The advice by the facial plastic surgeon that this can be corrected with blepharoplasty is incorrect.
You have bilateral anterior levator dehiscence. There is a compensatory eyebrow elevation. The left upper eyelid has a more advanced elevator dehiscence. Simply removing skin does not fix this. The tendon must be repaired to address this issue. While a skin incision must be performed, very little skin should be removed. The lower eyelid position would actually be worsened by tightening the lower eyelid. I recommend finding an oculoplastic surgeon to assess your eyelids. The American Society for Ophthalmic Plastic and Reconstructive Surgery maintains a regional directory on their website that can help you find a highly qualified oculoplastic surgeon close to home.
Thank you for your question. A Blepharoplasty (or eyelid surgery) procedure can address the appearance of uneven eyes, as well as remedy the dark circles. An in-person examination will indicate the extent of fatty tissue build-up that causes the uneven eye appearance. The dark circles under your eyes are most likely due to skin pigmentation. While fatty tissue contributes to skin pigmentation, bagginess or bulging of the lower eyelid can also influence the skin pigmentation there. Please consult with a board certified facial plastic surgeon.
Asymmetric upper eyelid surgery
The asymmetry in the upper lids can be corrected by performing a conservative upper blepharoplasty with differential amounts of skin muscle and fat to make them more even. The scleral show in the lower lids is treated with a canthoplasty by an oculoplastic surgeon.
Mild Left upper lid aponeurotic ptosis
Hi there. Greetings from the UK! You have a mild left upper eyelid ptosis on YOUR left. You can see that you have an elevated skin crease and your left upper eyelid is minimally lower. You'd benefit from seeing a local oculoplastic surgeon for him/ her to examine you properly as you may benefit from undergoing levator aponeurosis repair which is typically performed under local anaesthetic as a day case procedure. Best Wishes. David