A system is structured to provide a regimen of respiratory therapy to a patient having an airway. The system includes a gas flow generator structured to generate a flow of breathing gas, a patient interface device structured to communicate the flow of breathing gas to the airway of the patient, and a patient circuit structured to couple the gas flow generator to the patient interface device. The patient interface device includes headgear, a cushion structured to communicate the flow of breathing gas to the airway of the patient, and a fabric pouch holding the cushion. The fabric pouch is supported by or coupled to the headgear.