Eye and lip asymmetry - advice? (photos)

You have bilateral eyelid ptosis, right worse than left, and this can only be addressed with surgery. You may also benefit from upper blepharoplasty to properly anchor your eyelid creases for better symmetry. The lip asymmetry can be addressed with botox and/or fillers without the need for surgery which would leave you with a scar.

The Botox lip flip works on virtually no one and will not fix your lip asymmetry. Filler will help your lip; less is more. You also need the right filler. Restylane is best for this. The other fillers are far too runny. For the upper eyelid ptosis, you need structural surgery for this. You have a central levator disinsertion. This will not be fixed with what some oculoplastic surgeons advertise as scarless ptosis surgery. That refers to a very popular approach to ptosis called the Mueller's muscle conjunctival resection ptosis surgery. This surgery does not work well for a central levator disinsertion. For this type of ptosis, you need an anterior levator resection ptosis repair. Don't waste your hard earned money on procedures that don't work and surgeons who are out of touch. Your eyes can be your best feature.