Hi and thanks for your question. I agree that there is a difference in your eyelids and you have some deviation of your nose. I also need for you to understand that symmetry in the human being does not exists. There will always be differences between the right and let, particularly in the face. If you are willing to accept that fact, then there are suggestions. I will make.A face to face exam is always required to best assess the problems. First, you need to have a septorhinoplasty. I feel that you would benefit from lowering of your dorsal hump , shortening the overall length of the nose, rotate the tip up slightly, straighten your septum and make your nose less wide by performing osteotomies ( breaking bones). Second I would perform removal of upper lid skin with minor fat removal of your left upper lid. a better assessment needs to be made to make sure you don't have any true ptosis ( droopy lid).You need to seek the advise of a board certified surgeon with plenty of experience. Remember this is your face....can't cover it up! Furthermore request to see before and after photos of previous patients by that doctor....not a clinic or surgery center. Do your homework......research and verify the doctor's credentials. Have they had problems with the Board of Medicine, disciplinary or otherwise. Any law suits? How about the center, clinic or facility? Are they accredited by a national organization or do they just have State approval. Understand that at the current time, there are three nationally recognized organizations responsible for the highest levels of patient safety, AAAASF, AAACH and JCHO. You owe it to yourself to position yourself for the best possible results but under the most stringent safety regulations, If you have kids, even more so.How about anesthesia? Will you have a medical doctor certified by the American Board of Anesthesiology or a certified nurse anesthetist (CRNA)? Understand that there is no substitute for research. Cosmetic surgery, no matter how simple it may be to the patients, are invasive procedures and as such carry certain risks and complications.In our office we use TouchMD which is a web based program in which patients have the ability to load their picture unto the program. We accomodate patinets from as far away as California. I then evaluate them and can actually draw on the picture to show a potential patient where the incisions would be located and how the procedure is to be realized. It's all done to comply with HIPPA which is the federal law that protects the patient's medical information. Look them up.Give yourself the highest percentage of a sucssesful operation. Good luck
