Board-certified dermatologist markKAHF mark (Korea Accreditation Program for Hospitals Serving Foreign Patients)Led by a board-certified dermatologist
Personal diagnosis · Accountable care
Ministry of Health and Welfare
KAHF-accredited hospital

DM DERMATOLOGY

Tixel

ABOUT TIXEL

Tixel delivers heat
instead of light

Tixel is a fractional treatment that touches the skin very briefly with a titanium tip heated to about 400°C, delivering heat, not light, directly to the skin.

A Tixel device on a white cart in a bright treatment room, with a large touchscreen on the front and a white pen-shaped handpiece and coiled white cable on the holder at the left

Fractional means the treatment stimulates only tiny points, not the whole skin surface. In each 1 cm × 1 cm square, Tixel creates 81 tiny heat points and leaves the skin between them as it is. This untouched skin helps the heated points recover.

Tixel is a device made by Novoxel in Israel, and its method is called TMA (Thermo-Mechanical Action). With a laser, heat forms only when water or pigment in the skin absorbs light. With Tixel, heat passes directly into the spot that the heated metal touches. The heat delivered to the dermis helps collagen production during recovery.

At DM Dermatology in Apgujeong, we treat three areas with Tixel: the eye area, the full face, and neck lines. Skin thickness differs by area, so we set the intensity and number of sessions after an examination. Results and recovery time vary from person to person.

  • TMA (Thermo-Mechanical Action)
  • 81 heat points per 1 cm²
  • Eye area · Full face · Neck lines

IN NUMBERS

Tixel in numbers

  • Pyramids

    81per tip

    Tiny pyramids lined up
    on a 1 cm × 1 cm tip

  • Heat

    400°C

    Temperature the tip
    is heated to

  • Touch

    5–16ms

    Time the tip touches the skin per contact
    (1 ms = 1/1000 of a second)

  • Sessions

    3–4sessions

    Typical number of sessions
    (about 4 weeks apart)

CHECK

If you have these concerns

  1. Check01

    Fine lines stay at the corners of my eyes — Even when I am not smiling, fine lines remain at the outer corners of my eyes and under my eyes.

  2. Check02

    The skin under my eyes has become thin — Fine creases have formed under my eyes, and foundation settles into them when I wear makeup.

  3. Check03

    Horizontal lines have formed on my neck — Horizontal creases on my neck make it look older than my face.

  4. Check04

    My skin texture is rough and my pores show — The texture of my cheeks and forehead is uneven, and my pores look enlarged.

  5. Check05

    Shallow acne marks remain — Where acne has cleared, shallow depressed marks and rough texture are left behind.

  6. Check06

    A long recovery is hard for me — I cannot spend several days with a red face, so I want to know about options with less recovery burden.

Whether Tixel is right for you is decided after we examine the depth of your wrinkles and the thickness of your skin. For deeply folded wrinkles or significantly sagging skin, we also discuss other treatments.

HOW IT WORKS

How it works: heat passes
the moment the heated tip touches

The base of the Tixel tip holds 81 tiny pyramids made of medical-grade titanium, in 9 rows of 9. A heating plate keeps these pyramids at about 400°C. The handpiece pushes the tip toward the skin and pulls it back within about 1/100 of a second. In that brief moment, heat passes from the pyramid points into the skin.

Our medical staff set how long the tip stays on the skin and how far the tip extends. At low settings, only the outermost layer (the stratum corneum) dries and develops micro-cracks. At higher settings, a tiny evaporation hole forms in the surface skin at each contact point, and heat reaches the dermis below.

The healthy skin left between the points leads recovery, and the surface skin usually settles back within 2 weeks. In the dermis below, the heat stimulus prompts new collagen to form and reorganize. As these changes build up, fine lines and skin texture change gradually.

  • Heat without light

    No laser light is used. When the heated metal touches the skin, heat passes into it (conduction).

