Dr. Downs and whole team at Centre PC have been amazing! They listened to me as I told them my desired results, provided different options for me, based on years of industry knowledge and worked alongside me as I navigated the headaches of insurance. I couldn’t be happier with my experience there and would highly recommend them to anyone looking to make some positive change in their life!
Advanced Skin Rejuvenation with PICO Laser Technology
PICO laser technology offers a cutting-edge solution for common skin concerns, including discolorations, acne scars, and even unwanted tattoos. As one of the most advanced laser treatments available today, PICO lasers deliver permanent, noticeable results in fewer sessions compared to traditional lasers. This non-invasive treatment is safe for all skin types, requires minimal downtime, and can be used on your face and body for comprehensive skin rejuvenation.
Visit The Centre, P.C.’s Medical Rejuvenation Spa to learn more about how PICO laser treatment in Mishawaka can enhance your skin.

Who Can Benefit from PICO Laser Treatment?
PICO laser treatments are highly versatile, making them ideal for addressing:
- Tattoo Removal: Effectively fades tattoos with precise targeting of pigment. Black, gray, and dark green inks are the easiest to remove, while yellow, purple, red and fluorescent inks may require additional sessions.
- Skin Discolorations: Addresses birthmarks, melasma, and sun damage with minimal risk to surrounding tissues.
- Acne Scarring: Stimulates collagen production to repair stubborn scars and restore smooth, healthy skin.
With its adjustable wavelengths and customizable applicators, PICO laser technology delivers remarkable results for various skin concerns—even in patients with sensitive skin.

What to Expect During PICO Laser Treatments
PICO laser treatments work by delivering ultra-short bursts of energy to the skin, effectively targeting problem areas without damaging surrounding tissue. Here’s an overview of the process:
Consultation
During your initial visit, we’ll evaluate your skin and goals to customize your treatment plan.
Treatment Session
The laser creates controlled thermal injury to stimulate collagen production or break up pigmentation, depending on your concerns.
Post-Treatment
Most patients experience mild redness or swelling, which typically resolves within hours.


Long-Lasting Results
- Permanent Improvements: Results for tattoos and scars are permanent.
- Maintenance for Aging Skin: Skin rejuvenation results may require occasional touch-ups over time.
By following proper aftercare—such as avoiding direct sunlight and using sunscreen—you can enjoy long-lasting improvements to your skin.
Are You an Ideal Candidate for PICO Laser Treatment?
PICO laser treatments are safe for most people, regardless of skin tone or type. You may benefit if you’re looking to address:
- Unwanted tattoos
- Sun damage, birthmarks, or other discolorations
- Acne scars or other blemishes
However, this treatment may not be suitable if you have certain conditions, including:
- Hypersensitivity to infrared light
- Open sores or irritation in the treatment area
- A history of skin cancer
- Use of certain medications that affect skin sensitivity
A consultation with our team can determine if PICO laser treatment is the right choice for you.


Real Patient Testimonials/Reviews
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.
Everyone here is so kind, helpful, talented and caring.I trust highly in them and will always come to them for all my cosmetic concerns and care!!❤️
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’ve been going to the Spa for a few years now and have always had a positive experience with my services and staff. Everyone is always kind and informative. Ashley Kweder has easily been my favorite cosmetic injector! She has always been able execute everything I wanted, keeping me well informed and being absolutely the sweetest! Highly recommend
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.
The medspa staff are always friendly and welcoming. Kellee has the LIGHTEST touch with an injection needle and always does a great job!
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 his staff are amazing!
He took me on as a patient after another surgeon botched me.
Dr. Downs will take the time to review everything with you and let you know what your options are.
His staff are wonderful and they make you feel so comfortable!
You will be in great hands with Dr. Downs and his team!
Everyone is so professional, compassionate, and willing to help in anyway.
I would recommend their office to everyone.
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.
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!
Learn More About PICO Laser Treatment in Mishawaka
Enhance your confidence and enjoy radiant, rejuvenated skin with PICO laser treatment at The Centre, P.C.’s Medical Rejuvenation Spa. Schedule your consultation today and let our experienced team answer any questions you may have.

Frequently Asked Questions
About PICO Laser Treatment in Mishawaka, IN
PICO laser technology delivers ultra-short pulses of energy to target pigmentation, scars, or tattoo ink. The laser breaks these down into tiny particles, which are naturally eliminated by the body, while stimulating collagen production for skin rejuvenation.
Most patients describe the sensation as mild and tolerable, similar to small elastic snaps on the skin. A numbing cream can be applied before treatment to enhance comfort.
A tattoo must be at least 3 months old in order to remove. The number of sessions depends on the condition being treated. Most patients require 6-10 sessions for optimal results, spaced 6-12 weeks apart. Tattoo removal may require additional treatments depending on the ink’s color and depth.
Downtime is minimal. You may experience mild redness or swelling, which typically resolves within 24–48 hours. You can resume normal activities almost immediately but should avoid direct sunlight and use sunscreen.
PICO lasers are effective at removing most tattoo pigments, including black, gray, and dark green. However, lighter colors like yellow, purple, and fluorescent inks may require more sessions or may not be completely removable.
Yes, PICO laser treatments are safe for all skin types and tones. Its advanced technology minimizes the risk of hyperpigmentation or damage to surrounding skin.
Many patients notice improvements after their first session, though optimal results typically appear after completing the full treatment series. For tattoos, fading continues gradually between sessions.
Yes, PICO laser treatment is gentle enough to treat sensitive areas, including the face, neck, and décolletage.
Results for tattoo removal and scarring are permanent. For skin rejuvenation, results are long-lasting but may require occasional maintenance sessions to address future aging or environmental damage.
Before treatment, avoid sun exposure, tanning, and certain skincare products such as retinols and tretinoin that may irritate the skin. Also tell your provider if you are taking certain medications like steroids or antibiotics. After treatment, apply sunscreen diligently, avoid direct sunlight, and follow any specific aftercare instructions from your provider.
