What is the longevity of the "Biltmore lift."

The Biltmore Lift is most commonly done using the deep plane facelift technique, and therefore enjoys all the advantages in terms of longevity that this advanced technique provides. 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.  All of these techniques offer good longevity, but the deep plane technique allows for division of facial ligaments to improve mobilization and anchoring of the tissues. Therefore, the procedure offers optimal results, both natural and long-lasting, while being done in our practice under local anesthesia. Clearly, patients agree and often travel across the country and around the world for the procedures we provide. 

Mostly this is marketing. However, facelifts need to be appropriate to the face.  The trend is smaller incisions.  That is the trend.  The key is what is right for you.  Look for a surgeon that is close to home.  There are very few markets where you can't find very experienced facelift surgeons.  This is ideal so you can get the post operative care you need.

The Biltmore lift seems to be one surgeon's name for what is essentially a mini-lift. Whether or not this will deliver the results that you want is really going to depend on your anatomy, skin tone, texture and goals. I would suggest that you get a second in person opinion from a board certified plastic surgeon and then compare notes.