<p>Noninvasive positive pressure ventilators (NIPPV) require the use of nasal or facial masks. Due to the need for these masks to tightly adhere to prevent air leaks, they can cause facial pressure ulcers. The author developed an innovative method to reduce the incidence of ulcers by replacing the hydrocolloid dressings that were used as a barrier between the tube and facial skin, with a modified silicone soft foam dressing.</p>