Remove the entire mattress from the bed frame then place a board between the springs and the mattress if the springs are part of the bed frame, such as with day beds. The board helps support the sagging mattress. Beds that feature a separate box spring that is not part of the bed frame generally cannot be fixed and must be replaced.
Place thick towels or comforters between the pillowtop and the rest of the mattress to even out the mattress and provide support. Lie down on your mattress to test for comfort and adjust the towels or comforter as needed. Thin, flat pillows can be used as an alternative to towels and comforters.
Rotate your pillowtop mattress once a month to help prevent sagging in a particular area. Move the mattress so the "head" of the mattress is now the "feet" and vice versa. If there is a pillowtop on both sides, flip the mattress over monthly as well, especially if you favor one side of the mattress.
Sleep on different sides of the mattress each night or every two or three nights to avoid sagging on one side of the mattress.