
Nathalie Fournier, M.D.

Discomfort with the Tixel is significantly less than most in-office, ablative or non-ablative fractionated lasers currently on the market. Topical anesthetic or nerve blocks are not required. Patients most commonly experience a warm sensation in the target area similar to a sunburn, which dissipates after about an hour following treatment.Compared to most laser treatments, there is much less downtime associated with Tixel treatment. Using very conservative settings, patients can easily resume their daily social activities the day after treatment. With more aggressive settings, patients may experience approximately 2 days of downtime. Histology of Tixel-treated skin demonstrates a zone of thermal damage similar to or less than most laser treatments, depending on the settings used. In terms of downtime, patients can apply makeup and resume their daily social activities the day after treatment when lower parameters are used, and approximately 2 days after treatments with higher parameters. The micro-crusting is quicker and the transient edema and erythema resolve sooner when compared to fractional CO₂ laser. This is understandable when one looks at the histopathological cross sections we performed with various parameters on patients. Tixel achieves a remodeling of the skin with much less of the unnecessary thermal effect produced by laser.
With Tixel, I don’t use topical anesthesia or cooling at all and both my patients and clinic benefit greatly from the valuable time saved.
Regarding healing time, in my experience the Tixel is very similar to or shorter than laser, depending on the settings used.
Another advantage is safety. I don’t have to worry about general laser safety issues such as eye safety. Because of its compact and portable size, Tixel can easily be used in any room in my clinic. Laser warning signs, safety goggles, etc, are not required. I feel very comfortable and can work fast with Tixel, helping me to streamline my busy schedule. Tixel is also pleasant environmentally: no noise, no smell, no smoke and no debris.
One of the central advantages of the Tixel is its versatility. I can perform an aggressive treatment as with a high power fractional CO₂ laser and perform a very delicate treatment as with an erbium laser. For example, I have obtained nice results on the dorsum of the hands, which are more difficult to achieve with a CO₂ laser.