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What’s happening

In your twenties, collagen production is still strong helping skin achieve a plump, youthful glow; hormones level off and acne is less frequent.

However, by your mid-twenties, skin-cell production starts to slow, which can lead to dead-cell buildup and discoloration. People in their twenties should use sunscreen every day and an effective moisturizer to avoid sun damage. Exfoliate as needed.

At The Centre Yourself Medical Rejuvenation Spa, we know how important your skin is. That’s why we offer HydraFacial treatments to help keep your skin healthy and hydrated, no matter what life throws at it. HydraFacial is a new skin care treatment that removes dead skin and impurities. It uses [...]
You may think that lips like this are only achievable for the rich and famous, but that’s simply not the case. For years now, women have been seeking the aid of lip enhancement to achieve sumptuous “movie star” lips quickly and easily. It’s a simple way to not only enhance [...]
Centre Yourself offers a variety of chemical peel procedures to restore your skin to its former beauty by reducing fine lines and age spots. Select peels are excellent for the neck, face, arms and back. We also recommend the use of our VitaMedica Skin Programs, comprehensive nutritional supplement systems designed specifically for your [...]
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 to enlarge smaller breasts or breasts that have decreased in size due to pregnancy, weight loss, or age. Breast augmentation can also be performed in cases [...]
Dermaplaning is appropriate for a wide variety of skin types, and the Indiana skin care experts at Centre Yourself Medical Rejuvenation Spa can help you determine if dermaplaning is right for you. To learn more about dermaplaning or schedule your appointment, please call our Mishawaka office at 574-968-9100 or toll [...]
BodyTite is an advanced body-contouring procedure that provides superior skin tightening and fat reduction compared with standard liposuction and other surgical procedures. The board-certified Indiana plastic surgeons at The Centre PC are proud to offer BodyTite as an alternative to more invasive liposuction and cosmetic surgery options. To learn if [...]
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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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