66 year old female presented to Caniglia Facial Plastic Surgery in Scottsdale, for facelift necklift (rhytidectomy) upper eyelid surgery (blepheroplasty) , endoscopic forehead lift and full face laser resurfacing, all under local anethesia plus Iv sedation with a board certified Anesthesiologist. Her surgery was performed at Caniglia Facial Plastic Surgery, a state and AAAHC accredited surgical facility.