With the photo you submitted, there is a bit of droop of extra skin over the eyes. To determine what procedure is appropriate for you, we use a Q-tip to roll the skin up and look at your eyes. As someone who is boarded in facial cosmetic surgery and who does a lot of facelifts and other rejuvenation procedures in addition to cosmetic eyelid procedures, I don’t look at the eyes in isolation when we examine our patients, but rather how the eyes impact the whole face. The impact of the improved appearance after eyelid surgery can be significant and at the same time it can look natural. I always stress particularly to many of my male patients as well as our younger patients that less is more is the best way to go. If you can see a difference when rolling up the eyelid skin and if that is significant enough for you to feel good about it, then it’s worthwhile to meet with cosmetic surgeons. Unfortunately, there are a lot of male patients and celebrities who have eyelid surgery who had their eyelids overdone. Retaining a masculine appearance is very important. It’s not about how much surgery you do, it’s how the surgery is done in an artful way so that it appears you naturally look that way. When you do your consultations and meet with doctors, ask to look at their specific before and after examples of their male patients to get sense of their aesthetic style. Unfortunately, a lot of people get surgery and then they try to undo it. Consider the option of doing an upper eyelid blepharoplasty and understand that it’s going to be relatively conservative and there are risks and benefits. This is a 3-dimensional procedure so a photo alone doesn’t allow anyone to make a definitive recommendation. If a conservative amount of skin removal makes a difference for you and you know what to anticipate after surgery, then moving forward may be the right thing for you. I hope that was helpful, I wish you the best of luck, and thank you for question. This personalized video answer to your question is posted on RealSelf hosted through YouTube. If you prefer not to have your video question visible on YouTube, please contact us.