REVISION RHINOPLASTY QUESTIONS
Dear prc22, I would suggest that you may want to seek some secondary opinions so you have a better idea of what needs to be done technically to ensure you have the result you are looking for next time. It is quite unusual for the nose to look the same after rhinoplasty surgery some modifications including straightening the nose should be visible. If incomplete osteotomies were performed then this may be the case why your surgeon is stating he needs to fracture the nose. It is impossible really to say without an in person examination or a full set of photographs. Best regards, Michael V. Elam, M.D.
I think that in order to say what might be best, you would need to be seen in person. I will say that septal cartilage does have memory and wants to go back to its original position. That is why grafts/sutures can be very helpful tools to minimize this risk.
Close Secondary Rhinoplasty
The decision to choose a closed or an open second procedure is based on what needs to be done. Many minor flaws can be corrected through a closed technique. However, I strongly recommend that you go along with the recommendation of the surgeon whom you trust rather than worrying about the open or closed technique. The incision often heals well enough not to be found easily on the other hand this technique enables the surgeon to complete the surgery with more precision.
It is not possible to comment without any photos. It would be unusual for the nose to be "same"after the splint was removed.
Without pictures, it is difficult to give proper advise. Correcting a crooked nose is very challenging to say the least. Sometimes, it is a good idea to get a second opinion.