That means your skin begins to produce not just more collagen and elastin, the proteins that keep skin strong and flexible, but also the growth factors that assist the formation of new skin tissue, to give you fresher, tighter, smoother skin in the treatment area. If youre worried about acne scars, fine lines and wrinkles, melasma, rosacea, sagging skin or stretch marks, we can treat your concerns with Tixel. It is likely to feel hot and tight for a few hours and may sting. Moisturize.4. But be prepared for the swelling afterwards. 1. After 3 treatments: 1) Open Channel treatment with mesotherapy; 2) Medium Ablative; 3) Full Ablative. If not, its two or three. 1. The TIXEL can improve fine lines, wrinkles and skin texture as well as reduce pore size. The crash cart should contain aspirin, nitroglycerin paste, and hyaluronidase to reverse an HA filler, if needed. After a Tixel procedure, your skin may be swollen and red and may feel hot and tingly, as though you have a sunburn. Schedule a comprehensive consultation with our practitioners to assess your concerns, suitability for the procedure, and explore the pros and cons of treatment for you. Two different treatment types. Photobiomodul Photomed Laser Surg. IPL is the only thing in our advanced dry eye toolkit that also gives patients an aesthetic benefit. Any reliance placed by you on the reviews in the There is minimal downtime and no anaesthesia is required. Open Channel treatment: If using a mesotherapy treatment, apply regularly during the 6 hours post treatment (wash hands prior to application). Tixel Before & After Photos. The channels formed by the Tixel on the skin can also immediately be used to deliver growth factors, tretinoin (vitamin A) or lightening agents, increasing their absorption rates. In a pilot study of this technique and technology, a one-eighth segment of one eye of each patients iris was treated with the Stroma Laser System. The device is powered by the supply of contact-transferred heat from a high-temperature (385400 C) metal element called a tip, which consists of an array of miniature pyramids (Figures 1 and 2). Ophthalmologists with an especially strong interest in facial aesthetics can pursue additional subspecialty training in oculofacial plastic surgery as part of an American Society of Ophthalmic Plastic and Reconstructive Surgery fellowship, which is the route I took. You may be wondering, Did she really mean 400 degrees C? Yes, I did. Tixel is a unique medical device powered by proprietary Thermo-Mechanical Action technology (TMA). Why choose Victorian Cosmetic Institute as your provider of Tixel? The effect of creating small channels is a big add-on in non-ablative mode which . This contributes to the very high patient satisfaction ratings (9.2 out of 10) with this treatment modality among our patients. Before. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. This will depend on the area being treated, but treatment is relatively quick to carry out, as the contact of heat with the skin is extremely brief. These cookies will be stored in your browser only with your consent. Sunscreen SPF 30-50 may be applied to the treated area 6 hours after treatment. Tiny micro crusts become visible after 2-3 days and will be visible for a day or two before they flake off. This site is protected by reCAPTCHA and the Google To me, it seems hugely obvious, but I think to other people it just looks as if I have habitually puffy eyes, or that Ive been crying. See Table 2 for detailed information about each of these materials. EMSculpt NEO . Figure 2. These are materials that should always be available in the office, fully stocked and readily accessible, just as youd have an endotracheal tube available in an intensive care unit. Skin is visibly fresher and more youthful. Avoid touching the treated area in order to minimise the risk of infection, Dont be tempted to pick at any peeling or crustiness this will take about a week to pass, It is important to use good sun protection for up to 3 months after treatment. I am chomping at the bit to get a chance to use it! The true test is what the patients truly experience. Tixel Treatments can Treat a Range of Skin Conditions, Including: Skin texture and tone Loose skin Acne or acne scarring Lines and wrinkles Stretch marks Rosacea Uneven pigmentation The facial tip of the Tixel device. All of these skin-rejuvenating technologies work by creating a trauma in the skin, which stimulates the skins own wound-healing process. Theyre often given other names, such as laughter Hooded eyes are a common sign of ageing and appear when excess skin creases and folds over the lid (due to the lowering of the brow), which A sagging jawline, or jowls is the term used to describe the excess skin that forms under the chin and jawline with age. His complete surgical experience . We accept payments via EFTPOS, Visa, Mastercard, American Express