Not happy with my ptosis surgery. Is it reversible and adjustable? (Photo)

Sorry you are going through this, but ptosis repair in Asian eyelids can be quite challenging even in the best of circumstances. Your post generates a lot of questions, even prior to offering suggestons:
1. Are these photos "selfies" ? If so, the photo orientation may be flipped, so its hard to know which is left and which is right, labelling them would be helpful.
2. Was the ptosis surgery done internally or externally? That is, was a skin incision made?
3. Was double eyelid surgery also done to adjust the creases?

Based on your preop photo, it seems that you have less ptosis on the left, but that may be due to compensation from brow elevation, as your eyebrow is also higher on the left, and you eyelid crease seems higher on that side as well. I do not object to your surgeon's suggestion that both eyelids needed surgery, that is often the case. In these instances there are two points that I emphasize:
1. When asymmetric ptosis is present, often double eyelid surgery is also required to get better symmetry: my preferred technique is incisional double eyelid surgery combined with external ptosis repair.
2. Asymmetric ptosis repair and eyelid crease surgery in Asian eyelids is quite challenging to get perfect symmetry on the first attempt, even for experienced who have trained in Korea such as me. I would say that about 30-35% of patients may need a subtle revision if your expectation is "perfect symmetry". Now most of us are asymmetric to some degree, so if you can accept a good, normal result, with very mild asymmetry, revision rates are lower (10-20%).

Having said all that, I do believe that you would benefit from revision surgery as the current asymmetry is not acceptable for most patients. Make sure your surgeon is experienced in revision Asian blepharoplasty and ptosis. Wait at least 6 months before revision surgery.

Thank you for sharing your concerns and your photos. Reops following ptosis surgery is somewhat challenging and even more so on Asian eyelids. It is correctable though. I’ve been very impressed by Dr. Jeff Schiller’s results with this specific situation. Make an appointment for comprehensive consultation. Good luck.

The only way to modify this is with revisional surgery. In the first picture you appear to be looking down. This changes the appearance of the folds and makes the left upper eyelid crease look less well defined. In the second picture you are doing a better job of looking straight ahead level. In this picture, your epicanthal fold looks more symmetric. The right upper eyelid is relatively ptotic. Also you are missing volume in the upper eyelid fold on this side. I do think you could have a more defined left upper eyelid crease. This could be accomplished with an anchor blepharoplasty. The revisional work is fussy. You need a very precise right upper eyelid ptosis surgery. I do this work but I do not consult by phone or video. These are eyelids that need to be examined in person to understand what resources remain.