A mask system for providing respiratory therapy to the airways of a patient includes a frame, a sealing arrangement adapted to form a seal with the patient's nose and/or mouth, an elbow, and headgear to maintain the mask system in position on the patient's face. The frame has a main body and a forehead support extending from a top end of the main body. The forehead support includes an upper headgear connector, and the main body includes a lower headgear connector. The sealing arrangement is structured to interface with the frame. The sealing arrangement comprises a cushion having a face-contacting side and a non face-contacting side.