Correction of large sagging breasts with previous implants placed in the subglandular space is a common request. previous attempts by other surgeons to “fill” loose saggy breasts just with subglandular implants rarely ever yield satisfactory results. It usually leads to breasts that appear matronly. I simultaneously lifted her, created a new submuscular space, and replaced implants with ADM to secure the implant under the muscle. An amazing transformation!