OPEN NASAL AIRWAYS UP TO 45% OR MORE HOW IT WORKS: PerformAIR utilizes an adjustable comfortable pad in each nostril to gently apply a spring-like outward pressure from inside your nose to push open your nasal airways and improve breathing performance. BREATHE BETTER: Improves oxygen airflow, opens nasal airways, and relieves congestion, allergy, cold and flu symptoms. SLEEP BETTER: Improves deep, restful sleep and reduces or eliminates snoring, tension, and anxiety with better breathing. PERFORM BETTER: Improves mental clarity and athletic performance with better oxygen flow to the brain and muscles. DOCTOR (ENT), SURGEON & SLEEP CENTER RECOMMENDED: PerformAIR Nasal Dilators are doctor (ENT), surgeon (pre-op and post-op) and sleep center recommended. REUSABLE: Each PerformAIR is reusable for up to 21-days and each order comes with a storage / travel case. ADJUSTABLE FOR CUSTOM FIT: PerformAIR Starter Pack comes in three (3) fully adjustable sizes: Large, Medium, and Small, to optimize comfort, fit, retention and breathing performance. Each ergonomic nasal insert has legs, arms and nasal pads that can be formed to fit the unique shape and size of your nose. STARTER PACK - RECOMMENDED FOR FIRST ORDER WITH ALL THREE (3) SIZES : Each Stater Pack includes (1) Large, (1) Medium & (1) Small, (1) Storage | Travel Case & Instructions. Determine which fully adjustable size provides the most comfortable fit, best retention, and best breathing performance. HEALTH & SANITARY: For Health & Sanitary Reasons there are NO REFUNDS / NO RETURNS. Thank you for understanding.