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!
Advanced Skin Rejuvenation with PICO Laser Technology
PICO laser technology offers a cutting-edge solution for common skin concerns, including discolorations, acne scars, and even unwanted tattoos. As one of the most advanced laser treatments available today, PICO lasers deliver permanent, noticeable results in fewer sessions compared to traditional lasers. This non-invasive treatment is safe for all skin types, requires minimal downtime, and can be used on your face and body for comprehensive skin rejuvenation.
Visit The Centre, P.C.’s Medical Rejuvenation Spa to learn more about how PICO laser treatment in Mishawaka can enhance your skin.

Who Can Benefit from PICO Laser Treatment?
PICO laser treatments are highly versatile, making them ideal for addressing:
- Tattoo Removal: Effectively fades tattoos with precise targeting of pigment. Black, gray, and dark green inks are the easiest to remove, while yellow, purple, red and fluorescent inks may require additional sessions.
- Skin Discolorations: Addresses birthmarks, melasma, and sun damage with minimal risk to surrounding tissues.
- Acne Scarring: Stimulates collagen production to repair stubborn scars and restore smooth, healthy skin.
With its adjustable wavelengths and customizable applicators, PICO laser technology delivers remarkable results for various skin concerns—even in patients with sensitive skin.

What to Expect During PICO Laser Treatments
PICO laser treatments work by delivering ultra-short bursts of energy to the skin, effectively targeting problem areas without damaging surrounding tissue. Here’s an overview of the process:
Consultation
During your initial visit, we’ll evaluate your skin and goals to customize your treatment plan.
Treatment Session
The laser creates controlled thermal injury to stimulate collagen production or break up pigmentation, depending on your concerns.
Post-Treatment
Most patients experience mild redness or swelling, which typically resolves within hours.


Long-Lasting Results
- Permanent Improvements: Results for tattoos and scars are permanent.
- Maintenance for Aging Skin: Skin rejuvenation results may require occasional touch-ups over time.
By following proper aftercare—such as avoiding direct sunlight and using sunscreen—you can enjoy long-lasting improvements to your skin.
Are You an Ideal Candidate for PICO Laser Treatment?
PICO laser treatments are safe for most people, regardless of skin tone or type. You may benefit if you’re looking to address:
- Unwanted tattoos
- Sun damage, birthmarks, or other discolorations
- Acne scars or other blemishes
However, this treatment may not be suitable if you have certain conditions, including:
- Hypersensitivity to infrared light
- Open sores or irritation in the treatment area
- A history of skin cancer
- Use of certain medications that affect skin sensitivity
A consultation with our team can determine if PICO laser treatment is the right choice for you.


Real Patient Testimonials/Reviews
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.
The medspa staff are always friendly and welcoming. Kellee has the LIGHTEST touch with an injection needle and always does a great job!
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.
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.
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 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’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
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 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!).
Learn More About PICO Laser Treatment in Mishawaka
Enhance your confidence and enjoy radiant, rejuvenated skin with PICO laser treatment at The Centre, P.C.’s Medical Rejuvenation Spa. Schedule your consultation today and let our experienced team answer any questions you may have.

Frequently Asked Questions
About PICO Laser Treatment in Mishawaka, IN
PICO laser technology delivers ultra-short pulses of energy to target pigmentation, scars, or tattoo ink. The laser breaks these down into tiny particles, which are naturally eliminated by the body, while stimulating collagen production for skin rejuvenation.
Most patients describe the sensation as mild and tolerable, similar to small elastic snaps on the skin. A numbing cream can be applied before treatment to enhance comfort.
A tattoo must be at least 3 months old in order to remove. The number of sessions depends on the condition being treated. Most patients require 6-10 sessions for optimal results, spaced 6-12 weeks apart. Tattoo removal may require additional treatments depending on the ink’s color and depth.
Downtime is minimal. You may experience mild redness or swelling, which typically resolves within 24–48 hours. You can resume normal activities almost immediately but should avoid direct sunlight and use sunscreen.
PICO lasers are effective at removing most tattoo pigments, including black, gray, and dark green. However, lighter colors like yellow, purple, and fluorescent inks may require more sessions or may not be completely removable.
Yes, PICO laser treatments are safe for all skin types and tones. Its advanced technology minimizes the risk of hyperpigmentation or damage to surrounding skin.
Many patients notice improvements after their first session, though optimal results typically appear after completing the full treatment series. For tattoos, fading continues gradually between sessions.
Yes, PICO laser treatment is gentle enough to treat sensitive areas, including the face, neck, and décolletage.
Results for tattoo removal and scarring are permanent. For skin rejuvenation, results are long-lasting but may require occasional maintenance sessions to address future aging or environmental damage.
Before treatment, avoid sun exposure, tanning, and certain skincare products such as retinols and tretinoin that may irritate the skin. Also tell your provider if you are taking certain medications like steroids or antibiotics. After treatment, apply sunscreen diligently, avoid direct sunlight, and follow any specific aftercare instructions from your provider.
