry this with the cushion mask instead of the nasal? I just ordered it and realized it has the wrong under nose piece.
Yes, here is the link
Do you carry head wear and masks for nose and mouth for the phillips respironics dream machine or are they discontinued?
Yes we carry all kinds of masks. If you go under the mask tab you will find nasal, nasal pillow, full facemask to look at.

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