Profile of Ronald K. Downs, Dr

Dr. Ronald K. Downs has been serving the Mishawaka and South Bend areas for over 30 years as a board-certified plastic surgeon and founder of The Centre, P.C. in Elkhart, Indiana. A highly credentialed thought leader, he is an active member of several professional organizations, regularly speaks at industry meetings, and has contributed to the field through publications and consulting for leading manufacturers. Dr. Downs is committed to helping patients achieve natural looking appearances.

Dr. Rachel J. Macias joined The Centre PC in 2021. She brings exceptional expertise and a compassionate approach to patient care. A northern Indiana native, Dr. Macias has a special interest in breast surgery, body contouring, and cancer reconstruction, and has presented her research at national conferences. Dr. Macias is dedicated to helping patients feel confident and supported throughout their plastic surgery journeys.

Procedures of Ronald K. Downs, Dr ⁽⁵⁶⁾

Procedure	Rank in Mishawaka	Rank in IN	Rank in US
Breast Lift A procedure that lifts the breast tissue and repositions the nipples to remedy sagging breasts.	Ranked in Mishawaka: 1	Ranked in IN: 38	Ranked in US: 3175
Breast Revision Breast revision surgery makes to improve the appearance of breasts that have been previously operated on.	Ranked in Mishawaka: 1	Ranked in IN: 19	Ranked in US: 1925
Arm Lift An upper arm lift is a cosmetic surgical procedure that removes excess fat and loose skin on your underarms, eliminating the appearance of “bat wings.”	Ranked in Mishawaka: 1	Ranked in IN: 33	Ranked in US: 2383
Thigh Lift A procedure that trims away extra excess skin and fat to create more toned thigh contours.	Ranked in Mishawaka: 1	Ranked in IN: 24	Ranked in US: 2041
Brazilian Butt Lift Also known as a “Fat Transfer to Buttock” or “BBL”, this procedure uses liposuction to remove fat pockets from undesired areas for insertion into the buttocks for a more lifted and enhanced look. Includes two areas of liposuction.	Ranked in Mishawaka: 1	Ranked in IN: 23	Ranked in US: 1478
Labiaplasty A labiaplasty is surgery to reduce the size of the labia minora – the flaps of skin either side of the vaginal opening	Ranked in Mishawaka: 1	Ranked in IN: 4	Ranked in US: 365
Brow Lift A surgical procedure that removes wrinkled, drooping skin around and above the eyebrows. This lifts the eyebrows and restores them to their appropriate placement.	Ranked in Mishawaka: 1	Ranked in IN: 49	Ranked in US: 3060
Neck Lift A procedure that improves the look of the neck by redraping sagging, wrinkled skin. In addition, it tightens the skin by removing excess skin.	Ranked in Mishawaka: 1	Ranked in IN: 31	Ranked in US: 2624
CoolSculpting CoolSculpting body contouring treatments use cryolipolysis, or fat freezing, to target stubborn areas of fat without surgery.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
Chemical Peels A chemical peel uses an acidic solution applied to the skin to remove damaged top layers, speed cell turnover, and boost collagen growth for a brighter, more even-toned complexion.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
Microneedling Microneedling is a nonsurgical treatment that penetrates your skin’s surface with tiny needles to improve its appearance.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
Microneedling with PRP Microneedling with PRP treatment involves using the patient's own blood as a resource to isolate the platelets with a centrifuge.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
Pigmented Spot Removal Pigmented spot removal works by eliminating pigment in the surface of the skin through the body's lymphatic system.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
Latisse Latisse is an eyelash serum that boosts hair growth for longer, thicker, fuller lashes.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
Scars Treatment Scars treatment differs based on the particular scar’s size, texture, and location.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
Stretch Marks Treatment Stretch marks are a type of scar that happens when your skin stretches or shrinks quickly.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
Tattoo Removal The "standard modality for tattoo removal" is the non-invasive removal of tattoo pigments using Q-switched lasers.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
BodyTite BodyTite uses radiofrequency energy (RF) to tighten loose skin, remove fat, and firm tissue.	Ranked in Mishawaka: 1	Ranked in IN: 4	Ranked in US: 640
Male Breast Reduction Gynecomastia surgery reduces breast size in men, flattening and enhancing the chest contours.	Ranked in Mishawaka: 1	Ranked in IN: 7	Ranked in US: 598
Liquid Facelift A liquid facelift is a nonsurgical procedure that uses injectables to restore facial volume, reduce wrinkles, and rejuvenate the face and give it a more youthful appearance.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
Lower Body Lift The lower body lift extends the tummy tuck incision completely around the lower torso, which allows surgeon to lift or resuspend the thighs and tighten the buttocks as well as to execute the traditional tummy tuck.	Ranked in Mishawaka: 1	Ranked in IN: 6	Ranked in US: 1617
All Resurfacing & Rejuvenation Lasers Laser skin resurfacing and rejuvenation removes skin layer by layer with precision, the new skin cells that form during healing give the skin a tighter, younger looking surface.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
FaceTite FaceTite is an FDA-cleared facial rejuvenation procedure that delivers radiofrequency energy beneath the skin’s surface to stimulate collagen production, which tightens and firms skin.	Ranked in Mishawaka: 1	Ranked in IN: 7	Ranked in US: 737
Arm Liposuction A surgical procedure that removes stubborn fat deposits from the arms.	Ranked in Mishawaka: 1	Ranked in IN: 1	Ranked in US: 821
Skin Tightening Skin tightening treatments can firm and tighten excess skin caused by aging or weight loss.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
