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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)

Dr. Ringpfeil's professionalism as well as her wonderful bedside manner.

#12025-09-11

The dr spent a lot of time answering my questions.

#22011-10-17 16:10:34

There was no option to thank Andrea, but she also did a lovely job.

#32011-12-20 08:37:39

Dr and Med Assist. listened patiently and answered all questions thoroughly.

#42025-10-13

Dr. Ringpfiel was very attentive; she explained very clearly different treatments and their outcomes and gave me some alternatives I could choose from. I was extremely pleased by the Dr's professionalism, excellence, kindness and attention. Definitely one of the best services I have received! I am bringing my son in 3 weeks!

#52025-08-14

The office ambiance is exceptional! Since I am a musician, I really enjoyed the soothing, classical music playing softly in the background. The fresh flowers also add a nice touch. I was extremely impressed by the cleanliness of the facilities and the professional and thorough treatment I received by Dr. Ringpfeil. The technological efficiency of the office was also very impressive!

#62026-02-10

I really liked all aspects of my visist. I feel as though I have finally found a dermatologist. She and her staff were willingly to listen and give me their professional opinion and hopefully find a treament that will work longterm.

#72025-09-24

Time spent with doctor was longer than expected. Doctor said she liked Retin-A Micro.

#82011-03-30 10:03:23

Beautiful offfice. Doctor was thorough but quick, which was great

#92011-04-04 11:16:27

nice music!

#102025-07-13

What can we do better?

(answers:373)

you can not top anything. this is the best run office and staff that I have ever been in.

#12011-05-26 11:49:32

I cannot think of a thing that would make the visit any better.

#22010-11-03 15:36:43

You were amazing

#32010-09-28 09:24:38

keep up the good work. you have an excellent service and your office is great

#42025-10-20

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

#52010-09-27 14:45:03

super happy with visit

#62025-07-17

coffee in waiting room

#72011-12-14 11:20:21

Everything was great! The only thing I would say is when I called to make an appointment for sun spot treatment to let me know that I should limit my sun exposure and wear sunblock.

#82011-05-05 13:30:08

Nothing missing.

#92025-10-08

fantastic service

#102025-11-02

Customer Rating : 4.7

Based on 637 ratings