Will eye exercises or an eye patch help ptosis? Will Botox or surgery help with asymmetry?

You need a highly experienced ptosis surgeon to address your issues.  This will be a fellowship trained oculofacial surgeon. Ideally you will find a surgeon who both does ptosis surgery and aesthetic surgery.  There are two basic forms of ptosis surgery.  You have a disinserted anterior levator tendon.  This must be repaired with an anterior levator resection ptosis repair.  Posterior ptosis surgery (mullerectomy) will not be satisfactory.  You also need the crease reconstructed.  The eyebrows will relax to a more normal position when this is done.  The American Society for Ophthalmic Plastic and Reconstructive Surgery maintains a geographic directory on its website that can help you find a highly qualified surgeon close to home.

Although you have mild upper eyelid ptosis, the appearance is worse since there is also hollowness in your upper eyelids area. See an oculoplastic specialist for evaluation. See following link and video too.

Hello and thank you for your question.  The best advice you can
receive is from an in-person consultation.   You may benefit from repair of your levator muscle.  Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and evaluate their results.  The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
 

Eyelid ptosis can be corrected through either levator muscle type surgery or Muller's muscle shortening. The latter is extremely short procedure and there are no cuts on the outside of th eyelid. Your eyebrows seem high which most likely is related to the compensation, meaning you are recruiting your forehead muscles to keep the eyes open. It is possible that if you relax your eyebrows the ptosis will be worse. Regardless, this can be corrected as an outpatient procedure. Your eyelids are uneven now and part of the goal of the surgery is to make them more even. Yes, if you have Botox injected in your forehead the ptosis may appear worse since the compensation will be eliminated. Additionally, if Botox is injected too low by an inexperience injector it can get to the eyelid muscles and make the ptosis worse. Good Luck

Thank you for sharing your concerns. You have mild ptosis which can be surgically corrected by an experienced Oculoplatic Surgeon. Rhinoplasty does not usually effect ptosis. See an eyelid expert in person for comprehensive evaluation and guidance. Good luck,

Ptosis is a surgical problem - there are no exercises or maneuvers that will improve the ptosis. An anterior (skin incision) approach will give you superior results, because it allows precision in restoring the crease, natural fold, lid margin contour and level. An oculoplastic surgeon with experience in ptosis repair will be able to advise you based on your examination. Best wishes.

botox can cause eyelid ptosis or make it worse.  I think the answer is to consult with an ophthalmic plastic surgeon ( usually an ophthamologist with additonal fellowship training in plastic surgery of the periocular region ) as they are clearly superspecialists of ptosis and its management.