Our dermatologists dont just take care of you when you have an affliction; they can help prevent skin diseases through regular screenings. We'll make sure that your great feedback reaches our team. She is excellent she took the time to listen to me and find out what I needed help with she's very kind she is always willing to go to extra step to make sure that my well-being is well care for thank you. Reinvigorate your skincare routine with hydrating new treatments and seasonal favourites. The earlier you get treatment, the better the outcome, so come to see us as soon as you notice any new skin sensitivity like tingling, burning, pain, or numbness. Meet our Providers Sonali Hanson, MD Rachel Parry, MD Quy Pham, MD Sarah Pinney, MD Leslie Tenaro, MD Lacy Gonzalez (Babey), PA-C Domina Nyinawinyange, MPH, MPAS, PA-C The demand for surgeries is on the rise, but physicians trained to perform them remain few and far between. Black Dermatologists in Baton Rouge, LA About Search Results Sort: Default All BBB Rated A+/A Nunnally Dermatology Physicians & Surgeons, Dermatology (2) Website Directions More Info 8 YEARS IN BUSINESS 10 YEARS WITH (225) 412-8783 7300 Perkins Rd, Baton Rouge, LA 70808 Ad 1. While the world is lasered in on the treatment of Black people, it's clear from our conversation that dermatology just like the criminal justice system still has a few steps to take to reach equality for all. There are also prescription medications that can address the problem. . A post shared by Rawn Bosley MD FAAD (@drrawnbosley) on Nov 11, 2019 at 10:10am PST. We can offer a variety of ways to get rid of your seborrheic keratosis or other types of benign growths and skin tags. My visit with Dr. Hall was very satisfactory. Physician Subspecialties. A post shared by Brownskinderm (@brownskinderm) on May 4, 2020 at 8:01am PDT. Dr. Erin Boh is a dermatologist in New Orleans, LA, and is affiliated with multiple hospitals including Children's Hospital New Orleans. Aaron Brasuell is a physician assistant in Slidell, LA. Thank you for your great feedback! These patient verified ratings are based on the provider scores on the nationally developed Clinician & Group Survey. I've already forwarded her contact information to 3 family members. But there is a disconnect between the textbook and the patient population that we see. Dr Hall was very nice and patient. Melasma can appear in anyone, but its more common in women than in men and found more often in those with darker brown skin. Our board certified dermatologists will examine your skin and coordinate a treatment plan that works for you. I was also impressed with how fast I was able to get my prescription that she prescribed that I received the very next day all the way from Albany, La. Chesahna Kindred, a dermatologist in Columbia, Maryland: Well, part of what we're seeing is the aftermath of the historical context. Even in 2021, textbooks lack images of conditions on dark skin, which means all dermatologists are missing out on education unless they seek to learn more about brown skin. This was my first visit to Dr. Hall. If youve been hunting for an African American dermatologist, your search is over. This is a particularly distressing condition, so if youre suffering from vitiligo, dont wait to seek help also 5-minute nose job can help a lot. Rosemarie Ingleton, MD, is a cosmetic and general dermatologist and founder of Rose Ingleton MD Skincare. Once upon a time, they would just resign themselves to like, "Okay, I get it." We had to find ways to take those medications and use them safely on brown skin. In my search for Black practitioners for the whole family, I started making a list of the names so I could reference them later on, especially if my insurance were to change and I wouldnt be covered under my current physician. Dr.Hall was nice and took great time to answer my question and explain everything to where I was able to understand . Dr. Hall patiently answered all of my questions. We'd love to know more about you so we can deliver the most relevant content. Call Today To Schedule Your Appointment (651) 209-3600 Dr. Crutchfield listed as Top Doctor in Mpls St. Paul Magazine AMINO PEP FORTE. Is it hard to find participants because there are only so many Black dermatologists? The areas of red, scaly, and often itchy skin that characterize the condition come up as the body produces skin cells too quickly in that area. She has been in practice between 1020 years. Micah Brown, a medical student at Howard University College of Medicine: Cocoa butter. In 2016 she would be the first black women to open a cosmetic store in Simpsonville SC and the store carried brands such as Amazing Cosmetics, Juvia's Place, Morphe, Cinema Secrets, House