76 year old female presented to Caniglia Facial Plastic Surgery, in Scottsdale, for total facial rejuvenation. Patient underwent facelift/necklift (rhytidectomy), lower eyelid surgery (blepharoplasty), endoscopic forehead lift (browlift), submalar (mid-face) implants and full face CO2 laser skin resurfacing. Procedures were performed under local anesthesia plus IV sedation, with a Board-certified anesthesiologist, at Caniglia Facial Plastic Surgery, a state and AAAHC accredited surgical facility.