Is This Ptosis? And is It Fixable Without Surgery?

The photo you provided does show asymmetric upper lid creases, but there does not seem to be significant drooping of the lid (ptosis). However, often a high upper lid crease is a sign of a weakness of the upper lid ligaments (levator aponeurosis) and this may not have been captured by your photograph.  I suggest you see an ophthalmologist for a complete evaluation.

Thank you for your photographs.  It certainly would be possible to perform an open approach in order to repair her eyelid and make it more symmetric compared to the opposite side.  This would involve advancing some of the natural tissue that elevates the eyelid into a better spot. It is important to chose a board certified plastic surgeon or oculoplastic surgeon who has extensive experience in repair of eyelid ptosis.  Best of luck, Dr. Pacella

Yes, you do have ptosis on the left side. It is easily correctable and should be successful at restoring symmetry to your eyes. There really aren't any non surgical options.