72-year-old female presented to Caniglia Facial Plastic Surgery in Scottsdale for face, neck, and forehead cosmetic surgery. Patient underwent lower facelift/necklift (rhytidectomy) and endoscopic forehead lift, all under local anesthesia plus intravenous sedation with a board-certified anesthesiologist. Her surgery was performed at Caniglia Facial Plastic Surgery, a state and AAAHC-accredited ambulatory surgery center.