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