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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)

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

#12011-05-20 16:26:57

nice music!

#22025-09-29

medical assistant

#32011-11-30 15:41:16

After meeting the doctor I felt very comfortable. When I first came in I was very nervous

#42026-03-27

Everyone is so warm and welcoming! great ambience, great music The lovely doctor is perfect- highly skilled, warm and a great mother!

#52026-02-20

I WAS VERY COMFORTABLE WITH THE VISIT

#62025-08-10

The entire staff was very attentive.

#72025-09-14

I liked the waiting room it was really nice.

#82025-10-10

Dr. Ringpfeil appeared concerned about me.

#92025-11-02

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!

#102025-10-07

What can we do better?

(answers:373)

Completely satisfied

#12010-10-20 09:59:20

cannot be improved

#22025-10-07

I think I was served most excellently. I cannot thing of anything to add.

#32026-03-24

Parking was a little tight.

#42011-06-09 15:52:46

I was served perfectly

#52011-02-14 08:46:29

Can't think of a thing. I was very impressed.

#62010-09-27 14:45:03

Have an accessible examining table!!!

#72011-08-31 14:28:17

frankly, everything was excellent

#82011-08-01 16:26:25

I have a suggestion: I noticed that two of the lovely rugs pose hazards to patients using walkers or who may have other mobility issues. The large rug placed at an angle and the narrow rug placed in front of the reception desk leave no room for these individuals to safely manuveur around the reception area and are likely to contribute to fall risks. I would suggest leaving these areas clear.

#92010-10-04 12:14:56

Everything was outstanding

#102011-11-18 16:18:36

Customer Rating : 4.7

Based on 637 ratings