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!
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.

Real Patient Testimonials/Reviews
Everyone is so professional, compassionate, and willing to help in anyway.
I would recommend their office to everyone.
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!).
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 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.
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. 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.
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 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.
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 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.
Schedule
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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.

