Bumps and lumps after lip injections, should I massage them out? (Photo)

Consider sitting tight for all of your lip swelling to go down since your photo shows a pleasing lip appearance. If you have visible bumps, your doctor should be able to address your concerns. Wishing you well. Dr Joseph

Lip filler bumps is fairly common after filler.  The bumps can occur early on and many settle down.  Although massage after filler is considered a mainstay, beware that massage can drive the filler into another location if done too early.  
Reasons for bumps after filler:
Technique- Filler may have been used too superficially or wrong type of filler
Mouth movements- In some patients their movements can promote the accumulation of bumps and an alternative technique can be advocated.
Treating lip filler bumps:
Observation +/- massage-  Should be done for almost all lip filler bumps for 2 weeks.  For our patients we usually advocated massage after 48-72 hours to let the filler settle into place.
Reversal- A reversal agent can be used such as Vitrase to dissolve the filler if there is a large obvious persistent bump
Additional filler- An expert filler injector can used improved technique to mask the lip bumps.
The application of lip filler is very technical and should be done by an expert injector.

Thank you for sharing your question and photograph. It is difficult this early after your injections to know if the lumps will remain once your swelling resolves.  In general it is best to allow at least 2-3 weeks to pass over which most small bumps will soften and dissolve.  If there are particular areas of concern, see your injector for an in-person evaluation and reassurance. 

Don't simply massage your lips because these doctors should not be making such a recommendation to you.  You are swollen.  It is impossible to know at this moment what is swelling and what is fullness from too much product.  If you "massage" your lip you will simply be further traumatizing the lip and possibly moving the product out of the lip edge which will harm your long term result.  Massage does not "destroy" filler but it certainly can affect the result of a treatment.  You should continue to let the lips settle down and any irregularies present a week after the service should be carefully adjusted by your injector.  If you are seeing an issue at that point and your injector is not seeing your issue, you have the wrong injector.  

Massaging may help, and swelling is definitely normal post injection. If the bumps haven't gone away in a few more days, I'd suggest consulting with your injector to discuss the results. If necessary, the hyaluronic acid may be dissolved to get rid of the bumps.

Best, Dr. Emer