and cash. Key things to be aware of with treatments of this nature are: These before and after pictures show results 10 weeks after just one session of treatment. I am not in a position to have another treatment for at least 3 months. Patients presenting with facial/scalp actinic keratoses of mild-to-moderate thickness underwent 2 or 3 Tixel treatments (depending on clinical improvement), 3-4 weeks apart. We would like to know how was your experience with us today. Tanning and smoking produce the most damaging effects. Crepey, saggy under eye skin is primarily due to loss of collagen and thinning of the skin related to aging and past sun damage. Dont forget, you can always download my Tixel factsheet to read over later if youd prefer. Additionally, I have found that taking the time to treat the eyelids with laser-grade corneal shields in place enhances the ocular rosacea and meibomian gland dysfunction treatment results. Tixel employs a thermomechanical technology designed to provide clinical effects comparable to those of a fractional pulsed laser. Lasers Surg Med. 4. CHOOSE AN AREA OF THE FACE AND CONCERN AND CHECK OUT YOUR SKINCARE AND TWEAKMENT OPTIONS. Subject has a systemic disease manifested by AKs (e.g. This tip has 81 pyramid-shaped spikes that are pressed momentarily onto the skin with a highly accurate linear motor contained within the handpiece. Figure 1. Currently, dermal fillers are made from four main materials. How does Tixel Skin Resurfacing work? And then he dials down the intensity to treat the skin on my eyelid I cant think of any other treatment that can be carried out on the eyelid, but for Tixel, its part of the treatment protocol and that, strangely enough, is perfectly comfortable. At this highest level, results are comparable to those of a fractional CO2 laser resurfacing treatment or deep chemical peel, with just one session. Thanks for visiting CRSTG | Europe Edition. Avoid all active skin care products such as retinol, vitamin C, hydroquinine, salicylic acid and exfoliant face washes for 7 days after the treatment. Results Before & After . It is possible to use medical concealer at this stage. Copyright 2023 The Tweakments Guide. Tixel is a fair bit cheaper than other energy-based technologies for skin tightening, as well as many laser options for treating those concerns that require ablation (skin resurfacing). Open-channel. TIXEL delivers results that are comparable to deep skin peels and intensive laser treatments, with much less downtime, less pain and faster recovery times. 2023 Bryn Mawr Communications, LLC.All Rights Reserved | Privacy Policy. Phone: 855-819-3781. Can Tixel be combined with other treatments? Tixel treats a wide variety of skin conditions, including the following: Perhaps the most common use is for skin tightening and for generally improving the texture of skin. Not just your average clinical numbing cream with 4 per cent lidocaine (local anaesthetic), but the clinics own special super-strength numbing cream, with 23 per cent lidocaine. The skins surface may then appear dry and flaky as it begins to heal. Tixel is based on Thermo-Mechanical Ablation (TMA) technology, which is less painful and far safer than the lasers or peels which may previously have been used for more intensive treatments. Tixel can also be used to open channels into the skin to improve the delivery of serums or creams. When I go back for reassessment four weeks later, I am amazed at the difference in the before-and-after photos. I hadnt quite appreciated how serious a treatment this was until the anaesthetic cream is applied before my treatment. Periorbital Treatment. Tixel has three modes: Scroll down for more info and all the FAQs about Tixel. Tixel is a painless treatment. DISCLAIMER: This website is intended for reference and information. Because cosmetic neurotoxin injection carries a much lower risk profile than dermal filler injection, the former is a safer clinical approach for developing injector expertise. We have made some instructional videos on YouTube and will be adding more content to DryEyeMaster.com. Skin is firmer, tighter and more lifted. The results from the Tixel treatment can last up to 2 years. The number of treatments you need will depend on your individual needs. Before and after a Tixel treatment, it is vital to protect your skin from sun exposure to avoid accidental hyperpigmentation. Will definitely use again. TIXEL gives extraordinary results in treating a wide range of conditions. After a few days, your skin will develop tiny scabs over the treated area. Tixel can be used to treat a number of skin concerns, including: Tixel can also be used to generally tighten and rejuvenate the skin. Neither the author nor https://crstodayeurope.com/articles/2020-june/tixel-for-crows-feet-wrinkles-and-dry-eye-disease/, Optometrist, Vallmedic Vision & Aesthetic, Escaldes-Engordany, Andorra, Lecturer