There is no way of adding additional entries to the multi-instance collection once the Multi-instance activity has actually started. You can create a workaround by using a multi-instance sub-process. In that sub-process, there is a userTask (the review task) and it has 3 possible outcomes: "Approve", "Reject" or "Involve more people". After that task (still inside the subprocess) you add a gateway that checks the outcome and in case of "Involve more people", goos to a new UserTask. This UserTask has a form which allows the reviewer to select additional reviewers. After the additional reviewers are selected, a Multi-instance user-task is added which creates a task for each of the selected "newly involved reviewers".
You should, off course, make sure any variables you use (e.g.. approvalCount) is synced if the new "involved" tasks are added, so the final task showing the review-result shows correct percentages and so on.
Does that make sense?