What would you do to help my overly-narrowed nose in a revision?

A closed rhinoplasty approach can accomplish a small amount of de-projection, and de-rotation along with tucking in the hanging columella. Spreader grafts placed underneath the concave upper lateral cartilages will give you more width to the midportion of the nose. From these photos presented, you don't need alar rim graphs. Osteotomies only make your bridge line more narrow. A septoplasty and turbinate surgery may be required for nasal obstruction, but only after a thorough internal examination of the nose.