The frontal photo suggests mild upper-eyelid height asymmetry, with the patient’s left lid sitting somewhat lower, but a single close image cannot distinguish true ptosis from brow position, eye alignment, or expression. Amblyopia, eyelid ptosis, and strabismus are different problems. Eyelid surgery may improve lid height, but it does not restore vision lost from amblyopia or correct eye alignment; those require assessment by an ophthalmologist, ideally with an oculoplastic or strabismus specialist as appropriate. Rhinoplasty and ptosis repair can sometimes be performed during one anesthetic in a healthy patient, but combining them is not automatically preferable. Nasal osteotomies can cause temporary eyelid bruising and swelling, while ptosis repair requires precise lid-height adjustment and careful evaluation of eye closure and dryness. Staging the procedures may make assessment and recovery clearer, especially when vision is already reduced in one eye. Obtain a formal eye examination first, including visual acuity, alignment, levator function, and corneal protection. Then the eye specialist and rhinoplasty surgeon can decide whether one-stage surgery is safe or which procedure should come first.
