What can I do about my uneven eyelids/eyebrows? (photo)

Many different situations can lead to uneven eyelids. Some of these can be treated non-surgically and conservatively, even using some very advanced injection techniques with filler or very precise placement of Botox. Some situations truly do require surgery to resolve. 
It is important that you seek a consultation with an eyelid expert to delineate the exact cause and treatment options.
To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these "core four" cosmetic specialties. Membership in organizations like the American Academy of Facial Plastic and Reconstructive Surgery help to identify a highly trained surgeon.
Cameron Chesnut
#realself500 Physician

It is difficult to tell from your photos, but you either have ptosis of the brow or ptosis of the upper eyelid. Either way, a consultation With a facial plastic surgeon or oculoplastic surgeon would help distinguish between the two. The important point is that prior to undergoing a procedure for your brow, be sure to at least have eyelid ptosis ruled out. 

Uneven eyebrows is often due to the body trying to compensate for a droopy eyelid.  I would suggest being evaluated by an oculoplastic surgeon.  Often fixing the drooping eyelid will fix the brow problem.  Good Luck

For 35 years since we developed the Irregular Trichophytic Forehead Lift I have used a mini version so as to raise the brow without raising your hairline as will happen with an endobrowlift.. I almost NEVER use a lateral forehead lift since gravity works vertically and as you age you do not want the "evil" look created by many lateral brow lifts. In 20 years the ITFL can be repeated as you age without raising your hairline and it can actually be lowered using this technique.

A face to face examination is always best, however from what I see in your photo your upper eyelid position in relation to your pupil and iris is nearly equal.  What appears to be different is the amount of excess skin of your right upper eyelid.  If this was trimmed with a blepharoplasty, this may correct your upper eyelid problem.  Your eyebrow position is slightly lower on the right and this could be improved with a subcutaneous browlift with the incision placed at your hairline and therefore well hidden.  Both of these could be done under local anesthesia.  See a board certified plastic surgeon to discuss your options.

Without an examination it is difficult to be completely certain, but your right brow is much lower than the right.Possible a browlift, with significantly more lifting on the right side could correct this problem.As your hairline is quite high, the only way I would consider doing this in you is with a hairline incision.  There is a scar at the hairline, but this can be minimized by cutting the skin at angle so that hair will grow through the scar.  If sutured carefully, the scar can be quite minimal.  This would have the advantage of lowering your hairline as well, which will make you look more youthful.Thank you for your interesting question.

Hello Rhiwilliams-More photos are needed to really assess how asymmetric your upper eyelid skin is versus your eyebrows. You appear young and your eyebrows seem to be fairly even considering the tilting of your head to your apparent right. If indeed, the level of your eyebrows are symmetric, then a relatively simple upper blepharoplasty procedure should result in much more symmetry of your upper lids. I would normally do both upper eyelids at the same time to be able to achieve more symmetry in the end, but yours is one case that I would consider just operating on your right side. Consult with a good, prudent plastic surgeon.Best of luck. 

You have unilateral eyebrow ptosis and that can be addressed with neurotoxin injection to lift your right eyebrow. I would try that prior to surgery. But the more permanent treatment for your uneven eyebrows is surgery. Facial asymmetry are common specially eyelids and eyebrows. To make sure, you need to see an oculo-facial plastic surgeon and have a complete evaluation.   

If you like the right side...A simple solution would be to use a small amount of Botox on the left forehead. This would have the effect of lowering the brow to match the right side at the same time would reduce the visible space above the left eyelashes.

Your Right side is behaving in an age appropriate manner. Your left eyebrow is raised in response to a weak left upper eyelid. You may have some mild ptosis ( droopy eyelid) on your left and your eyebrow is raised in response to it. You should be evaluated by a Plastic Surgeon who is an Eyelid Expert. Skilled use of Botox can buy you some time.Hope this helps