How To Massage Cheek Filler Bumps: A Guide for Aftercare

Medically Reviewed
Medically Reviewed by Dr. Aurora Kalmanson on
Written by Fillers Editorial Team, plastic surgery specialists.

Cheek filler bumps can be a minor post-treatment concern, but they are often manageable with proper massage techniques. If you experience lumps after receiving cheek fillers, it’s recommended to wait 7 to 14 days before massaging the area to allow the filler to settle.

Gentle, upward patting motions with your fingers can help smooth out the bumps. It’s important to perform these massages with care to avoid filler migration and maintain the desired facial contour. Typically, massaging for 30 seconds, three times a day, is sufficient until the lumps subside. If bumps persist, consulting with your provider is crucial for further guidance or alternative treatments.

Safe Massage Techniques for Cheek Filler Bumps

Massaging cheek filler bumps is a delicate process that can help resolve minor irregularities and ensure a smoother appearance. The key is to use safe and gentle techniques that encourage the filler to integrate seamlessly with the surrounding tissue without causing any unwanted effects.

Preparing to Massage: The 7 to 14-Day Waiting Period

Before you begin massaging your cheek filler bumps, it’s essential to give your skin the necessary time to heal and the filler to integrate. The recommended waiting period is between 7 to 14 days post-treatment. During this time, the filler is settling into place, and the initial swelling is subsiding. Massaging too soon could disrupt the filler’s placement, leading to migration or an uneven appearance. Patience during this initial phase is crucial, as many lumps will resolve on their own without intervention. If the bumps remain after this period, gentle massage can be considered as a next step in your aftercare routine.

Step-by-Step Guide to Massaging Cheek Filler Bumps

Positioning Your Fingers: To effectively massage cheek filler bumps, start by thoroughly washing your hands to prevent any potential infection. Position your index and middle fingers on the apples of your cheeks, where the bumps are most prominent. Ensure your touch is gentle to avoid putting undue pressure on the sensitive post-treatment tissue. Your fingers should be in contact with your skin, ready to perform the massage without causing discomfort or shifting the filler unintentionally.

Gently press down on the bumps with a soft touch, preparing the area for the massage. The goal is to apply just enough pressure to work on the bumps without causing any pain or discomfort. Remember, the skin and underlying tissues are still healing, and being too forceful can lead to complications or worsen swelling.

Gentle Upward Kneading Motions: Once your fingers are correctly positioned, initiate the massage with gentle, upward kneading motions. This technique involves a light pinching and lifting movement, as if you’re encouraging the filler to distribute evenly under the skin. The direction of the massage is crucial; always move upwards towards the top of your cheekbones, following the natural lines of your facial structure.

Continue these motions methodically, covering the entire area where the bumps are located. The kneading action helps to break down any unevenness and integrate the filler more smoothly with your facial tissues. Be mindful of the pressure you apply—too much force can lead to filler migration, while too little may not be effective in addressing the lumps.

Frequency and Duration of Massage Sessions: The frequency and duration of your massage sessions are vital for achieving the best results without overdoing it. A good rule of thumb is to massage the affected area for about 30 seconds at a time. This short duration ensures that you’re not applying excessive pressure that could displace the filler.

Repeat this massage routine three times a day, which strikes a balance between being proactive in addressing the bumps and allowing the filler to settle naturally. Consistency is key, so aim to maintain this schedule until you notice an improvement in the texture of your cheeks. If the bumps persist beyond a few weeks or if you experience any discomfort, it’s important to revisit your provider for further assessment and potential alternative treatments.

The Rule of Fives: A Massage Routine

The “Rule of Fives” is a simple yet effective massage routine designed to address cheek filler bumps. It involves massaging the affected area for five minutes at a time, five times a day, for the first five days following the appearance of bumps. This technique promotes the integration of the filler into the skin and helps to smooth out any unevenness. The massage should be performed with clean hands and gentle pressure, using a back-and-forth or circular motion. If the lump is more pronounced, you can use one finger inside the mouth and one outside to apply pressure from both sides. Remember, consistency is key, and while the rule is easy to follow, the main goal is to massage the area as much as possible during the initial week or two post-treatment.

