Thank you for your question and photo. Your lower lid doesn’t seem to need improvement, but you may be a candidate for an eyelid procedure known as an upper blepharoplasty. This surgical procedure can address hooding and create a more awake and refreshed appearance. This is done by removing excess skin and modifying the fat in this area to achieve the desired aesthetic. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to review your cosmetic goals and determine the best treatment option to help you achieve them.

For significant improvement, hooded eyelids require surgery if there is enough skin. For nonsurgical treatments: Radiofrequency (Thermage or Venus Legacy/Viva), injectable fillers, and a Botox brow lift can help contour the eyebrows and lift the eyelid skin. I recommend getting a formal evaluation with an experienced cosmetic dermatologist. Best, Dr. Emer.

You would benefit from a thoughtful blepharoplasty and potentially a browlift. This would help get the “weight” off your lids and get an eyelid platform back. Your right brow is higher than your left and you may need a left sided endoscopic browlift. Difficult to assess your lower lids from your photo. Best to see an eyelid expert in your area.

For your upper lids it appears you may be a candidate for an upper blepharoplasty. This will improve the hooded appearance of the eyes by removing a small strip of skin. Your photo doesn't demonstrate significant under eye issues. You may consider some filler just to help improve contours. I encourage you to visit with a board certified plastic surgeon near you to learn more.

It is true that you have excess skin in the upper eyelid, but what needs to be addressed is the brow position. Please note that your brow is almost at the level of orbital bone, which is slightly lower that ideal. The solution would be 1st an endoscopic brow lift which is performed with a small camera through small incisions hidden in the scalp, 2nd, if needed removal of the upper eyelids skin. Hope that was helpful !