It has been officially 5 week since my tummy tuck and breast lift. After losing 150lbs I knew I needed this done but never thought it would be possible. After meeting with Dr. Downs and his team my dreams started to seem like reality. Five weeks ago we completed 1 of my 2 suggested surgery’s. My recovery so far has been extremely easy with little to no pain. Dr. Downs has been just the best. He took his time and explained every part of my surgery and what I could expect. It was a pleasant surprise to wake up from surgery and find out he didn’t have to make the vertical incision down my stomach due to all the my weight loss, and lose skin. I’m so happy Dr. Downs is who I decided to go to for this surgery. Can’t wait for him to complete my project.

What Are Dermal Fillers?
Dermal fillers are injectable treatments designed to add volume, smooth wrinkles, and rejuvenate the skin. Most fillers use hyaluronic acid (HA)—a naturally occurring substance in the body that attracts moisture and hydrates the skin. Others, like Radiesse and Renuva, stimulate collagen production for longer-lasting results.

What to Expect During Your Filler Appointment
Your treatment begins with a consultation, where we discuss your goals and determine the best filler for your needs. The injection process is quick, with minimal discomfort. Most patients see immediate results, and mild swelling or bruising typically resolves within a few days.
How Long Do Fillers Last?
The longevity of fillers depends on the type used and the treatment area:
- Juvéderm Ultra & Revanesse Versa: 6–12 months
- Juvéderm Voluma: Up to two years
- Radiesse: 12–18 months
- Renuva: Long-lasting, with collagen regeneration over time

Real Patient Testimonials/Reviews
Dr. Macias and her staff helped make this very personal decision easy and comfortable. They took the time to listen and answered all my questions. I was very nervous about having breast surgery but after it was done I was so happy with the results. She truly nailed it. I would highly recommend Dr. Macias to anyone considering any cosmetic surgery.
I recently had a surgical procedure done with Dr. Macias. The staff was absolutely amazing from my consult to surgery everyone was soooo sweet and kind! So very helpful from the front desk to the treatment coordinators to the pre op the whole surgery experience to post op!!
If you are considering on having anything done I highly recommend. I am extremely happy with my results so far and it’s only been a week.
I received a rhinoplasty from Dr. Macias and my nose is PERFECT. 😍
I enjoyed my whole experience but here are a few specific highlights that stuck out:
- The staff is kind, informative, and responds quickly.
- I loved the simulation they used to show desired results.
- The staff the day of surgery was fun and helped me with my nerves.
- From the little shopping I did, their prices were the best (sometimes by far!).
Dr. Downs and The Centre, P.C. staff are wonderful to work with for questions/concerns prior to and after surgery during recovery period. Dr. Downs consults with patient prior to surgery to confirm understanding of what results are important to them.
Additionally, Dr. Downs personally follows up after surgery to ensure that things are going well after discharge which I was extremely impressed by. The office/surgical center provides a more discrete and personalized patient environment with a separate door entrance for the follow-up appointment the day after surgery as well.
Dr. Macias is AMAZING!! She is so caring and kind. She listens to her patients and seems to really love her job and cares about her patients. I would highly recommend her. Her staff also has been very wonderful and caring all the time!
Everyone is so professional, compassionate, and willing to help in anyway.
I would recommend their office to everyone.
Dr. Downs is fantastic. He is very knowledgeable and communicates very effectively. The staff made this experience comfortable for me. I am very happy and pleased with the results.
The medspa staff are always friendly and welcoming. Kellee has the LIGHTEST touch with an injection needle and always does a great job!
I had a great experience here, the staff are so friendly and make you feel comfortable. Dr. Downs is the best, I will definitely be returning.
I was recently hospitalized last week for a finger infection. I ended up having surgery and Dr. Downs was my doctor. Very good bedside manner and great doctor. He takes his time to explain things to you. I really liked that. And went to his office for my follow up. All the staff were so sweet and professional.
From the time I walked in the door to the moment I walked out, I felt respected, seen and heard! The staff are kind and gentle and I will never go anywhere else for the things I need. Dr. Macias is outstanding.
Ready to
Enhance
Your Look?
If you’re considering dermal fillers, our expert team at The Centre PC is here to help you achieve natural, beautiful results. Schedule your consultation today!