  • Intensity by area

    The longer the contact time, the deeper the heat reaches. Lower settings are used on thin skin, such as around the eyes and on the neck.

3D illustration of a skin cross-section. In the dermis below the pink epidermis, four pale blue heat columns stand apart with white collagen fibers woven around them, while the skin on the left, without columns, is left as it is
  1. 1

    Epidermis The outermost layer, which the tip touches. A tiny evaporation point forms at each contact point.

  2. 2

    Micro-evaporation point A tiny hole that forms where a pyramid point touches, as moisture in the surface skin evaporates in an instant.

  3. 3

    Dermal heat zone A small area in the dermis, below the evaporation point, where the delivered heat stays.

  4. 4

    New collagen Collagen fibers that newly form as the heated dermis heals.

  5. 5

    Healthy skin Skin left untouched between the points. It leads recovery.

A simplified illustration for explanation; the tip is not shown. The heat columns are drawn longer to make them easy to see. In reality, the heat usually stays shallower than this.

KEYWORD

Three words
to understand Tixel

Tixel repeats a touch-and-lift motion on the skin, moving one 1 cm square at a time. Each touch brings a brief stinging, hot sensation. After treatment, the skin heals around each small heated point.

  • HeatThermal energyA titanium tip heated to about 400°C holds the heat that it passes to the skin.
  • TouchContactThe tip touches the skin for only about 1/100 of a second, then pulls back.
  • RenewSkin renewalThe skin heals around each small heated point, and new collagen forms.
A clinician in blue gloves placing a white handpiece on the cheek of a woman lying on a mint-colored treatment bed, supporting the skin with the other hand
The handpiece is placed on the skin and moved one square at a time.

TREATMENT AREA

Three areas for Tixel
at DM Dermatology

DM Dermatology treats three areas with Tixel: the eye area, the full face, and neck lines.

Each area differs in skin thickness and concerns. The skin of the eyelids and neck is thinner than the rest of the face, so we start these areas at a lower intensity than the face. Even within one face, we set the intensity separately for the forehead, cheeks, and mouth area.

A female model with clear skin against a light off-white background, one hand on her cheek, looking to the side, with numbers marking the eye area, cheek, and neck
  1. 1

    Eye area For fine lines at the outer corners of the eyes and fine creases in the skin under the eyes. You keep your eyes closed. Near the eyelids, we protect the eyes and start at a low intensity.

  2. 2

    Full face We look at fine lines, rough texture, visible pores, and shallow acne marks together. The intensity is set separately for each part of the face.

  3. 3

    Neck lines For horizontal neck creases and thin neck skin. Neck skin tends to heal more slowly, so we do not overlap passes on the same spot.

The intensity and number of sessions for each area are decided after we examine your skin thickness and concerns.

COMPARE

Tixel vs. fractional lasers

All three methods create tiny, closely spaced heat points in the skin. What differs is how the heat is made and the recovery time.

  1. LASER · ABLATIVE

    Ablative fractional laser

    Water in the skin absorbs CO2 or erbium laser light, and heat forms on the spot. The surface skin takes 3–6 days to cover over again, and redness sometimes lasts several weeks. Numbing cream is usually applied for 30–60 min.

  2. LASER · NON-ABLATIVE

    Non-ablative fractional laser

    Laser light in the 1,550 nm range leaves the surface skin intact and creates heat beneath it. Redness usually lasts 1–3 days. Treatment is often done after numbing cream is applied.

  3. TMA · TIXEL

    Tixel

    No light is used. Heat passes directly into the spot the heated tip touches, so nothing in the skin needs to absorb light. Redness lasts 1–3 days, and small scabs about 3–7 days. Treatment sometimes starts without numbing cream.

This is a side-by-side look at how each method works. It does not mean that one is better than another. We choose together during your visit, based on how deep your concern is and how much time you can give to recovery.

