A patient interface system for delivering a flow of breathable gas to a patient includes a patient interface structure configured to sealingly engage the patient's nares; a pair of strips configured to be connected to opposite sides of the patient interface structure; and adhesive configured to secure the patient interface structure in sealing engagement with the patient's nares. The adhesive may be provided on the strips, and the strips are configured to be adhered to sides of the patient's nose by the adhesive. Another patient interface system includes a first component including adhesive on a first side and hook or loop fastener material on a second side, wherein the adhesive is configured to adhere the component to the face of the patient; and a patient interface structure configured to sealingly engage the patient's airways. The patient interface structure includes a second component including a corresponding loop or hook fastener material configured to engage the corresponding hook or loop fastener material of the first strip to secure the patient interface structure in sealing engagement with the patient's face. A patient interface system for delivering a flow of breathable gas to a patient includes a patient interface structure including a pair of nasal prongs or pillows configured to sealingly engage the patient's nares; and at least one spring configured to bias the nasal prongs or pillows outwards into engagement with the nares of the patient.