I am notoriously a side sleeper, face smushed in the pillow person. I’m 59 years old, and you CAN teach an old dog new tricks, with the right tools! I’ve had this pillow going on 3 weeks and wake up on my back as I layed down initially for bed. My eyes are NOT puffy, NOT swollen, no linen creases on my face. I routinely get Botox and I feel like I’ll need less now. Get this, my night time moisturizer is still on like I just applied it when I wake up. The only downside to that, is I’m getting a little acne because it stays stagnant and isn’t worn off with normal toss and turns. If I do turn on my side, that side of the face “floats” with the support of the architectural genuine that created the pillow. Your neck is supported on your back and sides . It’s super soft and relaxing. You rest your head down and it sinks in comfortably. I got the satin pillow case because it keeps my hair smooth until morning and not all “rats nest lookin”. I highly recommend this pillow, and for the side sleepers, you still can sleep on your side, sleeping on my back is new, but I have adapted . The way its designed is to support your neck and alignment. I love it! worth every cent!