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About

The Centre, P.C. is a Mishawaka, Indiana-based plastic surgery practice offering both surgical and non-surgical procedures. Led by three board-certified plastic surgeons (Ronald K. Downs, MD, FACS; Patrick J. Viscardi, MD; Rachel J. Macias, MD), it markets as the only Michiana-area practice with three ASPS-certified plastic surgeons. Services cover cosmetic and reconstructive surgery (e.g., breast procedures, rhinoplasty, body contouring) plus a medical spa, on-site surgical suite, and non-invasive treatments (injectables, laser, microneedling, CoolSculpting). The center operates four U.S. offices (primarily Mishawaka, IN) and emphasizes a comprehensive cosmetic experience, including imaging (Vectra 3D) and skincare products. Contact: 574-968-9100, thecentrepc.com.

Clinic Type

Plastic Surgery

Address

The Centre, P.C., Mishawaka, Indiana

Phone

+15749689100

Email

Opening Hours

Not published — contact the clinic to confirm hours.

Services Offered

  • Plastic surgery
  • Cosmetic procedures
  • Non-surgical cosmetic treatments
  • Medical spa services

Technology & Equipment

  • Vectra 3D Imaging
  • FaceTite
  • BodyTite (Liposuction)
  • Labiaplasty

Team

  • Ronald K. Downs, M.D., F.A.C.S., Board-certified by The American Board of Medical Specialties in Plastic Surgery — Board-certified plastic surgeon; founder
  • Rachel J. Macias, M.D., Board-certified by The American Board of Medical Specialties in Plastic Surgery — Board-certified plastic surgeon

Insurance & Payment

Languages Spoken

  • English

FAQs

How can I schedule a consultation?

You can schedule a consultation by contacting The Centre, P.C. directly through our contact form or by phone.

Photos

What Patients Say

Overall sentiment across review platforms: mixed

  • Satisfied Patient (The Centre, P.C.): 4.7/5 stars (422 reviews)
  • Birdeye (Sono Bello South Bend): 4.9/5 stars (162 reviews)
  • RealSelf (Dr. Rachel Macias): 4.6/5 stars (10 reviews)
  • Healthgrades (Dr. Patrick Viscardi): 4.5/5 stars (10 reviews)

Patients praise

  • high patient satisfaction with friendly, supportive, and communicative staff
  • surgeons often described as professional, knowledgeable, and patient-focused
  • successful aesthetic outcomes and life-improving results reported by many patients
  • efficient and comfortable office-based procedures

Common complaints

  • occasional dissatisfaction with surgical results, such as unwanted bulges post-procedure
  • concerns regarding communication and professionalism from some providers
  • complaints about additional costs for touch-up procedures
  • reports of painful experiences with injectables like Botox

"In my search for a plastic surgeon to do a breast reduction I found Dr. Michias [Macias]. I had an initial consultation and felt comfort with her and the staff immediately. She listens and explains things well."

Satisfied Patient Review

"Dr. Fuller is super professional and personable. He is very easy to talk to and very knowledgeable. His staff is also the sweetest and most patient ladies that I've ever had the pleasure of dealing with."

Dr. Sam Fuller Patient Review

"Post-Op, two months later I have a buldge above my belly button that wasn't there before. Almost as if she had forgotten or didn't even bother with the top part of my stomach."

RealSelf Patient Review (Dr. Rachel Macias)

Synthesized from public review platforms as of Jul 11, 2026 — sources: [1][2][3][4].

Information sourced from the clinic's website as of July 11, 2026.

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