It is possible to perform a neck lift under local anaesthesia.
That said, it requires large amounts of local anaesthetic to ensure you do not feel anything during the procedure, and you will be awake during the procedure. This means you will feel pulling and tagging, and this can be disconcerting for some patients. You will also need to stay completely still for anything up to 3 hours on the theatre table.
It is also possible to have the treatment under Sedation, whereby painkillers and sedatives are administered via an IV drip. Anaesthetic options will be discussed at your consultation.