Is there a way to remove the extra skin or puffiness under my eyebrows to allow more of my eye lids to show? (photo)

Patients should always examined in person but I do often see young patients with full upper lids. This is not necessarily excess skin but can be excess upper lid and brow fat. Removing this can help deepen the upper lid crease and make a less crowded eye.

You have frontal complex ptosis (low position) due to early aging and low eyebrows, making you an ideal candidate for upper third lift, aka eyebrow lift, forehead lift, upper ritidectomy, etc. Find a good surgeon, and I recommend you avoid endoscopic technicas and also avoid full open coronal approach, the best is with to incisions of 4-5 cm at each temple and 2 rows of anchoring sutures.

It looks like you would get a great result from an upper blepharoplasty. That procedure removes the excess fullness in the upper lids (below the brows). The scar heals incredibly well and is well hidden in the natural crease. I personally perform these in the office, no need for an OR. We remove sutures in 3-4 days.Andrew Campbell, M.D.Facial Plastic Surgeon

Based on your photos, you would likely be a good candidate for an upper blepharoplasty. The goal of surgery would be to help give you a more defined upper eyelid crease and take away some of the heaviness of the upper eyelid while maintaining a very natural look. In younger patients like you, excess eyelid fat can also be removed to help refine the eyelid.

You have natural hooding of the upper eyelids without a distinct crease, thus the 'puffy' appearance. You would benefit from an upper blepharoplasty to create a more defined upper eyelid crease instead of a non-creased eyelid which makes it look puffy.

The upper eyelid surgery would be great for you.  This would remove the extra skin of the upper eyelid and also some fat that could additionally cause some of the heaviness.  As we age we loose fat around the eyes but in your case you may benefit.  You would still want your surgeon to be careful to not remove too much fat because this can age your eyes.  To be sure, please see a local facial plastic, oculoplastic, or general plastic surgeon for a consultation. 

 The upper blepharoplasty procedure can accomplish the goals of removing the heaviness to the upper eyelids. This involves removal of both excess skin and fatty deposits located in the upper lids. This is not a clinic procedure, this is a surgical procedure performed in an operating room under general anesthesia for patient safety and comfort.

I have seen young patients like you with similar complains, and although not common at your age, I have recommended an upper blepharoplasty in some occasions. This procedure will remove some extra skin, but more so, will allow the surgeon to remove some of the orbital fat that is protruding in your upper eyelid. The common trend in older patients is to preserve this upper eyelid fat to avoid giving them a "hollow look" in the the upper eyelid, but for a young patient like you excess fat is more likely to be the actual problem. Make an appointment to see a plastic surgeon and make sure he has an interest and additional training doing eyes. Good luck!