A patient interface device includes a sealing cushion structured to communicate a flow of breathing gas within an airway of a patient, a rigid or semi rigid support member coupled to the sealing cushion, the support member including an inner surface, an outer surface and at least one orifice extending therethrough, and a cushion member provided on the inner surface of the support member and structured to engage a portion of the head or face of the patient when the patient interface device is donned by the patient, the cushion member being made of a deformable material and overlapping the orifice such that a portion of the cushion member will flow at least partially through the orifice when pressure is applied to the cushion member.
