Hey M Shaw,
Welcome to
the Mattress Underground

! Thanks for your question.
First, fantastic forum. I've learned so much here. Thanks for sharing your expertise.
Thanks so much for your kind words on the site, M Shaw; they are much appreciated! Glad to know that you're enjoying the tutorials and many years of Phoenix's dedicated research, as well as the guidance from TMU's experienced
Trusted Members
.
The failure point of every mattress for me over the last 10 years has been sagging support under the hips & low back, leading to my lumbar spine going out of alignment, possibly from an old low-back injury from a car accident 25 years ago. I also need a lot of cushioning for the rest of my body for comfort; I don't sleep well on a firm mattress.
I am sorry to learn of your chronic lumbar spine alignment problems, possibly from an earlier lower back injury involving a car accident. Those sorts of injuries can trigger pain and discomfort for many years following an accident event. Given your preference for back sleeping (mentioned in the last paragraph) and more cushioning on your mattress, I have several questions regarding the "failure point of sagging support under the hips and low back" area. What brands and types of mattresses have you been using before your current one mentioned below?
Is there a reason not to put an extra layer of foam under my hips? I get that abrupt changes in height probably wouldn't be good for my spine, but maybe a foam piece tapered on both sides, to sort of create a soft hill to increase support under the hips? I've read about zoned mattresses, but am not at that point yet.
That could be a risky type "band aid" for resolving the sag in your mattress, M Shaw. Before getting too much further with your other questions, my concern for you is that no matter how much we'd like to offer counsel, on online forum is not the best fit for giving mattress design advice to individuals with pre-existing chronic pain due to injury or other medical conditions. With that caveat in mind, we can look at a few of your Q's

.
When my Leesa mattress got too soft after a couple of years, I flipped it over and put a 2-inch memory foam topper on it. That was really comfortable and supportive, though after a couple of months, it also got too soft at the hip. The Leesa support layer was 32 ILD, and the foam topper was 11 ILD.
The Original Leesa mattress is an all-foam design, using memory foam as one of its layering ingredients. As memory foam warms to a body's temperature and forms itself to a body's profile, it creates a pressure-relieving cradle, giving the feeling of "sleeping in" the mattress. As mainly a
back sleeper
, the "gaps" in your profile are not quite as deep as in side sleeping, so a slightly less shallow cradle is needed. If you choose a slightly thicker comfort layer which already forms a perfect cradle for your sleeping position and you don't change positions a lot during the night, then a firmer support layer underneath is important to stop any further sinking down of the heavier parts of your body. That your Leesa felt better for your preferences with its support side up and a 2 inch memory foam topper makes sense for a short term solution; however, it sounds like you're still not getting adequate support long-term.
I've started a DIY setup, trying to approximate that setup, but maybe a little firmer so it works for my low back long-term. My current setup:
2" 11-ILD memory foam (Sleep Innovations, a few years old)
1" 20-ILD latex foam (Sleep On Latex, new)
1" 30-ILD latex foam (Sleep On Latex, new)
4" 35-ILD HD foam (Foam Factory, new)
4" 50-ILD HD foam (Foam Factory, new, bought before I knew the Leesa mattress specs; I'm only using it because I have it and it adds height)
Thanks for your latex layering purchase from
Sleep On Latex

! As experienced manufacturers of dunlop latex, I regard them highly in terms of deep product knowledge, product design expertise, and excellent customer support. Did they offer any guidance or suggestions for your DIY plans?
After a few weeks, I'm already finding that the side of the mattress that's more broken in feels a little too soft for my low back, while the side I haven't slept on as much is too firm. My low back seems to have a very narrow range of support that works well; as a mattress starts to sag at the hip, even a towel folded in half or quarters under the hips can make it feel better for a while. Just a couple of millimeters makes a difference.
With your particular injury-related chronic back pain, an all-foam mattress may not be the best way to go, M Shaw. What type foundation are you using for your DIY? Are you consulting your physician for alternatives such as considering an adjustable bed base? You may find the ability to raise and lower your upper body and legs in different degrees would offer some pressure relief, that is an alternative that you could discuss with a medical expert.
I'd love any suggestions for my current setup to enhance comfort without compromising low-back support. I may have to replace the 2" memory foam topper with something a little firmer or thinner, but I'm not sure what to try. Basically, I'm modifying the mattress an inch at a time right now; I just replaced a 1-inch 20-ILD latex layer with a 1-inch 30-ILD latex layer when I sank through two 1-inch 20-ILD latex layers too much and hit that firmer 35-ILD support layer.
You may find that going at your DIY with "an inch at a time" approach to be a less rewarding and more expensive proposition than you expected. Using 2" or 3" layers would be a better way to go, both from a functionality and durability standpoint. As primarily a back sleeper, you will need to focus on getting the support core right for your back's slightly flatter sleep profile, as well as comfort layers that offer just enough of the cushioning that you prefer without hitting the support core beneath. You may consider reaching out to our latex/ all latex trusted members too for their suggestions, here is a
link
to that directory.
Also, are there materials that soften less as they break in? My strategy has been to start too firm, use soft mattress toppers, and then reduce the toppers as the mattress breaks in. But it's hard to estimate how much softer the layers will get.
You may consider
Talalay latex
as a comfort layer choice. It checks off several of your boxes, including a softer material providing high resiliency, superior pressure point relief, and high durability over its useful life. These qualities do come with an increased price tag, however. Also, if you prefer the feel of memory foam's "sinking into" a mattress, you would find Talalay latex to be quite the opposite as it's comfort feel is described as a more "uplifting" and "sleeping on" the mattress. It is hard to estimate how much softer the layers will "feel" to you over time and use, as only you can "feel" what you feel on a mattress, as we're fond of reminding everyone who drops by.
My specs: 5'5", about 160 pounds, weight pretty evenly distributed. Mostly a back sleeper, sometimes a side sleeper.
Thanks too for providing a bit of your personal stats with your question; those are always useful as we tick through the points of helping consumers understand which materials and constructions are better suited for their individual preferences. One final recommendation: when you can, you may want to review Phoenix's article
"The Basic Functions of a Mattress"
, it’s a helpful discussion about understanding how a mattress delivers comfort and support to the user. Again, I'd like to stress that the TMU does not offer medical advice or suggestions for those with chronic pain injuries/ medical conditions. You may consider consulting the Mayo Clinic online or other related resources better suited in understanding sleep needs for ones suffering from those conditions. Looking forward to hearing more of your next steps and good luck

.
Thanks,
Sensei