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.