Tixel is a thermal fractional skin rejuvenation system powered by Thermo-Mechanical Action (TMA) technology. Tixel employs a hot titanium tip which transfers direct heat to the upper dermis. The proprietary tip is constructed of biocompatible temperature resistant titanium alloy. The tip consists of an array of tiny pyramids which are heated to a temperature of 400°C . The apex of the pyramids transfers energy to skin by very brief controlled contact. Treatment is nearly painless. Analgesic creams are typically not required. Healing is fast and down time short.