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!
At The Centre, P.C.’s Medical Rejuvenation Spa in Mishawaka, we offer a variety of chemical peel treatments designed to exfoliate, rejuvenate, and restore your skin’s natural beauty. Our medical spa provides chemical peels for the face, neck, arms, and back, helping clients in Elkhart, Goshen, Granger, Mishawaka, South Bend, and across Indiana achieve smoother, clearer skin.

A great starter and maintenance peel, GlyMed Plus chemical peels are non-invasive, highly effective, and require little to no downtime. They help treat:
Add on dermaplaning to enhance results


A medical-grade chemical peel designed to improve skin tone, texture, and clarity. It helps with:
VI Peel Benefits:
VI Peel Collection:
Pro Tip: Add Botox Cosmetic or Xeomin for enhanced anti-aging effects.
An aggressive, results-driven peel that addresses multiple skin concerns, including:
This dual-action peel exfoliates, repairs, and renews the skin, improving barrier protection while enhancing antioxidant defense. Expect visible peeling post-treatment.


Everyone is so professional, compassionate, and willing to help in anyway.
I would recommend their office to everyone.
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.
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:
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!
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!
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!
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!
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.
The medspa staff are always friendly and welcoming. Kellee has the LIGHTEST touch with an injection needle and always does a great job!
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.
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.
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.
Depending on the type of peel, treatments can be repeated every four to six weeks for best results.
It’s recommended to wait at least 24-48 hours before applying makeup to allow skin healing.
Yes, some flaking or peeling is normal, especially with more aggressive peels like ZO 3-Step Peel.