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. Downs is the best
Types
Types of Breast Reconstruction
Implant-Based Reconstruction
Direct to Implant Reconstruction:
Single stage approach is most suitable for candidates of nipple sparing, skin sparing mastectomies. A permanent implant, silcone or saline, is inserted immediately following the mastectomy.
Tissue Expander / Implant Reconstruction:
Option 2 would be a two-stage procedure where at the time of the mastectomy a tissue expander is inserted into the pocket under the skin. This device is gradually filled with saline over the course of several weeks to stretch the skin. Once the desired volume is achieved, in a secondary operation, the expander is removed and replaced with a permanent implant.
Oncoplastic Reconstruction or Breast Conservation Reconstruction
Oncoplastic or breast conservation reconstruction is the removal of breast cancer while still leaving an adequate portion of breast tissue behind to make a cosmetically appealing breast.
Flap Reconstruction
Flap reconstruction uses tissue from other parts of the body to recreate the breast. Options include:
- TRAM Flap: Skin, Fat and Muscle are taken from the abdomen to create a natural looking and feeling breast.
- Latissimus Dorsi Flap: An ellipse of muscle and tissue is taken from the back and repositioned to the chest, often combined with an implant.
Expectations
Testimonials
Real Patient Testimonials/Reviews
Dr Downs is the best
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 Downs has an amazing staff!
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.
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.
You will be in great hands with Dr. Downs and his team!
Dr. Downs and his staff are amazing!
He took me on as a patient after another surgeon botched me.
Dr. Downs will take the time to review everything with you and let you know what your options are.
His staff are wonderful and they make you feel so comfortable!
You will be in great hands with Dr. Downs and his team!
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.
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!).
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!
I felt respected, seen and heard!
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.
Dr. Downs and The Centre, P.C. staff are wonderful to work with
Dr. Downs and The Centre, P.C. staff are wonderful to work with for questions/concerns prior to and after surgery during recovery period. Dr. Downs consults with patient prior to surgery to confirm understanding of what results are important to them.
Additionally, Dr. Downs personally follows up after surgery to ensure that things are going well after discharge which I was extremely impressed by. The office/surgical center provides a more discrete and personalized patient environment with a separate door entrance for the follow-up appointment the day after surgery as well.
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!!❤️
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!
FAQs
Frequently Asked Questions
about Breast Reconstruction in Mishawaka, IN
Candidates include individuals who have undergone mastectomy, lumpectomy, or prophylactic mastectomy. Your surgeon will assess your medical history and treatment plan to determine eligibility.
Breast reconstruction is often covered by insurance under the Women’s Health and Cancer Rights Act. Our team can assist you in understanding your coverage and options.
Yes, delayed reconstruction is a viable option for many patients and can be performed months or even years after the initial surgery.
While reconstructed breasts may not feel identical to natural breasts, modern techniques provide highly realistic results in appearance and touch.