it does appear that you have fullness of the upper eyelids, however there are three possible (best) treatment options that will require an in person evaluation of the eyebrow position in order to ascertain which is appropriate in your particular case.
With you seated, the eyebrows must be placed in the proper aesthetic position, on each side, and the following evaluation performed. Based on what is found, the best-option treatment would be as follows.
1. The eyebrows are raised to their proper aesthetic position and the amount of upper eyelid fullness remains unchanged. This means that your eyebrows are not low and therefore do not contribute to the upper eyelid fullness. In this case, an Upper Eyelid Surgery is the suggested treatment to remove the excess skin and fat of the upper eyelids.
2. The eyebrows raised into the proper position and all the upper eyelid fullness is gone. In this scenario, all the upper eyelid fullness is due to low eyebrows and the suggested treatment is a Brow Lift to raise them into the proper aesthetic position. In this case, an Upper Eyelid Surgery is contraindicated as removing any upper eyelid skin would cause the eyebrows to drop further.
3. The eyebrows are raised into the proper aesthetic position and some, but not all, of the upper eyelid fullness disappears. In this mixed scenario, you would several options. First, the amount of excess upper eyelid skin remaining, when the brows are raised in the evaluation, could be removed with an Upper Eyelid Surgery...not more or you'd risk dropping the eyebrows. You could elect to raise the eyebrows with a Brow Lift alone that would place the eyebrows into the proper aesthetic position but would leave some excess fullness in the upper eyelids. Lastly, you could decide to treat both issues with a Brow Lift to raise the eyebrows and an Upper Eyelid Surgery to remove the remaining amount of upper eyelid fullness.
In women, upper eyelid fullness must always be evaluated in person, in this manner in order to determine the correct treatment. Hope this helps.