What type of eyelid surgery do I need for saggy / puffy eyes? (photo)

The saggy and puffy feeling you have in your upper eyelids is due to some excess skin and fat. The best technique to address those aspects of your upper lids would be through an Asian blepharoplasty approach that removes the excess skin, and contours the excess fat while creating a crease shape that looks the most aesthetically pleasing on your face.