The cause of your uneven upper eyelids is not excess skin of the upper eyelid, but crowding of the upper eyelid skin due to an asymmetry of your eyebrows. When one eyebrow is depressed, it crowds the upper eyelid. Correcting the brow asymmetry will likely correct the eyelid asymmetry. A brow lift appears to be your best option. There are many ways to correct brow asymmetry surgically. Consult with a facial specialist to determine the best approach for you. Botox may provide with a temporary solution but the location of your asymmetry may prove to be a challenge. You want your eyes more open, not more closed.John Standefer MD
Thanks for your question. Your eyelids are asymmetric, primarily because your brows are uneven. While looking in the mirror, use your finger to raise your right brow. Your should notice that the eyelids look a lot more even, at that point. Brow asymmetry is not unusual. It can be corrected by weakening the opposite side, with Botox. It can also be corrected by doing a surgical brow lift on the lower brow.