Beauty in Your 40s & 50s - Skin Care Routines, Procedures
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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.

Through a simple injection, BOTOX® Cosmetic diminishes furrow lines around the eyes and forehead that result from stress or genetics, giving you a softer, younger, more radiant look. BOTOX® Cosmetic treats facial wrinkles in the forehead, between the eyes, and in the “crows feet” areas (upper third of the face). The substance is [...]
Soft tissue fillers, or dermal fillers, are used to help smooth facial lines and wrinkles. The Centre, P.C. offers many soft-tissue filler solutions that have long-lasting results in our medical spa, Centre Yourself Medical Rejuvenation Spa. These fillers such as Radiesse®, Restylane®, Perlane®, and Juvéderm® XC erase fine lines and folds by adding volume beneath [...]
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 [...]
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 is now being offered at The Centre PC!  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 temperatures that trigger their natural death without causing damage to surrounding tissue. It targets and eliminates only fat [...]
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 in a centrifuge to separate the components of blood. Plasma [...]
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Meet the Doctors
Dr. Downs
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.

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Dr. Viscardi
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.

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