DEVICES

Device used for Tixel

  1. Tixel device

    Tixel

    Tixel

    TMA: heat delivered directly

    A device using the TMA (thermo-mechanical) method, which delivers heat directly to the skin through a heated tip.

    • TMA method
    • Heat transfer

This is equipment DM Dermatology has on site.

PROCESS

Tixel
treatment process

Below is the general flow. We explain the actual steps and timing after an examination.

  1. Examination · choosing areas

    We look at which areas to treat (eye area, full face, or neck wrinkles) and at your skin thickness. We ask about oral acne medicine, any history of cold sores, pregnancy or breastfeeding, and recent treatments.

    A woman with her head tilted slightly up, showing horizontal lines on her neck, touching her neck with her fingertips
  2. Cleansing · numbing

    We remove makeup and sunscreen and let the skin dry. If numbing cream is used, we wait 20–30 min, then wipe it off.

    A blue-gloved hand spreading a thin layer of cream with a spatula on the cheek of a patient lying on a treatment bed
  3. Setting the intensity

    For each area, we set how long the tip touches the skin and how far it extends. Thin skin, such as around the eyes and on the neck, starts at a low setting.

    A gloved fingertip adjusting the touchscreen of a white skin-treatment device
  4. Tixel treatment

    The tip is placed on the skin and moved one 1 cm square at a time to deliver heat. If it feels too hot or painful, please tell us right away.

    A clinician holding a pen-shaped handpiece near the cheek of a patient who lies wearing protective eyewear, supporting the chin with the other hand
  5. Soothing · going home

    We apply soothing and moisturizing products and sunscreen. Before you go home, we tell you when you can start washing your face and wearing makeup, and how to care for scabs.

    A clinician in blue gloves spreading clear soothing gel on the face of a patient lying down

INFORMATION

What to know before your treatment

  • Procedure timeEye area about 10 min · Full face or neck 15–30 minWith numbing cream, allow 20–30 more min to apply it and wait
  • NumbingUsually starts without numbing creamFor stronger settings, or if you are sensitive to heat, numbing cream is applied for 20–30 min
  • RecoveryRedness and swelling 1–3 daysSmall grid-patterned scabs and roughness clear within 3–7 days
  • Daily lifeFace washing the same evening · Makeup the next dayAfter a stronger treatment, wait 2 days before makeup. Skip saunas and sweaty exercise for 2–3 days
  • Interval · Sessions3–4 sessions, about 4 weeks apartWe schedule the next session once redness and scabs have settled
  • MaintenanceOnce every 6–12 monthsWe review progress at about 1–3 months after the last session

These are general guidelines and vary from person to person, depending on skin condition and intensity. DM Dermatology sets your treatment schedule after an examination.

Caution

Aftercare and precautions
after Tixel

Until the small points heal, keep heat and irritation away from your skin.

  1. 01
    Wash gently and moisturize

    For the first 2–3 days, wash gently with lukewarm water and a mild cleanser. Pat dry with a towel instead of rubbing, then apply moisturizer often.

  2. 02
    Leave small scabs alone

    Leave the small grid-patterned scabs and rough flakes until they come off on their own. Do not pick them with your nails or rub them off with a scrub.

  3. 03
    Use only the products we recommend

    For a day or two while the small heated points heal, what you apply reaches into the skin more easily. So apply only the soothing and moisturizing products our clinic recommends.

  4. 04
    Sun protection

    Avoid long sun exposure for at least 2 weeks. Apply sunscreen before you go out, and wear a hat or use a sunbrella.

  5. 05
    Pause irritating ingredients

    Until the scabs come off, pause retinol, exfoliants (AHA · BHA), and scrubs. If redness remains, also put off hot baths.

  6. 06
    Contact us right away about these symptoms

    If you have oozing or pus, blisters, pain or redness that keeps getting worse, or blisters around the lips, contact the clinic right away.

