I am hearing that a lot of facelifts don't last past 5 years. Is this true?

As with many things in medicine and surgery.... it depends. A few years ago, the Lifestyle Lift (skin only lift) was a chain of facial rejuvenation practices that were attactive due to a low cost, local anesthetic and short operative time. The results lasted for about 1-2 years.
For the last 30 years, we have known that a facelift involving the SMAS layer is necessary to create more durable results. Trying to understand the minutia of each SMAS procedure can be dizzying but I believe the take home message is that you want a surgeon that is going to address the SMAS plane. In my opinion, I think a High SMAS or Deep plane facelift will provide the most natural, durable results that can last for 10-20 years.

Hi Amy,
This is a common question! I wish that I could provide a more solid answer, however, the reality is that it really depends. The best thing that you can do on your facelift journey is seek out a reputable, board-certified plastic surgeon experienced in facial rejuvenation and with examples of results that best reflect your goals for yourself. In my practice, patients undergoing their first deep-plane facelift typically "rewind the aging clock" by 10-15 years. This means that results shouldn't necessarily "expire" and as you age, having had the procedure should always allow you to appear more youthful at any age than you would without it. That being said, a facelift does not stop the aging process all together and each person ages differently. For example, a patient with naturally thicker skin who maintains their results with skin care, etc. may notice a longer lasting result.

This is a complex question as longevity is not just the surgery itself. Results involve the quality and elasticity of the skin as well as following post op care instructions and using sunscreen at least once per day. Other factors than can effect longevity are genetics, diet and smoking.