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Thank you for your question. An in-person examination is necessary to determine if the asymmetry is due to differences in skin excess (dermatochlasis) or differences in upper eye lid function (ptosis). Both can be corrected with proper surgical technique. Get a consultation with an oculoplastic surgeon and bring photos of yourself from childhood that clearly demonstrate the position of your eyelids (ideally a serious facial expression).
This is central levator disinsertion. The left side is worse than the right side, It is the reason you have a compensatory eyebrow elevation. To not let a well meaning surgeon talk you into making the right eye look like the left upper eyelid with blepharoplasty. Blepharoplasty is a surgeon where eyelid skin is removed. Most surgeons who do eyelid surgery primarily only offer blepharoplasty. It is far harder to find someone who does aesthetic eyelid reconstruction. That you need is crease reconstruction with advancement of the slipping upper eyelid anterior levator aponeurosis, the tendon that raises the upper eyelids. There is no substitute for a detailed in person assessment. Your eyes can be your best feature.
Your photos suggest asymmetric pre-tarsal orbicular oculi muscles, not fat pad pseudoherniation. An in-person examination is necessary to accurately determine the cause and thus the correct surgical technique to address the asymmetry.
On the picture that you have submitted, I don't see scleral show, but some lateral bowing of your lower lid margin. A lateral canthopexy could correct your issue. It is a permanent procedure. This means that the result should last many years.
Are you sure you didn't get Botox injections? Tretinoin doesn't cause arching of the eyebrows. If is is Botox related it is easily corrected by injecting Botox in the forehead to drop the arched brow.
