Sculptra is only as good as the skill-level and experience of the person injecting you. If your doctor only uses Sculptra occasionally or (even worse-I've actually heard this) sends his NURSE to inject you, RUN!!! This is not something to play around with.
I have been getting these injections in my face and around my eyes since 2001 and the results are nothing short of amazing. It is not instant or permanent or cheap for that matter but if your doctor REALLY knows what he's doing with it you will fall in love.
By the way, I have NEVER had a single lump or nodule and I NEVER have been told to massage my face, either. If there are any docs out there who are as experienced as mine I would be happy to switch. It's a pain to go to Paris every six months to get poked!