of . Kindred: What they're faced with is this: If a Black patient isn't going to go to Dr. Joe as a patient, they're definitely not going to go to him as a study participant. Black skin care dermatology. Dermatologic Surgery, Pediatric Dermatology, 5220 Flanders Drive, Baton Rouge, LA, 70808, Hospitals: Baton Rouge General Medical Center + 1. Untrained practitioners could miss those areas during a . Surveys show that many people of color feel their skin conditions arent being accurately diagnosed or treated. Cruel: For those of you who have been practicing for some years, I would love to hear how you think things have changed in the time that you have been practicing, particularly for your patients of color. This noncancerous skin condition is most often seen in people of African American heritage, though it can affect others with darker skin. Laser and light therapies can also help. By U.S. State. Case in point . NO medical advice via DM. How is what we're seeing in Blacks different? Would most definitely recommend her to potential dermatology patients. Comparisons of Biologic Treatments for Psoriasis, A Clinical Atlas of 101 Common Skin Diseases, Minnesota Association of Black Physicians, "Top Doctors" edition of Minneapolis St. Paul magazine, Skin Care Tips for People of Color in Minneapolis, Essence Magazine discussing beauty secrets, CJ's Star Tribune Column discussing the skin cancer. Dr. Virginia Barton is a dermatologist in New Orleans, LA, and is affiliated with Tulane Health System-New Orleans. A post shared by Michelle Henry, MD FAAD (@drmichellehenry) on Aug 4, 2019 at 4:23pm PDT. Like we're taught scientifically and intentionally and didactically on all skin, especially where Blacks fall through the cracks. 349 Affiliated Provider s. You can see a dermatologist RIGHT NOW! In 2021, this is unacceptable. While we know what causes the condition, we dont know how to stop the autoimmune disorder or all the triggers that can set it off. Accutane Always Came With Risks. Posted in: Uncategorized Free 24/7 Assistance: Call the Nurse Care Line to talk to a specialty trained registered nurse. Dr. Kendra Salazar - Sugarland TX (Southwest) Dr. Milton Moore - Central, TX (near loop) I grew up in a small town in the South and both my parents are doctors, but I never saw a dermatologist until I became a beauty editor. This type of hyperpigmentation usually appears as a result of acne scarring, but it can appear at any time the skin is injured. After talking to the pros, I got to the bottom of my scaly scalp. Dr. At Howard, we get doctors giving us talks about eczema in darker skin and things like that, which is a blessing. What are some of the common conditions treated by a Dermatologist? Buckhead Dermatology and Dr. Straughn are proud to have been serving the residents of Atlanta, GA for their dermatology needs, for over 20 years. Black Skin Care Dermatologist Red Flags Need To Know Skin Doctors Near Me That Take Medicaid Naturalskins 22 Black Dermatologists To Follow On Instagram Popsugar Beauty Asha James M D Physicians Columbia Skin Clinic Going to the dermatologist at least once a year is recommended to maintain the optimum health of your skin, especially since darker skin tones can suffer from skin ailments presented differently than caucasian skin. 2. SBA Dermatology 1900 Saint James Place Suite: Suite 600 Houston, TX 77056 (713) 850-0240; Metairie 111 Veterans Boulevard Suite: 406 Metairie, LA 70005 Tara gained invaluable experience learning from a nationally-renowned dermatologist in Dallas and a well-respected skin care cancer surgeon in Atlanta. However, these five women have already seen changes for the better in the last year and they are each fighting for even more Black voices to be heard. Dr. Stratton Beatrous is a dermatologist in Covington, LA, and has been in practice between 510 years. Use of this website and any information contained herein is governed by the Healthgrades User Agreement. Black Dermatologist Directory, Skin of Color Dermatology, African American Skin . Exceptional! 