Tear Trough

Tear Trough Rejuvenation

Rejuvenates under the eye by adding hyaluronic acid fillers such as Belotero Balance®, Restylane®, and Juvéderm®. These fillers create a natural rejuvenated look.

Pretreatment for injectables:
Avoid ASA, ibuprofen, vite, alcohol, fish oil, and flax seed oil seven days prior to injections to minimize bruising.

Recommendation: Take Arnica sublinqual 5 days prior to appt. This can be purchased in our medical spa.

Skin Rejuvenation In Mishawaka

One of the most effective skin-rejuvenation procedures at our Mishawaka spa is performed with specialized lasers that “resurface” skin, stimulating cell turnover for a more youthful appearance. As the skin ages, lines, wrinkles, spots and discoloration start showing up. This is when many adults consider routine laser skin-rejuvenation treatments. While [...]

Hands Rejuvenation Treatment In Mishawaka

You’re determined not to let the aging process get the best of you, so you eat well, exercise, apply daily SPF, and book regular appointments for facials, fillers and skincare treatments. That’s a great start, but what are doing for your hands? When it comes to anti-aging care, we place [...]

Earlobe Rejuvenation Procedure In Mishawaka

This treatment restores volume and symmetry to earlobes around the earring holes that been stretched or elongated by heavy earrings. By adding Restylane®, Perlane®, Juvéderm® and Belotero Balance®, you are able to wear earrings without sagging earlobes. Contact us if you live in the Mishawaka, Elkhart or South Bend areas [...]

Tear Trough

Rejuvenates under the eye by adding hyaluronic acid fillers such as Belotero Balance®, Restylane®, and Juvéderm®. These fillers create a natural rejuvenated look. Pretreatment for injectables:Avoid ASA, ibuprofen, vite, alcohol, fish oil, and flax seed oil seven days prior to injections to minimize bruising. Recommendation: Take Arnica sublinqual 5 days [...]

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 [...]

Votiva In Mishawaka

With age and child birth, women can often experience some unwanted changes in their feminine health such as low blood flow or sensitivity, bladder incontinence, and lowered sexual interest. One of the concerns we hear most from our patients is urgency and stress incontinence. If you’re one of the many [...]

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.