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 🙏😍
What is HydraFacial?
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 Candidates
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:
- Have an uneven skin tone
- Want to achieve greater elasticity and firmness
- Want better product penetration with no downtime
- Are looking to give their skin a vibrant and healthy glow
- Want to improve the texture of their skin
- Have oily or congested skin
- Have enlarged and clogged pores

The Procedure Process
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:
Cleansing and Exfoliation
Removes dead skin cells and uncovers a new layer of skin.
Gentle Acid Peel
Loosens dirt and debris from pores without irritation.
Vortex Extraction
Uses painless suction to clean out pores.
Hydration and Protection
Saturates the skin with antioxidants, peptides, and hyaluronic acid for long-lasting hydration.

Recovery and Aftercare
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:
- Avoiding exfoliants, retinols, or retinoids for 3–5 days
- Applying broad-spectrum SPF daily to protect your refreshed skin
Results
Many patients see visibly smoother and more radiant skin after just one session. Continued HydraFacial treatments can improve:
- Skin hydration
- Fine lines and wrinkles
- Dark spots and hyperpigmentation
- Overall skin clarity and texture
For best results, HydraFacial can be incorporated into your regular skincare routine.
Risks and Considerations
HydraFacial is a low-risk treatment, but some patients may experience:
- Mild redness immediately after treatment
- Skin purging, especially if congested pores are deeply cleansed
- Temporary sensitivity to active skincare products
Your aesthetician will guide you through any adjustments to your skincare routine to minimize these effects.
Skin Care Facts You Should Know
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:
- Your skin produces one percent less collagen each year after age 20.
- Each time your skin regenerates, it’s less elastic and thinner and makes fine lines, wrinkles, and damaged blood vessels more visible.
- By age 18, the average person has received 23 percent of their lifetime sun exposure.
- Around 90 percent of visible skin changes like premature aging, freckles, discoloration and reduced collagen production are caused by sun exposure.
- Sunlight can have a negative reaction with medications, antibiotics, colognes, or perfumes, causing skin damage.
- UV rays are as strong on cloudy days as they are on sunny days.
- Sun protection, like a high SPF sunscreen, can help save your skin from sun damage and should be used regularly.

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!
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!
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!
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.
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. 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.
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’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
Schedule
Your Consultation
Today!
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.

