I am sorry to learn of the difficulty that you are experiencing. Perlane, Juvederm, Restylane or Elevess are all Hyaluronic Acids (HA). The beauty of them is that they are soft and work well to fill in lines and wrinkles around the face.
Side effects from these fillers and dissatisfaction is rare. When these occasions do occur the wonderful thing about this group of fillers is that we can offer Wydase or Hyaluronidase to reduce or dissolve them.
As an Ocular Plastic surgeon, I utilize Wydase all of the time as part of my freezing solution for eyelid surgery. Side effects from this substance are rare with the most common being an allergic reaction (which I personally have never encountered with over 3,000 procedures, Knock wood:))
As I cannot see you, it is impossible to state if masking the lump with more filler would answer the problem. Your physician should never perform any procedure he/ she is not comfortable with. I would ask you to return to your trusted physician to see if he could consult a colleague who would be happy to work with both of you.
