What happens if the Sculptra is not massaged after being injected?

In most cases, I would say that nothing unusual should occur if an area treated with Sculptra is not massaged.  In theory, massaging the area after treatment is thought to help disperse the fluid and decrease the chances of any lumps or bumps forming over time.  I do massage the treated areas myself after treating patients with Sculptra for the above reasons.  Even without consciously massaging the area after treatment, there most likely is some of this occurring just with everyday life, such as sleeping and washing the face.  If you have any concern about your particular treatment, you should contact the physician who treated you.  

We recommend that
patients massage the treated areas after Sculptra injections to avoid the
formation of small nodules in the skin. If the skin is not massaged there
is a chance that small nodules may form – they can be treated but we would
prefer to avoid the formation in the first place – so massage after treatment!