A breathing assistance system may include a patient interface configured to interface with a patient to communicate gas received from a gas delivery apparatus to the patient, and a securing system configured to secure the patient interface against the patient's face. The securing system may include one or more walls forming a generally tubular structure open at least at one end. At least a portion of the one or more walls may be elastic such that at least a portion of the generally tubular structure can be stretched over the patient's head.