A patient interface for use in delivering a flow of breathing gas to an airway of a patient. The patient interface includes a front portion and a rear portion coupled to the front portion. The front portion and the rear portion together define a cavity therebetween which is structured to receive the flow of breathing gas. The rear portion includes a support layer disposed directly adjacent the cavity, the support layer having a region having a plurality of first thru-holes structured to receive the flow of breathing gas from the cavity. The rear portion further includes a patient engaging layer structured to engage the patient at or about the airway of the patient, the patient engaging layer including at least a second thru-hole structured to receive the flow of breathing gas from the plurality of first thru-holes.
