• Tixel is a device that uses thermal mechanical energy to deliver fractional resurfacing to the skin without the use of laser energy, bridging the gap between micro-needling and fractional carbon dioxide laser. It delivers results that are comparable to deep skin peels and intensive laser treatments, but with much less downtime, less pain and faster recovery times.

    Tixel delivers controlled and precise heating to the surface layer of the skin, creating microchannels. These channels can stimulate collagen, elastin and hyaluronic acid improving skin quality, tone, texture, wrinkles and scarring.

    There are two different types of tixel treatments, Meso-Tixel and Ablative tixel. Meso-Tixel is a superficial treatment that allows delivery of active ingredients to the dermis and can be used to help treat skin concerns such as pigmentation, melasma, and rosacea. It has less downtime than ablative Tixel and treatments can be spaced closer together. Ablative Tixel is a deeper treatment that is uesed for deeper lines and wrinkles, acne and scarring. The intensity of the treatments can be tailored to suit the individual, with higher settings having more downtime but less overall treatments required.

    Tixel treatment is an ideal choice for individuals desiring smoother brighter, and more rejuvenated skin. The benefits extend beyond immediate results. Treatment continues to enhance your skin over time due to stimulation of your own collagen production, resulting in natural-looking improvements.

    What Tixel is used to treat:

    • Wrinkles and fine lines.
    • Under eye concerns and tightening of the upper eyelids.
    • Skin discoloration, pigmentation and melasma.
    • Skin tone and texture.
    • Age spots and sun damage.
    • Enlarged pores and active acne via destruction of the oil gland.
    • Mild scarring.
    • Stretch marks / Striae.
    • Tixel can also be used to rejuvenate and tighten the skin.

    Why choose Tixel:

    • Can be used on multiple areas including the face, eyelids, neck, décolleté abdomen and back of
    • Employs a sterile titanium tip that self sterilises with no emitted radiation.
    • Low pain and well tolerated. Topical anaesthetic is only needed for very ablative settings.
    • All skin types can be treated.
    • Can be used safely around the eye area and no eye shields are required.
    • Quick healing, with short down time.
    • Fast, convenient, effective and very safe.
    • Treatments can be tailored to suit.
  • As Tixel is a fractional device and some skin remains untreated you will need several treatments to see results. We recommend a course of 4-6 treatments spaced 4-8 weeks apart dependent on treatment intensity and a follow-up treatment after 6 to 12 months.

    Results can last up to 2 years. We recommend maintenance treatment every 6 to 12 months. Individual results will vary, and many patients will have combined concerns and therefore multiple treatment modalities are often recommended as there are more than one factor to consider when addressing aging related changes. When combined with prescribed medical-grade skincare results can last longer and recovery time lessened.


    TIXEL RESURFACING - Treatment area:

    • Eyes: $399
    • Full face (including eyes): $749
    • Neck :$549
    • Full face & Neck: $1049

    For scarring, stretch marks and areas not listed pricing is dependent on the size of the area to be treated.

    Package deal:

    • Prepay 4 treatments and receive a 10% discount.
    • Alternatively you can pay as you go and the discount will be deducted from your 4th treatment. Treatments must be used within 12 months to be eligible for the discount.

    It is recommended that you have 4 to 6 treatments spaced 4-6 weeks apart.

    MESO-TIXEL - Treatment area:

    • Face (excluding eye area): $549
    • Neek: $399
    • Full face & Neck: $749

    For areas not listed pricing is dependant on the size of the area to be treated. There may be an additional cost for the product being infused into the skin.

    Package deals:

    • Prepay 3 treatments and receive your serum for infusion FREE.
    • Prepay 6 treatments and receive your serum for infusion and your 6th treatment FREE.
    • Alternatively you can pay as you go and receive the 6th treatment FREE. Treatments must be used within 12 months to be eligible for the discount.

    It is recommended that you have 6 treatments spaced 2-4 weeks apart.

    Strict sun avoidance must be followed during treatments and skin must be prepped first for more ablative resurfacing treatments. See our before and after photos below and the FAQs section for more information.

Tixel Skin Resurfacing Explained

To find out more book for a cosmetic consultation

Book here!

Before and After

Non-retouched photos. Individual results vary. All photos have been used with consent.

Images are for CosMedic Clinic use only.

  • Before and After Tixel - Full Face

    Top left: Before ablative Tixel resurfacing to the full face including the eye area.
    Top right: Directly after a Tixel treatment.
    Bottom left: Day 2 after a Tixel treatment. Notice the tiny grid marks evident on the face. These will usually come away around day 5 to 7 and can be covered with make-up after 2 days.
    Bottom right: Result shown 5 weeks after 4 ablative Tixel full face treatments. The final result is often not seen until around 3 months post treatment as new collagen is still forming.

