You have a mild negative canthal tilt, mild hooding of your upper eye-lids, moderate brow ptosis and some weakness of the lower eyelids. A lot of this is due to skeletal structure. Changing the lateral canthal insertion point is a tricky procedure. There are procedures to address each of these issues like canthopexy, brow lift, or blepharoplasty surgery. Whether surgery is indicated or not depends on a number of variables credit Consult with plastic surgeons, facial plastic surgeons, or oculoplastic surgeons in your community. During each consultation, ask each provider to open up your portfolio and show you their entire collection of before, and after pictures of previous patients who had very similar characteristics. This is probably the best way to get a good understanding of what these procedures can Accomplish as well as assessing the skill experience of the provider. It would be helpful to see more of your midface. A tired appearance is often related to what the lower eyelid and upper midface looks like. Best, Mats Hagstrom MD