Side effects and precautions to know
  • During treatment, each touch of the tip brings a stinging, hot sensation. After treatment, redness, swelling, and warmth occur and usually settle within 1–3 days. After a stronger treatment, they may last 4–6 days.
  • Small grid-patterned scabs, rough flaking, tightness, and itching may continue for a few days. Removing scabs by force can leave marks that last longer.
  • Post-inflammatory hyperpigmentation (brown marks) may occur. It is more likely with darker or tanned skin, or when the tip stays on the skin longer or the same spot gets several overlapping passes. It usually fades over several months.
  • Rarely, a bacterial infection (impetigo) may occur, or a product applied after treatment may cause contact dermatitis.
  • If you have had cold sores (herpes simplex), they may come back after treatment. If you tell us in advance, we may prescribe preventive medicine first.
  • Rarely, after eye-area treatment, your eyes may feel dry or watery. If your eyes hurt or your vision is unclear, contact us right away.
  • Because the treatment uses heat, burns, blisters, or scars may rarely occur. Thin skin, such as on the neck, is treated at a lower intensity than the face.
  • If wrinkles are deeply folded or the skin sags significantly, Tixel alone may make little difference. In that case, we discuss other treatments as well.
  • We postpone treatment in these cases: a wound, inflammation, or infection in the treatment area; an active cold sore; pregnancy or breastfeeding; or a recent heavy tan from the sun.
  • Tell us if you take oral acne medicine (isotretinoin) or stopped it within the last 6 months. The doctor will decide when to treat.
  • Tell us if you tend to form keloids or hypertrophic scars; have a skin condition in which new lesions tend to appear at wound sites, such as psoriasis, lichen planus, or vitiligo; have a condition or take medicine that lowers immunity; or have a condition that slows wound healing, such as diabetes.
  • Tell us if you take a medicine that can change skin color, such as minocycline or amiodarone, or if you used a retinoid ointment or had a peel within the past month. Also tell us about any recent filler, Botox (botulinum toxin), or laser treatment, with the dates.

The degree of change, how long redness and scabs last, and the number of sessions needed vary from person to person.

Dr. Shin Young-ik, Medical Director, board-certified dermatologist

DM DOCTOR

A board-certified dermatologist as medical director
Personal diagnosis · Accountable care

Thorough care from a board-certified dermatologist with over 20 years of treating skin

At DM Dermatology, our medical director, a board-certified dermatologist, examines your skin in person and plans treatment around your concerns and daily life.

Dr. Shin Young-ik Medical Director · Board-Certified Dermatologist

  • M.S., Hanyang University College of Medicine
  • Adjunct Professor, Hanyang University
  • Full Member, Korean Dermatological Association
  • Clinical Fellowship in Dermatology, Jefferson Medical College (Thomas Jefferson University), USA

Care by a board-certified dermatologistPatients here are seen by a dermatologist certified by the Ministry of Health and Welfare

Meet our doctor

FAQ

01Is Tixel a laser?

No. Tixel does not use light. A titanium tip heated to about 400°C touches the skin very briefly and delivers heat directly. This method is called TMA (Thermo-Mechanical Action). Unlike with a laser, there is no step in which water or pigment in the skin absorbs light.

02Does Tixel hurt? Will I be numbed?

Each touch of the tip may bring a stinging, hot sensation, and how strong it feels varies from person to person. Tixel usually starts without numbing cream. For stronger settings, or if you are sensitive to heat, numbing cream is applied for 20–30 min before treatment. If it feels too hot or painful during treatment, tell us right away.

03How long does Tixel treatment take?

Tixel treatment usually takes about 10 min for the eye area and 15–30 min for the full face and neck. This does not include time waiting for numbing cream. If numbing cream is used, applying it and waiting adds another 20–30 min. We tell you the exact time at the examination, after the areas and intensity are decided.

04How much downtime does Tixel have?