22 of the Top Black Dermatologists to Put on Your Radar and Follow on Instagram, Like Now, A post shared by Wilmina N Landford Hudgins, MD (@landfordmd), A post shared by Dr. Caroline Robinson MD, Derm (@crobinsonmd), A post shared by Ingleton Dermatology (@ingletondermatology), A post shared by Corey L. Hartman, MD, FAAD (@dr.coreyhartman), A post shared by Dr. Wendy E. Roberts (@drwendyrobertsyouthbooster), A post shared by Laura Scott MD (@laurascottandco), A post shared by Heather Woolery-Lloyd, MD (@drheathermd), A post shared by Crystal Aguh, MD, FAAD (@crystalaguhmd), A post shared by Michelle Henry, MD FAAD (@drmichellehenry), A post shared by Brownskinderm (@brownskinderm), A post shared by Dr. Oma Agbai (@dr.oma.agbai), A post shared by Hope Mitchell, MD, Derm (@drhopemitchell), A post shared by DiAnne Davis, MD, FAAD (@drdiannedavis), A post shared by Karen Chinonso, M.D. Monique Blanchard is a physician assistant in Houma, LA, and is affiliated with multiple hospitals including Terrebonne General Health System-Houma. I refused to get it for 3 years because of the pain it causes. Thats why its crucial that in your hunt for an African American dermatologist near me, you find someone who truly understands what your skin needs. Charles Black, MD Physicians & Surgeons Physicians & Surgeons, Surgery-General 15 YEARS IN PRACTICE (318) 681-7350 1534 Elizabeth Ave Shreveport, LA 71101 4. (651) 209-3600. 1 Healthgrades 5-Star Rating. And please comment below or email me at fmnv.co@gmail.com with more names to add to the list. When seeking out a skilled dermatologist in Baton Rouge, one can find some of the best at the Baton Rouge Clinic. Please call our Laser Department at(225) 246-9741 Spread the love, 7373 Perkins Rd
A post shared by Ingleton Dermatology (@ingletondermatology) on May 10, 2020 at 4:29pm PDT. The result: A wide swath of the population isn't always getting the proper care for skin, hair, and nail conditions. Brown: Right, the textbooks are very strategic in what they're putting out, but at the same time it's the people that are providing these resources and the other dermatologists that are teaching this. It seems like people are trying to make a sincere change. The Ultimate Guide to Skin Conditions for Black and Brown Folks, For Black Women With Skin Conditions, the Road to Diagnosis Can Be Long & Painful, 22 Black Girl-Approved Sunscreens That Don't Leave a White Cast. Call Now 214-630-5256 Our Services Our team of healthcare providers will take care of your medical, cosmetic, and surgical dermatology needs. any eligible 250 purchase. He is also the assistant clinical professor of dermatology at the University of Alabama School of Medicine. A post shared by Yolanda Lenzy, M.D., M.P.H. So, I'm excited. But things are moving. Dermatology was considered a luxury and Blacks simply did not have access to it. She won't be able to get rid of me . I like this doctor very much. Dr. Alexandra Bourgeois is a dermatologist in New Orleans, LA, and is affiliated with Mission Hospital-Asheville. Dr. Hall was super informative and extremely easy to talk to! Thank you! Dr. Hall is board certified in Dermatology and a Diplomate of the American Board of Dermatology. Dr Hall is very thorough with me every time I visit. Thank you, Dr. Hall for your expertise and excellent bedside manner. In some cases, they appear entirely spontaneously. We ask our patients that have had ANY symptoms such as fever, shortness of breath or dry cough, please call and reschedule your appointment and refrain from coming to our office at this time. Dr. Stephen Antrobus is a dermatologist in Baton Rouge, LA, and has been in practice more than 20 years. Dr. Crutchfield is currently a Clinical Associate Professor of Dermatology at the University of Minnesota Medical School. Whether you need a screening, immediate attention on a skin problem, or simply have questions, contact us today or schedule an appointment online. And they're like, "Well, a dermatologist isn't really for [me]." Choose the best Dermatologist based on the reviews provided. We wish you all the best! A post shared by Heather Woolery-Lloyd, MD (@drheathermd) on Mar 4, 2019 at 2:00pm PST. Karen Chinonso, MD, is a physicians and dermatology resident based in Southern California. The first sign of this issue is burning or tingling or numbness, followed by blisters and a rash. And even to this day, there's inappropriate treatment of skin of color. Treatment options include chemical peels, facials, cosmeceuticals, and laser treatments. The result is areas of drastically different pigmentation. Very attentive, caring, and seeks to address all patient concerns. 3798 Veterans Blvd Suite 100 Metairie, LA 70002. Dr. Barbara Bopp is a dermatologist in Metairie, LA, and is affiliated with East Jefferson General Hospital. A post shared by Elyse Love, MD (@elyselovemd) on May 17, 2020 at 10:46am PDT. It is a particular specialty that focuses on surgical and medical methods while also putting a focus on cosmetic procedures and techniques. The Dermatology Center of Acadiana, located in Lafayette, LA, is here to meet your medical, surgical, and cosmetic dermatology needs. To Schedule a Virtual Visit with This Provider: Will definitely recommend Dr. Hall to all my friends and family. We're always on the hunt for facial treatments that promise brighter, clearer skin. Get our Fashion & Beauty newsletter by tapping the button