598811 A respiratory mask assembly, comprising: a mask frame including a connection port; an elbow connector coupled to the connection port and adapted to connect to a gas supply conduit; and a cushion (10A) including a mask-connecting portion (12.1) connected to the frame, a face-contacting portion (14) adapted to engage a patient's face, and an intermediate portion (16A) between the mask-connecting portion and the face-contacting portion. The intermediate portion includes a first laterally projecting gusset portion (54), a second laterally projecting gusset portion (56), and a reinforcement portion (12) provided to one or more side walls of the cushion. At least one perimetrical region (16.1) of the cushion includes the first gusset portion, the second gusset portion between the first gusset portion and the face-contacting portion, and the reinforcement portion between the face-contacting portion and the second gusset portion. At least one other perimetrical region (16.2) of the cushion includes only the first gusset portion and the reinforcement portion between the face-contacting portion and the first gusset portion. The first and second gusset portions in the at least one perimetrical region project laterally inwardly towards an interior of the cushion.