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Based on this photo, you definitely have left upper eyelid ptosis, and depending on whether you exhibit "hering's phenomenon", you may also have right upper eyelid ptosis that is currently being masked. Fixing the left eyelid ptosis, may unmask the ptosis on the right eye. You definitely need evaluation by an ASOPRS trained Oculoplastics surgeon.
Yes, you should have ptosis surgery. I do recommend that you get more than one personal consultation with ASOPRS fellowship trained oculplastic surgeons. That is a board certified ophthalmologist who has also done an accredited fellowship in oculoplastic surgery. You really need to find a surgeon who has an aesthetic eye for this work. Study their website. Study their patient reviews. Santa Cruz is a small market. You should be prepared to travel to the Bay Area or Los Angeles to find the best work. Don't get bamboozled with a zoom consultation. Assessing someone for ptosis surgery is a hands on activity. Your eyes can be your best feature.
This is a personal decision. I do believe ptosis surgery will improve your asymmetry significantly. At the end of the day, if you are bothered enough by this, you can undergo surgery. Otherwise, you don't have to.
I your eyes got smaller after getting forhead botox, there is a possibility that you opened your eyesusing the muscle in your forhead. Mild ptosis correction may help you get even eyes.
However, there is really only one way to know. Let the eyelids recovery and see if your issues resolve. If you can handle it, I recommend giving the eyelids 6 to 12 months to recover. Also the steroids can raise the pressure in the eyes. I recommend seeing an ophthalmologist to be assessed for...
Thanks for sharing your question and posting your photo. Your eyelid asymmetry is minimal. Your probably should leave it alone. If you want minimal improvement then conservative blepharoplasty would be the best option. See an experienced oculoplastic surgeon for consultation. Good luck!