19F, 5'3, 137lbs, does this look like ptosis or like upper eyelid surgery is needed? (Photos)

You have low set eyebrows with putting of your upper eyelids.
I’m guessing at this point you don’t have true blocked peripheral vision, but you could always get a visual field test to see if your upper eyelids are blocking your vision.
Options could include a browlift, upper eyelid surgery or a combination of both.
Consult with plastic surgeons, facial plastic surgeons, or oculoplastic surgeons in your community.
Different providers may have different opinions.
A brow lift is often and underutilized procedure for individual so I have concerns about heavy upper eyelids.
A brow lift can in my opinion sometimes give a much better aesthetic outcome.
Different providers will have a different opinions.
Bring pictures of yourself to use as reference during each consultation.
Plan on scheduling multiple consultations and make sure you meet in person avoiding virtual consultations.
During each consultation, ask each provider to open up your portfolio and show you their entire collection of before, and after pictures of previous patients who had similar facial characteristics.
Use pictures of yourself as a reference when reviewing the before and after pictures.
If you want to have surgery, then plan on scheduling a few more consultations then you may think it’s necessary.
The biggest mistake I see patients make is scheduling only one consultation and then scheduling surgery.
Scheduling only one consultation, more or less eliminates the possibility of choosing a better provider.
I don’t think patients can properly vet providers without meeting them in person.
Best,
Mats Hagstrom MD