Mini facelift? Under eyes? Eyebrow lift? What do I actually need? With so many options it's impossible to tell. (Photos)

You do not need a forehead lift, mini face lift, or midface lift. Sadly if you ask enough doctors, that is exactly what you will be hustled into surgery for you right or wrong. You are asking for the wrong thing. Your overwhelming issue is profound upper eyelid ptosis with a compensatory eyebrow elevation. You need esthetic upper eyelid surgery to fix your upper eyelid ptosis or heaviness. When that is done, the compensatory eyebrow elevation will be softened the secondary lines in your forehead. I strongly advise you to have this done before letting surgeons fiddle with your beautiful face. If you are using an eyelash or eyebrow growth serum, stop these immediately. Anything that stimulates the growth of an eyelash or eyebrow hair, likely contains a prostaglandin that harms the fat in the upper eyelid an prematurely ages your eye area. Your eyes can be your best feature.

"I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer."

You have a "sleepy eye" look. This is called "ptosis" of the eyelids. Your upper eyelids seem to sit on your pupils, rather than on the upper part of the iris. While you might benefit from a mid-facelift, that does not seem to be the primary problem here.