After Ten Months, Can a Juvederm Lump Be Disolved by Massage?

I recommend that it is worth having your doctor try to break down the product with hyaluronidase. If it is still present, then this will help to break it down. You should also get a second opinion based on a physical exam if you don't trust your injector.

I doubt after that long a time, 10 months, massaging would have ANY effect. Thry excision or injection of a dissolver like Hyaluronidase. 

Hi Charlotte,

  After 10 months, massage isn't going to do much to smooth out an uneven area of filler. And, I'm not sure of the rationale behind asking you to wait another four months prior to having an injection of hyaluronidase.

   As Dr. Smith said, hyaluronidase will not cause a noticible diminishment in your body's natural hyaluronic acid since it is regenerated so quickly. I'd try calling around to find a physician in your area who has experience with injecting fillers as well as hyaluronidase. The lump should be improved (if not completely gone w/in 1-2 days). I typically have patients that I inject with hyaluronidase return for a follow-up approximately two days after the injection(s) so that I can reassess whether or not he/she may need a few more units of the hyaluronidase injected after the initial amount has "kicked in."

  Hope this helps!

MK