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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)

Excellent service; thanks for not making me wait to be seen, like I do in every other doctor's office!

#12011-06-08 09:39:58

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

#22011-06-02 13:39:55

relaxing decor, classical music

#32025-09-02

The staff was very friendly, helpful and professional. The doctor herself is a pro, I was very impressed and will definitely recommend her to others, especially of my race. Its very hard to find a good dermatologist and I believe she is wonderful and really knows what she's doing. I am glad that I came here, thank you.

#42011-11-10 12:40:32

Doctor was very direct and specific on probable course of treatment and potential effectiveness.

#52026-03-09

THE ATMOSPHERE IS LOVELY AND DR. RINGPFEIL IS VERY THOROUGH AND I HAVE CONFIDENCE IN HER.

#62025-11-23

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

#72026-03-26

Promptness of being seen by physician, excellent, friendly staff. Dr. really listened and offered a plan to resolve my problem.

#82011-10-17 11:50:17

the doctor was perfect- kind, open and informative

#92026-02-24

This is an amazingly professional as well as patient-oriented practice. Thank you! I will highly recommend your practice to everyone.

#102012-08-31 09:32:27

What can we do better?

(answers:373)

Everything was delightfully pleasant and comforting.

#12011-03-28 09:42:42

WINE AND CHEESE WOULD BE NICE IN THE WAITING AREA

#22011-02-09 12:32:20

There is nothing I can even think of! Wonderful Staff!!

#32011-09-09 15:04:20

N/A. Everything was great!

#42026-05-13

Everything was great.

#52025-07-05

receptioist is a little stiff and unwelcoming, but attentive proffessional.

#62026-03-15

It was good

#72026-02-13

I recommended this practice to a family member but they showed up 15 mins late to their first appt. due to traffic and were turned away (after traveling over an hour to get here). I would suggest on the first visit to allow more leeway for late appointments (try to fit them in) and then explain the late policy for all appointments moving forward.

#82011-09-21 14:47:49

move closer to home

#92010-11-08 09:51:29

just keep giving me good news and no cancer.

#102026-04-26

Customer Rating : 4.7

Based on 637 ratings