A method of adjusting the fit of a patient interface device having a nasal cushion rotatably coupled to frame member includes providing resistance to rotation of the nasal cushion assembly in a first direction toward a face of a patient using a rotational resistance mechanism provided between the nasal cushion and the frame member, and responsive to a force being applied to the nasal cushion by a nose of the patient, allowing the nasal cushion to rotate relative to the frame member in the first direction against the resistance to a tilted position, wherein in the tilted position the rotational resistance mechanism biases the cushion assembly in favor of rotation in a second direction opposite the first direction.
