A frame for use in a patient interface device for delivering a flow of breathing gas to the airway of a patient includes a first end structured to be disposed at or about the forehead of the patient and a second end opposite the first end. The second end is structured to be coupled to a adapted to sealingly engage the face of the patient about an airway of the patient. The frame further includes a spine extending between the first end and the second end. The spine is sized and configured to follow the profile of the patient along at least a portion of each of the forehead, brow and nose of the patient.