Clinical Support

woman stretching her arms in front of sunset

Lavene, Senior CMA, Patient Care Assistant

Lavene provides pre and post-operative surgical patients with additional information about their cosmetic and reconstructive procedures in the Inform and Consent process. She is highly skilled in wound care and surgical dressing and takes pride in providing personal care to every patient.

In her free time, Lavene loves to cook.

Anissa, Insurance & Medical Coding Specialist

Anissa has earned her Associates of Applied Science from Lake Michigan College. She has worked in Health Care for over 10 years! She assists our patients by scheduling appointments for reconstructive surgeries, inputting new patient paperwork, Insurance verification and pre-certification, predetermination process and ensuring that no questions go unanswered.

Outside of the office, Anissa is very busy spending time with her husband and five children.

Meressa, Certified Medical Assistant

Amy, Patient Services Representative

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.

3D Imaging

Individualized 3-D imaging provides realistic results

The Centre P.C. now offers an advanced imaging technique called VECTRA ® 3D that provides patients with realistic previews of expected outcomes from specific surgical procedures prior to those procedures being performed.

Fly In

for Surgery

Many of our patients fly in from all over the world.