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Philadelphia and Mainline Center of Dermatology and Cosmetic Surgery

Written by Dr. Ringpfeil

Sclerotherapy

Overview:

Sclerotherapy is a technique designed to shut down unsightly spider veins on legs, thighs, face or other body areas. Several substances can be injected to cause this effect. While providing identical results and downtime, detergents/foaming agents are generally considered painless while hypertonic saline injections are uncomfortable.

Sclerotherapy is used for the treatment of larger spider veins. It is often followed by several sclerolaser treatments which resolve extremely fine vessels that did not take to sclerotherapy.

Expected results:

Seventy percent reduction of spider veins after a series of treatments.

Preparation:

Avoidance of aspirin and ibuprofen for 10 days. Depending on the examination, ultrasound may be necessary to exclude reflux, which may hamper treatment success. If reflux is detected, a consultation with a vascular surgeon may be necessary to remove underlying varicosities.

Post treatment instructions:

Compression stockings 20-30 mmHg or higher for 6 weeks, sun avoidance for 3 months, avoidance of aspirin and ibuprofen for 3 days.

Time to desired results:

The reduction of spider veins can be seen 6 to 8 weeks after each treatment on the lower extremity; facial veins and those on the trunk usually respond faster.

Duration of desired effects:

5-7 years. After this time, our body will form new vessels, especially in genetically determined spider veins.

Limitations:

We do not perform treatments to veins on hands or on the upper or lower eyelids. Ankle veins are challenging to treat.

Contraindications:

History of bleeding or clotting disorders, diabetes, certain auto-immune disorders, pregnancy/breastfeeding, allergy to Sotrodecol or Polidocanol.

Downtime:

Up to 3 months of bruising or hyperpigmentation.

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# of surveys: 4187
Last updated: 1/02/2024 11:10 AM

PATIENT RATINGS

Would you recommend us?

definitely
93.1%
probably
6.16%
maybe
0.58%
not likely
0.08%
no
0.02%

Compare our service to other similar practices

excellent
87.9%
very good
10.1%
good
1.8%
poor
0.06%
very poor
0%

Overall doctor performance

excellent
94.2%
very good
4.89%
good
0.80%
poor
0.03%
very poor
0%

The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
poor
0.05%
very poor
0%

The doctor took time to answer your questions

excellent
94.0%
very good
4.66%
good
1.27%
poor
0.02%
very poor
0%

The doctor explained treatment options

excellent
94.3%
very good
4.16%
good
1.25%
poor
0.14%
very poor
0.02%

The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
0.11%
very poor
0.0%

Front desk performance

excellent
85.6%
very good
10.2%
good
3.66%
poor
0.31%
very poor
0.08%

Aesthetician performance

excellent
88.6%
very good
7.61%
good
3.39%
poor
0.24%
very poor
0.08%

Office comfort

excellent
90.9%
very good
6.93%
good
2.08%
poor
0.05%
very poor
0.05%

Parking

excellent
66.4%
very good
14.4%
good
15.7%
poor
2.49%
very poor
0.9%

Friendliness of the staff during appointment

excellent
90.9%
very good
7.23%
good
1.85%
poor
0.05%
very poor
0%

What WE DID WELL

(Answers:674)

How kind and attentive both Linda and Jenny were. I did not feel rushed and I did not feel pushed into buying products, which were two reasons I left the last practice I was using.

#12011-04-14 11:05:49

The doctor was very thorough and pleasant. Having Melissa take notes was an excellent strategy for covering so much information in a short amount of time.

#22025-09-27

Promptness

#32011-06-06 08:59:45

Doctor was very friendly & knowledgable. I especially appreciated that she seemed unrushed and focused on me. I am hopeful that the procedure she recommended will improve my condition (facial scar).

#42026-06-15

Dr very friendly and made me comfortable.

#52026-05-17

Being explained about shopping around at diff. pharmacies for pricing of prescriptions.

#62026-03-14

Electronic Files

#72010-11-15 12:09:12

THE STAFF AND THE PAINTINGS - lINDA WAS A GOOD LISTENER AND EXPLAINED EVERYTHINF IN DETAIL - SHE DID MOT RUSH ME - I LIKE THAT - ERIN WAS PLEASANT AND VERY PROFESSIONAL . I WAS A GOOD VISIT- THNKA YOU

#82011-04-01 14:05:41

knowledge and friendly

#92026-05-27

I loved the office space. Very friendly and the decor was very nice. I also appreciated the opportunity to do documentation on the computer.

#102026-01-20

What can we do better?

(answers:373)

clear directions to facility

#12025-08-07

Offer a male of female medical assistant and ask if opposite sex assistant is okay

#22011-06-02 13:39:55

This was a great experience and I would not change anything

#32025-07-11

everything was fine

#42011-02-24 15:01:34

DO NOT CHANGE A THING- YOU FOLKS ARE WONDERFUL!!!!!

#52026-04-23

Everything was excellent

#62026-05-23

couldnt be any better

#72025-08-03

Cookies and Milk! Seriously, I love coming in and being seen promptly. More importantly, I like the fact that the doctor was not distracted and there was not a single interruption.

#82025-08-17

Keeping me from dying of skin cancer would be good (I will behave and do the checks and annual exam to help out!!!)

#92010-11-29 11:47:11

no recommendations necessary

#102026-03-13

Customer Rating : 4.7

Based on 637 ratings