What Can I Do to Improve my Hooded Eyelids? (photo)

Thank you for sharing your question, because many patients have your concerns. Eyelids can be hooded at any age. They tend to worsen as we age. From your photographs, it appears that a slight amount of skin could be removed from your upper lids. Make sure to see an oculoplastic surgeon who believes in under correcting the problem, so that you don't look "fake" after the surgery.

Thank you for your question.  Botox would be a non surgical option to try and raise your eyebrow to make the appearance of less heaviness.  If you have loose skin and puffiness then surgery would the only option to remove.  Extra skin and fat on the upper eyelid can cause the eyes to feel and look tired. Taken to the extreme, the extra skin can hang so much that it can hamper your vision and cause discomfort.  If you look tired when you're not, and can’t put eye shadow or mascara due to excess skin covering your eyelids, then you can benefit from upper eyelid lift or Upper Blepharoplasty.  
Please make sure you find a reputable and qualified plastic surgeon who can assess you properly to give you a realistic idea of what outcome you can achieve.  All The Best 

Facial aging affects the entire face, but nowhere is it more noticeable than the area around the eyes. Aging of the soft tissue in this area not only makes us look older, but can change how we're perceived. Excess eyelid skin can make us look tired and less energetic, while brow descent can make us look serious and even angry. For these reasons, brow lift and blepharoplasty are commonly requested cosmetic procedures.Your pictures suggest mild brow descent and minimal excess eyelid skin. In someone who's only 21, the risk benefit ratio of surgical correction should be carefully considered. It's essential that the pros and cons of surgical intervention be thoroughly understood. Although surgery could be undertaken to correct your anatomic deformity, it might be better to delay surgery until you're older. For these reasons, it's important to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to formulate a treatment plan that addresses your age, anatomic findings and aesthetic goals.

#Hooding of eyelids at a young ageIts possible to have familial low brow or heavy hooded eyelidsYou will do well with a simple #blepharoplasty

Firstly, you should understand that you have very attractive and youthful eyes/eyebrows. And it is unusual to have a blepharoplasty at such a young age. But as part of your normal anatomy, you DO have  hereditary eyelid fullness that is bothersome to some people.

Personally, my preference is avoid surgery in young, attractive patients, as the risk to benefit ratio is too high. However, I've had a few young patient's that were very unhappy with this anatomy, and after having a good discussion with them regarding risks of surgery and possible changes  to the overall look, have offered blepharoplasty with excellent patient satisfaction. I have provided the link to the before and after photos of a similar patient. She was a 22 year old woman who wanted to be able to wear eye makeup for her wedding, and was thrilled with the final post op result.

If you like the outcome of that patient  [link below], you could consider a conservative SKIN ONLY blepharoplasty. You should NOT have any fat or muscle removed! You would risk a very hollow upper eyelid as you get older.

Be absolutely sure with your decision before taking the plunge, and don't ever let a surgeon talk you into a procedure that you are not comfortable with.