I have symmetric eyes and I am wondering if this is ptosis? My eyes appear asymmetric in pictures, with my left eye sometimes appearing smaller when I smile, and it has begun to really annoy me. I think the issue is with the lower lid of one of my eyes, as my tear ducts don't seem to align (left duct looks higher). Is this ptosis? If not, what could it be? Would ptosis or eyelid surgery help correct this? I do wear contacts, if that helps.