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

There are no medical studies showing that there are less nodules when massage is done after Sculptra in fact, we are nearing completion of an FDA-approved clinical study that demonstrates That massage after Sculptra does not prevent nodules... In the hands of experienced Board Certified Dermatologist, nodules are extremely rare and if they occur they are usually extremely small and resolve within a few months.

Chances are that if you have an experience Sculptra injector who evenly disperses the product and uses a dilute solution, then not massaging is probably going to be fine.  I still encourage of my patients to massage unless I am doing a mixture of Sculptra with the traditional hyaluronic acid based fillers.  

There is risk for developing hard nodules under the skin after having Sculptra injections. Nodules are rare, but do happen. To minimize this risk, injectors should massage the areas directly after injecting Sculptra, and then instruct the patient to massage the areas at home for a few minutes three times a day for five days.