A tube fixation device (1) for maintaining a tube (2) inserted into a mammalian body in a releasably fixated position, said tube fixation device (1) comprising: a tube receiving element (3) configured to receive said tube (2)； a fastening element (4) arranged in connection to said tube receiving element (3) and wherein said fastening element (4) is configured to releasably fixate said tube (2) when said tube (2) is arranged in said tube receiving element (3)； and a supportive element (5) attached to said tube receiving element (3) and configured to be positioned on a surface area of said mammalian body,characterized in that the supportive element (5) comprises a layered structure (16), wherein said layered structure comprises at least a ductile layer (20) comprising a ductile material, wherein the ductile layer is configured to be shapeable by the practitioner to conform to a three-dimensional shape of said surface area on said mammalian body.
