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!
Struggling with weight loss can be frustrating, but you’re not alone. At The Centre, P.C.’s Medical Rejuvenation Spa, we provide the tools and support you need to achieve real, lasting results. Our medical weight loss program with Semaglutide and Tirzepatide helps you safely lose 2–3 pounds per week under expert care. With a personalized plan and ongoing guidance, you can finally reach your goals. Your journey starts today—let’s take the first step together.
Discover a long-term weight loss solution with The Centre Core Program. Utilizing highly effective medications, Semaglutide and Tirzepatide, this program is designed to help you comfortably lose 2–3 pounds per week under the expert care of The Centre, P.C.’s providers.
Are you ready to take the first step? Schedule your consultation for just $50! Labs are required before starting treatment and after one month of use to optimize your results. Additional fees are required for lab work.

Semaglutide and Tirzepatide mimic glucagon-like peptide-1 (GLP-1), a hormone naturally produced by your body after eating. These medications:
Under professional supervision, patients may lose 15–20% of their body weight and maintain results long-term!


This program may be ideal for you if you:
Your provider will assess your overall health to determine if this program is a safe option.


Meet with our provider to discuss your health history, current medications, weight goals, and allergies. Labs will be reviewed to ensure you're ready to begin.
Receive a customized plan tailored to your needs. Learn how to administer weekly injections with detailed guidance from our team.
Meet monthly with your provider to evaluate progress and adjust your dosage if necessary.
Implement minor dietary and lifestyle adjustments to maximize results while managing potential side effects.

Patients report visible weight loss within 4 weeks, with continued results of 2–3 pounds weekly. Over time, many achieve a 15–20% reduction in body weight, enhancing their health and confidence.


Everyone is so professional, compassionate, and willing to help in anyway.
I would recommend their office to everyone.
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. 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. 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.
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 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 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 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.
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.
Treatment duration varies based on your goals, but most patients continue until they achieve their desired weight and transition to a maintenance plan.
Yes, minor dietary and activity adjustments enhance results and minimize side effects.
Your provider will review your current medications to ensure there are no conflicts.