Does the Biltmore lift procedure include tightening the platysma muscle in the neck and the SMAS in the lower face?

Simply put, the Biltmore Lift is a face and neck lift performed at Biltmore Plastic Surgery in Asheville, NC by Dr. David Harley. Over the years, I have performed several thousand face and neck lifts using a variety of techniques, including SMAS plication, lateral SMASectomy, and the deep plane facelift technique. I have been performing mostly deep plane facelifts recently. Most of these include platysmaplasty with some sculpting and removal of fat from along the jawline and neck. The common ingredient for all of my lifts has been the use of local anesthesia and oral sedation. Patients are thus able to walk in and walk out of the office, and also they enjoy the benefit of reduced costs and practically zero anesthetic downtime. So from an anesthesia standpoint, I would describe this as minimally invasive. However, I have learned that while patients desire minimally invasive procedures, most do not usually want mini results. Therefore, I have employed what I feel is the most sophisticated face and neck lift technique available today, known as the deep plane face and neck lift. This procedure offers optimal results, both natural and long-lasting, while being done under local anesthesia. Clearly, patients agree and often travel across the country and around the world for the procedures we provide. Many times their friends and family travel the same distances after seeing their loved one’s new look.

The Biltmore facelift is a brand name for a type of facelift and therefore means whatever the surgeon says that it is. Their is no academic procedure in facelifting called that technique. 

Although I am not sure what the "Biltmore Lift" specifically refers to, I would be careful about branded marketing terms when it comes to facial plastic surgery.  A well performed facelift addresses the SMAS and tightens the platsyma.  Make sure that you see a well trained, expert facelift surgeon who devotes significant time to this procedure. 

The Biltmore lift is not a technique. It's a term that a particular surgeon is using to describe his or her facelifts. You will need to ask the surgeon exactly what it entails. 

I am unacquainted with any procedure by that name but would agree with you that platysmal plication and transection of neck bands in addition to SMAS plication in the cheeks are extremely important components of a properly done facelift that will look natural and last a long time.  Appropriate autologous fat grafting and elevation of the cheekpads are additional components of the facelift that I routinely perform and feel are important.  Please enjoy the video link above for more information that you will find useful.  Best wishes,Jon A Perlman M.D., FACSDiplomate, American Board of Plastic SurgeryMember, American Society for Aesthetic Plastic Surgery (ASAPS)ABC-TV Extreme Makeover SurgeonBeverly Hills, CaliforniaIG: jonperlmanmd

 Hi, I don't know if that particular version of facelift does indeed properly address the SMAS layer as described below.  I have performed many facelifts over the past 30 years many of which are the minimally, invasive SMAS type facelifts.  If you have "jowls” these represent sagging facial tissues and an indication for some form of a SMAS facelift.  The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last).  The excess skin is then removed and the facelift incisions closed.
  For over the past 15 years now, my most popular facelift is the minimally invasive, short incision facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane, cheek lift and subperiosteal facelifts) but with these added benefits:
very small incisions and no incisions extend or are placed within the hair.
minimal tissue dissection = less bruising and swelling = rapid recovery ( several days instead of weeks or months with the more invasive type facelifts mentioned)
can be performed in 90 minutes or less, with or without general anesthesia
no incisions within the hair = no hair loss
excess fat can be removed from the face and neck
excess skin removed from the face and neck
cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants
most patients fly back home to parts all over the world in as little as 3 days post-op
 In addition to treating the "jowls" and following my facial beauty principles that I've developed over the past 30 years, women look the most feminine, youthful and attractive with heart shaped faces.  My studies have shown that heart shaped faces have cheeks that are full and round in the front.  If your face isn't heart shaped, cheek augmentation should be considered using precise placement of a dermal filler to the front of the cheeks (not along the sides of the cheeks that broadens and masculinizes the cheeks and face) or using cheek implants for a permanent enhancement will create full, round cheeks that will feminize the entire face.Hope this helps.