Do I need ptosis surgery, thinking about laser eye surgery for poor vision also, what should I do first? (Photos)

Laser refractive surgery is not an essential.  However fixing your droopy eyelid is necessary because this deformity gives people the impression that you are lazy or disinterested.  Your ptosis is not minor.  You have a profound left upper eyelid levator disinsertion and it also appears that you have ptosis of the right upper eyelid as well.  I strongly recommend getting assessed not by a general ophthalmologist but see a subspecialist  oculoplastic surgeon for a personal assessment rather than rely on random opinions by surgeons who have not examined you.

This is a very good question. The reality is that a common precipitating factor which can bring about ptosis is prior eye surgery. This is because the speculum used to hold open the eye can damage the levator muscle. Get the laser done first, then the ptosis. Best of luck with your future treatment. 

Thank you for your question.  You do have ptosis and I would suggest surgery to repair it.  If you are considering laser eye correction I would do that first, and the ptosis repair second.

Generally, eye surgery (laser eye surgery for poor vision, glaucoma, cararact , or retinal detachment surgery) can worsen drooping of the eyelid  in  about 5-10%. Therefore, eye surgery is usually advised before eyelid surgery. However, in your situation, you have significant ptosis in your left upper lid and moderate ptosis in your right upper lid. This is affecting your ability to function outside, and makes you feel tired with headaches. I strongly recommend that you have your ptosis fixed first, by an oculoplastic surgeon. This will improve your ability to function. Then seek a skilled Lasik ( laser eye surgeon for poor vision)  surgeon to determine if you are a good candidate  for Lasik surgery.

I always recommend having any eye surgery done before eyelid surgery because sometimes the speculum that is used to hold the eyelid open during the eye surgery can stretch the muscle that raises the eyelid more making it worse. It does appear that you Ptosis of the left upper eyelid. If it is congenital(meaning you were born with it), sometimes the eyelid doesn't close well for a few weeks but then it relaxes and will close. Hope this helps but do the vision correction first.

As eye surgery can exacerbate drooping of the eyelid, I would do the lasik first and then get the drooping eyelid surgery after

There are two ways of analyzing your situation. First, an accurate refraction is important to the LASIK. It is also important to know if your ptosis has induced some astigmatism. If that is the case, then doing the ptosis repair first makes sense. Procedures on the eye can induce ptosis, however, this may be a small risk. Ask your ophthalmologist to guide you. If you are not satisfied with the answers, obtain a second opinion. Best wishes.