Is there any way to do an out fracture osteotomy to widen my nose and make it way more convex like how it used to be? (Photo)

Thank you for sharing your question and photo. There are too many specific questions to attempt to address on this forum and your photograph only shows a tiny section of what appears to be your nose. The concern describes is not visible. The most appropriate next step would be to consult with an experienced board certified surgeon that performs a lot of rhinoplasty and revision rhinoplasty operations. A thorogh physical examination (both internal nose and external nose) would be required to answer your questions. After a thorough examination and reviewing the operative report from your primary rhinoplasty, the surgeon should be able to explain accurately what a revision rhinoplasty would entail, including the individual techniques that might be employed. In general, osteotomies are required in revision rhinoplasty if the nasal bones need to be straightened, narrowed or widened. Spreader grafts, like any graft material may make the nose feel slightly more "stiff", as one might expect since the goal of spreader grafting in to improve the structural integrity of the nasal dorsum. Spreader grafters my widen the nose. Although, there are techniques that could be employed when placing spreader grafts that may not result in widening the external nose. In terms of risk, the revision rhinoplasty is inherently more risky than the primary operations. I think that addresses all of your questions. I think you'd find an in person consultation informative. Thank you again for sharing. Kind regards, Dr. Harmych