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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)

This was an emergency appointment, and you all took wonderful care of me!!! Thanks so much!

#12026-04-16

Outstanding experience across the board: Dr. R, Melissa, staff, facility.

#22010-11-29 10:34:31

Both Alana and Dr. Ringfeil listened to all of my concerns. Excellent doctor and office, will highly recommend.

#32011-05-25 10:21:24

Using a computer to fill out the new patient forms!

#42025-09-29

Bravo!! I am very impressed with the doctor, staff, facility, everything right down to the current magazines available in the reception room(that I didn't even get to read!). I can highly recommend you with trust and confidence.

#52011-06-02 14:18:32

very comfortable, but classy environment. Gave the feeling that the practice was upscale and therefore service would be quality

#62011-12-22 16:04:37

I don't have insurance, and Dr.Ringpfeil carfully thought about my situation and prescripted with my budget. Very nice and explained each medication that I'm on. LOVE THIS PLACE! hope my face gets better fast..

#72010-11-10 08:24:10

Everyone was friendly and helpful. We did not feel rushed at all and that is wonderful. Thanks!!

#82011-11-29 10:38:27

Thought Dr. Ringpfeil was very nice and professional!

#92025-09-20

Overall friendliness of the staff. Atmosphere was very comfortable.

#102025-12-22

What can we do better?

(answers:373)

I was very pleased!!

#12025-06-12

Keep up the great work!

#22011-03-03 11:57:42

It was a perfect experioence, I wouldn't change a thing!

#32025-12-18

smile more

#42010-09-09 10:34:11

Just continue your good work to keep your credibility in place.

#52010-10-12 10:33:59

give me choices of what type of medicines that i can take

#62025-11-20

keep on doing excellent customer service skills

#72025-09-12

totally satisfied with everything

#82025-06-13

I can't think how anything could have been better.

#92026-05-07

It was a perfect experioence, I wouldn't change a thing!

#102025-08-03

Customer Rating : 4.7

Based on 637 ratings