64 year old female presented to Caniglia Facial Plastic Surgery, Scottsdale, for total facial rejuvenation. Patient underwent outpatient surgery, facelift/necklift (rhytidectomy), upper and lower eyelid surgery (blepharoplasty), endoscopic forehead lift (browlift), and full face CO2 laser resurfacing, under local anesthesia plus IV sedation with a board-certified anesthesiologist.