I love the centre. Pc. The staff they treat you like they know you forever they explain they make sure what you’re going to do and ext. Doctor Downs is the best. He’s funny but when is about to do his job is he’s very strict and very discipline no doubt. Thank you guys for make me feel happy and look beautiful 😍 God bless all of you 🙏😍

Benefits of Breast Reduction Surgery
The primary benefit of a breast reduction is a smaller breast size. However, beyond physical benefits, many women want to reduce their breast size for cosmetic reasons. The surgery lifts and reshapes the breasts for a more youthful and favorable appearance. Additionally, a breast reduction could balance a woman’s silhouette and allow clothing to look and feel better.
Though many women want to undergo a breast reduction for the physical advantages, most patients also experience positive psychological impacts after surgery. Higher levels of self-confidence can translate into a better quality of life.


Am I a candidate for Breast Reduction?
Breast reduction may be an excellent option for women experiencing physical discomfort or emotional distress due to overly large breasts. Ideal candidates are in good health, have realistic expectations, and face challenges like back, neck, or shoulder pain, shoulder grooves from bra straps, or skin irritation under the breasts. Women who find it difficult to participate in physical activities or struggle with the way clothes fit due to breast size may also greatly benefit from the procedure.
Candidates must be non-niocotine users or willing to stop all nicotine products 4 weeks prior to surgery to promote good wound healing. It’s also important to consider whether future pregnancy or breastfeeding is a concern, as breast reduction can impact milk production. During your consultation at The Centre, P.C., our experienced plastic surgeons in Mishawaka, IN, will evaluate your medical history, lifestyle, and personal goals to determine if this procedure is right for you.

How is Breast Reduction Performed?
A breast reduction is performed by making an incision around the areola (the colored area around the nipple), extending downward, and along the natural crease under the breast. The incision will be in the shape of an anchor. Like all scars, it is permanent but fades beautifully over the next 12–18 months.
Your plastic surgeon will remove breast tissue and skin and move the position of the nipple and areola up to a more favorable position. Depending upon the shape and size of the breast, the nipple will remain attached to the breast tissue, or it may be completely removed and grafted to a higher position on the breast. This may cause loss of sensation in the areola, which will be discussed during your consultation.
Wedges of breast tissue are removed, then the skin is repositioned around the areola, providing the breast with a new shape and size. Dissolvable sutures, or stitches, are placed along the incision line underneath the skin and sealed with surgical glue. The breasts are then bandaged and placed in a surgical compression bra.
What Should I Expect When Having a Breast Reduction?
Your plastic surgeon will prescribe pain medication, which will help to control pain for the first few days following surgery. Your surgical bra will need to be worn twenty-four hours a day for the first four weeks after surgery.
You will be moving at a slower pace for the first few days after surgery. At about a week post-op, you should be able to resume normal routine daily activities. You will be restricted from exercising or lifting anything more than 10 pounds for 4 weeks after surgery.


How Long Do the Results of a Breast Reduction Last?
Breast reduction results could last for a woman’s lifetime, but it is essential to maintain a stable weight with a healthy diet and regular exercise. Additionally, having children after having a breast reduction could reverse results as the breasts change during and after pregnancy. The procedure does not prevent the breasts from undergoing normal aging processes, so gravity will take its course as a patient ages. Many patients feel their physical symptoms are relieved immediately, but it takes about three months or longer to see final results.
The Recovery Process
Recovery from breast reduction surgery typically requires a few weeks of rest and proper aftercare to ensure optimal healing. Initially, you may experience mild to moderate discomfort, swelling, and bruising. Your surgeon will prescribe pain medication to manage any discomfort during the first few days. It’s crucial to wear your surgical compression bra around the clock for the first four weeks to support healing and reduce swelling.
Most patients can resume light daily activities within a week, but you’ll need to avoid strenuous exercise and heavy lifting for at least four weeks. Swelling and bruising will gradually subside, and you’ll begin to notice the improved contour and feel of your breasts. Full results are typically visible within three to six months as swelling resolves completely and scars fade over time. Regular follow-up appointments will ensure that your recovery stays on track.
Possible Risks of Breast Reduction
As with any surgical procedure, temporary bruising and swelling will follow after a breast reduction. Risks associated with the procedure include the loss of sensation in the areolas, nipples, and surrounding skin. In rare cases, an infection can occur, or a severe complication could necessitate removal of the nipple and skin surrounding the area.
For women considering having children after a breast reduction or who are currently breastfeeding, the procedure could result in the inability to breastfeed. Though the risks of a breast reduction operation need careful consideration, many women feel that the emotional and physical benefits outweigh any potential complications.
Breast reduction is not appropriate for women who use a nicotine product, are significantly overweight, or have serious medical conditions.
Breast Reduction

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 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’ve been going to the Spa for a few years now and have always had a positive experience with my services and staff. Everyone is always kind and informative. Ashley Kweder has easily been my favorite cosmetic injector! She has always been able execute everything I wanted, keeping me well informed and being absolutely the sweetest! Highly recommend
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. 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 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.
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.
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!!❤️
It has been officially 5 week since my tummy tuck and breast lift. After losing 150lbs I knew I needed this done but never thought it would be possible. After meeting with Dr. Downs and his team my dreams started to seem like reality. Five weeks ago we completed 1 of my 2 suggested surgery’s. My recovery so far has been extremely easy with little to no pain. Dr. Downs has been just the best. He took his time and explained every part of my surgery and what I could expect. It was a pleasant surprise to wake up from surgery and find out he didn’t have to make the vertical incision down my stomach due to all the my weight loss, and lose skin. I’m so happy Dr. Downs is who I decided to go to for this surgery. Can’t wait for him to complete my project.
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.
Frequently Asked Questions
About Breast Reduction in Mishawaka, IN
Breast reduction costs typically range from $8,000 to $9,500 when performed as a cosmetic procedure. Insurance coverage may apply if it is deemed medically necessary.
Breastfeeding may still be possible after surgery, but it depends on the surgical technique used and the extent of tissue removal. This is a key topic to discuss with your surgeon during the consultation.
Most patients can return to light activities within a week, with full recovery taking about six weeks. Final results are usually visible three to six months post-surgery.






