Increasing numbers of patients are presenting with volume-depleted breasts as a result of large saline implants that were placed under the pectoral muscle. To treat this problem, the authors introduce a revisionary surgery technique, called the neopectoral pocket, designed for patients with subpectoral implants. This technique is useful for the management of late breast augmentation complications, such as capsular contracture and implant malposition, including "double bubble" breast deformity, "Snoopy breast", and symmastia. The creation of the neopectoral pocket maintains muscle coverage over the implant, allowing control of pocket size while minimizing trauma.