Do I need an anchor blepharoplasty or just skin removal? What shape is the incision? (photos)

From the one limited photograph, it appears that a simple skin excision only upper blepharoplasty can address rejuvenating the upper eyelids.  The incision is located directly in the crease with an elliptical skin excision performed. For more information and many examples, please see the link and the video below

Age is really not a factor when determining the "right" time to have surgery on your upper lids.  For genetic cases like yourself, it's perfectly reasonable to proceed with having upper eyelid surgery to correct the skin excess.  I make my incision in the natural crease of your upper lid.  Recovery is generally 5-7 days.  I use Occumend pads, which contain 50x the normal over the counter concentration of Arnica Montana and Ledum to help with post-operative bruising and swelling.  Surgery is done under local anesthesia in my procedure room.  It's a well tolerated procedure.  Check out some of my videos and photos for further information.  You are a great candidate. Be sure to see a board certified facial plastic surgeon, occuloplastic surgeon, or plastic surgeon.