Ronald K. Downs, M.D.
F.A.C.S.
Dr. Ronald K. Downs has been serving the Mishawaka and South Bend areas for over 30 years as a board-certified plastic surgeon and founder of The Centre, P.C. in Elkhart, Indiana. A highly credentialed thought leader, he is an active member of several professional organizations, regularly speaks at industry meetings, and has contributed to the field through publications and consulting for leading manufacturers. Dr. Downs is committed to helping patients achieve natural looking appearances.





Rachel J. Macias, M.D.
Dr. Rachel J. Macias joined The Centre PC in 2021. She brings exceptional expertise and a compassionate approach to patient care. A northern Indiana native, Dr. Macias has a special interest in breast surgery, body contouring, and cancer reconstruction, and has presented her research at national conferences. Dr. Macias is dedicated to helping patients feel confident and supported throughout their plastic surgery journeys.


Patrick J. Viscardi M.D. F.A.C.S. – Retired
Dr. Patrick J. Viscardi served The Centre, PC for over 25 years as a partner and Vice President Emeritus, helping establish it as a leading plastic surgery center in Michiana. A distinguished surgeon, he earned numerous accolades, including the Dr. Glen H. Leak Memorial Fellowship. Trained at top institutions like Duke and the Kleinert Institute, Dr. Viscardi was dedicated to delivering exceptional cosmetic and reconstructive results. We thank him for his years of service!