A device and method of use for depressing the cheeks of a user, to limit significant motion of the cheeks and provide for enhanced inhalation and exhalation. The device may be used to enhance respiration during a variety of activities, and is especially beneficial during the use of positive airway pressure (PAP) type medical. devices The device may include a pad adapted to engage a target area of a users cheek and to maintain cheek tissue against a bone surface during inhalation and exhalation. The device may also include at least one support element coupled to the pad to maintain the pad at the target area during a therapy session.