OUR REVIEWS
Smooth dimpled or “orange peel” texture
Relax overactive chin muscles with neuromodulators such as Botox or Xeomin

Pebble Chin Treatment in Indianapolis

Pebble chin—sometimes called orange peel or cobblestone chin—is caused by overactivity of the mentalis muscle. When this muscle contracts too strongly, it creates a dimpled or pebbled texture in the chin that becomes more noticeable with facial movement or at rest.

At MD Wellness Center & Med Spa in Indianapolis, we offer a targeted, non-surgical solution to smooth pebble chin and restore a relaxed, even chin appearance—without surgery or downtime.

All treatments are performed by Dr. Srinivasu Kesa, MD.

Treatment Options:

  • Neuromodulators (Botox® / Xeomin®) | Starting at $10.49/unit
Reviews
900+ reviews
Dr. Kesa takes his time to make sure it’s subtle and balanced.
Auna M. ★ ★ ★ ★ ★
He's extremely careful and caring when injecting, and he made the experience as easy as possible.
Mikaili Azziz ★ ★ ★ ★ ★
My first time here and I was so impressed !!! I got Botox and it was wonderful.
Jennifer Harper ★ ★ ★ ★ ★
I like that he as a doctor, MD, does the injections. I have been to other places that nurses do them and have not been happy with the results. I'm always happy with Dr.K.
Laura Jean ★ ★ ★ ★ ★
I've had Xeomin for my frown lines and wrinkles 3-4 times and I would never go anywhere else.
Sally ★ ★ ★ ★ ★
Dr.Kesa, and his staff do a phenomenal job.
Mary Easley ★ ★ ★ ★ ★

Next Steps

Free Aesthetics Consultation
Meet with our MD to evaluate areas of concern and determine the most effective treatment options

Treat Pebble Chin Without Surgery

What is "Pebble Chin"?

Pebble chin—also known as orange peel chin—is a muscle-related condition, not a skin or aging issue. It occurs when the mentalis muscle in the chin contracts too strongly, pulling the skin inward and creating a dimpled or puckered appearance. This texture may appear only with movement or be visible even when the face is at rest.

Treatment

Unlike other facial concerns that involve volume loss or skin laxity, pebble chin is caused by excessive muscle contraction. Treatment focuses on calming the mentalis muscle to allow the skin to lie smoothly over the chin.

Neuromodulators (Botox® / Xeomin®)

A small, precise amount of neuromodulator is injected into the mentalis muscle to reduce overactivity.

  • Relaxes the muscle causing chin dimpling

  • Smooths puckered or pebbled texture

  • Maintains natural facial movement

  • Quick treatment with little to no downtime

Results typically begin to appear within a few days and last approximately 3–4 months.

Next Steps

We recommend starting with a free aesthetic consultation to evaluate your under-eye concerns, discuss your goals, and determine which treatment option is the best fit for you.

Serving Indianapolis, Carmel, Fishers, and surrounding areas


Call 317-548-4666 or click below to schedule your consultation at MD Wellness Center & Med Spa today.

Click to Schedule

About Us

Physician-Led Facial Refinement in Indianapolis

At MD Wellness Center & Med Spa, pebble chin is treated with a precise, conservative approach. Dr. Srinivasu Kesa, MD personally evaluates and performs all treatments, ensuring muscle relaxation is balanced for a smooth appearance without affecting natural facial movement.

  • Smooth dimpled or “orange peel” texture

  • Relax overactive chin muscles

  • Improve chin appearance at rest and with movement

  • Subtle, natural-looking results

Frequently Asked Questions

Is pebble chin a skin problem or a muscle problem?

Pebble chin is mainly a muscle-related condition caused by overactivity of the mentalis muscle. When this muscle contracts strongly, it pulls the skin inward and creates a dimpled or “orange peel” texture. While aging and skin thinning can make it more noticeable, the root cause is muscle movement rather than a primary skin issue.

How do Botox® or Xeomin® treat pebble chin?

Will treatment affect how my chin moves or look natural?

How long does pebble chin treatment last?

Who is a good candidate for pebble chin treatment?

Before & After

Customer Reviews

Total Reviews

900+
★★★★★

Dr Kesa is kind and a master giving face injections! Very little pain and amazing results.

Christine

Craig Steven
★★★★★

Love it here. First time customer, Dr. Kesa was great and agreed with a more conservative approach with the botox I wanted near my frown lines. Softened it up and looked natural, exactly what I desired.

Craig Stevens

★★★★★

Loved the staff and Dr. It was my first time getting filler and they were all so sweet, the energy was great. But most importantly they took their time asking and answering questions to better understand what I was looking for!

Kayla Scully

Suzy Allen
★★★★★

I also received a few facial treatments (Botox/Fillers) from Dr. Kesa and he is VERY down to earth and professional! He wants you to look and feel your most youthful and refreshed but will also tell you what he thinks will work best for your face and even tells you if he thinks you don’t need something. I highly recommend checking them out!

Suzy Allen

Elizabeth Par
★★★★★

This is the only place I trust to get filler and botox. My filler look so natural. he didn’t went overboard. It’s just perfect. I will definitely come back again.

Elizabeth Par

★★★★★

Dr.Kesa, and his staff do a phenomenal job. Easy to access, making appointments. The variety of services. All in all Dr. Kesa cares about his patients.

Mary Easley

★★★★★

I love MD Wellness Center! I have seen Dr. Kesa for thread lifts, botox, and fillers. He was very respectful of my concerns and worked with me to obtain realistic, achievable results. I have seen a significant improvement in my jowls and lower face- and it all looks so natural! I feel 10 years younger….

Donna Harris

Why Choose us

MD Wellness Center and Med Spa

  • Medical Expertise by Dr. Kesa
  • 900+ Verified 5-Star Reviews
  • Comprehensive Aesthetic & Wellness Services
  • Conveniently Located in Indianapolis
  • Virtual & In-Clinic Consultations Available

Contact Us

Our team is here to help you make an appointment with the specialists that you need: call us or fill the online booking form

Phone Number

317-548-4666

Address

6822 E 82nd Street #310, Indianapolis IN 46250


Email

contact@mytrimmd.com

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*Disclaimer: The information on this website is provided for general informational and educational purposes only and is not intended as medical advice. Content on this site is not a substitute for professional diagnosis, treatment, or medical decision-making.

*Photos and testimonials are for illustrative purposes only. Individual results vary.