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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.
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!
Your crease asymmetry suggests you have a partial central disinsertion of the levator aponeurosis. This is actually going on in both upper eyelids. There is more retraction of pre-aponeurotic fat on the left side. This may have an affect on the position of the upper eyelid margins but that can't...
Thank you for sharing your good question. You can have fillers injected in the lower half of your face prior to the eyelid surgery. Confirm this with your surgeon. Good luck!
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