A patient interface system to treat sleep disordered breathing of a patient with pressurized gas, comprising: a patient interface (3301); at least one strap (3308); at least one retractor (3304) fixedly attached to the patient interface, the at least one retractor connected to the at least one strap and configured to retract the at least one strap without patient actuation; and at least one pad (3302) to cushion a rearward portion of the patient’s head. The at least one pad has an opening, the at least one strap passing through the opening to allow the at least one pad to move freely relative to the at least one strap.