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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 appreciate not being sold on any products I don't want or need :)

#12011-04-12 08:22:32

The professionalism of the staff and doctor. Everyone was easy to talk to and my questions were answered.

#22026-04-27

Lovely environment, sunny, spotless and relaxing classical music

#32026-03-04

doctor

#42026-01-22

Punctuality - Perfect Sense of humor of staff

#52026-06-17

The medical assistant was very friendly and sat with me through the registration process to ensure my computer worked properly. The clinican was very patient and provided excellent care.

#62011-05-25 13:14:40

I liked the paintings that are in the rooms.

#72011-06-02 11:25:09

Friendly staff and atmosphere

#82010-11-15 14:39:37

This is my 2nd experience with this practice. I originally came here for my son. The attentiveness of the Doctor and staff is truely a positive experience. Thank you. I wish all my doctor's appts were this pleasureable.

#92025-12-18

Friendly attentive staff and very nice ambience (love the art work!)

#102025-12-14

What can we do better?

(answers:373)

My advice would be to continue doing exactly what you are presently doing. I had a very good first impression of Dr. Ringpfeil and the practice. Thank you.

#12011-02-07 10:50:14

Thank you

#22011-02-23 17:11:29

Complain to the insurance industry that they cove too little, complain to the product manufactures that they truely charge too much for the products. I feel that the industry in general is very slow to treat because of insurance allowances. Patients have busy work schedules and pay for monthly coverage that covers too little. In one hour or less could do what multiple appointments do to remove or treat small skin defects require many visits. Should provide payment better incentives.

#32010-11-10 12:28:11

No comments, everything is great.

#42011-02-21 13:37:17

This visit was great.

#52026-06-07

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.

#62011-04-29 11:02:03

Complimentary BMW with first visit

#72025-12-13

Can't think of anything. I feel good about this visit.

#82010-09-09 11:47:56

I was very happy with the care I received.

#92010-09-14 10:44:00

The service was excellent as is.

#102026-01-12

Customer Rating : 4.7

Based on 637 ratings