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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)

The time the doctor took in answering questions and discussing issues

#12026-01-27

I am very self conscious about my acne but everyone made me feel very comfortable!

#22026-06-14

Excellent service, did not have to wait long to be seen!

#32026-05-22

I liked the fact that I could enter my information on a computer and I was not asked to provide the same more than once on the informational forms!

#42026-04-01

Took the time to diagnose the issue and once diagnosed, layed out my options and throughly explained everything.

#52011-05-20 16:26:57

Very nice medical assistant and doctor.

#62011-05-25 11:22:06

EXCELLENT SERVICE, THANK YOU FOR YOUR ADVISE & ASSISTANCE. VERY CLEAN, NICE & CONFIRTABLE OFFICE SETTING. VERY KNOWLEDGEBLE DOCTOR. THANK YOU AGAIN. I WILL RECOMMEND YOU GUYS TO OTHERS. EXCELLENT JOB!!!

#72025-09-28

The friendly people who work here are great. Probably the best thing, though, is the timeliness of service. Most physicians make me wait far past my appointment time. I appreciate on-time service immensely!

#82026-02-13

The professionalism was awesome.

#92012-07-03 15:04:31

Dr. Ringpfeil was great. She answered all concerns and questions extremely professionally.

#102025-09-21

What can we do better?

(answers:373)

keep on what you are doing because you are doing a good job

#12026-02-12

open an office in NJ

#22025-11-03

Cannot think of anyway to improve things, unless you want to serve hot tea and cappachino!

#32011-02-22 11:25:39

I am a little annoyed that I called to say I was on my way and I was told that I may not get here in time and will probably have to reschedule. Then when I got here, I filled out the paperwork then had to wait 20 minutes to be seen. It would be nice to know the receptionist's name so I know who I am calling when I have questions. It would be nice to have WiFi available during the wait.

#42011-06-22 17:06:20

cannot be improved

#52026-06-30

more sample products

#62011-06-02 14:59:00

Cookies and Milk! Seriously, I love coming in and being seen promptly. More importantly, I like the fact that the doctor was not distracted and there was not a single interruption.

#72026-04-23

Keep doing what you are doing!

#82026-06-13

receptioist is a little stiff and unwelcoming, but attentive proffessional.

#92026-02-19

n/a

#102025-08-29

Customer Rating : 4.7

Based on 637 ratings