Eye lid shape concern - how can this be treated? (Photo)

In my opinion, this was the wrong surgery for your issue. You had very subtle ptosis and a relatively symmetric lid margin position. Your principle pre-operative issue is the brow asymmetry and the loss of the upper eyelid fold volume. What is really going on here is central levator partial disinsertion that is slightly more advanced on the right side. This is sometimes called latent ptosis. The idea way to address this is with an anchor blepharoplasty and repair of the partial levator disinsertion. In your after result, the partial levator disinsertion on the right is not adequately address do the compensatory eyebrow elevation persists. In addition, in my opinion the right eye now looks slightly too high. I also thing the eyelid platform skin and orbicularis of the eyelid platform look too bulk making the eyelid look vaguely swollen. It is not swollen. This issue can be addressed with an anchor blepharoplasty. The right eye also seems to have lost a bit of its almond shape with a subtle disinsertion of the lateral canthus and the mildly exaggerated opening of the eye. I categorically recommend not having Botox. This treatment will only confuse the situation at a time were you may need to decide if you need revisional work. There is no substitute for a detailed, in person assessment.