Can anything be done about my asymmetric eyes, dark circles, and wrinkles? (photo)

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells and microneedling RF like Fractora PiXel8 or Morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Thank you for your question and photo. It is possible that an eye lift procedure known as blepharoplasty can improve the areas of concern you describe. This procedure can redefine the shape of the eyes by removing any excess skin and repositioning the fat in this area to create a symmetrical appearance that is harmonious with the rest of your facial features.
The darkness under the eyes can also be diminished by a nonsurgical procedure like tear trough filler, laser resurfacing, or RF microneedling. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to provide a more in-depth analysis of your situation and suggest the best approach to helping you achieve your aesthetic goals.

You have ptosis of the right upper lid. This can be caused by numerous factors, but most commonly a slipping of the muscle that helps elevate the eyelid. Surgery can be performed to get your lid back to its normal height and position. Your doctor must rule out other potential causes of ptosis before proceeding with surgery.