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if you get a picture of how a font suspension works, there has to be a pivot point for the knuckle (the thing holding the wheel spindle or shaft). The knuckle pivots left to right to steer and moves up and down when you hit a bump. ALL trucks and cars had upper and lower A frames to do this for the first 80 years. No a days, some smaller vehicles have a design called McPhearson Strut that is somewhat different and eliminates the upper frame. Im not sure any trcuks have that system. All F150 have a frames.
yes, you need the upper A- frames. You need to have a better idea of how things are made. look at the attached photo of a 2 wheel drive suspension. There is an "A" frame at the top and bottom of the assembly. Normally to lift a 2 wheel drive front end you need a stronger coil spring or air type shock to push up more.
Typical leveling kits are nothing but a hockey puck type disk that sets on top of your springs to bring the front of the truck up. I dont think the control arms or anything else needs to be changed to do this.