After Sculptra, I usually tell my patients to start gentle massage once the initial swelling and tenderness settle—typically within 24–48 hours after treatment. The classic rule is the “5-5-5 rule”: Massage 5 minutes 5 times a day For 5 days The goal is not aggressive rubbing—it’s just to help the product distribute evenly and reduce the risk of small nodules forming. A few important points: Keep it gentle, not deep pressure Use clean hands and a moisturizer if needed for glide Avoid if the area is still very sore or significantly swollen—wait a bit longer in that case If anything feels firm, lumpy, or unusual later on, that’s something we would reassess in follow-up.