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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)

Friendly, well educated

#12025-11-25

I was made to feel comfortable and was happy that I felt listened to and as though my needs were addressed. I feel confident that the doctor is determined to assist me with my multiple issues. The medical assistant and receptionist were also very helpful and welcoming. Thank you.

#22025-10-31

The waiting room had interesting products and information. The staff were professional, kind and had a nice process.

#32010-11-10 12:28:11

Very little wait time, which is so appreciated! Very comfortable atmosphere. Really a wonderful appointment.

#42011-06-02 16:32:12

yES, THERE WAS A DELAY IN SEEING THE DOCTOR AND THE MEDICAL ASST. ACTUALLY APOLOGIZED AND EXPLAINED THE PROBLEM. THAT RARELY HAPPENS IN ANY DOCTORS OFFICE I HAVE EVER BEEN IN.

#52010-11-11 10:41:38

The entire staff was friendly, efficient and professional. Office and exam room were immaculate. Exam was thorough and complete. I have peace of mind that I have no problems at this time.

#62012-10-16 12:55:55

The doctor definitely has a wonderful bedside manner, so unexpected when a woman my age is dealing with aging vanity issues.

#72026-04-16

Loved everything! Thank you so much

#82025-08-02

the service, and the timely manner i was seen

#92011-03-29 10:26:45

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.

#102011-11-10 12:40:32

What can we do better?

(answers:373)

everything was beyond my expectations . No doctor has ever given me such a complete exam

#12010-10-07 10:02:42

don't think you could!!

#22026-05-26

Everything was well above my expecatations.

#32026-03-30

Thank you

#42011-02-23 17:11:29

Can't think of anything, all was excellent.

#52011-05-03 10:51:30

Always laugh at my jokes.

#62026-02-01

nothing everything is fine as is.

#72025-12-22

I would have liked to pay in cash but the receptionist had no change.

#82026-05-31

smile more

#92010-09-09 10:34:11

It's a little warm in the office.

#102025-09-03

Customer Rating : 4.7

Based on 637 ratings