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. 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.

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.

    Read More!

  • Rachel Macias, MD

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

    Read More!

    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.

    Read More!


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

Read up on informative topics

  • Intense Pulsed Light Therapy vs. Broadband Light Therapy: What's the Difference?

    OVERVIEW We all want to have perfect skin, one that's free from wrinkles, remains pumped and volumized as we age, and is youthful despite the effects of aging. Two popular forms of cosmetic treatment are available to help—intense pulsed light therapy and broadband light therapy. But, what are the differences ...

    Read More
  • Lip Augmentation

    Lip augmentation procedures create plumper, fuller lips. They also reduce fine wrinkles around the mouth. Procedures Three primary techniques are used to add volume to and reduce wrinkles surrounding lips: injections, implants and local flap grafts. Injections are generally office-based procedures where ...

    Read More
  • Mommy Makeover

    OVERVIEW Pregnancy can leave lasting physical effects on your body, which you may struggle to understand and accept after childbirth. The presence of excess skin on your abdomen and weakened muscles, coupled with the shrinking and sagging of breasts, can lead some people to look for an option to get ...

    Read More
  • Nonsurgical Body Contouring (muscle stimulation)

    OVERVIEW Non-surgical body contouring is any cosmetic procedure that is non-invasive and does not require the patient to undergo surgery to achieve a slimmer, contoured, and defined body. Non-surgical body contouring is recommended for patients who are not looking to lose weight. Instead, it's ideal ...

    Read More

Newsletter Sign Up

Book an Appointment Today

Request a time and our team will be in touch.

Schedule Now

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