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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.

# 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)

Everyone was very nice!

#12025-05-08

Everyone was extremely welcoming, pleasant and professional. I felt very secure with the knowledge and professional, caring treatment by both the doctor and her assistant.

#22025-11-22

it was a good experience and the music was excellent!

#32025-08-19

The office decor and the people are very nice

#42025-06-23

I liked all rthe art work that was hanging up in the hallways. I also liked how friendly everyone was. It seemed as though they all wanted to be here. Some times at otjher places the people at the counter can be disrespectful. Not here. The or was very caring and explained the treatment in terms that we could understand.

#52025-11-04

My visit was very professional. I walked in and was assisted with emmediately. I am very happy with the service that was given to me today. I will gladly return.

#62025-10-16

Dr. Ringpfeil has a great bedside manner and is very patient. Loved the art work!

#72011-04-11 16:33:05

Nice & freindly staff, very pleasant.

#82011-01-17 15:00:26

It is clearly evident taht Dr. Ringpfeil is genuinely motivated by listening to your full symptoms, issues and then selecting the approach that is best for you. I scheduled my appt with the hopes of undergoing pricey treatments. Rather than signing me up and taking my check, she insisted that we first address the cause of my problems. Obviously, her goal is to heal the patient, not simply select the treatments that would be most lucrative for her. Impressive.

#92025-04-22

Having Alana accompany me from start to finish of the appt. It was comforting.

#102011-04-28 17:24:05

What can we do better?

(answers:373)

I am new here, so I don't have any suggestions at this time

#12025-05-23

I've never been in a medical office that was so warm and inviting. The decor and overall appearance has the feel of your living room but also reminds you that you are in a clinical environment as well. This practice surpasses my expectations in every way, from the staff, dress code, advances in technology and overall care of the patient. I was made to feel that my care is your number one priority.

#22011-04-29 11:02:03

With such excellent service, there's nothing I can add to it. I am a very satisfied patient.

#32010-09-09 11:12:17

So glad I came. Always liked Dr. Kern and Ann Watson. He'd be so pleased with your entire professional setup

#42025-07-07

Everything was very clean and I cannot think of much you could do better.

#52025-06-25

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

#62025-04-22

Can't think of anything staff were very helpful

#72025-11-26

You often have a long wait time in the room for the doctor. When she does come in it is not for a very long time.

#82010-08-23 17:00:56

Great practice

#92011-03-14 13:52:46

service was excellent

#102025-10-21

Customer Rating : 4.7

Based on 637 ratings
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