Redness and swelling usually settle within 1–3 days, and small grid-patterned scabs come off within 3–7 days. You can wash your face from the evening of the treatment day and wear makeup from the next day. After a stronger treatment, wait 2 days before wearing makeup, and skip saunas and exercise that makes you sweat for 2–3 days. Recovery time varies from person to person with the intensity and your skin condition.

05How many Tixel sessions do I need, and how far apart?

Typically, 3–4 sessions about 4 weeks apart. We schedule the next session after the redness and scabs have settled. After that, some people have 1 maintenance session every 6–12 months. DM Dermatology sets the number of sessions and the interval after an examination.

06Can I combine Tixel with other treatments?

Triple Pore Care, Rejuran, and Potenza work differently from Tixel and have different goals. So they are sometimes planned together, depending on your skin. If wrinkles are deeply folded or the skin sags significantly, we also discuss other treatments. Whether to have them on the same day or at intervals is decided after an examination, based on your skin.

07When will I see results from Tixel?

After the heat stimulus, it takes several weeks for new collagen to form in the dermis. So changes appear gradually as the sessions add up. We review progress at about 1–3 months after the last session. The degree of change varies from person to person.

08Can I have Tixel around or under my eyes?

Yes. Tixel is often used for fine lines around the eyes. Eyelid skin is among the thinnest on the face, so we start at a low intensity and treat with your eyes closed. Rarely, your eyes may feel dry or watery after treatment. Puffiness from under-eye fat is not a concern Tixel addresses, so we first tell the two apart in an examination.

09Can Tixel be used on neck lines?

Yes, Tixel is also used on horizontal neck lines. Neck skin is thinner than facial skin and tends to heal more slowly, so it is treated at a low intensity without overlapping passes on the same spot. If the lines are deeply folded, we also discuss other treatments. The degree of change varies from person to person.

10How is Tixel different from Fraxel?

Fraxel is one type of fractional laser: laser light is absorbed by water in the skin, and this creates heat. With Tixel, heat passes directly from a heated tip, without light. Both create tiny, closely spaced heat points in the skin. Which one suits you depends on how deep your concern is and how much time you can give to recovery.

11Can Tixel also help with acne scars or pores?

Tixel is sometimes used to address shallow acne marks, rough texture, and visible pores together. For deep, depressed scars, one method alone may make little difference, so scar treatments are sometimes planned alongside it. We first examine the type and depth of the scars, then decide.

12How can I get Tixel in Apgujeong?

DM Dermatology is at 4F, 158 Apgujeong-ro, Gangnam-gu, Seoul. It is a 2-minute walk from Apgujeong Station (Line 3) Exit 5. We offer Tixel for three areas: the eye area, the full face, and neck lines. At your first visit, we check your skin thickness and concerns first, then plan your treatment.

CONSULTATION

Consultation comes first

Before any treatment is chosen, a board-certified dermatologist checks your skin in person.

DM Dermatology, 4F, 579-1 Sinsa-dong, Gangnam-gu, Seoul

From Apgujeong Station (Line 3) Exit 5, walk straight for 50 m. 4th floor of the A Twosome Place building

Weekdays
am 10:00 - pm 07:00
Saturday
am 10:00 - pm 04:30
Lunch break
pm 01:00 - pm 02:00
Sun & holidays
By appointment only
  • Subway

    3Apgujeong StationExit 5

    Walk straight for 50 m · 2 min on foot · 4th floor of the A Twosome Place building

  • Bus

    Apgujeong Station Exit 4 · Exit 32310523429

    Blue bus147 · 148 · 240 · 463 · 343Green bus4211

    Kwanglim Church · Hyundai High School2310323104

    Blue bus143 · 240 · 345 · 472Green bus3011 · 4312 · 4318

  • By car

    Search in your navigation app158 Apgujeong-ro, Gangnam-gu디엠피부과의원

    Use the building’s underground parking · Parking available in the building

WeChat consultation

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