My eyes are drooping and have become not only hooded, but also unsymmetrical. Do I need a brow lift or eyelid surgery? (photos)

For significant improvement, hooded eyelids require surgery if there is enough skin. For nonsurgical treatments: Radiofrequency (Thermage or Venus Legacy/Viva), injectable fillers, and a Botox brow lift can help contour the eyebrows and lift the eyelid skin. I recommend getting a formal evaluation with an experienced cosmetic dermatologist. Best, Dr. Emer.

It appears that you have asymmetric ptosis (droopy eyelids) and dermatochalasis (excess skin). A blepharoplasty and ptosis repair can equalize the appearance. A good physical examination by an Oculoplastic surgeon is important.

Hi there! The eyebrows and eyelids, as you may know, are closely related. You appear young based on your photos so I would be hesitant to be too aggressive such as with a brow lift. Scarring and need for revision after aging further are reasons to potentially wait. Blepharoplasty does remove skin and can help tremendously, though it is a surgery. Have you considered neuromodulators such as Botox and Dysport? These are my mainstays when beginning to address these issues as they are safe, easy to perform, and show quick results. Staying safe and conservative before proceeding with surgery is always a good idea.