Would Massage Help Lumps from Old Collagen Lip Injections?

Collagen in the lips typically only lasted a few weeks.  What is left in your lips may be either scar tissue or you were injected with another substance.  Consider either adding more filler to improve contour of lips or surgically removing lumps.

Collagen fillers, Zyderm I and Zyderm II and the thicker filler, Zyplast,  were from cow hide many years ago. At one time Fibrel, was a porcine collagen mixed with the patient's drawn blood to make a liquid thought to provide a longer lasting filler but this did not stay on the market. I do not recall any U.S. FDA-approved sheep collagen product.  One of the first hyaluronic acids was derived from the rooster comb.  There was a human collagen but no sheep collagen. REgardless of source, it is very rare to form granulomas, or an immune reaction that walls off the filler with your collagen.  This might improve with corticosteroid injections but that can create depressions and it may not be successful, or only temporarily successful.

It might be that you didn't have some collagen, but silicone! This would need surgical removal and it would be interesting to have your surgeon send it to the lab to see what material was injected. Sometimes special tests can be done to identify the product, but not always.

Massage won't help old injections of lips after 23 years. It was not collagen! Your lip looks good except for the dent. I would not inject steroid since it will cause a further dent in the lip. You might have a little Juvederm injected to fill out the dent.