Filler used in marionette lines. Can it be massaged? (Photo)

Hi @ac1234. I would recommend gentle massages to the area where you feel the lumps. If you are unhappy with the results after two weeks, you can dissolve the product with Hyaluronidase.

Best of luck,

Dr. Nima

Hi and thanks for your question. It looks that you still have some swelling in this area . I would suggest some gentle massage on the areas you feel lumps . If the lumps persist see your physician . Sometimes we inject hyaloronidase to dissolve it 

It is normal to have some degree of swelling for the first 2 weeks after an injection and I tell patients they may feel a "ball" or " marbles" in the lower mouth area after filler is injected into  the oral commissures. 2 syringes is on the higher end of product usage so it will take some time for the swelling of the pockets  to resolve. Manual  Massage  can help. If still present by 2 weeks you may want to seek vitrase or hylaurondiase for removal 

It appears from the photo that you are very swollen in the area or too much product was placed too low which is giving you these "pouches".  If after two weeks you still have this same appearance you will need to have the product dissolved with Hyaluronidase.  From your photos it appears that Voluma placed in your mid-cheek area would have been better for you. Please consult an expert injector for the best cosmetic results.  Best, Dr. Green