The "platform" of her upper eyelid, which is the skin between the upper eyelashes and the crease or fold about one-half inch above the lashes, is clearly visible in both the before and the after picture.  The good visibility of the platform in the before picture is one clue that she didn't need upper eyelid surgery.  A good candidate for upper eyelid surgery is someone whose excess upper eyelid skin has come down to cover the platform, covering the skin that she would want to put eyeliner or eye shadow on.  This woman could easily apply eyeliner to her upper lids even before surgery.