Do I need ptosis surgery or upper eye filler?

Upper eyelid/sub-brow fillers are used in hollow upper eyelid as an alternative to surgically repairing the upper eyelid. I personal do not think the fillers are ideal for these issues but I recognized that not everyone has the same level of surgical skill so they seek alternatives to surgeries. In your case, you have upper eyelid ptosis with relatively normal sub-brow volume. I recommend a ptosis surgery. The choice of ptosis surgery recommended should be determined after a detailed personal assessment. The American Society for Ophthalmic Plastic and Reconstructive Surgery maintains a regional directory on their website than can help you identify a highly qualified surgeon close to home.

It's hard to judge by this picture as you are "smizing" or smiling with your eyes.Based on the picture, I doesn't look like you would benefit from upper eyelid filler.You make benefit from ptosis surgery without blepharoplasty if the lid position is low when you aren't smiling. Less is more with a face like yours.Hope that helps.

From your photo you appear to have ptosis of both upper lids worse on the left side. I would recommend an evaluation with an oculoplastic specialist who can determine the best treatment options. I believe you will be a good candidate for surgery. Wishing you the best of luck!