Potential Risks of Incorrect Massage Techniques

Cheek Filler Migration: Incorrect massage techniques can lead to the unintended movement of cheek fillers, known as filler migration. This occurs when the filler is displaced from its original injection site, potentially leading to asymmetry and an unnatural appearance. Excessive pressure or aggressive massaging can cause the filler to spread to adjacent areas, creating puffiness or altering the intended contour of the cheeks.

To prevent migration, massages should be gentle and follow the natural lines of the face. It’s crucial to avoid massaging immediately after the procedure, as the filler has not yet settled, and the tissues are still sensitive. If you suspect filler migration has occurred, it’s important to contact your provider promptly for an assessment and potential corrective measures.

Unwanted Changes in Facial Contour: Massaging cheek filler bumps with incorrect techniques can also result in unwanted changes to your facial contour. Over-manipulation of the treated area might lead to the breakdown of the filler material, causing it to lose its shape and volume. This can diminish the aesthetic results you were aiming for and may require additional treatments to correct.

To maintain the desired facial contour, it’s essential to use a light touch and avoid over-massaging the area. Stick to the recommended frequency and duration of massage sessions, and be attentive to the feedback your skin provides. If you notice any adverse changes in your facial contour, cease massaging and consult with your provider for guidance.

Frequently Asked Questions

How long should I wait to massage my cheeks after filler treatment?

You should wait 7 to 14 days after filler treatment before massaging your cheeks to allow the filler to settle and any initial swelling to subside.

Can I massage my cheeks immediately after filler treatment?

No, it's not recommended to massage your cheeks immediately after filler treatment as this can cause the filler to migrate and lead to uneven results.

How often should I massage my cheeks to reduce filler bumps?

Massage your cheeks for 30 seconds, three times a day, following the Rule of Fives for the first five days if lumps are present.

What should I do if massaging doesn't improve the lumps?

If massaging doesn't improve the lumps, consult with your provider for further assessment and possible alternative treatments.

Can massaging cheek filler bumps cause them to worsen or migrate?

Yes, massaging too vigorously or too soon after treatment can cause filler bumps to worsen or migrate, altering the desired effect.

Is it safe to use hyaluronidase for all types of cheek fillers?

Hyaluronidase is safe for dissolving hyaluronic acid-based fillers, but it's not suitable for non-HA fillers. Always consult with your provider.

Can I massage my cheeks if I have lumps from lip or chin filler treatments?

Yes, you can massage your cheeks if you have lumps from lip or chin filler treatments, using the same gentle techniques.

What is the rule of fives in massaging filler bumps?

The Rule of Fives is a massage routine where you massage the lumps for five minutes, five times a day, for the first five days.

Can cheek filler bumps indicate a serious problem?

While often not serious, cheek filler bumps can sometimes indicate an underlying issue; if they persist, seek advice from your provider.

Is it safe to massage areas treated with non-HA fillers?

For non-HA fillers, it's best to consult with your provider before massaging, as techniques and safety may vary.


In conclusion, massaging cheek filler bumps is a simple and effective way to smooth out minor irregularities after treatment. It's important to follow the recommended waiting period, use gentle techniques, and monitor progress to ensure the best results. If issues persist, professional interventions such as laser treatments or hyaluronidase injections may be necessary. Always prioritize cleanliness and moisturization during aftercare, and consult with your provider if you have any concerns or if the lumps do not improve. Remember, each individual's response to fillers and massage can vary, so personalized advice from a healthcare professional is invaluable.

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Ablon G. (2016). Understanding How to Prevent and Treat Adverse Events of Fillers and Neuromodulators.

Dr. Aurora Kalmanson

Always Consult a Medical Specialist

The information provided in this blog is for informational and educational purposes only and should not be interpreted as personalized medical advice. It's crucial to understand that while we are medical professionals, the insights and advice we provide are based on general research and studies. They are not tailored to individual health needs or conditions. Thus, it is essential to consult directly with a healthcare provider who can offer personalized medical advice relevant to your specific situation.