Am I a candidate for cosmetic orbital decompression surgery? What are my other options? (Photos)

Your right eye does appear larger or more bulging than the left eye. And there is hollowness around both eyes that can make the eyes stand out more. You would benefit from filling around the eyes (fat or filler) and possible conservative cosmetic right orbital decompression (which only few expert surgeons perform). Need proper evaluation/discussion. See following link for more detailed information.

Orbital decompression is not a cosmetic procedure.  Sorry.  Yes I know that there are folks out there offering exactly that.  However, it is for individuals with relative proptosis.  You do not demonstrate that.  What you do demonstrate is a hollow under eye circle and early upper eyelid levator disinsertion.  You also have a compensatory right eyebrow elevation.  Don't fall in love with a surgery that will harm you.

This can be a tough thing to treat. First of all, every patient has asymmetries if you look closely. If you split face most people you will see a different person. 



Probably the most common cause of structural asymmetry in the bone is a hypoplastic maxillary sinus. This is not an issue medically only cosmetically. If you do have sinus surgery you should mention it to your surgeon though.



To diagnosis that you get a CT scan. There really is no good treatment for it. 



On the photos it appears your eyelids are symmetric? That can really only be determined with a good physical exam. Brow asymmetry is one of the most common asymmetries as the frontalis muscle is a wide fan like muscle that can result in asymmetric pull on the brows. 



 You have a very pretty face. I would not do much. If anything, you could consider some fillers to frame the eye if anything. It could be used to slightly lift the asymmetric brow possibly. Botox is also a noninvasive option.



Hope this helps.



Best of luck



DrC