Breast augmentation, or breast enlargement, is a surgical procedure to enhance the shape and size of a woman’s breasts. This procedure is usually performed at our Mishawaka clinic to enlarge smaller breasts or breasts that have decreased in size due to pregnancy, weight loss, or age. Breast augmentation can also [...]
Several factors contribute to the change in breasts such as pregnancy, nursing, age, weight loss, heredity, and gravity. Breast lift surgery, or mastopexy, is a surgical procedure offered by the Centre P.C. to patients in Mishawaka, Elkhart, South Bend, and throughout the Michiana region. The surgery is used to lift [...]
Breast reduction, or reduction mammoplasty, reduces the size of overly large breasts which may cause medical problems and self-consciousness. Breast reductions are extremely successful for women with very large, pendulous breast who have experienced medical problems such as back and neck pain, skin irritation, skeletal deformities, and breathing problems caused [...]
When people think about plastic surgery, facial procedures and breast augmentation are often what comes to mind. There are, however, a number of procedures and solutions available for the rest of the body. That’s important because some of the most common problem areas are located below the chest. At The [...]
Butt augmentation with fat grafting, popularly called a “Brazilian butt lift,” is when excess fat is removed and re-injected into the buttocks. A Brazilian butt lift at our Mishawaka, Indiana clinic includes liposuction and butt augmentation to achieve a patient’s desired shape and contour. By removing excess fat from the [...]
A facelift, also called rhytidectomy, combined with a necklift is an effective way to appear more youthful, awake, and rejuvenated. For a facelift at our Mishawaka, Indiana clinic, loose or sagging skin around the cheek, mid-face, jawline, and neck area is carefully removed or tightened to improve the appearance of [...]
BOTOX® Cosmetic has long been popular with women seeking to reduce facial wrinkles and fine lines and restore a youthful, refreshed appearance. But BOTOX is not just for women, and an increasing number of men are discovering the benefits of this quick, effective skin rejuvenation treatment. With time, the activity [...]
Breast reduction for men, or gynecomastia surgery, is a surgical procedure that is not often talked about but affects nearly fifty percent of the male population. Gynecomastia is a condition resulting in overdeveloped breasts in men. It is common in men of all ages. Gynecomastia may be caused by hormone [...]
According to a new report published by the American Society of Plastic Surgeons, men requested approximately 1.3 million cosmetic procedures in 2016, equal to eight percent of total cosmetic procedures. These findings are not surprising. Men are increasingly interested in procedures that have long restored confidence in women but weren’t [...]
Historically, women have primarily been the ones to explore plastic surgery for cosmetic purposes. Men receive plastic surgery as well, but the majority has been reconstructive in nature. One example of this would be men who have been injured in war seeking plastic surgery to help conceal or reconstruct disfigured [...]
CoolSculpting is now being offered at The Centre PC, the only comprehensive spa in Mishawaka serving clients from Elkhart, South Bend, and other areas of Indiana!  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 [...]
Injectable treatments have added a new dimension to the field of cosmetic surgery in Indiana and across the nation, allowing new forms of facial rejuvenation without surgery.  Centre Yourself Medical Spa offers several injectable solutions to men and women in Mishawaka, Elkhart, and South Bend looking to lessen the appearance of fine lines without [...]
Many people find that diet and exercise won’t always deliver the perfect appearance that they have been striving for. There are certain areas of the body where fat seems to be more stubborn than others. SmartLipo™ may be the solution to that problem. SmartLipo™ is a minimally invasive procedure that is safer [...]
A tummy tuck, or abdominoplasty, is an intense surgical procedure during which excess fat and skin are removed and the muscles of the abdominal wall are tightened. A tummy tuck can show dramatic results by reducing the appearance of a protruding abdomen that does not respond to diet and exercise. Tummy [...]
Noninvasive, nonsurgical body contouring treatments are available for those seeking to reduce the appearance of cellulite, soften wrinkles and restore a smoother, more youthful skin tone to the face, stomach and other body areas where stubborn fat tends to accumulate. At the Centre Yourself Medical Rejuvenation Spa, our board-certified plastic surgeons and skin care [...]
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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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