Hello @ok30, thank you for your question. Yes you would definitely benefit from transconjunctival lower eyelid surgery to remove the excess of fat in the area. The best course of action is to consult one or several board certified plastic surgeons for more information and options tailored...
I did not recommend trying to fat graft your upper eyelids.
The upper eyelid crease is determined by a number of anatomical variables. Lowering the crease without removing excessive skin may be tricky. I suggest consulting with highly experienced oculoplastic surgeons in your community...
All people have facial symmetry. Your eye position is based on skeletal structure. Most people have one eye socket that says slightly higher than the other. In most people, the left side sits higher than the right.
For most people, the primary source of facial symmetry is based on bone structure...