Anything to improve symmetry? My left eye is always squinted when I smile or am tired. I have hooded lids + wrinkles (Photo)

Based on your photo, it appears you would benefit from an upper eyelid lift surgery(upper blepharoplasty) to get rid of your hooded eyelids. The skin here also ages as we age and it begins to sag giving a hooded look to your eyes. Wrinkles on the sides of your eyes can be taken care of with neuromodulator injections such as Botox or Dysport. Regarding your asymmetry-everyone's face is asymmetrical. If one eyelid has more sagging than the other, it may be corrected during surgery, depending on the degree of asymmetry.

Dear Fabulous2,

For any sort of meaningful answer to be provided here you would have to submit photos with no make-up, at rest, and while smiling.