in optometry, Aston University, Birmingham, United Kingdom, Medical Director, Vallmedic Vision & Aesthetic, Escaldes-Engordany, Andorra, Medical Director and Physician CEO, Medipolis-Antwerp Private Clinic, Antwerp, Belgium, Consultant ophthalmic surgeon, Midland Eye, Solihull, United Kingdom, Visiting Professor, Aston University, Birmingham, United Kingdom, Clinical Professor of Ophthalmology, NYU Langone Medical Center, New York, Clinical Professor of Ophthalmology, Tulane University Health Sciences Center, New Orleans, Private practice, Ophthalmic Consultants of Long Island, Westbury, New York, Financial disclosure: Consultant (Strma Medical), President and Director of Dry Eye Services and Clinical Research, Periman Eye Institute, Seattle, Twitter, Instagram, and YouTube @DryEyeMaster, Financial disclosure: Clinical investigator and speaker (Lumenis), Oculofacial Plastic Surgery Fellow, Consultants in Ophthalmic & Facial Plastic Surgery, Southfield, Michigan. Over the next week, the treated area of skin feels a bit rough, and if I look really closely in a magnifying mirror, I can see the grid-mark of pinpricks left by those tiny titanium rods etched on my skin as they heal up, and after that it is fine. Tixel has three modes: Ablative mode. Tixel is the new revolutionary skin resurfacing tool that uses no lasers to achieve its results. My patients try to get non surgical treatments to avoid surgery. Shavit R, Dierickx C. A new method for percutaneous drug delivery by thermo-mechanical fractional injury. Working out the best treatment programme to meet your needs means taking full account of your working commitments and social schedule, as well as the result youre trying to achieve and details of your skin type. * Results of a course of ablative and sub-ablative treatment can last several years as it is your own collagen that produces the effects. Vitamin C serum is one of the best at-home skin care treatments. Try non-invasive skin resurfacing in Troy and Novi with Tixel or cellulite reduction with Sculpt. Dermal Fillers vs. Collagen-Stimulating Fillers: Which is Right for You? Prior to adding filler injections to your clinical practice, I highly recommend that you have expertise with the injection of a cosmetic neurotoxin such as Botox (onabotulinumtoxinA, Allergan). Would you use the chatbot next time you visit the website? The formation of these wrinkles is a common and multifactorial phenomenon influenced by natural aging, photoaging (including UV light exposure), and other factors. Fraxel only targets a. The effect of the Tixel treatment on the skin is similar to. Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. Skin is visibly fresher and more youthful. In my experience, IPL results in excellent improvement of a variety of dry eye disease symptoms, including clinical findings with fluorescein staining of the ocular surface, tear breakup time, meibomian gland expressibility, osmolarity readings (TearLab Osmolarity System), and inflammation (InflammaDry, Quidel). 2. It takes up to 3 weeks for the color change to become apparent. There are improvements in the wrinkling and skin laxity of the upper and lower eyelids and the overall skin quality of the eyelid skin is improved. Recovery time can vary, and for 2-3 days the skin can be pink and small micro crusts will develop. A Safety and Effectiveness Study of the Tixel Device, (Fractional Peri-orbital Wrinkles Treatment ) Compared With Laser The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. The downtime following the procedure is minimal. On the skin just below the eyes, I feel it more acutely but not enough to make me shout for him to stop. The tip creates a superficial thermal effect in the tissue (usually 200300 m deep) within a few milliseconds of contact, generating a matrix of coagulation sites on the skin. To book a consultation, or for more information on our TIXEL skin resurfacing at our skin and aesthetics clinic in Manchester, call us on: 0161 236 6500, email us on: info@lumiereclinic.co.uk or fill in our online contact form. Make-up can be used the same day to hide any redness, however it is preferable not to. The three types of Tixel treatments are as follows: Ablative Treatment. Unlike other technologies where channels close in minutes following treatment, after Tixel the skin stays open for 6 hours allowing for continual application of products into the dermis. Price Tixel Non Surgical Blefaroplasty: 450 Tixel Full Face: 700 Tixel Full Face and Eyes: 850 Who is a suitable candidate for Tixel treatment? Tixel is a treatment for tightening and resurfacing your skin. Tixel is non-laser technology, using only heat and motion for impressive results. Some micro crusting (small scabbing) should be expected which will clear in 2-3 days. There are a number of advantages of the Tixel treatment. The following videos show the Tixel treatment in progress. Hanneken and Shah. By the end, I look as if I am wearing a pink eye mask. In some cases, topical anaesthetic cream will be used to reduce any discomfort. Visit our treatment prices page to view Tixel treatment pricing. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. The procedure typically takes less than an hour. Fishman HA, Periman LM, Shah AA.Real-time video microscopy of in vitro Demodex death by intense pulsed light. This cookie is set by GDPR Cookie Consent plugin. TIXEL uses a small heated metal plate of multiple tiny heated cones. Tixel can also be combined with topical cosmetic treatments, such as Vitamin A, to improve their absorption and provide enhanced results. The Tixel can also be used to infuse skin care products into the skin, because of the matrix of micro channels that it creates. Thats incredibly hot, searingly hot, so that touch on your skin has to be very light and quick in order to create tiny pinpoint burns (rather than, say, permanent branding) on your skin. The cost of a treatment will depend on the level of treatment, (whether Full Ablative, Medium Ablative or Open Channel) and the size of the area to be treated. We tailor care and treatment specific to your needs, no one elses. You should also wait until the next day before applying skincare or makeup. Date of experience: 25 . The Tixel is not a laser, but a novel device that uses thermal energy to remodel and improve skin. The Tixel machine is surprisingly compact, theres nothing to be afraid of. and a course of 1-5 treatments is recommended, 3-6 weeks apart. Tixel Treatment FAQs. Moreover, pain receptors are extremely sensitive to temperature change rate over time. Neck and Decollete Click and hold the slider bar (in the center of a picture) and drag left/right to see before and after effects* Neck laxity After 2 treatments with Tixel Neck wrinkles -6 weeks after 2 treatments with Tixel Sun Damage on Decollete After 2 treatments with Tixel Potential side effects of filler injections include under- and overtreatment, bruising, edema, allergic reactions, infection, and granuloma formation. Thirty patients were assigned to three groups, 10 patients in each group (unpublished data). In particular, use a high-factor SPF to minimise the effects of exposure to the sun. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. I heard a lecture on it at the F.A.C.E. Less downtime, pain and recovery compared to other laser treatments. Before and After Photos Sentient Tixel Results Results may vary. Tixel is a fair bit cheaper than other energy-based technologies for skin tightening, as well as many laser options for treating those concerns that require ablation (skin resurfacing). This will be fully explained before your treatment. As above, this will depend on the treatment carried out. What is Tixel Skin Resurfacing? Each treatment consists of 40 pulses on both eyes . Clin Ophthalmol. Sentient Tixel can be used anywhere including delicate facial skin. Lasers combined with fillersand microneedling/PRP can improve under the eyes. So happy I got to see the artist after settling on the idea it was never going to happen. Read Our Cookies Policy The cost of Tixel treatment varies depending on the clinic and the area youre having treated. There is minimal downtime and you can return to normal activities the next day. User jrlhamcat2 at the Rosacea Forum has found a link to the full PDF that contains before and after pictures . Micro-crusting will appear the following day but this can be covered up with make-up until it disappears after a few days. What Can Be Done for Crepey, Saggy Skin Under the Eyes? It does not store any personal data. Elman M, Fournier N, Barnon G, Bernstein EF, Lask G. Fractional treatment of aging skin with Tixel, a clinical and histological evaluation. The AAO offers programs at its annual meeting that can help surgeons learn the nuances of filler techniques and materials through hands-on training. This will provide some improvement, but this needs a combination approach to get the best outcomes. You work hard at your exercise routine and watch your diet, but you may still have areas of fat that are resistant to diet and exercise. The effect of the Tixel treatment on the skin is similar to fractional carbon dioxide laser, but with less risk and recovery time. Tixel utilises a gold-plated metallic tip that is heated to 400 degrees celsius within a handpiece. Was the chatbot helpful in finding what you were looking for today? Its handpiece is light and there are no disposables. Most patients prefer to stay at home during this time. What aftercare advice do I need to be aware of? Other treatment modalities such as lasers or intense pulsed light (IPL) emit radiation, which presents a hazard to eye safety. Regular maintenance will be required after that with a treatment every 6-12 months. ClearLift technology works by gently resurfacing the skin with virtually no