The photo alone is insufficient to make a definitive judgment but your brows are low. You may need eyelid surgery combined with a brow pexy. I would not recommend filler for you.
Dear Karl, it is impossible to answer your question with this single photo. You are smiling in the photo which completely changes your eyelid position. Smiling makes the eyes smaller, so hard to judge the lid position. Ptosis surgery is done when the eyelid edge is too low and covers part of the eye. Fillers are put in the eyelid if there is too much hollowness beneath the brow. Totally separate problems. You may need, both, or neither! Please see an Oculoplastic surgeon for an personal consultation.Best of luckDr. Mohadjer