Thank you for your question. Based on your photo, it appears you might be a good candidate for upper blepharoplasty. This surgical procedure removes excess skin and small fat deposits from the upper lid to open the eye and create a more awake appearance. I perform this procedure using local anesthesia in most cases, with incisions in the natural creases of the lid to minimize visible scarring afterward. Patients are back to regular activities within about one week. I encourage you to schedule a consultation with an experienced, board-certified facial plastic surgeon who can assess you in person and create a customized treatment plan that meets your needs and goals best.