pain and no downtime. It helps reduce the appearance of pores, fine lines, and wrinkles. Pixel skin resurfacing treatments are effective at improving skin texture and signs of aging. The Honest Channel 28.4K subscribers Subscribe 197 23K views 3 years ago UK journalist Clare Johnston reports back on the results of two Tixel thermal ablation treatments, 12 weeks after her. Its advisable to become an expert with HA filler injections prior to incorporating any of the other materials in your clinical practice. Fraxel is a non-invasive, microscopic laser that quite literally changes the surface of your face by penetrating your skin to encourage new collagen and elastin growth. This induces new collagen formation or neo-collagenesis by stimulating the skins natural healing process. This heat energy stimulates collagen production and tightens the skin. Tixel is a unique skin rejuvenation method which uses no chemicals or invasive measures that penetrate the skin. We will fully discuss the treatment options at your consultation appointment. The Stroma Laser System can make dark eyes lighter, transforming them to various shades of blue, green, and gray. You will be asked to arrive at your appointment with no fake tan and no make up on the area to be treated. The technology was developed for skin rejuvenation and to have a similar effect like a co2-laser. When the patient walks out after the first treatment, his or her iris looks the same. 3. Terms of Service apply. We will give you plenty of advice including information about recovery times and numbers of sessions required. After 1 Medium Ablative treatment and 1 Full Ablative treatment. Tixel is a heavy-duty treatment and needs to be done with great care; too much heat could result in a deeper burn which is sore and unsightly and which takes longer to heal. For example, a full face Open Channel treatment starts from 350; to treat the area the size of the face with ablative treatment will vary according to the strength of the treatment from around 500 (Medium Ablative) to 750 (Full Ablative). "Tixel isn't a laser, but is often placed in the same category . A serum may be applied immediately after treatment to relieve the warm sensation on the skin. There may be a feeling of heat, similar to sunburn, during the treatment. The author cannot be held responsible for the These issues are due to the aging process itself typically complicated by past sun damage and other forms of environmental damage that produce free radicals breaking down the tissue. Nondiscrimination and Accessibility Statement. Tixel can be combined with a number of other skin rejuvenation treatments, including. What's the Best Skin Rejuvenation Treatment? An Open Channel treatment is the lightest treatment level. TIXEL around the mouth may trigger cold sores, this can be treated as you would normally treat an outbreak. Most ophthalmic practices treat patients with dry eye. the procedures mentioned in the book, you should consult fully with an accredited practitioner who is The Tixel treatments provided at our center are designed to give you the look you've always wanted without invasive methods or extensive downtime. Dermal fillers are excellent nonsurgical treatments to offer your patients. Wrinkles After 2 treatments Crow's Feet 4 weeks after 1 treatment Pore size reduction 3 weeks after 1 gentle treatment Stretch Marks on Thighs After 2 treatments Wrinkles 5 weeks after 1 treatment Both full and medium ablative treatment are ideal for skin tightening and scar treatment. The treatment is fractional, that is, heat is applied in specific, targeted areas with healthy untreated skin in between. After. Most patients find it uncomfortable but tolerable. If Tixelapplies natural heat directly to the skin, with facial treatment typically lasting around 20 minutes. The same patient after receiving five treatments to the left eye and one to the right . A protocol for treating DED with the Tixel system has been developed and clinically tested on 72 patients in a prospective study approved by an ethics committee and conducted by Drs. Clinical Results With a Posterior Chamber IOL, Tixel for Crows Feet, Wrinkles, and Dry Eye Disease, What We Do Now Can Ease the Transition Back to Normal, Telehealth: A Plan for the Pandemic and Beyond, Same-Day Cataract Surgery in the Age of COVID-19, Shared Care and Patient Flow Post-Lockdown, R-Evo Smart: Fusing Performance and Functionality in a Compact System, Erik L. Mertens, MD, FEBOphth; Ludger Hanneken, MD; Debarun Dutta, PhD; Marisa Martins Armada; and Sunil Shah, MD, FRCS. But unlike radiofrequency, ultrasound and plasma which all. For eyelid lifts, 3-4 sessions performed every 3-6 weeks may be required, making it the perfect solution for people who want a gradual, scarless correction.. What is the downtime? Full-face rejuvenation in ablative mode (includes the eyes), is around 800 and up, but sometimes