Poikiloderma Treatment Poikiloderma of civatte is a chronic vascular and pigmentary disorder typically involving the lateral and inferior central neck region.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
PDO Thread Lift A PDO thread lift is customized to your unique skin type, skin texture and aesthetic goals.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
Areola Reduction Areola repositioning involves both the areola and the nipple being lifted and established in a natural position.	Ranked in Mishawaka: 1	Ranked in IN: 15	Ranked in US: 984
Mini Facelift A mini facelift is an anti-aging surgery that focuses on sagging skin.	Ranked in Mishawaka: 1	Ranked in IN: 17	Ranked in US: 1331
Keloid Removal Keloid surgical removal or laser removal are successful treatment options.	Ranked in Mishawaka: 1	Ranked in IN: 8	Ranked in US: 209
Belotero Belotero is an injectable hyaluronic acid filler that’s FDA-approved to smooth moderate to severe facial wrinkles and folds, like marionette lines and nasolabial folds.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
Age Spot Treatment Because the pigment is located at the base of the epidermis, treatment meant to lighten the age spots must penetrate this layer of skin.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
Skin Lesion Removal This technique involves removing a skin lesion in the deeper levels of the skin down to the fatty layer under the skin.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
Facelift Facelift surgery tightens underlying muscles, lifts tissues, sculpts fat, and removes excess skin, to give your face and neck a more youthful appearance.	Ranked in Mishawaka: 1	Ranked in IN: 49	Ranked in US: 3694
Rhinoplasty Commonly referred to as a “nose job” this surgical procedure can help correct undesirable ridges, size, shape, or other aspects of the nose. In some situations, this procedure can correct certain breathing problems.	Ranked in Mishawaka: 1	Ranked in IN: 31	Ranked in US: 2881
Facial Implants A facial implant is a small device (made of silicon or another safe material) that plastic surgeon puts underneath your skin during surgery.	Ranked in Mishawaka: 1	Ranked in IN: 21	Ranked in US: 1895
Eyelid Surgery Eyelid surgery tightens and lifts sagging eyelid skin.	Ranked in Mishawaka: 1	Ranked in IN: 52	Ranked in US: 3605
Liposuction A surgical procedure that removes stubborn fat deposits from the legs.	Ranked in Mishawaka: 1	Ranked in IN: 17	Ranked in US: 1698
Botox Botox works by blocking nerve signals to the muscles, so the injected muscle can’t contract.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
Facial Fillers Facial fillers are synthetic or naturally occurring substances injected into the lines, folds, and tissues of the face to decrease the appearance of wrinkles and restore the facial fullness that decreases with age.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
Breast Augmentation Breast augmentation is a plastic surgery procedure that can enhance your breast size and shape.	Ranked in Mishawaka: 1	Ranked in IN: 39	Ranked in US: 3496
Breast Reconstruction Breast reconstruction surgery helps restore a more natural, symmetrical appearance of a breast that has been removed by a mastectomy or altered by a lumpectomy as part of breast cancer treatment.	Ranked in Mishawaka: 1	Ranked in IN: 17	Ranked in US: 2223
Kybella Kybella injections dissolve fat cells to reduce small areas of excess fat.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
Juvederm Juvéderm injected beneath the skin, the gel-like substance instantly helps smooth lines and wrinkles, soften creases, enhance facial contours, and restore lost volume.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
Microdermabrasion A microdermabrasion treatment gently removes the top layer of dead and damaged skin cells and vacuums them away.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
Hair Removal Hair removal is the deliberate removal of body hair.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
Lip Augmentation Lip augmentation is a cosmetic procedure that can give you fuller, plumper lips.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
Restylane The Restylane product line of injectable fillers temporarily adds volume to plump lips, lift cheeks, smooth wrinkles, fill in scars and under-eye hollows, and rejuvenate aging hands.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
Jawline Rejuvenation Jawline rejuvenation is a key component to global facial aesthetic rejuvenation.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
Fat Transfer A procedure that removes fat from one area of the body via liposuction and transfers it to another area.	Ranked in Mishawaka: 1	Ranked in IN: 19	Ranked in US: 1988
Facial Sculpting Facial sculpting - comprehensive approach for aesthetic correction of round face.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
Hand Rejuvenation Hand rejuvenation treatments turn back the clock by reducing wrinkles, minimizing prominent veins, fading brown spots, and improving skin tone.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
Chin Augmentation A chin augmentation refers to refinement/improvement of the bone contour of the chin area.	Ranked in Mishawaka: 1	Ranked in IN: 27	Ranked in US: 1911
Dark Spot Removal A doctor can offer creams or procedures to lighten dark spots, or in some cases, remove them.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
Hydrafacial A hydrafacial is a multistep facial done with a patented device that uses Vortex-Fusion to cleanse, exfoliate, do pore extractions, and deliver customized serums into the skin.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US:
Sculptra Sculptra is an FDA-approved injectable filler that can smooth deep wrinkles like marionette lines, as well as restore volume and firmness to areas like the cheeks and temples.	Ranked in Mishawaka:	Ranked in IN:	Ranked in US: