Valentine's Special
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What Implant Size is the Best for My Breast Augmentation?

Whether you have already decided on breast augmentation surgery or are still gathering information about the procedure, a critical step in the pre-operative process is determining what implant size would be best for you. Your plastic surgeon should be your main point of contact when weighing the potential benefits and...

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How Does the Aging Process Affect a Facelift?

Fine lines, wrinkles, and sagging skin are all part of the normal aging process. However, many people may experience embarrassment or dissatisfaction with their appearance as their face and skin begin to lose tone and elasticity. To combat the effects of aging and regain a smoother, younger appearance, many people...

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Tips for Preserving Botox Results

After spending so much time reading up on the benefits of Botox, scheduling an appointment, and finding time to get the procedure done, you may be slightly disappointed to learn that the alterations that Botox has made are not permanent. Fortunately, there are things you can do to preserve your...

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How to Choose the Right Dermal Filler

You have likely read about dermal fillers, done your research, and decided you want to try them. With so many on the market, it can be hard to know which product works best for you. If you are unsure how to choose the right dermal filler, let us help you....

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Goshen Health Expands Patient Care Capabilities with The Centre, P.C. Affiliation

GOSHEN, Ind. – Patients faced with changes to their physical appearance caused by disease or medical treatment now have more options for care at Goshen Health, thanks to an affiliation between the Goshen Center for Cancer Care and the plastic surgeons at The Centre, P.C., in Mishawaka, Ind. "This partnership...

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Control Your Comfort with New Pain Management System

At The Centre, P.C. we are committed to making sure our patients feel comfortable and relaxed at all times, regardless of what procedure they’re having. We are proud to now offer Pro-Nox as a pain management option for some of our surgical and non-surgical services. Our Pro-Nox delivery system uses...

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Shop Now, Pay Later with Klarna

The Centre, P.C. is excited to announce that we've partnered with Klarna to bring you a better online shopping experience! It’s smooth and simpleKlarna helps you elevate your shopping game. When you choose Klarna at checkout, you’ll get the option to shop now and pay later for your purchase. It's...

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Lunchtime Nose Job with PDO Threads

Rhinoplasty isn’t the only way to define and straighten your nose anymore. The Centre, P.C. has expanded our PDO thread treatments to now include nose lifts, a non-surgical alternative to the traditional nose job. PDO threads, or polydioxanone threads, are thin medical grade threads made of protein. They are 100%...

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Maskne is the New Acne

Grabbing the essentials before you leave your house now includes a face mask. Whether you're wearing your mask at work or while you're out shopping on the weekends, your face is battling COVID-19 just as much as you are. One of the side effects of wearing a face mask for...

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Reversing the signs of aging.

Are you looking to reverse the signs of aging? Aging is the result of a combination of biologic processes.  As we age, we experience thinning of the skin and facial fat pads, laxity in the ligaments that hold tissues up, and loss of bone in the brow, cheeks and jaw. ...

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COVID-19 Announcement

April 2, 2020 The Centre, P.C. Patients, As we continue to receive updates regarding COVID-19, The Centre, P.C. is taking the necessary measures to keep our patients and staff safe and healthy. We continue to take this day-by-day, so please be aware that our office protocols and hours are subject...

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What Causes Spider Veins?

While generally harmless, spider veins are more of an aesthetic annoyance than a medical emergency. Fortunately, spider veins can be removed by cosmetic surgeons. But what causes spider veins, who is at risk, and what can you do to get rid of them? Let’s take a closer look at what...

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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. Downs
Dr. Macias

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

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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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