A patient interface device (8) includes a frame (14) including a faceplate (18) having an outer surface (18A) and an inner surface (18B), the inner surface having an inward facing portion (74) which is oriented generally perpendicular to a patients face when disposed on a patients head. A cushion assembly (16) is coupled to the frame. The cushion assembly includes a support frame (44) including a coupling portion (48) having a bottom surface (48A) and an opposite top surface (48B) and a sealing cushion (46) coupled to the coupling portion of the support frame. The sealing cushion includes a first portion (62) extending from the bottom surface of the coupling portion and a second portion (64) extending from the top surface of the coupling portion, wherein an outward facing portion (72) of the second portion of the sealing cushion sealingly engages the inward facing portion of the frame.
