I was diagnosed 12 years ago as "extreme". I also do not like masks,hats,jewlery etc. on my body. I researched my options and qualified for a radio wave surgery that "burns" the upper pallet and larynix. It changes the shape of the inside of your throat and mouth, altering with scar tissue to a normal pathway. I had it done twice and reduced my episodes dramtically during the post op sleep studies. Still snore a little, have good rem sleep, breath 100% during the night and only lash out/short fuse with stupid people.lol oh and no mask! You should look into it.