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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 modern office look, and how the doctor was very friendly and listened to everything I said.

#12026-01-19

Beautiful Office and Wonderful Staff!

#22026-02-17

I liked the relaxing atmosphere, and the service. All the women were wonderful, and the doctor- especially- was friendly, and very helpful. I did not feel at all uncomfortable or nervous, as I normally do at a doctors visit. The assistant was wonderful, and they worked great as a team. The visit was painless, quick, and very easy. Thank you! I'll certainly be back and recommend this office to my friends and family as well. :)

#32026-03-11

The office atmosphere: paintings, light fixtures.

#42025-06-23

The docotr was very nice and helpful!

#52025-07-26

Definitely the best overall dermatology practice I've seen (I've seen a lot). Very well run and obviously the Dr. is extremely expert and knowledgeable.

#62011-06-09 11:41:32

Dr. Ringpfeil is extremely professional and thorough. I appreciated her manner and knowledge and will definately refer her to friends and family.

#72026-02-03

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

#82026-01-24

the dr was much more insightful and knowledgeable than anyone in the past

#92026-02-20

The office ambiance is exceptional! Since I am a musician, I really enjoyed the soothing, classical music playing softly in the background. The fresh flowers also add a nice touch. I was extremely impressed by the cleanliness of the facilities and the professional and thorough treatment I received by Dr. Ringpfeil. The technological efficiency of the office was also very impressive!

#102026-04-23

What can we do better?

(answers:373)

keep on on trying to do your best

#12026-04-30

Information for patients to take on latest findings/research in the field

#22026-03-30

don't change a thing!

#32026-03-22

Everything was wonderful

#42026-05-26

So far, everything is great. Looking forward to future visits.

#52025-12-06

Keep doing what you are doing now..make sure no one slips, then I will make sure I write about it.

#62026-05-17

please make a reminder call. I checked my cell for one and you hadn't.

#72025-07-12

I cannot think of a thing that would make the visit any better.

#82010-11-03 15:36:43

Everything was well above my expecatations.

#92026-04-02

Can't think of a way to better your service; it was excellent.

#102026-03-07

Customer Rating : 4.7

Based on 637 ratings