Confusing recommendations regarding lower bleph technique that is right for me. Any suggestions?

The approach that your surgeon chooses to address your lower eyelid bags will be largely dependent on their training and preference. Some of this is related to the era in which your surgeon trained. 

With your age, skin complexion, and skin quality I would likely choose a transconjunctival approach with fat shaping and repositioning as opposed to just fat removal alone. I often do perform canthopexy simultaneously when there is some potential lid laxity, but this is not often the case with younger patients.

To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these "core four" cosmetic specialties.

Cameron Chesnut#realself500 Physician

Thank you for sharing your case and photos.  The different recommendations you have received probably have more to do with the surgeon's training and comfort level than any other factor.  I typically perform canthopexy on every lower eyelid blephaoplasty patient because I know that the lids will loosen with age, but this is just my personal approach and I could be convinced to do otherwise on a young patient like you.  I think you should choose your surgeon based on your comfort level with them.  Even with the most experienced surgeons, complications may occur and you have trust them to ultimately deliver the results that you'd like.  Don't obsess about the technique - leave that up to your surgeon.  Good luck!