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Aesthetic dermatology · London

Tixel skin resurfacing, heat without a laser.

A thermomechanical alternative to fractional laser and RF microneedling. Safer in Fitzpatrick IV to VI, gentle enough for the lash line and lipstick lines, with three to seven days of downtime.

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Why patients choose us

  • 01

    A Tixel-certified practitioner, not a general aesthetics list

    A named clinician trained on the Novoxel Tixel device, working in a CQC-registered clinic with a medical director on site.

  • 02

    The right modality for your skin type

    Tixel is thermomechanical, so it suits Fitzpatrick IV to VI where laser-based resurfacing carries higher pigment risk. We advise honestly if Fraxel, RF microneedling or a peel would serve you better.

  • 03

    Independent, and free

    We are paid by no clinic, so the recommendation is impartial and costs you nothing.

Indicative pricing

What private Tixel costs in London.

Indicative ranges across our short list of Tixel-certified London providers. Send a photo and we quote firm figures.

In short

A full-face Tixel session in our London network: £450 to £850, home the same hour.

Treatment Indicative range
Consultation and patch test £75-£150
Small area (peri-orbital or peri-oral) £280-£450
Full face £450-£850
Face and neck £850-£1,600
Course of 3 sessions (face) £1,200-£2,400
Upper eyelid tightening (non-surgical) £350-£600

The journey

From enquiry to your course, step by step.

One team from your first message through consultation, patch test and every session in your course.

  1. 01

    Before

    You send us a photo and a short brief

    A confidential form: the concern (peri-orbital lines, lipstick lines, lax upper lids), your Fitzpatrick skin type, and any prior treatments.

  2. 02

    Before

    We come back with a recommendation

    Within one working day: whether Tixel fits, how many sessions, and an indicative price across two London providers.

  3. 03

    Before

    Consultation and patch test

    A face-to-face consultation, medical screen, and small patch test at your selected clinic before the first full session.

  4. 04

    On the day

    Session at the clinic

    15 to 30 minutes on the treatment couch. No numbing for mild settings; topical anaesthetic for deeper protocols on lids or peri-oral area.

  5. 05

    On the day

    The Tixel pulse itself

    A heated titanium tip at around 400 degrees Celsius briefly contacts the skin through a matrix of tiny pyramids, transferring heat only. No laser light, no radio-frequency current.

  6. 06

    On the day

    Home the same day

    A cooling gel, mineral SPF and written aftercare. You leave under your own steam. Mild pink flush for a few hours.

  7. 07

    After

    Downtime and review

    Three to seven days of sandpaper texture and light peeling. A review at four to six weeks, then session two if planned. Course of 2 to 4 sessions.

When it helps

What Tixel treats well.

The concerns Tixel handles particularly well, and the skin types it protects.

  • Peri-orbital fine lines and crow’s feet

    Fine crepey lines around the eyes where laser resurfacing feels too aggressive. Tixel treats right up to the lash line.

  • Upper and lower eyelid tightening

    A non-surgical option for mild lid laxity and hooding, in patients not ready for blepharoplasty.

  • Peri-oral vertical lines (lipstick lines)

    Vertical lines above the upper lip that bleed lipstick, softened over 2 to 3 sessions.

  • Mild to moderate photoageing

    Sun-damaged skin with dullness, texture and early laxity across the cheeks and forehead.

  • Mild acne scarring

    Shallow rolling and boxcar scars, particularly on the cheeks. Deep ice-pick scars need TCA cross or subcision.

  • Dyschromia and mild pigmentation

    Uneven tone and post-inflammatory pigmentation, treated at conservative settings in darker skin types.

  • Stretch marks (striae)

    Mature white stretch marks on abdomen, thighs or breasts, softened over a course.

  • Fitzpatrick IV to VI

    Safer than laser resurfacing in darker skin because heat is transferred mechanically, not selectively absorbed by melanin.

How it compares

Tixel next to laser, RF and peels.

The straight comparison. Choose by concern and skin type, not by what a clinic happens to own.

  • Tixel (thermomechanical)

    A heated titanium tip at 400 degrees Celsius, matrix of tiny pyramids, controlled micro-injuries by heat transfer only. Safer in Fitzpatrick IV to VI, treats right up to the lash line, 3 to 7 days downtime.

  • Fraxel non-ablative laser

    Laser-based fractional resurfacing, deeper dermal penetration than Tixel, stronger result on deeper scars, but higher post-inflammatory pigmentation risk in Fitzpatrick V and VI.

  • RF microneedling (Morpheus8, Sylfirm, Secret)

    Insulated needles deliver radio-frequency energy into the dermis. More invasive than Tixel, better for deeper laxity and scars, longer downtime.

  • Chemical peel (TCA, glycolic)

    Chemical rather than thermal injury. Cheaper per session, but less controlled depth and higher pigmentation risk in darker skin than Tixel.

  • IPL photofacial

    Broadband light for pigment and vessels rather than texture. Complementary to Tixel, not a substitute for it.

  • Upper eyelid blepharoplasty

    A surgical option for significant upper-lid hooding where Tixel tightening will not be enough. Weeks of recovery, longer-lasting result.

