Deep Neck Lift and SubSMAS Facial Rejuvenation Volume 4 – L. Mike Nayak, MD (2026)

4 Complete Surgical Cases | 9+ Hours of Operative Video | English Subtitles + Audio Files | Digital 2026 Edition

Explore advanced techniques in contemporary facial and neck rejuvenation with QMP Deep Neck Lift and SubSMAS Facial Rejuvenation Volume 4, featuring L. Mike Nayak, MD.

This comprehensive 2026 surgical education program presents four complete operative cases and more than nine hours of detailed surgical video, providing an in-depth look at Dr. Nayak’s evolving approach to deep neck lift, preservation facelift, deep plane facelift, and SubSMAS facial rejuvenation.

Building on concepts introduced in previous volumes, Volume 4 focuses on refinements designed to improve structural facial support, minimize unnecessary tissue delamination, optimize facial and neck contouring, and preserve natural facial movement.

Detailed narration, preoperative planning, surgical markings, conventional high-definition operative footage, and first-person headcam visualization provide a close view of important anatomy, tissue planes, and advanced operative maneuvers.

What’s Included

The digital course includes:

• 4 complete surgical cases
• 9+ hours of operative video
• English subtitle files
• Audio files
• Step-by-step narrated surgical demonstrations
• Preoperative evaluation for Cases 1–3
• Surgical markings and operative planning
• First-person headcam footage
• High-definition operative visualization
• Advanced facial and neck rejuvenation techniques
• 2026 edition

Key Techniques & Concepts

Deep Neck Lift

Study advanced deep neck lift techniques with detailed visualization of deep cervical anatomy, surgical planes, tissue management, contouring strategies, and operative decision-making.

The combination of conventional surgical footage and first-person headcam views provides additional perspective when observing deeper and more difficult-to-visualize areas of the neck.

Preservation Facelift

Volume 4 introduces updated preservation facelift dissection strategies with an emphasis on reducing unnecessary delamination while maintaining effective tissue mobilization.

These principles are demonstrated across patients with varying degrees of facial and neck laxity, including challenging cases following significant weight loss.

Preservation Deep Plane Facelift

The operative cases demonstrate the integration of preservation and deep plane facelift concepts with deep neck surgery and complementary facial rejuvenation procedures.

The course emphasizes structural repositioning rather than relying exclusively on superficial skin tension.

SubSMAS Facial Rejuvenation

Explore advanced rejuvenation concepts involving deeper facial tissues beneath the SMAS and layer 4.

Dr. Nayak demonstrates techniques intended to reshape and support deeper facial structures while maintaining balanced facial movement and contour.

Advanced Facial Reshaping

Volume 4 presents refinements in deep structural facial reshaping, including:

• Parotidomasseteric fascia plication
• Zygomaticus major tensioning
• Malar fat plication
• Deep facial structural support
• Facial contour refinement
• Preservation-oriented dissection
• Deep tissue repositioning

These operative demonstrations illustrate approaches that extend beyond superficial skin repositioning and focus on deeper structural anatomy.

Systematic Inset Vector Planning

The course demonstrates a reproducible approach to determining appropriate brow, facial, and neck inset vectors.

Topics include:

• Brow inset vectors
• Facial inset vectors
• Neck inset vectors
• Tissue repositioning
• Vector planning
• Tension distribution
• Facial contour optimization
• Neck contour optimization

Ultrasonic Dermal Heating

Volume 4 also demonstrates the incorporation of ultrasonic dermal heating into the operative workflow as an adjunct during facial rejuvenation surgery.

Its application within both hemostatic management and rejuvenation procedures is shown during the surgical demonstrations.

Four Complete Surgical Cases

Case 1 — 64-Year-Old Female With Significant Face and Neck Laxity & Photoaging

This comprehensive rejuvenation case includes:

• Brow lift
• Upper blepharoplasty
• Lower blepharoplasty
• Facial fat transfer
• Deep neck lift
• Preservation deep plane facelift
• Buccal fat reduction
• Full-face laser resurfacing

The case demonstrates how multiple complementary procedures can be integrated into a comprehensive facial and neck rejuvenation strategy.

Case 2 — 58-Year-Old Female Following 130-Pound Weight Loss

This case examines facial and neck rejuvenation following substantial weight reduction.

Procedures demonstrated include:

• Brow lift
• Upper blepharoplasty
• Lower blepharoplasty
• Fat transfer
• Deep neck lift
• Preservation deep plane facelift
• Buccal fat reduction
• Full-face laser resurfacing
• Hemostatic net for management of heavy bleeding

The case provides valuable operative insight into managing substantial tissue laxity and structural changes following major weight loss.

Case 3 — 63-Year-Old Female Following 110-Pound Weight Loss

The third case combines facial, neck, periocular, and volumetric rejuvenation procedures.

Procedures include:

• Brow lift
• Upper blepharoplasty
• Lower blepharoplasty
• Canthopexies
• Facial fat transfer
• Deep neck lift
• Preservation deep plane facelift
• Earlobe reduction
• Lip filler
• Full-face laser resurfacing

This extensive case demonstrates comprehensive surgical planning for a patient presenting with significant facial changes following major weight loss.

Bonus Case — 59-Year-Old Female With Face & Neck Laxity

Recorded during a Live Surgical Congress in St. Louis — Fall 2025

Procedures demonstrated include:

• Brow lift
• Lower blepharoplasty
• Fat transfer
• Deep neck lift
• Preservation deep plane facelift
• Full-face laser resurfacing

This bonus case provides an additional operative demonstration of preservation facelift and deep neck lift principles.

Additional Procedures Covered

Across the complete collection, viewers can study or observe:

• Deep neck lift
• Preservation facelift
• Deep plane facelift
• SubSMAS facial rejuvenation
• Brow lift
• Upper and lower blepharoplasty
• Canthopexy
• Facial fat transfer
• Buccal fat reduction
• Parotidomasseteric fascia plication
• Zygomaticus major tensioning
• Malar fat plication
• Earlobe reduction
• Lip augmentation
• Full-face laser resurfacing
• Ultrasonic dermal heating
• Hemostasis techniques
• Hemostatic net
• Surgical markings