One eye lid is bigger than the other. What can I do? (Photo)

Thank you for the question and photo. Although it is difficult to determine with certainty from your photograph, it appears that you have a mild degree of fullness and extra skin on your right upper eyelid. If this is the case, than a conservative blepharoplasty could be performed to repair the problem. Get a comprehensive evaluation with an Oculoplastic Surgeon. Good luck,

You have a mild ptosis of the left upper lid, so it appears that you have more skin on that side.  See an oculoplastic surgeon who can evaluate the eyelid muscles and determine what surgery would be best for you.  See you medical doctor about the headaches. 

Eyelid asymmetry can be a normal finding or a result of aging changes around the eyes.  I would recommend a thorough examination of the eyelids and surrounding orbits by an Oculoplastic Surgeon (opthalmologist who specializes in eyelid surgery) to assess the possible causes of your asymmetry.  Treatment options would be based on the findings from this examination.

It appears that you may have some ptosis (drooping) of the left upper eyelid as compared to the right side, and this can commonly be improved with surgery. I would recommend consulting with an Oculoplastic surgeon and having a full examination performed. Some cases of ptosis can be associated with other medical conditions, and you want to make certain to rule out any other issues before considering surgery.It is common in cases of ptosis involving only one side of the face for the brow position to be somewhat higher on the same side.  Your subconscious brain is causing the forehead muscle to pull higher on the same side in order to try and lift the eyelid up higher for the benefit of your vision.  Sometimes, this muscle can fatigue if it is working harder than normal to try and lift the eyelid also, particularly towards the end of the day.  This muscle fatigue can sometimes be perceived as a headache or brow strain.  I would discuss this concern as well with your medical doctor, and when you go for your consultation.  Best, Dr. Gregory Lewen

You need to see a local oculoplastic surgeon to really evaluate your eye lid function. It is possible that you may want to consider a straight forward unilateral blepharoplasty right upper lid. The levator may need a bit of recession of the right upper lid, if you think your left upper lid is a bit low. At any rate, do minimal surgery right upper lid under local. Good luck