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 felt respected, seen and heard!
How PicoSure Works to Remove Tattoos
PicoSure delivers short, high-intensity bursts of laser light that shatter ink particles into microscopic fragments. These particles are then naturally flushed from the body via the immune system over time.
• Targets ink with precision and minimizes risk of scarring
• Works on all ink colors, including green and light blue
• Minimal damage to surrounding tissue
• Safe for most skin tones and types
Removing Color Tattoos with PicoSure
Unlike older lasers, PicoSure is highly effective on difficult-to-remove colors like green, teal, and red. Its four available wavelengths allow us to customize treatments based on the exact pigments in your tattoo.
As the laser passes over the ink, energy vibrates and breaks it down without overheating your skin. This vibration-based removal allows for faster healing and better ink clearance.
Benefits
Additional Benefits of PicoSure
PicoSure isn’t just for tattoo removal. It’s also used to:
- Treat pigmented lesions (like sunspots and freckles)
- Stimulate collagen production for anti-aging
- Improve skin texture and tone
- Fade acne scars and fine lines
- Rejuvenate areas like the neck, chest, hands, and arms
Candidates
Who Is a Good Candidate?
PicoSure is safe for most skin tones and types. Ideal candidates:
- Are in overall good health
- Have realistic expectations
- Are committed to completing multiple sessions for full removal
Every patient must undergo a consultation with a licensed aesthetic provider to determine safety, treatment plan, and number of sessions needed.
Techniques
The Procedure Process
Recovery and Aftercare
After each session:
- Redness, swelling, and blistering may occur
- Treated areas may feel like a mild sunburn
- Scabbing is normal—do not pick at it
- Avoid direct sunlight and tanning throughout treatment
- Expect fading to begin over several weeks post-treatment
You’ll receive customized post-care instructions to support safe healing and maximize results.
Results
Most patients begin seeing fading after the first few sessions, but full removal typically takes 5 to 15 treatments depending on tattoo color, size, depth, and location.
Sessions are spaced about 12 weeks apart to allow the body time to flush out broken ink particles. Some stubborn ink (especially red, yellow, or older ink) may take longer to remove completely.
Results include:
- Progressive fading after each session
- Minimal scarring or discoloration
- Improved skin texture and tone
Testimonials
Real Patient Testimonials/Reviews
Very good bedside manner and great doctor
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 is AMAZING!!
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 is fantastic
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.
She truly nailed it
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.
Doctor Downs is the best
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 enjoyed my whole experience
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!).
Answered all my questions
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 highly recommend
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.
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.
I couldn’t be happier with my experience
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!
Everyone here is so kind, helpful, talented and caring
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!!❤️
Contact
The Centre, P.C.
Today!
If you’re ready to rejuvenate your appearance with a brow lift, the expert surgeons at The Centre, P.C. are here to help. Schedule your consultation today by calling 574-968-9100 option #2 or contacting us online. Let us help you achieve your facial rejuvenation goals with personalized care and exceptional results.
FAQs
Frequently Asked Questions
About Tattoo Removal in Mishawaka, IN
The laser emits a highly focused beam of laser light which passes, harmlessly, through the outer layer of the skin and is absorbed primarily by the tattoo ink or the excess pigment within the lesion.
As the light is absorbed, it is quickly converted to heat. The sudden rise in temperature within the treatment area fractures the ink or pigment into tiny particles. The tattoo ink is destructed, absorbed, and removed through the body’s own filtering system. Minimal damage is done to the surrounding skin while providing maximum tattoo removal.
A tattoo’s color, depth, and the chemical composition of the ink all affect how it responds to the laser during tattoo removal treatment. Black, dark orange, and dark blue ink will usually respond relatively quickly to treatments. However, red, green, purple, brown, light orange, and light blue ink may require additional treatments. A wide range of pigmented lesions can also be treated including freckles, sunspots, and many brown colored birthmarks.
Prior to the actual treatment, a test spot is highly recommended to ensure safety, effectiveness and best results for the patient.
Most patients say it feels like a rubber band snap. Numbing cream is applied to reduce discomfort.
Depending on the size and location of the tattoo or lesion, each treatment usually takes between ten and thirty minutes. Tattoo removal may require five or more treatments that are spaced twelve weeks apart to allow your body sufficient time to fully eliminate loosened particles of ink or pigment.
You will be given topical numbing to make you more comfortable during the actual treatment. Please note this will add additional time to the process.
Generally, the majority of the tattoo will fade or disappear completely. Different colors of ink respond differently to the laser treatment. While black, or blue may respond very well to the laser, red, green and yellow generally are very difficult to remove and may require several sessions. The licensed aesthetic provider will be able to evaluate your tattoo and discuss with you the probability of achieving your desired result. Be aware however, there may be a small amount of ink which remains at the end of the overall treatment appearing as a slight bruise.
ince the laser light selectively targets the undesired ink or pigment, other tissues remain largely unaffected, and therefore, most patients report moderate discomfort. Many people compare the sensation of pulses to the snap of a rubber band.
Immediately after the laser treatment, the treated areas may become whitish colored and swell slightly. This whiteness subsides in about thirty minutes. The swelling may last longer but can be reduced by cooling the skin with cool compresses.