Is there a surgical fix to uneven eyebrows? (Photo)

Mild asymmetry between the brows is considered normal. There are methods to attempt to improve symmetry which involve direct incisions over the brow. It is recommended you have a formal consultation to discuss risks and benefits of different interventions.

Thank you for your question and photo. Though perfect symmetry is difficult to achieve, there are treatments available to improve eyebrow symmetry. If the brows appear asymmetric due to muscle tone differences, then a neuromodulator such as Botox or Dysport may provide improvement.
If the asymmetric brows are caused by differences in the eye sockets, a one-centimeter brow lift can bring the eyebrows into balance. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon or injector. They will be able to answer any questions you may have and determine the best course of action to help you achieve your aesthetic goals.

The short answer to your question is yes. You are also correct that the basis of the asymmetry you see is the facial skeleton, and definitive treatment would involve a fronto-orbital advancement. This is a rather big surgery, and your hesitancy in regard to it is understandable. A less aggressive approach to correct this asymmetry would be an endoscopic browlift to differentially lift the eyebrows and create greater symmetry in their position. This procedure takes about 60 to 90 minutes to perform, and can be done under local anesthesia with intravenous sedation. Additionally, you also have some moderate eyelid ptosis, which could be corrected at the same time with a ptosis repair of the upper eyelids. This would open up your eyes and make you look less “sleepy”.