Why are my nasal sidewalls still prominent 3 surgeries later? (photos)

3 surgeries later, my nasal sidewalls are still prominent. My last surgery was a month ago. It was closed rhinoplasty. I assured the doctor to perform osteotomy and he said he did. However, my nasal sidewalls are still wide. I really want to know, how come three doctors couldn't narrow the sides that appear in the photo. They only appear under harsh lights. I really want your help in telling me why is it so hard for the doctors to narrow them. Your response is highly appreciated. Thank you