It is discloses a patient interface 3000 comprising a seal forming portion 11, a pad 10, and a cushion 20. The seal forming portion 11 may comprise a base surface 111 and a plurality of fibers 112 fixed to and extending away from said base surface 111 for contacting a patient's skin. The cushion 20 may comprise at least along a portion of the circumference a first structure 22 having an elongate section 24 joined with at least one end section 26 oriented substantially perpendicular or at an angle to the elongate section 24. A first end A of the elongate section 24 may be connected or connectable to a frame member 30. The end section 26 may be provided at an opposing second end B of the elongate section 24. The pad 10 may comprise a resilient foam material layer with the seal forming portion 11. The pad 10 may be adapted to be connected to the cushion 20.