the quality is nice and I appreciate the case, but this was just too big for my nose and was uncomfortable. I have sleep apnea and can't afford a CPAP machine so I thought I'd try this but it was just so uncomfortable and bulky, even buying the smallest size. and I do not have a small nose. no matter how much I adjusted and move it, it just was not going to be possible to sleep in. maybe it might work for some but this unfortunately went right in the trash. think I'm just going to have to try mouth tape.