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.

Types of Chemical Peels We Offer
GlyMed Plus Peel (30 Minutes)
A great starter and maintenance peel, GlyMed Plus chemical peels are non-invasive, highly effective, and require little to no downtime. They help treat:
- Blemishes
- Mild-moderately aged skin
- Mildly sun-damaged skin
- Enlarged and clogged pores
- Oily skin
Add on dermaplaning to enhance results
GlyMed Plus Peel Benefits:
- Reduces the appearance of fine lines
- Improves skin texture
- Evens skin tone
- Brightens complexion
- Minimizes pores


VI Peel (30 Minutes)
A medical-grade chemical peel designed to improve skin tone, texture, and clarity. It helps with:
- Acne and acne scars
- Fine lines and wrinkles
- Hyperpigmentation and melasma
- Overall skin rejuvenation
- Contains numbing medicine in the peel
VI Peel Benefits:
- Reduces fine lines and age spots
- Stimulates collagen and elastin production
- Safe for all skin types, even around the eyes
- Enhances results when combined with Botox Cosmetic
VI Peel Collection:
- VI Peel Purify with Precision Plus: Targets adult acne and acne scarring.
- VI Peel Precision Plus: Addresses melasma and uneven skin tone.
- VI Peel Precision (Advanced Treatment): Anti-aging formula for fine lines and wrinkles.
Pro Tip: Add Botox Cosmetic or Xeomin for enhanced anti-aging effects.
ZO 3-Step Peel (45 Minutes)
An aggressive, results-driven peel that addresses multiple skin concerns, including:
- Melasma
- Acne
- Fine lines and wrinkles
- Rough texture and dullness
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 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!
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.
I love the centre. Pc. The staff they treat you like they know you forever they explain they make sure what you’re going to do and ext. Doctor Downs is the best. He’s funny but when is about to do his job is he’s very strict and very discipline no doubt. Thank you guys for make me feel happy and look beautiful 😍 God bless all of you 🙏😍
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. 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!
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.
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 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 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.
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.
Frequently Asked Questions
Chemical Peel in Mishawaka, IN
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.

