Will ptosis repair surgery help my eyes and give them a better look, especially when smiling?

Botox is nice and all but it really does not address ptosis. Surgery is necessary to improve ptosis. Ptosis surgery strengthens the opening effect of the levator palepebrae superioris muscle. This muscle inserts with a tendon into the upper eyelid. By shortening the tendon, the eye opens more effectively. Generally surgery is performed under light intravenous sedations in an accredited surgery center. Oculoplastic surgeons perform these surgeries. While other subspecialties my dabble in ptosis surgery, you should seek a true specialist for this. The American Society for Ophthalmic Plastic and Reconstructive Surgery maintains a regional directory on their website that can help you find a highly qualified surgeon. 

Thanks for the question and photo.   It would be best to see multiple photos of your eyes to better evaluate your condition.   I’d recommend seeing what Botox would do before any surgery.