do blackpilled derms even exist?

[Sin32x]

i feel like every dermatologist ive been to has been a fucking grifter just selling overpriced creams do nothing at all (literally charging $300 for tretinoin JFL). I need to find a blackpilled one tho for anti aging / collagen treatments when i get older.

Are all derms just worthless.. if not how do u find good ones. Im in US btw.