an adjustable support pad for adjustably holding a tensioning line used to apply tension to a body organ . the adjustable support pad can include a locking mechanism for preventing slidable movement of the tensioning element in one or both directions . the locking mechanism may include spring - loaded locks , rotatable cam - like structures , and / or rotatable spool structures . the adjustable support pad may be formed from rigid , semi - rigid , and / or flexible materials , and may be formed to conform to the outer surface of a body organ . the adjustable support pad can be configured to adjustably hold one or more separate tensioning lines , and to provide for independent adjustment of one or more tensioning lines or groups thereof .