    Ablative Tixel treatments are a deeper treatment used for rejuvenation and treatment of fine lines, wrinkles, acne, scarring and skin laxity. Treatments can be customised to suit you. The more ablatvie the treatment the longer the recovery and the less treatments required. Medium ablative treatment's were used to achieve these results. There are generally a few days of downtime. For best results a series of treatments are recommended spaced 4 to 8 weeks apart.

  • Before and After Tixel - Eyes

    Top photo: Taken before any Tixel treatments

    Bottom photo: Taken 5 weeks post 4th Tixel resurfacing treatment to the eyes. Notice the improvement in the fine lines under the eye area and lift in the upper eyelid.

    Tixel can be used safely around the eye area and is an excellent treatment for rejuvenation to this difficult to treat area. For best results we recommend a series of treatments. This is an ablative treatment, but we use a lower setting when treating the eye area and treatments are therefore spaced 4 to 6 weeks apart.

    Xeomin anti-wrinkle injections have been done regularly prior to and throughout the duration of Tixel treatments. Combining aesthetic treatments can elevate results.

  • Before and After Meso-Tixel - Neck

    Top photo: Before any Tixel treatments.

    Bottom photo: Result shown 1 week after 1 meso-tixel treatment. This is a superficial treatment that opens channels in the skin for delivery of active ingredients to the dermis (we will determine what active ingredients to use based on your concerns and your skin). Note the improvement in pigmentation after only 1 treatment. This is an excellent treatment for pigmentation and melasma.

    For best results a series of treatments is recommended spaced 2 - 4 weeks apart.


What does fractional mean?

The treatment is a fractional resurfacing treatment i.e. only a fraction of the skin is treated as the skin around the micropores remains untreated. This minimises complications and allows the skin to recover quicker with less downtime compared to a fractional treatment where all the skin is treated at once. This is why several treatments are needed to reach the desired outcome.

How does Tixel compare to other similar treatments such as plasma pen, CO2 laser and micro-needling?

Tixel is infinitely safer than plasma pen and is more effective. The risk of gridding and permanent scarring with a plasma pen is very high and it is a very risky aesthetic procedure.

Tixel offers much more efficient collagen regeneration than micro-needling and is a superior treatment. You can safely treat around the eye area with Tixel, which you are not able to do with micro-needling due to the increased trauma, and there is no bleeding.

CO2 laser requires more downtime and has more risk of side effects. You can safely treat around the eye with Tixel without the need for eye shields as it is not a laser, and there is no bleeding scarring or debris that occurs with CO2 laser.

What are the two different types of Tixel treatments?

Semi-ablative and ablative Tixel - The settings can be adjusted to make the treatment more or less ablative. The more ablative the deeper the treatment and the longer the healing time. Ablative treatments are used for fine lines, wrinkles, scarring and stretch marks. Depending on how ablative the treatment is, there are usually a few days of downtime, and we may use numbing cream.

Meso-Tixel - This is a more superficial treatment. The micropores created by the heat provide channels, and when the topicals are applied to the skin they are able to reach into the dermis via these micro-channels. Topical lightening agents are applied to the skin after the treatment to help reduce pigmentation and melasma and neurotoxin to minimise rosacea. The channels remain open for 6 hours. No anaesthesia is required and there is minimal downtime.

What is the downtime?

Treatments are tailored depending on the desired result and the amount of downtime you are accepting of. We will discuss this with you prior to your treatment.

Meso-Tixel - There is minimal downtime. The skin will feel a little warm and look flushed and slightly red after the treatment. You can apply make-up to cover any redness after 24 hours. As the micro-channels created in the skin remain open for 6 hours it is very important that you follow your aftercare instructions and keep the area clean to avoid the risk of infection.

Semi-ablative and ablative Tixel - As this is a deeper treatment there will be some downtime. After treatment the skin is slightly swollen and red for 3 to 4 hours. Swelling can last longer in some instances. Patients experience mild erythema and heat sensation for 3 to 4 hours. Redness will fade over the coming days and you will likely notice some micro crusting and a grid like pattern which will gradually disappear over the next week. You can wear makeup from 48 to 72 hours post treatment as you are healing and use a mild exfoliant on day 4 to 5. Your skin may feel like sandpaper and quite dry during the first week so it is important that you apply moisturiser often and drink lots of water. We will give you a post care cream to use for the first couple of days.

You will need to avoid strenuous exercise and very hot baths/showers/spas for the next 48 hours. We recommend sleeping with your head propped up on a pillow for the next 2 nights to reduce swelling.

