What can be done about my upper eyelids and why are they like this? (Photo)

Thank you for your question.  Based on the photo provided, there is ptosis (droopiness) of the upper eyelids, left eyelid greater than the right.  Your lower eyelids are also set slightly lower, whereby the "white" part of the eye is visible directly beneath the iris (i.e. scleral show).  These findings are part of your genetics.  Consult with an eyelid specialist for a comprehensive exam and to determine the best surgical and non-surgical treatment options to help meet your goals.  Best wishes.  

Ptosis repair will reveal more of the eyeball, but will have several beneficial effects: 1) place the eyelid margins in a normal position, 2) advance natural preaponeurotic fat pads into the deep superior sulcus, 3) reduce the visibility of the tarsal platform if creases are properly placed. If the lateral canthus is elevated at the same time (or later), the inferior scleral show could be reduced or eliminated (this would cover more of the lower part of the eyeball. An oculoplastic surgeon could evaluate and guide you with these options. Best wishes with your decision.