Everyone is so professional, compassionate, and willing to help in anyway.
I would recommend their office to everyone.
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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.
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. 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!
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.
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:
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.
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!
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.
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.
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.