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

You have early bilateral upper eyelid ptosis and lash ptosis.  If you have skin only upper blepharoplasty, it will expose the heaviness of the upper eyelid platform and it will not correct the lash ptosis.  The swelling associated with the blepharoplasty can worsen the heaviness of the upper eyelid.  If you surgeon violates the orbital septum without correcting the upper eyelid ptosis, this is much more likely to cause post procedure heaviness. Unfortunately the anchor blepharoplasty can be very challenging to find in a particular market.

While a complete exam is needed to fully determine the benefit of surgery, it does seem that you have excess upper lid skin. Also on your photos you have some lateral fullness that might need to be removed as well.

Seek a board certified surgeon for a full evaluation.

 Thank you for asking your question and sharing your photograph. It appears that you would benefit from blepharoplasty. See a an experienced specialist in person who can thoroughly evaluate your problem and give you best advice. Good luck, 

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.