Yes, a thread lift does indeed require anaesthesia. Before the procedure starts, the surgeon injects local anaesthesia into the area which needs the facelift, such as the jaw, jowl, or eyes. As soon as the area starts to numb, the thread lift is then performed. Due to local anaesthesia being administered, the patient is awake but feels no pain or discomfort during the procedure, and the whole ordeal is over within an hour.