You will need to wait a minimum of 2 weeks (depending on the intensity of the treatment), before having any semi-invasive treatments such as injectables, IPL, micro-needling and peels.

What are the side effects?

It is normal for your skin to feel sensitive and warm for a few days after treatment, like you’ve been in the sun. Swelling and redness are common for 2-3 days after treatment and micro-crusting with a grid-like pattern that appears a couple of days later and gradually fades. Tixel is considered very safe and lower settings can be used for those concerned about downtime.

Rare side effects can include prolonged redness and swelling, transient or permanent pigmentation changes (hypo and hyperpigmentation), cold sore reactivation, infection, and very rarely scarring. It is important that you follow all pre and post-care instructions to help reduce the likelihood of these side effects occurring and let us know all medications you are taking and if there are any changes to your medical history.

Who is not suitable for treatment?

Unsuitable candidates include:

  • Patients who are currently pregnant or breastfeeding.
  • If you have had recent sun exposure for prolonged times or fake tan in the area to be treated (we recommend waiting 4 weeks).
  • Those taking certain medications such as Roaccutane.
  • If you have an important upcoming event in the next 2 weeks we recommend waiting.
  • If you have had toxin treatment or a peel in the last 2 weeks or IPL/dermal fillers/Profhilo/microneedling in the past 4 weeks.
  • Those with highly sensitive or irritated skin.
  • The treatment may not be as effective on those patients with mild to severe laxity.

Does it hurt?

Most people find the treatments fairly comfortable and describe it as feeling hot, similar to being sunburnt. Numbing cream can be applied depending on the intensity of the treatment, but in most cases, it is not needed. The treatment is very tolerable. Even though the tips are heated to 400 degrees Celsius, the contact time with the skin is milliseconds and is a very controlled heat. By the time it reaches 0.1mm (100 microns), the temperature has dropped to 50 degrees Celsius. As the pain receptors are at 50 microns, pain levels are relatively low compared to other resurfacing devices.

The treatment itself only takes about 10 to 45 minutes depending on the surface area being treated and the number of pulses, so it is very quick.

How do I prepare for my treatment

At your consultation, we will go over your pre and post-procedure instructions. You will need to avoid the sun where possible and wear sunscreen for four weeks prior to treatment and during your treatment course. If you get cold sores in the area being treated you will need to tell us. We may also recommend skin preparation for 2-4 weeks prior to treatments depending on your skin type.

Do not wear any fake tan or makeup to your Tixel appointments and avoid harsh exfoliants or sponges for the week prior to treatment. You will need to wait 4 weeks post dermal fillers and Profhilo and IPL and 2 weeks post anti-wrinkle injections, peels, and any other semi-invasive treatments to the area. Stop using Retinol 5 days prior to treatment.

Who should perform the treatment?

Tixel Skin Resurfacing should only be performed by a Dr or Registered Nurse trained in cosmetic medicine. Registered Nurses working in the field of cosmetic medicine must have oversight from a Dr with specific qualifications such as Dr’s who are a member of NZSCM. As with all our injectable treatments, your treatment will be performed by a Registered Nurse trained in cosmetic nursing. Our cosmetic nurse Jaime has been working in the industry for over 13 years and has oversight from Dr Henryk Poczwa, member of NZSCM and owner of the Vein and Skin Clinic in Wellington. Dr Poczwa visits Invercargill regularly and meets with Jaime.

What should I book?

If you are a new patient, you will need to book for a Cosmetic Consultation prior to treatment. If you are an existing patient and have not yet spoken to us about this treatment, you will need need to book a Cosmetic Consultation.

If you are an existing patient and have already spoken to us about the treatment and you are a suitable candidate, you can book the Tixel Resurfacing treatment option.

You can book here.

What other treatments complement Tixel?

Tixel skin resurfacing treatment can be a stand-alone treatment or combined with other services to further enhance your treatments and meet your aesthetic goals. A personalised treatment plan can be created at your cosmetic consultation. Treatments typically combined with Tixel skin resurfacing include:

Medical grade skincare - prescribed for your individual skin care needs to improve skin health and quality improving the overall result of your treatments and aiding recovery time.

Botox and Xeomin (Anti-wrinkle injections) – to reduce muscle contraction and smooth out the overlying skin, softening lines, and wrinkles, and preventing the formation of deeper lines.

Profhilo (bioremodelling) - used to provide deep hydration and improve mild to moderate skin laxity. Profhilo also works well as a preventative treatment as it stimulates fibroblast cells to increase collagen and elastin formation and has been shown to preserve fat stem cells under the skin lost with aging. This is not a volumising product like dermal fillers.

