External strips (Breathe Right, ≈$12 for 26) stick across the nose and spring the nostrils open from outside. Best when the narrowing is at the nostril flare and your skin tolerates adhesive. The maker cites up to 31% more airflow; expect a subtle, real effect — not silence.
Internal dilators (Mute by Rhinomed) sit just inside the nostrils and stent them open from within; the maker's trial data reports ~38% average airflow improvement. Better if strips peel off or your narrowing sits deeper. Each dilator lasts about 10 nights, so it becomes a running cost.
Saline rinses & allergy control treat the cause when the blockage is swollen tissue rather than structure: rinse before bed during allergy season, wash bedding hot weekly, and keep bedroom air from going bone-dry. If one side is always blocked lying down, that's a structural question (e.g., deviated septum) for an ENT — no strip fixes anatomy.
Test protocol: one option at a time, 3 nights each, partner score or phone recording as your yardstick.