Does this look like ptosis or just more excess skin on one eye? (Photo)

You have a facial asymmetry that appears to account for some of the difference in the two eyes. The right eye (your right assuming you have not reversed the picture) is both higher and appears more prominent than the left eye. There is also a compensatory right eyebrow elevation. There appears to be slight left upper eyelid ptosis. In addition, you have skin resting on both eyelid platforms but more on the left side. This may simply reflect a greater eyebrow compensation on the right side. Based on this photograph is impossible to determine what you need to address your eyelid issues. You need a thoughtful in person assessment. I would caution you about simply having the "extra" skin removed. Standard blepharoplasty removes your upper eyelid fold. A more customized approach starts with determining the basis for the issues we see and surgically addresses the underlying issues to maximize symmetry and minimize over resection of the delicate eyelid issues. Too much surgery will make the eyes look hollow and harsh. Your eyes can be your best feature,

Thank you for sharing your questions and posting your photos. You do not have ptosis. You have a minimal degree of normal asymmetry of the opening size of the eyelids. You do have a bit of extra skin (dermatochalasis) on both eyelids. This can be corrected by an experienced oculoplastic surgeon. I hope this is helpful. Good luck.

There might be very trace amount of left upper eyelid ptosis or your left eye may be slightly more sunken. However, the asymmetry is mostly due to excess skin and brow ptosis (brow droop) worse on the left. These asymmetries can be improved upon with surgeries and botox.