We establish a new notion of tropical convexity for signed tropical numbers. We provide several equivalent descriptions involving balance relations and intersections of open halfspaces as well as the image of a union of polytopes over Puiseux series and hyperoperations. Along the way, we deduce a new Farkas lemma and Fourier-Motzkin elimination without the non-negativity restriction on the variables. This leads to a Minkowski-Weyl theorem for polytopes over the signed tropical numbers.