Hi @Generous793417, thank you for your question. It is important to remember that we are not completely equal on both sides; uneven creases or asymmetry under the eyes can be a common aesthetic concern, there are always some differences that may or may not be noticeable. It is wise to keep this in mind when setting expectations. You can develop a non-surgical plan, which will bring improvements in some respects, here are some options that can help treat irregular creases under the eyes: Dermal fillers: hyaluronic acid-based dermal fillers can be used to add volume and restore symmetry to the under-eye area. The procedure involves injecting small amounts of filler into the area to create a more uniform appearance. Results can last from 6 to 12 months, depending on the product used. Lower eyelid surgery: In some cases, lower eyelid surgery, also known as lower blepharoplasty, may be recommended to treat irregular creases under the eyes. The surgery can remove excess skin, fat and muscle, and tighten the skin in the under-eye area to create a more uniform appearance. Recovery can take several weeks. Radiofrequency microneedling: Radiofrequency microneedling is a non-surgical procedure that can be used to tighten and rejuvenate the skin in the under eye area. The procedure uses tiny needles to create micro-injuries in the skin, which stimulates collagen production and helps tighten and firm the skin. Results can be seen within a few weeks, and several treatments may be necessary for optimal results. It is important to consult a qualified and experienced aesthetic professional or plastic surgeon to determine the best treatment option for your specific problems and goals, best regards. Alan Gonzalez MD, FACS. Member of the International Federation for Adipose Therapeutics and Science (IFATS), Member of the American Society of Plastic Surgery (ASPS), Member of the Colombian Society of Plastic Surgery (SCCP).