Nose Pad Buyers Tip #28: The proper adjustment of replacement nose pads is just as important as the selection of the appropriate replacement nosepads. Nose pads that are not accurately adjusted can cause immense pain to the glasses wearer. The most common maladjustment is an improperly aligned nose pad whereby the surface of the nose pad does not sit flush on the surface of the underlying skin. This results in the nose pad "digging into" the eyewear wearer.