Is A Biltmore Lift the same as a SMAS lift?

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.

There are a multitude of names surgeons have given to the facelift they do, in an effort to try and distinguish themselves as “doing a unique type of facelift”. The reality is that nearly everyone not only lifts and smooths the skin but also lifts and tightens the underlying layer called the SMAS. The SMAS layer can be treated in different ways: simple suturing, elevating with an incision above your cheekbone, elevated with an incision below your cheekbone, placing the incision to elevate directly in front of the ear, or placing the incision to elevate in front of the parotid gland. Elevating the SMAS and suturing it into a tighter and more vertical position helps straighten and sharpen the jawline and contour the neck, however, of the numerous different ways to treat the SMAS, there has never been a scientific review that has shown that any one technique is better than any other technique. Therefore, the simplest way forward is usually the safest way forward.

Thank you for your question;  Sorry the terminology is so confusion for you patients but everybody want to be unique  by naming there own name to techniques but in  reality all this can be  divided in deep plane with the use of muscles and facias  or superficial  with the lifting of only skin.  In this case the Bilmore is referring to the deep plane.