Do I need upper Bleph or Brow lift? (photo)

This is a great question and thank you for the photos!
Unfortunately it is hard to tell definitively without an in person exam. Particularly because it is important to see how much of the upper eyelid heaviness/excess skin is from the brow at rest vs when raising the eyebrows. You may notice when raising your eyebrows the upper eyelid skin has a better contour than at rest. If this is the case, a brow lift may be beneficial with or possibly without the blepharoplasty.
Hope this helps and best of luck!Kyle Kimura, MD

i would probably do an upper bleph right now if you are tight on budget and can't do both because it's a faster recovery and will address the majority of the issue (not 100%). then, if you can't afford the browlift quite yet, you can supplement with a neurotoxin browlift while you wait/save up money.