What We Offer
Grace Dermatology & Aesthetics is a culturally competent practice providing a personalized approach to your skin, hair, and nail concerns. Whether medical or cosmetic, our dermatological solutions promote overall health and enhance natural beauty.
Caring for people with skin of color is a large part of what we provide at Grace. As a woman of color, our founder, Vivian Parham, AGPCNP-BC knows first hand the importance of health equity, representation, and specialized care.
Our Approach
At Grace Dermatology & Aesthetics, our approach centers around a commitment to excellence and cultural consciousness. We understand that each patient has unique skin concerns, aesthetic goals, and requires personalized care. We provide innovative treatments that are specifically tailored to meet your needs.
What's Your Skin Type?
The Fitzpatrick scale measures the response of different skin types to ultraviolet (UV) light. The scale varies based on the amount of melanin pigment an individual has in their skin, which determines the skin’s color and the typical effects of tanning after exposure to UV light. People with paler skin will burn easily, poorly tan, and require more protection from UV rays. They are also more susceptible to common skin cancers. While still requiring UV protection, people with darker skin tones will burn less, tan more easily, and are more likely to develop post-inflammatory hyperpigmentation (PIH) after injury.
Very pale skin that always burns and never tans. They may get burned from a short walk outside. Their skin may scar if it is slow to heal. People with this skin type usually have blonde hair as well as blue/green/gray eyes.
White skin that burns easily but can tan with difficulty. They may develop a slight tan but are more likely to burn with too much sun. Their skin may scar if it is slow to heal. People with this skin type usually have blonde or red hair with blue eyes.
Medium skins that may burn sometimes but can gradually tan to a light brown. Their skin may turn pink with too much sun, but it will eventually turn to a tan. This skin has higher potential for scarring. People with this skin type usually have light brown hair and brown eyes.
Olive skin that rarely burns and tans with ease. They will develop a deep tan without too much effort or trouble. Their skin scars easily. People with this skin type usually have medium brown hair and brown eyes.
Brown skin that rarely burns and tans very easily. They can handle large amounts of sun without turning red, though they should still use sun protection. This skin has a high risk of scarring. People with this skin type usually have dark brown hair and brown eyes.
Dark brown skin that never burns and tans very easily. They can handle large amounts of sun without burning at all, though they should still use sun protection. This skin has a very high risk of scarring. People with this skin type usually have black hair and brown eyes.
ABOUT VIVIAN
Vivian Parham,
AGPCNP-BC
Vivian Parham, AGPCNP-BC is a board certified adult nurse practitioner. An alumnus of New York University and nationally credentialed by the American Nurses Credentialing Center (ANCC), she has been prepared to provide the patient-centered care that defines her practice. Completing a rigorous Advanced Practice Fellowship under the tutelage of dermatologist and Top Doctor Jeremy Fenton, M.D.; Vivian has expertise managing skin, hair, and nail conditions. After practicing in Manhattan for several years, Vivian returned to Chattanooga, Tennessee in 2023 eager to serve the community she’s called home for over 30 years.
Ever concocting skincare products (mixing moisturizers) in her laboratory (bathroom) a passion bloomed in her early years. While learning to love her deeply melanated skin and textured hair in spaces they seemed always on display; Vivian resolved to help people of all skin types find their beauty.
Feeling especially called to provide an atmosphere that emboldens people of color to address their medical and cosmetic skin concerns confidently; Grace Dermatology & Aesthetics was born.
Vivian specializes in medical and cosmetic dermatology for all skin types and is passionate about providing culturally sensitive care by improving access to dermatology specialists that reflect the diversity of our community.
AWARDS & AFFILIATIONS
PATIENT TESTIMONIALS
FINANCING OPTIONS
Grace Dermatology & Aesthetics is accepting new patients. We work with private pay clients as well as insurance providers. Please contact us to learn more.