Tixel is The Thermo-Mechanical Technology for Skin Rejuvenation, Acne treatment, Scares and Hyper-Pigmentation


Precision Aesthetics is proud to be the first Specialist Plastic Surgery Practice in South Africa to offer the Tixel® treatment since January 2018. Dr. Vernon Ching, the medical director of Precision Aesthetics, is the South African KOL for Tixel®. He describes why he thinks this treatment is so good.

What is the Tixel® treatment?

Tixel® is a new treatment that can be used to tighten the skin, improve the appearance of scars and to help topical treatments to penetrate the skin. This treatment uses a heated metal plate to deliver the required energy directly to the skin surface. It is a new energy-based treatment method that does not use a laser, intense light, or radio-frequency.

How is Tixel® performed?

After a medical consultation by Dr. Ching to assess your suitability, you can book for the treatment. The treatment is relatively painless. Usually, no anesthetic is needed, but a quick-acting effective local anesthetic cream can be applied to those patients that request it.

It is essential that the skin is cleaned correctly before treatment, with no make-up (including mascara) left on the skin surface. Before the procedure, your skin will be cleansed again with an alcohol-based product. Once the machine has reached the correct operating temperature, the treatment can begin.

The hot metal plate (1cmx1cm) in size, packed with tiny pyramidal shapes is applied to your skin for a miniscule period, which can be between 6 to 18 milliseconds.

Each touch occurs so quickly that even before your nerves can register the heat, the hot metal plate would have been withdrawn. A full-face treatment will require your skin to be touched by this metal plate about 300 times.

Treatment of the full face takes from 15 to 20 minutes to complete.

Does Tixel® work?

Yes, Tixel® treatment does work, and we have many contented patients.

In some patients, results can be seen in just four weeks after the first treatment.

  1. The effects of a Tixel® treatment will differ according to the settings used.

The Ablative treatment (contact time of 12 mS and above) gives the best results for scar treatment and skin tightening. The skin will develop small crusting that can take roughly one week to clear. However, after two days this crusting can be covered with suitable make-up. Patients may only need a weekend to hide away if you do not feel confident in meeting others. The result of ablative treatment will be similar to deep chemical peel or fractional CO2 laser resurfacing treatment. Often this treatment is combined with facial surgery, such as a facelift.

  1. Non-Ablative treatment (contact time of 8 mS to 10 mS)

This treatment can give the same skin tightening result as the ablative treatment but will require more procedures to achieve. This setting is suitable for patients who cannot take any time off to recover. The skin tightening result of non-ablative therapy will be similar to a medium depth chemical peel but without the recovery time associated with a chemical peel.

  1. Open-Channel” treatment (contact time of 4 mS to 6 mS)

This setting is useful for managing PIH (post-inflammatory hyperpigmentation) and for appropriate cases of melasma. Tixel will make the skin porous for about 6 hours and thus allowing topical treatment to penetrate the skin. We found that combining Open-Channel Tixel setting with drugs such as Hydroquinone is very useful for hyperpigmentation.

Tixel® – Before and After Pictures

What are the side effects of Tixel®?

This treatment is reasonably comfortable. A topical anesthetic cream is gently massaged into the skin before treatment. Pain-sensitive patients can take mild analgesics before the treatment should they require this. Almost all of our patients do not need any pain relief.

After the treatment, your skin will be red. It will feel hot, stingy and tight for a few hours. After this, there should be no more unusual sensation, and you will forget that you just had Tixel® treatment.

If you have the ablative treatment, the treated area may swell. The redness will continue for a few days to weeks similar to after deep chemical peels or laser resurfacing procedures. Small crusting will also appear after a few days. You can start using makeup to cover this redness and crusting just two days after the procedure.

You must not touch the treated area unnecessarily to avoid getting the skin infected. Skin color changes after the treatment may also appear in some skin types.

You must allow the crusting to fall off by itself in about seven days. Scrubbing off the crusting must be avoided, or permanent scarring may occur.

Any treatment around the mouth may trigger cold sores to reappear, but this should heal as normally.

 Which areas can be Tixel® treated?

Tixel® can be used to treat all facial areas as well as the hands.

How much does Tixel® treatment cost?

Tixel® costs vary depending on which areas need treatment.

How can I proceed if I am interested in Tixel® treatment?

Please call us at (011) 304-7888 or email us at info@p-a.co.za to arrange a consultation at our offices at Waterfall City Hospital.