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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)

Clear information about treatment options which had not been offered in the past. It is possible that these treatment options are new, but it is also possible that the physician is especially knowledgeable.

#12026-01-24

everything is so gracious and lovely ....just add a fountain to complete ambience

#22025-07-06

Lovely environment, sunny, spotless and relaxing classical music

#32025-08-06

Office was very nice, comfortable atmosphere.

#42025-12-15

no waiting

#52025-10-21

Leah

#62025-11-17

Dr. Ringpfeil listened patiently and explained treatment and diagnosis thoroughly

#72026-02-12

That I was seen by the doctor and did not feel rushed.

#82026-02-21

Honesty.

#92011-01-05 16:01:31

I liked the waiting room it was really nice.

#102026-03-22

What can we do better?

(answers:373)

I was more than pleased with my first visit; a very warm and professional office

#12011-03-09 09:12:38

Everything to date that your office has performed has been done professionally and expeditiously. It's a pleasure to deal with all the staff.

#22026-05-26

Keep doing what you're doing.

#32025-06-22

I have an unusual challenge getting to and from the office. Your practice is doing a great job; I will deal with the transportation issues.

#42011-03-21 10:03:43

I can't think of anything.

#52010-08-25 14:18:06

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

#62026-02-02

The entire visit was just perfect so I had no suggestions at this time.

#72010-10-05 12:14:11

More upbeat music! The warm temperature and the John Mayer-esque music made me feel as if it were bedtime =)

#82011-09-16 11:42:32

I think you have done a great job.

#92011-02-21 16:01:23

excellent service

#102025-07-15

Customer Rating : 4.7

Based on 637 ratings