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!
Keeping your skin hydrated is essential.
At The Centre, P.C.’s Medical Rejuvenation Spa, we know how important your skin is. That’s why we offer HydraFacial treatments at our Mishawaka practice to patients from Elkhart, Goshen, Granger, South Bend, and all over the Michiana area. This procedure can help keep your skin healthy and hydrated, no matter what life throws at it.
HydraFacial is a skin care treatment that removes dead skin and impurities. It uses a combination of exfoliation and resurfacing to gently expose a new layer of skin. Then dirt and debris are removed from pores using a vortex suction. Finally, your skin will be saturated with HydraFacial’s antioxidant and peptide-rich moisturizing serum delivering an immediate glowing result.
The procedure is quick and easy, delivering long-term benefits in a 30 – 60 minute, painless treatment.
There is no downtime after a HydraFacial treatment at our Mishawaka medical spa. Patients can put on makeup and return to normal activities immediately after their treatment.

HydraFacial can be tailored to almost any individual’s needs. It’s well-suited for all different skin types, including individuals with sensitive skin.
During your consultation, the licensed aesthetician at The Centre, P.C. will do a skin evaluation and sensitivity test. They will discuss your needs and expectations with you, and will recommend whether this treatment is an option if you have an existing skin condition or disease.
HydraFacial is ideal for people who:

Your HydraFacial will be performed in a calm, spa-like setting at The Centre, P.C. in Mishawaka. The treatment typically takes 30–60 minutes and includes:
Removes dead skin cells and uncovers a new layer of skin.
Loosens dirt and debris from pores without irritation.
Uses painless suction to clean out pores.
Saturates the skin with antioxidants, peptides, and hyaluronic acid for long-lasting hydration.

There is no downtime after a HydraFacial. Most patients return to daily activities—including wearing makeup—immediately after treatment.
Mild redness may occur post-procedure, and we recommend:
Many patients see visibly smoother and more radiant skin after just one session. Continued HydraFacial treatments can improve:
For best results, HydraFacial can be incorporated into your regular skincare routine.
HydraFacial is a low-risk treatment, but some patients may experience:
Your aesthetician will guide you through any adjustments to your skincare routine to minimize these effects.
You may be surprised to learn just how important maintaining hydrated skin is. You may think simply washing your face with hot water will open your pores and allow your skin to soak up moisture. Unfortunately, this is a common misconception as hot water doesn’t actually change the size of your pores.
The truth is, your skin needs much more than a splash of hot water to stay healthy. It needs moisturizers that penetrate deeply to provide ultimate hydration. If you’re not convinced about whether HydraFacial is right for you, check out these facts on skin damage:

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.
The medspa staff are always friendly and welcoming. Kellee has the LIGHTEST touch with an injection needle and always does a great job!
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’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.
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!
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.
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.
If you reside in Mishawaka, Elkhart, Goshen, Granger, South Bend, or other nearby areas in Michiana, HydraFacial treatments at The Centre’s Medical Rejuvenation Spa are a fast and affordable way to maintain your skin’s health and achieve a natural, youthful glow.
If you have questions about the treatment, call or schedule your first appointment.