IPL photorejuvenation - to reduce redness, rosacea, pigmentation, sunspots and improve skin tone.

Dermal Filler - to volumise areas that have lost volume over time and fill deeper lines where reduced muscle contraction is not recommended. Dermal filler is also used for definition, volumisation and hydration to the lips.

DermaFrac (microneedling with serum infusion) - combines collagen induction therapy with needling, suction to aid in lymphatic drainage and serum infusion in a quick, low pain, low downtime, and effective treatment. Used to improve skin texture, hydration, brightness and reduce the appearance of pigmentation, dark spots and acne.


We value confidentiality and this is very important to our clients. Our space is set up with this in mind and is very private. We gain informed consent before performing any treatment and all our patient photographs that are viewable to the public are used with the consent of the patient. You have the right to withdraw the use of your photographs at any time.

  • Payment Options

    We offer eftpos and visa and have afterpay and laybuy payment options. If using laybuy or afterpay you must have this set up and pre-approval prior to your appointment.

    We also offer our patients the option to prepay to our bank account. If prepaying, please use your name as a reference. You must already be a patient of ours and of discussed the treatment you wish to prepay with us to use this service. If you have prepaid and no longer wish to continue with treatments, you can either keep this as a credit for future use on any of our products or services, or you can have a refund. There is a $50 admin fee to have the credit refunded back to your account.

    You can purchase vouchers via our online shopping page. When booking an initial appointment online, vouchers are not accepted, and you must make the payment online but they can be redeemed in the clinic towards your treatment or on products. If booking through us the initial booking fee must be made as a bill payment to our bank account. Returning patients are not charged a booking fee.

  • Bookings

    Bookings can be made by going to the book now or visiting our FB or Instagram pages. We support online bookings.

    Patients can also book by texting or phoning the clinic on 027 3876 393, filling in the contact form below or emailing us at info@cosmedicclinic.co.nz

    If contacting us by phone or email, please be aware reception is not always covered and we are often busy with patients but will endeavour to get back to you at our earliest convenience.

  • Cancellations and No-shows

    We ask for at least 48 hours’ notice for any cancellations. The more notice we are given the more chance we have of filling that appointment space so please be mindful of our time.

    Cancellations outside of this time may be charged a fee depending on individual circumstances and no-shows will be charged a fee.

    We try and accommodate our patients to the best of our ability and if you have paid a booking fee and notice has been given, we can reschedule your appointment and hold the deposit. If you do not pay your late fees, you will be unable to book with us in future.

Contact CosMedic Clinic

81B Don Street, Invercargill
027 387 6393

Appointments are essential



Botox® is a prescription medicine for the treatment of frown lines , horizontal forehead lines and crow’s feet round the eyes. Botox® has risks and benefits. Ask your doctor if Botox is right for you. If you have side effects, see your doctor. You will need to pay for Botox® and clinic fees will apply. For details on precautions & side effects consult your healthcare professional or the Consumer Medicine Information (CMI) at www.medsafe.govt.nz. Botox® treatment lasts about 4 months and further courses of treatment may be necessary. Should only be administered by trained medical professionals. (contains botulinum toxin A 50,100 & 200 units) Allergan (NZ) Limited, Auckland.


Xeomin® is a Prescription Medicine containing 50, 100 units of incobotulinum Type A, purified Botulinum toxin type A complex for injection. It is used for the treatment of frown lines on the forehead, lateral periorbital lines and horizontal forehead lines in adults. It should be administered only by trained medical professionals. Talk to your specialist about the benefits/risks of this procedure in appearance medicine. Xeomin treatment lasts about four months and further courses of treatment may be necessary. Cautions: people receiving blood thinning medicines, care at the proposed injection sites, pregnancy and lactation. Possible side effects: headache, pain, swelling or infection at injection site, local muscle weakness including drooping eye lids, lack of feeling & nausea. Treatment last for up to 4 months. You will need to pay for this medicine. Discuss with your specialist if Xeomin is right for you. For more information or for a copy of CMI please contact the NZ distributor: Merz, Sydney. Distributed by Healthcare Logistics, Auckland


Profhilo®, containing low & high molecular weight hyaluronic acid, is a Class III medical device for the treatment of the face and body for contours redefinition and laxity remodelling where skin laxity is a problem. Profhilo has risks and benefits. Do not use with treatments such a laser resurfacing or medium deep skin-peeling. Caution in people on blood thinning medicines. Do not inject into inflamed areas or intravenously or intramuscularly. Possible side effects: pain and swelling at injection site. Accelagen Pty. Ltd. Whanganui.