What you’re experiencing looks like dermatochalasis (excess upper eyelid skin) on the right side, with possible mild ptosis (drooping of the upper eyelid muscle). That’s why the eyelid looks partially covered and the crease is less visible compared to the other side. Surgical options that help most: 1. Upper blepharoplasty (eyelid lift): Removes excess skin and creates a more defined upper eyelid crease. This alone will already improve the hooding and make the eyelid look more open. 2. Ptosis repair (levator tightening): If the eyelid margin itself (not just the skin) is sitting lower, then repairing the levator muscle in addition to blepharoplasty gives a more balanced, symmetrical look. 3. Bilateral surgery: Even if one side looks worse, it’s often best to treat both eyes for symmetry—removing a small amount of skin from the “better” eye to match the improved side. Expectations: With the right surgical plan, you can expect your upper eyelids to look more open, refreshed, and symmetrical. The exact need for ptosis repair can only be confirmed during an in-person exam, where your surgeon measures eyelid height and muscle function. I’d recommend consulting with a board-certified plastic surgeon or oculoplastic surgeon experienced in both blepharoplasty and ptosis repair, so they can evaluate both factors in one surgery. Dr. M. Mustafa Aydınol, Plastic Surgeon (Istanbul)