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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)

I liked the staff and the doc!

#12025-12-02

I was impressed that the doctor really listened to me and that she thoroughly answered my questions. Instead of telling me not to worry about things, she explained the nature of the condition and why it wasn't a concern. She also thoroughly explained my treatment options so I could make an informed decision.

#22026-02-21

After meeting the doctor I felt very comfortable. When I first came in I was very nervous

#32025-09-25

cleanliness of office, layout of facility, short wait time to see physician, communication skills of physician and medical asst.

#42026-05-10

The medical assistant was very helpful.

#52025-10-29

dr and med asst. made me very comfortable instead of the traditional white coat syndrome

#62011-06-02 13:39:55

Appearance of office, professionalism and efficiency of staff and doctor.

#72012-10-03 12:03:35

the music and decor of the facility

#82025-07-20

Doctor made eye contact while talking - this is truly the sign of a caring person. Thank you.

#92025-09-21

The way Dr.Ringpfeil and the medical assistant has communicated

#102025-12-08

What can we do better?

(answers:373)

How about a smile to greet a brand new patient? How about explaining that I need to go and fill out info on the computer instead of pointing over there you need to complete things. I felt like walking out by the rudeness. The medical assistant and phys asst were extremely kind, thorough and helpful. I realized that I was here to seek help for my child and received amazing medical help. Thank you.

#12011-07-11 11:52:49

I checked off compimentary consultation with aesthetician on the intake forms, but it wasn't mentioned and I forgot to ask during the examination.

#22026-04-20

I am completely happy with my needs being met here.

#32010-08-23 16:52:07

Excellent, no improvement needed.

#42025-11-15

Provide some written information for questions asked. I can't remember everything said.

#52026-04-21

If it's not broke don't fix it...everything was handled very well

#62025-08-09

?water cooler in the waiting room?

#72025-11-01

Everything was great! The only thing I would say is when I called to make an appointment for sun spot treatment to let me know that I should limit my sun exposure and wear sunblock.

#82011-05-05 13:30:08

more relaxing music

#92025-07-26

website access to new patients more visable on site

#102025-07-08

Customer Rating : 4.7

Based on 637 ratings