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), an 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.