Surgery or Botox? (Photo)

Botox works as a neuromodulator to smooth out dynamic wrinkles created by the movement of facial muscles. While it can "lift" the brow temporally a mild amount, you do have some excess skin and a degree of brow ptosis that Botox alone would not correct. Blepharoplasty in combination with a browlift would address the heaviness of the brows and upper eyelids.

I would recommend an upper lid blepharoplasty. This is a safe and satisfying procedure that can be done under local anesthesia in the office and greatly rejuvenates the upper eyelids. You would get nothing close to those results with Botox.

The photographs are rather limited, however you appear to have excess skin on the upper lids. This can be addressed with an upper lid blepharoplasty under local anesthesia as an outpatient procedure. Botox will not help excess skin on your upper lids.