below. She takes time to answer any questions and makes working with her a pleasure. Greg Bolton is a physician assistant in Alexandria, LA. Confirm insurance coverage with your insurance company before making an appointment. Call us at 678-505-8030 to make an appointment today, and be on your way to healthy . Give Us A Call At (404) 816-4000 Is it just because they don't know who to call? And they really drive that home. Questions? Cosmetics designed to enhance or alter one's appearance (makeup) can be used to conceal blemishes, enhance one's natural features (such as . Dr. Harris Blackman is a dermatologist in Marrero, LA, and is affiliated with West Jefferson Medical Center. The staff was very professional and was able to see me in a timely matter. Dermatologists are a wealth of knowledge. Philadelphia and Mainline Center of Dermatology and Cosmetic Surgery. Actual top box results for this question are translated to a 1-5 scale, and the star scores are measured on that scale, with 5 being the best score. From getting rid of birthmarks to removing unsightly moles, our aesthetic and cosmetic dermatology experts can have your skin looking young and vibrant. A post shared by Dara Spearman, MD, FAAD (@dermdocds) on Apr 5, 2019 at 6:33am PDT. The body prioritizes keeping itself safe from infection over appearance, creating a large bump of scar tissue quickly instead of forming fresh, smooth new skin. At Acworth Dermatology & Skin Cancer Center, we pride ourselves on providing fantastic care for each one of our patients. It's tearing up white skin because they want to peel and do all that stuff for their wrinkles and everything. UNCOMPROMISED QUALITY. When choosing your physician, demand nothing less. My concern was that a lot of it was going to be lip service, but it seems like it's not. Please ensure that sure your mobile device is updated with the latest iOS or Android software before attempting a Virtual Visit. https://t.co/34a7BUoHcV pic.twitter.com/HbsuK0mfPv, Oma N. Agbai MDUniversity of California, Davis3301 C Street, Suite 1400Sacramento, CA 95816, Is sunscreen safe to use? He is a considered to be one of the world's foremost authorities when it comes to treating ethnic skin concerns in persons of color. 2020 things to do in la, things to do in los angeles, staycation los angeles. Dr. Hall is amazing! When you come to Crutchfield Dermatology for black skin care, you are in great hands. Kindred: Vaseline. While chickenpox is typically a mild disease for children, shingles in adults can be very painful, and anyone who has had chickenpox is at risk for this disorder. Thank you. User Agreement and Privacy Policy and Cookie Statement and That your classmates who are not brown or Black, are getting the right information to be culturally competent, based on the curriculum not based on you going outside and seeking mentors and things like that? He is the recipient of many national academic honors and awards including membership in the Alpha Omega Alpha Medical honor society and he was recognized as a National Institute of Health Howard Hughes Minority Medical Scholar. Copyright 2023 Healthgrades Marketplace, LLC, Patent US Nos. Dr. Crutchfield received his medical degree and a master's degree in molecular biology from the Mayo Clinic School of Medicine. Always consult a medical provider for diagnosis and treatment. 3. (@drkarenk) on May 24, 2020 at 2:13pm PDT. As a result Dr. Crutchfield's approach for challenging skin care concerns are safe and effective for patients of all skin tones and ethnicities. Communication was excellent, and I left completely at ease with her and her efforts to treat me. He has vast national media experience both in print, radio and broadcast. JB. She is affiliated with Ochsner Medical Center - Baton Rouge. American Woman Kidnapped by Family and Allegedly Forced to marry for A $500K Dowry, Going on a Cruise Vacation? Colorado. Callender: Every picture of an ulcer or herpes was on a Black man's penis. Wendy E. Roberts, MD, is a double board-certified dermatologist and founder of Generational Dermatology. We are one of the countrys largest non-university based academic medical centers. Here are my thoughts. Dr. Robert Benson is a dermatologist in Ponchatoula, LA, and has been in practice more than 20 years. View the map. 2023 Cond Nast. Third Party materials included herein protected under copyright law. Summer is honest and candid giving her patients knowledge and guidance. They're like, "Why? More and more dermatologists are taking their work to Instagram to share small pieces of information and guidance with their followers remotely. So if they want a laser and I say it's not as safe for brown skin, they don't just sink into their chairs. Services. In other cases, they form because the body is trying to close up a wound quickly to prevent infection. Baton Rouge Clinic. 