68 year old female presented to Caniglia Facial Plastic Surgery, Scottsdale, for total facial rejuvenation. Patient underwent facelift/necklift, upper and lower eyelid surgery (blepharoplasty) and full face CO2 laser resurfacing, under local anesthesia plus IV sedation with a board-certified anesthesiologist at Caniglia Facial Plastic Surgery, in-office, a state and AAAHC accredited surgery facility.