Welcome to Our Practice

At The Centre, P.C., we make it our mission to provide comprehensive plastic surgery services to the Michiana community in a professional, caring, and personal environment.

We work with the patient as a dedicated team committed to the restoration and improvement of the human form and function, thereby enhancing the patient’s quality of life. We also strive to continue to grow as a leader in the healthcare industry while knowing that the patient’s welfare is the basis of our existence.

The Centre, P.C. offers outstanding comprehensive plastic surgery options to our patients provided by board certified plastic surgeons Ronald K. Downs, M.D., F.A.C.S., Patrick J. Viscardi, M.D., and Rachel J. Macias, M.D. Our doctors are all board certified by The American Board of Medical Specialties in Plastic Surgery.

In addition, The Centre, P.C. offers an on-site Indiana state-licensed ambulatory surgery center [The Centre, LLC] and complete medical spa [Centre Yourself, LLC.] Our patients and clients can obtain all their needed or desired services in one location.

What Procedures Do We Offer?

A renewed or enhanced appearance can boost your quality of life and promote physical and mental well-being. You can revitalize your looks and gain self-confidence through various options for plastic surgery. The Centre, P.C. offers a wide variety of procedures targeting specific features of the body and face to reduce fat and excess skin. You can then complete your plastic surgery journey with a service from our medical spa. Centre Yourself’s array of non-surgical services includes:

Areas you could alter with plastic surgery include the arms, abdomen, thighs, breasts, and facial features. Even a subtle change can significantly impact your overall appearance and help you achieve your ultimate aesthetic goals. Are you seeking to boost your confidence through a surgical or non-surgical procedure? Set up your appointment today and speak with the skilled plastic surgeons and staff at The Centre, P.C., about what is possible through our vast options of services, products, and procedures.


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Meet The Staff

Learn Who We Are

  • Ronald Downs, M.D. F.A.C.S.

    Ronald K. Downs, M.D., F.A.C.S. founded The Centre, P.C. in Elkhart, Indiana in 1992 upon graduation from his plastic surgery residency at Rush Medical Center.

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  • Patrick Viscardi, M.D.

    Patrick J. Viscardi, M.D. has been part of the surgical team at The Centre, P.C. since 1998 and partner with the practice since 2000.

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  • Rachel Macias, MD

    Dr. Rachel J. Macias, M.D. has joined The Centre, P.C. practice and surgical team in September of 2021.

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    Director of Non-Surgical Services

    Kellee is our Director of Non-Surgical Services at The Centre, P.C. who performs injectables, PDO threads, and all other non-surgical procedures.

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See what our patients have to say.

    Center PC has given me the very best experience possible. I had contemplated breast augmentation for years. Dr Macias gave me exactly what I asked for and more!! Ever single staff member was very sweet and kind at every visit. Also very informative. I never left with any worry or unanswered questions. Surgery and recovery were very easy going and the Anesthesiologist was GREAT( I was extremely nervous since I had never had surgery before)!! All together 10 out of 10 and will continue to recommend to all my friends!

    Daisy P.

    The Centre PC has a wonderful and caring staff. From the time of my initial consult to 4 months post op they have always been helpful and polite. Doctor Down does amazing work and has great bedside manners. Would definitely recommend him to my friends and family for whatever work they may want in the future.

    Sarah b.

    I’ve been coming in for the past couple years for my Botox between the eyes and have always had a great experience!!

    Shauna T.

    Dr. Downs and his staff are wonderful. They made me feel comfortable and answered all my questions. Look forward on taking the next step with this team at The Center PC.

    Tina H.

    Kelly is amazing, so friendly, knowledgeable and professional. Great place.

    Melissa F.

    The staff is very friendly, professional and there was no wait time. They got me in and out very quickly. Kellee made sure to explain my treatment plan in detail and answer all my questions. I will be referring my family & friends for any treatment they may need.

    Julie A.

Featured Articles

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    OVERVIEW If you struggle with feeling self-conscious about baggy upper arms, there is a solution. Saggy upper arms result from excess skin, fat, or weak muscles that cause the skin to sag and appear baggy. If this sounds like symptoms you face, then Brachioplasty might be an option to consider. What ...

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  • Neurotoxins

    OVERVIEW Neurotoxins such as Botox and Dysport are a form of nonsurgical cosmetic injections that are used to treat the signs of aging, resulting in a youthful appearance of your face, neck, and skin. How do Neurotoxins Work? Also known as neuromodulators, these cosmetic injections work by blocking signals ...

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  • Hair Transplant

    OVERVIEW Hereditary factors, aging and hormones are the most common causes of hair loss in both men and women. A hair transplant, also known as hair replacement surgery, uses your own existing hair to recreate living hair in bald areas of your scalp. To be a candidate for hair transplantation, you must ...

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Hours of Operation


8:00 am-5:00 pm


8:00 am-5:00 pm


8:00 am-5:00 pm


8:00 am-5:00 pm


8:00 am-5:00 pm





Our Location

The Centre, P.C.

611 E Douglas Rd Suite 108

Mishawaka, IN 46545 US

(574) 968-9100