I got pixel 4 days ago and so far so good. I was REALLY nervous and did a lot of research beforehand. I asked her to use the lowest setting but of course I don't really know if she did or not. My face looked a lot more red than some of the other reviews, but my skin is somewhat sensitive so that could be part of it.
As for pain I had numbing cream on for 1 hour before the session and I still found the procedure to be uncomfortable. Not painful, but I was happy when it was over, that's for sure. I imagine it would be painful without the numbing cream first. The rest of the day and part of the next day my face felt slightly burning, it was uncomfortable.
I'm now 3 days post, had the procedure Saturday morning and it's Tuesday morning. Everything is happening as planned. My face was REALLY red and felt like a bad sunburn the first day, I'm now brown and peeling. The parts that are peeling don't look as great as I had hoped :( kind of just looks like the results of the salicylic acid chemical peels I've had in the past (2). I'm hopeful that this will provide more results as the weeks go on and that the pixel provides more collagen stimulation.
As for me, I'm an American (Caucasian) living in India. The procedure is really cheap here, about 100USD. I work online so I don't have to see people face to face, meaning no time off work for the procedure. I imagine if you got this on Saturday you would have to take Monday and Tuesday off work. My doctor was good, very knowledgeable but I doubt she has ever worked with caucasian skin before. She did a test patch on my neck (I would have preferred somewhere on my face since the skin on my face is still different from my neck even though it's very close). I only bought one session but I might go back for another depending on my results in the next few weeks. I will keep real self updated with pictures and reviews.
What I'm trying to correct here are large pores around my nose, some small rolling acne scars on my cheeks, and melasma on my forehead. I'm 32.