72-year-old female presented to Caniglia Facial Plastic Surgery in Scottsdale for face, neck, and forehead cosmetic surgery. The patient underwent a lower facelift/necklift (rhytidectomy), and endoscopic forehead lift, 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