We study skew-symmetrizable cluster algebras $\mathcal{A}$ associated with unpunctured surfaces $\tilde{\mathbf{S}}$ endowed with an orientation-preserving involution $σ$. We give a geometric realization of such cluster algebras by showing that cluster variables of $\mathcal{A}$ correspond to $σ$-orbits of arcs of $\tilde{\mathbf{S}}$, while clusters are given by admissible $σ$-invariant triangulations. We establish a ring homomorphism from $\mathcal{A}$ to a skew-symmetric cluster algebra of the same rank, which is combinatorially derived from $\mathcal{A}$. We use this result to provide a cluster expansion formula for any $σ$-orbit $[γ]$ in terms of perfect matchings of some labeled modified snake graphs constructed from the arcs of $[γ]$. Then, we associate a symmetric finite-dimensional algebra $A$ to any seed of $\mathcal{A}$, such that non-initial cluster variables bijectively correspond to orthogonal indecomposable $A$-modules. Finally, we exhibit a purely representation-theoretic map from the category of orthogonal $A$-modules to $\mathcal{A}$, providing a Caldero-Chapoton map in this setting.