Laser-Like Results Without the Laser
Tixel uses a heated tip that touches your skin for a split second, creating tiny channels that trigger new collagen. It smooths fine lines, tightens crepey skin and evens out sun damage, and it's gentle enough for the delicate skin around your eyes.
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What Is Tixel?
Tixel is a skin resurfacing treatment that uses a heated titanium tip, not a laser, to create tiny controlled channels in the skin and stimulate collagen. At the Osteopathic Center for Healing in Rockville, MD, Jennifer Gularson, PA-C, IFMCP uses Tixel for fine lines, crepey eyelids, sun damage, uneven texture and acne scars. Most people have a few days of redness and do a series of three to five sessions about a month apart.
How Does Tixel Work?
Heat, Not Light
A tip with dozens of tiny pyramids is heated and touches your skin for a fraction of a second.
Micro-Channels
It creates tiny channels on the surface while leaving the skin between them untouched, so you heal fast.
New Collagen
Your skin builds fresh collagen and elastin, so it gets smoother and firmer over the next few months.
What Does Tixel Treat?
Crepey Eyelids and Under-Eyes
One of the few resurfacing treatments that can be used on the eyelids.
Fine Lines and Wrinkles
Around the eyes, mouth and forehead.
Sun Damage
Spots, uneven tone and rough texture.
Acne Scars
Softens shallow scars over a series.
Texture and Pores
Smoother, more even skin.
Neck and Chest
Crepey skin and sun damage.
Why Does the Eye Area Matter?
Most resurfacing lasers can't safely treat the upper eyelids. Because Tixel uses heat instead of laser light, Jennifer can treat crepey, hooded and wrinkled eyelid skin without surgery.
How Does Tixel Compare to Laser and Microneedling?
| Tixel | Resurfacing Laser | Microneedling | |
|---|---|---|---|
| How It Works | Heat touch | Laser light | Fine needles |
| Eyelids | Yes | Usually no | Limited |
| Downtime | A few days | Often a week or more | 1 to 3 days |
| Skin Tones | Wider range | More limited | All tones |
| Sessions | 3 to 5 | Often 1 to 2 | 3 to 6 |
Each has its place. Jennifer will recommend the one that fits your skin, your goals and your schedule. Learn about microneedling.
What Happens on Treatment Day?
Numbing
Numbing cream for about 30 to 45 minutes.
Treatment
About 15 to 30 minutes. Most people feel quick warm pulses, like a prickly sunburn feeling.
Aftercare
You leave with post-care products and can go about your day.
What Does Recovery Look Like, Day by Day?
Red and warm, like a sunburn
Redness fades, skin feels like fine sandpaper
Tiny dots flake off, and makeup is usually fine again
Collagen builds and skin keeps improving
Most people see a glow within a week or two, and the biggest change about three months after the series.
What Should You Do After Treatment?
- Gentle cleanser and the post-care products we give you
- Sunscreen every day, and stay out of the sun while you heal
- No retinoids or exfoliants for about a week
- Let the skin flake on its own, don't pick
- Skip saunas and sweaty workouts for a couple of days
Who Should Wait
Active acne or infection in the area, Accutane in the last 6 months, a recent sunburn or tan, pregnancy, or a history of keloid scarring. Jennifer checks your skin type and history at the consult.
Who Is Jennifer Gularson?
Jennifer Gularson, PA-C, IFMCP has over 20 years of aesthetic experience and is a certified functional medicine practitioner. She keeps results natural and adjusts every Tixel treatment to your skin.

What Do People Ask About Tixel?
Does Tixel Hurt?
Numbing cream keeps it comfortable. Most people feel quick warm pulses.
How Many Tixel Sessions Do I Need?
Most people do 3 to 5 sessions about a month apart. Some see a difference after one.
Is Tixel a Laser?
No. It uses heat from a titanium tip, not laser light, which is why it can be used near the eyes.
Is Tixel Safe for Darker Skin?
It can be used on a wider range of skin tones than many lasers. Jennifer will check your skin and adjust the settings.
How Long Do Tixel Results Last?
Results build for about three months and can last a year or more with sunscreen and good skincare. Many people do a yearly touch-up.
Can I Combine Tixel With Botox or Filler?
Yes. Jennifer will time them so they work together.
When Can I Wear Makeup After Tixel?
Usually after 2 to 3 days, once the skin calms down.
Request an Appointment
Tell us what you'd like to change about your skin, and our team will reach out to schedule your consult with Jennifer.
Let's Talk About Your Skin
Book a consult with Jennifer in Rockville, MD.
Not ready to book? Start with a free 15-minute call
