Why Should Filler Lumps Be Massaged Out?

If you are happy with the appearance and can put up with the bump that was felt soon after the filler, then you don't need to massage or have it treated. If it is a small lump and the rest of the area is OK, you could have it expressed through a tiny needle point or injected with hyaluronidase but it would only be to make you feel better about not having a lump. If a lump occurs months after fillers, then an immune reaction may be developing but this is very rare with Perlane, Juvederm or Restylane.

If you are happy with the look, I wouldn't recommend massaging out lumps. They are only typically massaged out if they're misplaced or causing unwanted side effects.

If you can not see the lumps but can only identify them by touch I do not recommend you do anything to them. Perlane is a filler and it is normal to feel the product in the skin because it is 'filling' an area. 

Hope this helps. 

 

Dr. Grant Stevens      

You do not need to massage a lump resulting from a Perlane injection unless it is symptomatic, or unsightly.

Filler lumps do not need to be massaged out unless they are visable. If you feel a lump but don’t see it, do not massage it because this will affect the longevity of the filler.

As long as the collection of Perlane ("lumps") are not visible and they don't bother you, you don't have to massage them out.  Eventually they will probably be softened by the natural processes in your skin.  Even if not, they don't pose any threat to you and are not permanent.  If you feel they are visible or they bother you, you  may massage them out, although I personally like to massage/mold the filler in my patients myself, to make sure that the original correction is not reduced by too much massage.

I f you are happy with the appearance and do not mind the lumps that you can feel then you answered your own question and should leave them alone.

An excellent question, Rachek. Some people are not reading your description or question carefully. Patients sometimes get alarmed by the feeling of lumps, but sometimes so much filler is successfully used in one spot, it CAN feel like a little ball or lump. The key is.... if you LOOK the way you want to look, and the lumps are filler and not hematomas (collections of blood), then you are perfectly fine to leave them alone.

Some doctors prefer a "nonlumpy" style, and they tend to massage and smooth everything as they are injecting. Others are more comfortable leaving lumps, but it's important to look at yourself from all angles! Sometimes things can look great from the front, but funny from the side.

Use your common sense and do what's comfortable for you.

Worth a try but very doubtful you will see a flattening. Go discuss with your injector. From MIAMI Dr. Darryl J. Blinski

It's normal to feel that something is present in the areas that were injected, but if it looks great don't massage it.  It may displace the product.

With a filler like Sculptra it is absolutely essential to massage the areas injected several times a day for several days, but that is not the case with hyaluronic acid fillers like Perlane.