Sucrosic dolomite, an important hydrocarbon reservoir, has long been the focus of carbonate sedimentological and reservoir geological studies. This study investigated a kind of heterogeneous sucrosic dolomite in the Lower Permian Qixia Formation of NW Sichuan Basin, which has recently been the location of giant natural gas discoveries. The heterogeneous sucrosic dolomite is characterized by coexistence of porous euhedral dolomite and tight anhedral dolomite, and it is mainly distributed in the platform-marginal shoal facies with a quasi-layered structure. Further geochemical analysis, including C, O, and Sr isotopes as well as rare earth elements, reveals that the euhedral dolomite and anhedral dolomite have similar geochemical properties to the matrix limestone representing coeval seawater, and they were mainly generated from dolomitization by the closed marine-related fluid (left-leaning REE and δPr < 1) in the shallow burial. The difference in crystal morphology, porosity, and permeability between the euhedral dolomite and anhedral dolomite is mainly related to the compositional and textural heterogeneities of the host rocks. Due to the dissolution of meteoric water (relatively flat REE and low Y/Ho) in the early diagenetic stage caused by high frequent exposures, quasi-layered vugs and caves were formed in the grainstones. In the process of shallow burial dolomitization, the loose-filled carbonate sands formed the porous euhedral dolomite due to sufficient space, while the matrix limestone formed the tight anhedral dolomite due to relatively poor porosity and permeability. Accordingly, the paleogeomorphic highland controlled platform-marginal shoal superimposed by meteoric water dissolution in the early diagenetic stage is the main factor for the formation of Qixia Formation reservoirs, while dolomitization is mainly manifested as the inheritance and adjustment of pre-existing pores in the host rock. Therefore, the exploration direction for dolomite reservoirs in the Qixia Formation in the Sichuan Basin should be shifted to the favorable sedimentary facies-controlled reservoir model, which can also be referential for other cases under similar geological setting.