Uneven eyelids can be addressed through minimally invasive or surgical methods. You would need an assessment as to the cause and severity to see which method would be most appropriate for you.
Double eyelid surgery is commonly performed under local anaesthesia (LA), as it better allows intraoperative assessment if you are awake. LA involves using a small needle to instil gentle local anaesthesia to the upper eyelids and can be painful for a few seconds at the time of injection. After this and during the surgery, you will be very comfortable. After the anaesthesia wears off (usually a few hours after surgery), oral painkillers usually control the pain very well.
The upper eyelid is made up of delicate structures including very thin skin. Additionally, in East Asians the attachment from the levator muscle to the skin forming the upper eyelid crease may not be very strong. Hidden double eyelids usually occur when there is excess swelling of the upper eyelid, which can occur in the morning after waking up, poor sleep, crying, or other factors such as trauma.
Yes, it can. The vertical aperture of your eye can be altered by tailoring the pull of the muscle on the upper lid margin, whilst epicanthoplasties can increase the horizontal dimensions of the eye, making the eyes appear longer.
If done well, upper eyelid surgery results last for many years. However, it does not reverse the normal effects of ageing, which may need to be addressed at a later stage.
Triple eyelids are caused by excess upper eyelid skin and/or levator mechanism dehiscence. Both can be addressed through upper blepharoplasty.
Ptosis surgery is usually performed by trained plastic surgeons or specially qualified facial plastic surgeons or oculoplastic surgeons.
Botox can give a very mild lift or the appearance of lift to the eyelids by careful injection to the muscles opposing eyelid closure (the orbicularis oculi). When injected at appropriate points in the forehead, it can also help to improve the appearance of the brow, which can indirectly make the eyelid appear lifted.
If performed for medical reasons such as functional ptosis or reconstructive purposes, eyelid surgery can be covered by insurance. There are strict criteria that need to be met, and your plastic surgeon will assess you and discuss the possibility of using insurance with you.