Can Restylane Be Manipulated After Injection?

Please do not massage the area. Massage should be performed by your injector, so it's best if you see your injector for a followup if the lumps don't resolve themselves in a week or so.

Rather than do the massage/manipulation yourself, I would return to your provider to have them do this for you. It's definitely not uncommon to massage/manipulate, but I always recommend the patient return for better results.

I never want my patients to manipulate the filler themselves.  Generally it is difficult to do this manipulation and get things right.  It is best to accurately place the Restylane in the first place.  Precise placement of a tiny bead of Restylane along the vermillion edge is critical.  This avoids the white roll and the red roll from looking like they are part of the same hot dog.  The Restylane can also be shaped with the enzyme hyaluronidase.  Your injector may not be sufficiently advanced to help you.  Consider see Dr. Julie Woodward at Duke to have this issue corrected.