You may have ptosis of you upper eyelids. They should be evaluated by an experienced surgeon in ptosis repair. Lower lid Blepharoplasty usually does not correct hollows under eyes unless you have excess fat that can be repaired. Filler and fat transfer may be your best options for lower lids. Or...
Unilateral, or one sided surgery, is possible to perform. I would consult with a surgeon skilled in eyelid surgery as there are many factors to consider in the asymmetry. Surgeons need to review the movement of the forehead muscle, the eye muscles, the volume around the eyes and skin.
Hello and thank you for your question. A formal evaluation would be needed to determine the best treatment. There are both surgical and non-surgical options to correct this, depending on your specific situation.
For less significant puffiness and sagging UNDER the eyes, or more mild...