A surgical mesh maker applicator for applying an in situ forming material to subdermal tissue is disclosed and includes a handle and an outer tube extending from the handle. The outer tube defines a longitudinal axis and a longitudinal slot along a distal portion of the outer tube. An inner tube containing a pattern extends at least partially through the outer tube. A rotational mechanism rotates the inner tube with respect to the longitudinal axis to dispense the in situ forming material into a patterned structure for strengthening the subdermal tissue.