Does the skin on the upper eyelid renew itself? Or is surgery the only option?

There are many cumulative factors that contribute to aging. It is widely accepted that smoking is very significant among  those factors. Although there are many benefits  to quit smoking, it is not reasonable to expect the  reversal of visible aging just by removing the insult. It is definitely advised to avoid smoking however, in order to slow the aging process and facilitate better healing from any surgical rejuvenation  treatments. 

You should quit smoking but it will not improve your eyelids. Droopy upper eyelids are causes by stretching of the muscle responsible for lifting the eyelid causing ptosis and/or stretching of the skin causing loose skin. See an oculoplastic specialist for evaluation.

Thank you for sharing your question. Unfortunately, the eyelids will only get worse with time. There are treatments available to improve their appearance such as blepharoplasty and laser resurfacing. See an experienced Oculoplastic Surgeon for detailed evaluation and guidance. Good luck,

Life and damage we do to our bodies is cumulative and frequently does not reverse itself by merely pausing the assault. I would recommend stopping the self destructive habits and get back to good health and then consult an experienced and qualified facial plastic surgeon regarding your cosmetic concerns. 

Smoking, excess sun exposure, and eye-rubbing destroy the health of the skin. If you can avoid these activities, you may see some improvement in skin quality. However, if the skin fold is excessive and drooping, then surgery is the answer. You may need blepharoplasty, ptosis repair, and/or brow lift... without a photo it is difficult to make a recommendation. Laser resurfacing can improve the skin quality to some degree, but smoking may impair the results of laser treatment. My recommendation would be to stop smoking, improve eating habits, hydration, and skin care to restore moisture, and supply nutrients to the skin - topical hyaluronic acid, anti-oxidants (Vitamins A-C-E, CoQ10), gentle exfoliants. After several months of being nice to your skin, seek an eyelid/ brow evaluation for the redundant skin. Your results from any surgical procedures will be better if you are not smoking and if you have proper nutrition internally and externally. Best wishes with your decisions.