An implantable mesh for use in high tension tissue reconstruction includes a mesh body having a surrounding edge and at least two mesh extensions comprised of mesh and extending from the surrounding edge of the mesh body. Each mesh extension has a first end, a second end, and a length therebetween, the first end being integrated into or part of the mesh body. Each mesh extension is configured to be passed through tissue surrounding a reconstruction site to create multiple anchor points with the surrounding tissue upon implantation so as to resist high tension across the reconstruction site without dehiscing or migrating.