only one treatment is required. Full Ablative and Medium Ablative treatments: Use Clinisept to clean your skin and pat area dry. This website uses cookies to improve your experience while you navigate through the website. Combining heat and motion, its medical-grade titanium tip gently applies heat to the skin. Some people start to see results after just one treatment, however for best results the recommended treatment is a course of 3-6 sessions spaced ideally 4-6 weeks apart, with a treatment every 6 or 12 months thereafter. Initial redness can be disguised with make-up and patients can return straight to normal activities. In my practice, for example, we also use it for treating cherry angiomas around the eyelids without surgery, for which it is incredibly effective (Figure 4), improving the appearance of nasal angle telangiectasis (common in rosacea), and, occasionally, permanent removal of unwanted facial hair on the upper lip or chin. Necessary cookies are absolutely essential for the website to function properly. Tixel wasnt designed for treatment of rosacea. The cookies is used to store the user consent for the cookies in the category "Necessary". However, after two days, this crusting can be covered with good quality makeup. This process helps to improve general skin quality, wrinkles, skin texture, and can also improve acne scarring. Open Channel treatments can be performed every 2-4 weeks. Dr Baines will fully explore the treatment options during your initial consultation appointment and advise you on the best treatment plan based on your skin condition, skin type, the result you would like to achieve. A patient's eyes before receiving treatment with the Strma Laser System (A). We just mention it as a happy side effect. However, there are some potential side effects and risks which may occur in some people. I like to joke with patients that IPL has a side effect that they need to know about: It will make your skin look better. For trademarks and other information click here. Secrets to Successful Dermal Filler Treatment. The treatment will be tailored to you, so that you walk away with great results. I am curious to know how it goes. Last updated July 2022 What is Tixel? Results will be similar to medium chemical peel but without the recovery time. We will recommend a couple of days off work after ablative treatment as this is will cause a spell of skin redness, possibly with some scabbing. button or phone us directly on 1300 863 824. Before the treatment During the treatment After the treatment Assessment is firstly undertaken by the treatment provider to check suitability and match expectations. With just one Tixel session, the results are equivalent to fractional CO2 laser resurfacing or a deep chemical peel. IPL has also been found effective in the treatment of acute and chronic chalazia (unpublished data)1-3 as well as in the control of Demodex.4. Figure 4. During the procedure, you will feel a warm sensation when the device is applied to your skin. The iris color change is done in stages. The result is an almost 0 downtime treatment due to the minimal heat delivered, yet excellent results because of the combination of mesotherapy products. Tixel treatment is performed on the superior and inferior eyelids above the meibomian glands adjacent to the rim. The same patient after receiving five treatments to the left eye and one to the right eye (B). Patients presenting with facial/scalp actinic keratoses of mild-to-moderate thickness underwent 2 or 3 Tixel treatments (depending on clinical improvement), 3-4 weeks apart. Intense pulsed light for evaporative dry eye disease. Paper presented at the: 37th Congress of the ESCRS; September 14-18, 2019; Paris. Tixel is a versatile and flexible system, thanks to 3 treatment modalities. Tixel uses thermo-mechanicalablation technology (TMA) to provide anti-aging improvements to the skin tone and texture, giving it a radiant and youthful appearance. Face cannot be treated due to dermal disorder other than AKs, such as infection, surgical treatment etc. Tixel can be combined with a number of other skin rejuvenation treatments, including laser treatments and anti wrinkle injections. The information on RealSelf is intended for educational purposes only. Tixel is suitable for patients from different age groups and skin types and can be performed all year round. The main treatment head of the device is 1cm square, and packed into that space are 81 titanium rods with gently pointed ends; theres also a smaller treatment head with 24 pins for getting into nooks and crannies. Tixel is a skin rejuvenation technique that uses thermo-mechanical ablation technology (TMA) to restore a fresh and youthful glow. Figure 3. Make-up can be worn 6 hours following treatment, however it is preferable to leave your skin clean. There have been no reports of the laser missing the targeted area of treatment.