Hereditary under eye bags.
Dr. G performed upper and lower blepharoplasty on me more than 10 years ago. He took too much skin from my lower lids and not enough from my upper lids. I was left disfigured and was forced to have corrective surgery 18 months later.
My once almond shaped eyes are now round (even after correction). My left eye doesn't close completely, and I have bulging cartilage grafts in my lower lids. Dr. G did refund the surgical fee, but I spent 5 times that on a corrective procedure. I expect he has more surgical skill this far in his career, but it is not worth the risk where your eyes are concerned.