Will I need a second brow lift or will eyelid sx do? (Photos)

IMHO further surgery will only make you at risk for possible complications. There are genetic factors playing a very strong role in the way the upper third of your face looks. Continued removal of upper lid skin and or further eyebrow lifting may lead to an inability to shut your eyes completely. This is particularly true when you sleep. Thus, eye irritation secondary to dry eyes and increased tearing in order to compensate for the dryness caused by the exposed globe. Good luck. Doc PG

It is difficult to give you any advice based on this photo which covers all what needs to be seen? Some people have deep set eyes in which case neither blepharoplasty nor a brow lift makes much of a difference? Make up can help. In person second opinion consultation would give you a chance for more detailed evaluation. Good luck.

Much more information is needed, such as a full set of facial and eyelid photographs that are unadulterated to make a determination about two different surgical procedures.

With the one posted photo and covering the eye areas cannot see hooding of the upper eyelids. Best to post without the covering of the eye areas or virtual consultation most likely you need a combination of brow lift limited technique with upper eyelid hooding excision. Expect fees to range from $10,000-$20,000. Best of virtual consult with.