Is eyelid surgery my only real option for my heavily hooded eyes? (Photo)

Based upon your
photo, you may be a good candidate for a blepharoplasty, or eyelid surgery.
You’ll best be able to find out what your options are from an in-person
consultation with an experienced plastic surgeon. Eyelid surgery would remove
any excess skin or fat on the eyelid to reveal more of your eyes. The
discoloration you experience may be hereditary or an indication of allergies.
You might consider consulting with an allergist to get screened for possible
allergens. If the discoloration is simply due to genetics, then laser treatment
may help to resolve the issue.

Hi there.  Please note that the definitive answer rests with an in-person examination.In the upper eyelid, there is an age-related accumulation of droopy tissue. Medically, this is known as dermatochalasis. The extra skin and tissue leads to a tired or angry look and may also impair vision.Upper lid blepharoplasty is performed to remove this droopy skin.  A nonsurgical option may be Botox; when placed strategically, may result in a "chemical browlift" that elevates the brow and reduces some of the hooding.Hope this is helpful.  Best wishes.