67 year old female presented to Caniglia Facial Plastic Surgery, in Scottsdale, for face, neck, eyelid and chin cosmetic surgery. Patient underwent facelift/necklift (rhytidectomy), lower eyelid surgery (blepharoplasty), chin implant and full face CO2 laser skin resurfacing. The procedures were performed under local anesthesia plus IV sedation with a Board-certified anesthesiologist. The procedures were performed at Caniglia Facial Plastic Surgery, a state and AAAHC accredited surgical facility.