This patient is a perfect candidate for upper eyelid surgery for several reasons.  She has eyebrows that are nice and high (it's harder to get the surgery right if the eyebrows are droopy).  The excess skin on her upper lids has caused a fold that hangs down on her lashes, preventing her from being able to put eyeliner on her upper eyelids.  And because of its excess, the skin in her upper lids has become crinkly.  Note the increased smoothness of that crinkly upper eyelid skin in the after picture.