Ginncha, although an accurate complete analysis requires an in-person evaluation, based on your photos I do feel that you need lateral osteotomies to close and narrow the roof of your nasal vault. Other maneuvers including tip refinement would likely also be helpful at the time of revision rhinoplasty. My assessment based on the photos alone is as follows:
RADIX. The area just above and below the nasion or "break point" the upper bridge of your nose. This area appears to be fine.
DORSUM. The middle segment or bridge of your nose appears to be too wide both across the top and at the bony base. Open roof deformity. Usually the bridge width across the top is recommended as being approximately the same width as the tip defining points (6-8 mm in women). Presently, the dorsal width is significantly greater than your tip width. This is contributing to an unfavorable nasal dorsal aesthetic line drawn along either side of the bridge from the brow to the tip. The bony base width across the middle segment of the nose is currently wider than both the inner canthal width and the alar base width. Ideally the bony base width should be slightly narrower than these. Although hard to tell without full face views, I have the impression that the dorsum is over-projected on profile view.
TIP. The nasal tip is asymmetric with irregularities in the underlying cartilages. Again, it is hard to tell without full facial views but the tip appears to be slightly over-projected.
NASAL BASE. One could argue that there is too much alar flare, particularly if the tip is deprojected during future surgery. The caudal septum is displaced into the right nostril.
Based on this analysis, my recommendations are as follows:
Small additional reduction of the dorsum and smoothing/rounding of contours with a rasp.
Small deprojection of the nasal tip.
Decreasing tip volume, smoothing contours and refining by removing cephalic strips and using suture shaping techniques.
Repositioning the caudal septum.
Smoothing the dorsum.
Possible alar base and nostril sill reduction.
Sincerely, Mario J. Imola, MD, DDS.