Is my issue Eyelid or Dermatochalasis? (Photo)

The appearance of the eye depends upon the lid height, brow position, and soft tissue surrounding the eye. Judging from your photo it appears that the left upper lid is lower than the right causing extra folds. This can be improved with surgery. Best to see an eyelid expert.

Based on your photo and history, you have some asymmetry of your eyebrows or eyelids. It requires more than the narrow close up photo to diagnose the problem. A detailed, dynamic, in-person exam by an experienced surgeon is needed because treatment options may range from doing nothing further, to nonsurgical Botox, to surgical Blepharoplasty and/or Browlift. Seek a local face and eyelid specialist in your area. All the best.

Sorry to hear about your injury. There are generally three reasons why one eyelid may appear more "droopy" than the other. #1 true eyelid ptosis #2 dermatochalasis (excess skin) #eyebrow ptosis. An in person exam with a plastic & reconstructive or oculoplastic surgeon would help you identify which one is causing your concern. One year out from your accident, swelling should have subsided. -Dr. H

Thank you for uploading this photo. The left eyelashes hang down close to the pupil, like a window shade, which we call "ptosis," and this requires a specialist to fix

Eyelid assessments are better done dynamically. In other words a single picture is difficult to use to interpret problems with eyelid position. Equality assessment is better done in person. Alternatively, using a video could give a better assessment. My best guess is you have slight eyelid toes on the left side after the injury. There may have been some separation of the muscle that lifts your eyelid And this can be repaired surgically. This type of surgery can be done by plastic surgeons, facial plastic surgeons, or oculoplastic surgeons. Unilateral correction is fairly complex and you should look for someone who has done unilateral taxis, repair many many times in the past. Most likely this will be a senior oculoplastic surgeon. You may or may not have unilateral eyelid toes but that’s my best guess.
I suggest having multiple in person consultations with the above type of providers to see what they have to say. During consultations ask each provider to open up their portfolio and show you their entire collection of before and after pictures of unilateral eyelid position surgery. An experience provider should have no difficulty showing you the before and after pictures of at least 50 previous patients. Unilateral correction is not that common but in those specialize in eyelid surgery it’s fairly straightforward.
This first step is to get an accurate assessment, and that requires more than a single picture.
Best,
Mats Hagstrom, MD