which surgery needed to fix this

Firstly you need a better picture without lens distortion to evaluate this. I've notice negative canthal tilts tend to be extremely exacerbated by close up shots.
 
take the picture at least 1 to 2 meters away from you, preferrably using a mirror.

either way yeah, probably canthoplasty/pexy, maybe ptosis repair too.
honestly i really firstly want to fix asymmetry but like is fixing this kind of uneven eye possible
 

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