Need a 2nd one eyelid upper blepharoplasty to even out eyes? (photos)

Whether one or both upper eyelids need to be treated is best discuss on the basis of in person or video consultation with a board certified plastic surgeon, expert in blepharoplasty. Good luck.

Are you trying to force your eyes open in the photo you uploaded? It's not clear. Is this your resting state? Can you please send better photos. Better yet, please send a video of you opening and closing your eyes at rest. You can also book an online consultation and discuss your problems with me. With all respect.

On the photo, the eyelid on the left side of the photo looks open more than average. There is white showing above your cornea. This would not fall into the range of normal eyelid position. On the lid on the right side of the photo the folding of the skin is more noticeable and the lid is at a lower height than the left. If this difference in lid position is new compared to your old photos, even if your blood tests for thyroid disorder were normal, I would be concerned that you could have an underlying autoimmune thyroid dysfunction. This can happen even with normal thyroid screening blood tests. Before you have surgery, your surgeon may want to test for immune thyroid blood tests like TSI. If you have euythroid thyroid eye disease, it may change the plan for surgery.