A mask assembly or interface with a mask assembly includes a mask seal and a mask shell that supports the mask seal. In some configurations, the mask assembly is configured to be fully positioned lower than a bridge of a nose of a face of a user and to provide an exposed bridge of the nose of the user. The mask seal includes one or more features that decouple movement of the nasal portion and the oral portion to allow relative movement therebetween at least about a longitudinal axis extending in the front to back direction of the mask seal. In some configurations, an interface assembly includes a movement limiting arrangement that limits movement of the upper portion of the mask seal.
