TIXEL i is an FDA-cleared treatment for evaporative dry eye due to meibomian gland dysfunction (MGD). This treatment uses controlled thermal energy and gentle pressure to soften inspissated meibum and support healthier gland function. By enhancing the quality and flow of eyelid oils, TIXEL i helps stabilize the tear film and reduce friction on the ocular surface.

TIXEL 2 is the next-generation thermal fractional system used to improve periocular skin texture and fine lines by stimulating the skin’s natural renewal response—without laser energy. TIXEL 2 delivers longer-duration thermal contact to the lower lid and upper lid hooding to improve both function and appearance.
Because this deeper thermal application affects collagen in the skin, patients receive enhanced remodeling results. For comfort, we apply a 30-minute topical numbing protocol before treatment.
By tightening lax lower eyelid skin and reducing upper lid hooding, TIXEL 2 can improve blink dynamics. A more complete blink enhances natural meibomian oil expression — supporting improved tear stability and comfort in addition to superior cosmetic outcomes.
During Treatment: Tixel sessions are performed in our office. Most patients feel warmth and light pressure; discomfort is mild and brief. We use comfort measures and topical anesthetic when needed.
Because Tixel stimulates collagen remodeling and gland function at a cellular level, improvements often continue for weeks to months after treatment. With proper eyelid care and maintenance, results can be long-lasting
Most patients describe a warm sensation. Discomfort is brief, and for deeper treatments like TIXEL 2 we numb the area for comfort.
A customized series is usually recommended for optimal results — typically at least 3 sessions, spaced several weeks apart based on your exam.
Tixel is complementary. It targets tissue differently — improving eyelid and periocular skin quality supporting gland function. We will tailor the best combination for your dry eye needs.
Tixel may be a strong option if you have:
Schedule a Dry Eye Evaluation so we can determine whether TIXEL i, TIXEL 2, or a tailored combination of advanced therapies will help you achieve lasting comfort and healthier tear function.