78 year old female presented to Caniglia Facial Plastic Surgery in Scottsdale for face, neck and eyelid cosmetic surgery. Patient underwent lower facelift/necklift (rhytidectomy), lower eyelid surgery (blepharoplasty), endoscopic forehead lift and full face laser resurfacing, all under local anesthesia plus intravenous sedation with a board-certified anesthesiologist. Her surgery was performed at Caniglia Facial Plastic Surgery, a state and AAAHC accredited ambulatory surgery center.