Our vetted London network

A short panel of Tixel-certified clinics.

Cadogan Clinic, EF MEDISPA, Waterhouse Young, PHI Clinic, Skinesis and Cranley Clinic all run Tixel with certified operators. Introductions are made privately once we understand your concern and skin type.

  • Tixel-certified practitioners trained on the Novoxel device

  • CQC-registered clinics with a medical director on site

  • Fitzpatrick-appropriate protocols, with patch testing in skin types IV to VI

  • Clear consent, written aftercare and a named contact for post-treatment concerns

Safety and recovery

What to expect afterwards.

The things worth planning: your downtime, sun protection, and the retinoid pause either side of each session.

  • No numbing for mild settings

    Most patients tolerate mild Tixel settings with no anaesthetic. Topical LA is used for aggressive protocols on lids or peri-oral skin.

  • Downtime of 3 to 7 days

    Sandpaper texture for the first 48 hours, then fine peeling over 3 to 7 days. Cover with mineral SPF and gentle moisturiser.

  • 2 to 4 sessions, 4 to 6 weeks apart

    A course is planned by concern and skin type. Peri-orbital work usually needs 3 sessions.

  • Safer in Fitzpatrick IV to VI

    Heat is transferred mechanically rather than absorbed by melanin, so post-inflammatory pigmentation is less likely than with fractional laser.

  • Not for active skin infection or open acne

    Cold sores, active eczema, retinoid irritation or an open acne flare should settle first. A one-week retinoid pause is usual.

  • Avoid sun and self-tan for two weeks

    Both before and after each session, to keep the pigmentation risk low. A mineral SPF 50 is used daily during the course.

Reading your treatment notes

Your Tixel notes in four parts.

Whichever clinic you attend, the notes we help you file keep to the same shape.

  1. 01 Assessment

    Skin type, concerns and settings

    Your Fitzpatrick type, the target areas, and the Tixel protocol chosen (protrusion, dwell time and number of passes).

  2. 02 Session

    What was treated and how

    The exact areas covered on the day, any topical anaesthetic used, and immediate skin response.

  3. 03 Aftercare

    Downtime and product plan

    Cooling, moisturiser, mineral SPF, retinoid pause, and when to resume active skincare.

  4. 04 Plan

    Next session and review interval

    Read this first: your next appointment, expected result timeline, and when to escalate a concern.

Ready to start

Send us a photo and your skin type. We come back within a working day.

A quiet, second-opinion introduction to the right Tixel-certified clinic for your concern. Free. Impartial. British-Council-of-Aesthetic-Medicine-standards throughout.

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Tixel-certified clinics in our London network

Self-payCadogan ClinicEF MEDISPAWaterhouse YoungPHI ClinicSkinesisCranley ClinicSelf-payCadogan ClinicEF MEDISPAWaterhouse YoungPHI ClinicSkinesisCranley ClinicSelf-payCadogan ClinicEF MEDISPAWaterhouse YoungPHI ClinicSkinesisCranley Clinic

Tixel is an aesthetic (self-pay) treatment. Health insurance does not usually cover it.

Frequently asked

Everything we get asked about Tixel.

  • What is Tixel skin resurfacing?

    Tixel is a thermomechanical fractional resurfacing device made by Novoxel. A heated titanium tip at around 400 degrees Celsius, arranged as a matrix of tiny pyramids, briefly contacts the skin and transfers heat only. There is no laser light and no radio-frequency current, so the risk profile differs from Fraxel or Morpheus8.

  • Is Tixel safe for darker skin (Fitzpatrick IV to VI)?

    Yes, and this is one of its main advantages. Because heat is transferred mechanically rather than absorbed selectively by melanin, the risk of post-inflammatory hyperpigmentation is lower than with laser-based resurfacing. A patch test at conservative settings is still standard in darker skin types.

  • How much does Tixel cost in London?

    Roughly £280 to £450 per session for a small area such as peri-orbital or peri-oral skin, £450 to £850 for a full face, and £850 to £1,600 for face and neck. A course of three sessions is usually £1,200 to £2,400. Consultation and patch test £75 to £150.

  • How much downtime should I expect?

    Three to seven days. The skin feels like sandpaper for the first 48 hours, then peels lightly. Most patients return to work within a day or two using a mineral SPF and light foundation. Aggressive protocols on lids can add a couple of extra days.

  • How many sessions will I need?

    Usually 2 to 4 sessions, spaced 4 to 6 weeks apart, then a maintenance session once or twice a year. Peri-orbital work and lipstick lines typically need three sessions to reach a good result.

  • Tixel or Fraxel: which should I choose?

    Tixel is safer near the eyes and in Fitzpatrick IV to VI skin, and has shorter downtime. Fraxel penetrates deeper and can outperform Tixel on established acne scars in lighter skin. We match the modality to your skin type and the concern, rather than to what a clinic happens to own.

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So we can match you to the right clinician close to you.

We reply to every enquiry within 24 hours (Mon–Fri). Confidential - your details are never shared outside our vetted consultant network.

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