65 year old female presented to Caniglia Facial Plastic Surgery, in Scottsdale, for facial rejuvenation. Patient underwent facelift/necklift (rhytidectomy) and lower eyelid surgery (blepharoplasty). Procedures were performed under local anesthesia plus IV sedation, with a Board-certified anesthesiologist, at Caniglia Facial Plastic Surgery, a state and AAAHC accredited surgical facility.