I was in your exact situation and decided to just buy a tuttle box foil with a plate to distribute the load instead of doing the conversion. But I imagine you'd have deep tuttle SUP foils only so that is not an option.
From my research:
1) Deep tuttle is an extension of tuttle, theoretically then you could 'extend' the tuttle into a deep version with a router:

Also there is a video about the 3 (confusing) types:
I think the biggest concern with this conversion approach would be to ensure the new box is watertight.
2) From what I saw the breakages often occur when the heads of the screws pull through the board, so adding a large washer plate to the top of the board would prevent this and distribute the load well. Lots of slalom boards have screw holes which you don't want.
3) Many foils seem to have plates at the bottom to distribute the load, seems just in front of the leading edge is the most important for this.
Interested to see what you end up doing, any shaper with a router would be able to do my idea quite easily!