Beauty in Your 40s & 50s

What’s happening:

In your forties and fifties, collagen and elastin levels continue to decline and lymphatic drainage slows, making it harder to rid the skin of toxic buildup.

In many cases, oil production is reduced resulting in chronic dry skin. Fine lines, wrinkles, and thinning of the skin are common. People in their forties and fifties should use a heavier moisturizer to keep skin hydrated and include anti-ageing products (especially those containing vitamin C) in a skincare routine; sunscreen should be worn daily.

BOTOX® Cosmetic in Mishawaka

When you age, wrinkles start to form on your face as collagen production and skin elasticity decline. Botox is an excellent option for smoothing your skin and restoring youthfulness. The neurotoxin works by temporarily blocking muscle contractions to create a smooth, flawless look. Through a simple injection at our [...]

Dermal Fillers In Mishawaka

As you age, it is natural to see a decrease in skin elasticity and collagen production. However, you may wish to restore your facial structure and skin from younger days. Soft tissue fillers, or deeper dermal fillers, are an excellent solution for smoothing facial lines and wrinkles, restoring volume, and rejuvenating [...]

Private: Chin and Neck

Kythera’s KYBELLA™ is a prescription medicine used in adults to improve the appearance and profile of moderate to severe fat below the chin (submental fat), also called “double chin.” The active ingredient in KYBELLA™ is deoxycholic acid, a naturally-occurring molecule in the body that aids in the breakdown and absorption [...]

BioTE Hormone Replacement

Our hormone levels are based on a lot of things like what we eat, how much we exercise, how much we weigh, and our stress levels. The effects of a hormone imbalance can have profound physical, emotional, and mental repercussions. Unbalanced hormones can damage the brain, breasts, heart, and bones, [...]

CoolSculpting Procedure In Mishawaka

CoolSculpting is now being offered at The Centre PC, the only comprehensive spa in Mishawaka serving clients from Elkhart, South Bend, and other areas of Indiana! This is an FDA-Cleared, non-surgical body contouring solution to help eliminate fat with little to no downtime. CoolSculpting targets and cools fat cells to [...]

Stem Cell Facelift In Mishawaka

Finally! A minimally invasive facelift procedure that could produce wonderful results! The Stem Cell facelift uses the regenerative capabilities of platelet rich plasma to fight the signs and symptoms of aging. Platelet-rich plasma is derived from your body’s own blood. To start, a small amount of blood is drawn and placed [...]

Be Beautiful at Any Age

Meet the Doctors

Dr. Downs

Ronald K. Downs, M.D., F.A.C.S. founded The Centre, P.C. in Elkhart, Indiana in 1992. He is an active member in the American Society of Plastic Surgeons. Dr. Downs is also a member of The American Society for Aesthetic Plastic Surgery, The American Medical Association, The Ohio Valley Plastic Surgery Society, The Rush Surgical Society, and The Indiana State Medical Association where he serves on the board of directors and has served as the president from 2003 to 2004.

Dr. Macias

Dr. Macias completed her plastic and reconstructive surgery residency training at Spectrum Health/Michigan State University in Grand Rapids, Michigan. She is Board Certified with the American Board of Plastic Surgery.

Dr. Viscardi

Patrick J. Viscardi, M.D. has been part of the surgical team at The Centre, P.C. since 1998. Dr. Viscardi graduated from Dartmouth College in Hanover, New Hampshire, as a summa cum laude. He received his Doctor of Medicine Degree from the University of Rochester in New York. Dr. Viscardi completed his internship and general surgery residency at the University of Louisville, where he served as chief resident from 1994 to 1995.