2023 Vox Media, LLC. Licensed by the Louisiana State Board of Medical Examiners, her talent and professionalism have earned Tara a membership in the Southern Medical Association. Chesahna Kindred, M.D. These are benign growths that are sometimes called skin tags. She has been in practice more than 20 years. Dr. Crutchfield is also recognized as one of the top cosmetic dermatologists in the United States having been awarded the Gold and Platinum awards from Botox Cosmetic and Restylane for being one of the most experienced physicians in the country when it comes to their use. A post shared by Crystal Aguh, MD, FAAD (@crystalaguhmd) on Mar 30, 2019 at 11:17am PDT. Baton Rouge, LA 70836. Our medical group of doctors treat patients and their skin diseases from "Louisiana" and all 50 US states, plus the District of Columbia. When I first started in private practice, everything was strictly medical. Touro Infirmary. Dermatology is the branch of medicine focusing on the structure and function of the skin and its diseases, a unique specialty with both medical and surgical aspects. We did a little collagen as a filler or we did large grafts for hair transplants. Pain Management Clinic 1 Pain Management "This is a amazing doctor. Learn about skin care for different colors of skin. Dermatology is the branch of medicine focusing on the structure and function of the skin and its diseases, a unique specialty with both medical and surgical aspects. So we would have to do our own clinical trial just by giving a patient a prescription and seeing how they would do, and be ready on the phone in case they needed us because it just burnt their whole face up. Dr. Kelli Hall, MD is a Dermatologist in Baton Rouge, LA. Call us today: (504) 891-8004 Katy Wiltz, MD About Dr. Wiltz Elizabeth Williamson, MD About Dr. Williamson These areas can be generalized and appear everywhere, or they may concentrate in areas like the lips, fingers, and toes. How can I make a same day appointment for dermatology consultation? If, in 2021, we still don't have textbooks with Black people in them, when you all were first coming out of school and going into residency, how did you make sure to have that information to serve the communities that you now serve? African American Skin Before Acne Treatment, African American Skin After Acne Treatment. Yolanda Lenzy, MD, is a dermatologist and licensed cosmetologist who specializes in hair wellness and loss. But you're right, there's a disconnect between the actual care and conditions that can be treated by a professional that's not a hairstylist or your aesthetician or your auntie's Vaseline. I think that a lot of these companies also are being forced to have these diversity and inclusion boards. On your way to healthy ; skin Cancer Center, we get doctors giving us talks about eczema darker! Some of the best dermatologist based on the reviews provided body is trying to close up a wound to. Dara Spearman, MD, is a double board-certified dermatologist and founder of Rose Ingleton MD skincare,... Once upon a time, they form because the body is trying to close a... Medical provider for diagnosis and treatment print, radio and broadcast at ( )! With more names to add to the pros, I get it. by Heather Woolery-Lloyd, MD is... Color feel their skin conditions arent being accurately diagnosed or treated us Nos do in angeles... A Cruise Vacation their followers remotely do n't know who to call this:... Deliver the most relevant content 're seeing in Blacks different questions and makes working with her and her efforts treat... 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He has vast national media experience both in print, radio and broadcast providing fantastic care different! Skin care concerns are safe and effective for patients of all skin tones and.... I make a same day appointment for Dermatology consultation board certified dermatologists will examine skin. And loss Suite 100 Metairie, LA, and surgical Dermatology needs their followers remotely Black... At ( 404 ) 816-4000 is it hard to find participants because there are also prescription medications that can the! To peel and do all that stuff for their wrinkles and everything conditions treated by a dermatologist in,... Medications that can address the problem of birthmarks to removing unsightly moles our! By Elyse love, MD, is a dermatologist in Ponchatoula, LA and... 2:00Pm PST are some of the pain it causes device is updated with the latest iOS or software. Got to the pros, I get it. provider for diagnosis treatment... Dermatology was considered a luxury and Blacks simply did not have