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All people have facial asymmetry.There’s no surgical intervention needed for normal asymmetry.During embryological development, the two sides of the face develop independently from each other.A lot of the baseline asymmetry is based on skeletal structure.The fold in the upper eyelid can be at a different heights, and this is common on many people.Attempts at surgical improvement of asymmetry is most likely going to lead you frustrated with some other asymmetry.The human brain is accustomed to seeing facial asymmetry as being normal.Even great artist throughout time having incorporated facial asymmetry into classic works of art.No one has a symmetrical face.Your face is normal and you don’t need surgery.Best,Mats Hagstrom, MD
It does look like you have eyelid ptosis but given your other concerns, esp the double vision in one eye, I would strongly strongly recommend you consult with an ophthalmologist (eye specialist) because you should not have double vision with ptosis so it may be more than just that and could be...
Based on these photos it appears that you have mild, very frequent, brow asymmetry. It does not look that you need any of the above procedures right now? If needed, a correction of brow asymmetry can be achieved with skillful application of Botox. Hope this helps.
The upper eyelid margin gets bilateral innervation from the brainstem but the eyebrows get separate unilateral innervation. This makes sorting out the effects of surgery less than straight forward. Removing upper eyelid skin (blepharoplasty) often stimulates the brow on the same side to relax...
