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Can Excel V for redness cause volume loss/fat loss?

I am 23 years old with a darker skin tone (I’m arab) and I have really severe rosacea type 1 (diagnosed). I’ve been on topical creams for over a year but they don’t help the redness at all. My derm suggested excel V but I am very anxious because I read that lasers can cause fat loss/ volume loss and hence premature ageing on the face. Is this true for all lasers or only “ resurfacing lasers” that target fat cells? Is this a risk with excel V?

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