Everyone is so professional, compassionate, and willing to help in anyway.
I would recommend their office to everyone.
SHOP. SAVE. SLEIGH. at The Centre, P.C.’s Get Glam Sales Event!
If acne scars, sun damage, uneven skin tone, or an unwanted tattoo are affecting your confidence, you’re not alone. At The Centre, P.C. Medical Rejuvenation Spa in Mishawaka, we offer PICO laser treatment, an advanced, non-invasive solution to restore clear, radiant skin. This gentle yet powerful laser targets pigmentation, scarring, and tattoos with minimal downtime, helping you achieve smoother, more even skin—so you can feel confident in your natural beauty.
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.

PICO laser treatments are highly versatile, making them ideal for addressing:
With its adjustable wavelengths and customizable applicators, PICO laser technology delivers remarkable results for various skin concerns—even in patients with sensitive skin.

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:
During your initial visit, we’ll evaluate your skin and goals to customize your treatment plan.
The laser creates controlled thermal injury to stimulate collagen production or break up pigmentation, depending on your concerns.
Most patients experience mild redness or swelling, which typically resolves within hours.


By following proper aftercare—such as avoiding direct sunlight and using sunscreen—you can enjoy long-lasting improvements to your skin.
PICO laser treatments are safe for most people, regardless of skin tone or type. You may benefit if you’re looking to address:
However, this treatment may not be suitable if you have certain conditions, including:
A consultation with our team can determine if PICO laser treatment is the right choice for you.


Everyone is so professional, compassionate, and willing to help in anyway.
I would recommend their office to everyone.
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.
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!!❤️
I was referred to The Centre by the on call hand Doctor that reviewed my ER case after I split my thumb open. From setting up my appointment to being taken care of by the staff, it was a pleasant experience. Each member of the team I met was attentive, very forthright with any information I needed & were an absolute pleasure to be around. Dr. Downs has an amazing staff!
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 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.
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.
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.
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.
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.
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. 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!
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.