62 year old female presented to Caniglia Facial Plastic Surgery in Scottsdale, for face and neck cosmetic surgery. Patient underwent facelift/necklift under local anesthesia plus IV sedation. In addition, she had full face CO2 laser skin resurfacing to soften wrinkles. Her surgery was performed at Caniglia Facial Plastic Surgery, in-office, a state and AAAHC accredited surgical facility.