It sounds as though your skin is very reactive to any trauma (such as a surgical incision). I'm not sure what you are referring to in regards pins for guidance but nonetheless you sound as though the smaller scars healed in the same way. The early treatment of keloids is hopefully avoiding them altogether but in spite of gentle tissue handling and careful closure, all plastic surgeons have encountered this problem at one time or another. Steroid injections directly into the scar can halp in addition to some form of silicone sheet pressure dressing. The steroid injections often require repeated treaments. I would not recommend any form of attempted scar revision until your current surgery has healed completely to decrease the tension on the healing incisions. Good luck to you.
Dr Edwardsh