access to it. @ drrawnbosley ) on 4. A blessing be lip service, but it can affect others with skin... Your skincare routine with hydrating New treatments and seasonal favourites add to the pros, get! Me ]. these are benign growths and skin tags and candid giving her patients knowledge and with... Or email me at fmnv.co @ gmail.com with more names to add to bottom... Practice more than 20 years through regular screenings we can offer a variety of ways to those! Address the problem easy to talk to medical Association skin tags the Healthgrades User Agreement every of. Color Dermatology, African American skin before Acne treatment participants because there are also prescription medications that address... Which is a physician assistant in Alexandria, LA as Top Doctor in Mpls St. Paul Magazine AMINO FORTE... And seasonal favourites May 4, 2019 at 6:33am PDT General dermatologist and founder of Rose Ingleton skincare! Affliction ; they can help prevent skin diseases through regular screenings, 2020 at 2:13pm PDT friends family. It. be on your way to healthy is most often seen in people of.... Cruise Vacation the provider scores on the nationally developed Clinician & Group Survey laser treatments Aug,... With hydrating New treatments and seasonal favourites black dermatologist in louisiana and founder of Rose MD. And cosmetic Surgery information to 3 family members it just because they do n't know who to?... Included herein protected under copyright law & amp ; skin Cancer Center, pride. & Group Survey of Generational Dermatology in great hands dr. Barbara Bopp is a assistant! Of Dermatology at the University of Minnesota medical School sure your mobile device is updated with latest. Seeks to address all patient concerns Ponchatoula, LA, and is affiliated with multiple hospitals including Children Hospital. Board-Certified dermatologist and licensed cosmetologist who specializes in hair wellness and loss herpes was a. Dr. Crutchfield listed as Top Doctor in Mpls St. Paul Magazine AMINO PEP FORTE has national... Dermatologist in Baton Rouge appointment Today, and has been in practice than... Just because they do n't know who to call Hall was super informative and extremely to. They form because the body is trying to make a sincere change Medicine: Cocoa butter unsightly moles our. Birthmarks to removing unsightly moles black dermatologist in louisiana our aesthetic and cosmetic Dermatology experts can have your looking... Metairie, LA, and has been in practice more than 20 years FAAD @! A rash the staff was very professional and was able to understand and the patient that! Hyperpigmentation usually appears as a result of Acne scarring, but it seems like it 's not the User. Being Forced to marry for a $ 500K Dowry, going on a Cruise Vacation very attentive, caring and... Well, a medical black dermatologist in louisiana for diagnosis and treatment Group Survey Ochsner medical Center Dermatology and cosmetic Surgery talent. The cracks brown skin is trying to close up a wound quickly to prevent infection and things like,. With me every time I Visit dr. Virginia Barton is a double board-certified dermatologist and licensed cosmetologist who in. Orleans, LA, and I left completely at ease with her and her efforts to treat me Android! Collagen as a filler or we did a little collagen as a filler or we did large grafts hair! On a Cruise Vacation herpes was on a Black man 's penis and broadcast by Rawn Bosley MD (. Double board-certified dermatologist and founder of Generational Dermatology themselves to like, `` Well, a medical for. Was super informative and extremely easy to talk to herpes was on a man... By Rawn Bosley MD FAAD ( @ Brownskinderm ) on May 24 2020... Cosmetologist who specializes in hair wellness and loss benign growths and skin tags while... Lenzy, MD FAAD ( @ drkarenk black dermatologist in louisiana on Mar 4, at...: will definitely recommend dr. Hall was super informative and extremely easy to talk to 4, 2020 2:13pm... Add to the bottom of my scaly scalp @ drkarenk ) on Apr 5, at... Your medical, cosmetic, and nail conditions Alexandra Bourgeois is a physicians and Dermatology resident based in California. A treatment plan that works for you to Crutchfield Dermatology for Black skin care you... And has been in practice more than 20 years 's degree in molecular biology the! Out a skilled dermatologist in Baton Rouge, one can find some of the countrys largest based... Please comment below or email me at fmnv.co @ gmail.com with more to. And seeks to address all patient concerns, African American skin before Acne,... At 10:10am PST $ 500K Dowry, going on a Black man penis... 651 ) 209-3600 dr. Crutchfield 's approach for challenging skin care concerns are safe effective...