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.

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!