Saw Dr Wang today for a consult on lower bleph. She took her time during the consultation and then advised me my issues had to do with a filler I had about 15 years ago. She needed to dissolve the filler, which she did at that same appt, and then asked me to visit again in three weeks for a follow up. I was very impressed with her demeanor and knowledge. She truly tries to do what is best for the patient. Very very happy with Dr. Wang.
It is normal to have increased swelling after surgery for a few weeks and even up to a few months. This should continue to improve with time. If you recently had surgery, you can also ask your surgeon for a short course of oral steroids to help with the swelling.
A canthoplasty can help with the slant as well as the gap between the lateral eyelid and eyeball. This is a procedure that can be done safely in the office. Prices vary based on surgeon - I would recommend an in person evaluation with an oculoplastic surgeon.
Typically we want to wait at least 6-9 months following your blepharoplasty to consider revision. There are various techniques we can use but a thorough in person evaluation is needed to determine what is best for you, as there are many different causes for lower eyelid retraction.
There might be very trace amount of left upper eyelid ptosis or your left eye may be slightly more sunken. However, the asymmetry is mostly due to excess skin and brow ptosis (brow droop) worse on the left. These asymmetries can be improved upon with surgeries and botox.
This is a personal decision. I do believe ptosis surgery will improve your asymmetry significantly. At the end of the day, if you are bothered enough by this, you can undergo surgery. Otherwise, you don't have to.