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the nasolabial folds or smile lines are a common area of concern for many people theyamp;#39;re often treated by directly placing filler into the fold and lower down which can leave your lower face looking puffy unnatural or leave you looking like Cindy Lou Who from the Grinch one of the main underlying reasons for the development of these nasolabial folds is volume loss in these two triangular areas called the pyrofoam fossa adding filler directly into this piriform fossa will docHubly improve the appearance of nasolabial folds in a very natural looking way such as this care and caution must be taken when injecting this area the angular artery runs very close to the piriform fossa and there is a real risk of vascular occlusion using real-time ultrasound guidance as well as a cannula docHubly reduce the risk