Do you recommend upper eyelid surgery, or both upper and lower? I always look so tired (Photo)

Your pictures appear to show you to be a good candidate for upper and lower blepharoplasthy. When appropriately performed by an experienced plastic surgeon you should get a refreshed look to your eyelids.

A sad and tired look is usually associated with both eyelid and brow problems. No doubt you would benefit from both upper and lower blepharoplasty but an in-person exam is necessary to determine how much your brow descent contributes. I think you can look forward to very pleasant results.