Robert Schwarcz, MD

You are looking a little bit downward in the photo so your upper eylid evaluation might be less precise as far as evaluating for ptosis or drooping of the upper eyelid, but I would see benefit from an upper eyelid blepharoplasty with no fat to be removed from either upperor lower eyelids!  For your lower eyelids fat grafting with either CO2 laser or a lower eyelid tightening procedure done with a conservative skin pinch should be effective as well.