68-year-old female presented to Caniglia Facial Plastic Surgery, Scottsdale, for total facial rejuvenation. The patient underwent facelift/necklift, upper and lower eyelid surgery (blepharoplasty), and full face CO2 laser resurfacing under local anesthesia plus IV sedation with a board-certified anesthesiologist at Caniglia Facial Plastic Surgery, in-office, a state, and AAAHC accredited surgery facility.