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In your sixties and seventies, the skin tends to be dry and elasticity is reduced significantly. In addition to fine lines, wrinkles, and discoloration, it’s common for skin to sag around the eyes, under the chin, and along the neckline or jowls. People in their sixties and seventies should avoid using harsh or drying soaps and cleansers; use hydrating skincare products containing copper peptides and vitamin C (these help stimulate collagen and elastin); stay hydrated and use a broad-spectrum sunscreen every day.

Soft tissue fillers, or dermal fillers, are used to help smooth facial lines and wrinkles. The Centre, P.C. offers many soft-tissue filler solutions that have long-lasting results in our medical spa, Centre Yourself Medical Rejuvenation Spa. These fillers such as Radiesse®, Restylane®, Perlane®, and Juvéderm® XC erase fine lines and folds by adding volume beneath [...]
A facelift, also called rhytidectomy, combined with a necklift is an effective way to appear more youthful, awake, and rejuvenated. Loose or sagging skin around the cheek, midface, jawline, and neck area is carefully removed or tightened to improve the appearance of deep creases, expression lines, and wrinkles. While a [...]
By restoring volume and collagen with injections of Hyaluronic Acid fillers (Juvéderm®, Restylane®, Perlane®, Belotero Balance®) or Collagen Stimulators (Radiesse® or Sculptra® Aesthetic), you are able to achieve the youthful appearance you once had! Pretreatment for injectables:Avoid ASA, ibuprofen, vite, alcohol, fish oil, and flax seed oil seven days prior to injections to [...]
IV Therapy is a safe and effective way to receive vitamins, minerals, and nutrients directly into the bloodstream to enhance energy, improve health, boost mood, and combat the effects of stress, malnutrition, and dehydration. At the Centre Yourself Medical Rejuvenation Spa™, we provide safe, sterile IV infusions in a calm [...]
Female sexual dysfunction includes disruptions throughout normal phases of intercourse including desire, arousal, climax, and resolution. If your libido is lacking, the orgasm shot may be able to help. Discuss the orgasm shot with a board-certified cosmetic surgeon at the Centre P.C. during a consultation. The orgasm shot can aid [...]
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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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