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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)

Jennifer was very helpful and professional. I really appreciated her advice on my skincare.

#12011-10-19 17:13:56

I think the doctor is very thorough in her evaluations and explanations and the staff is extremely professional and friendly. Definitely 5 star service!

#22011-09-22 13:13:46

Linda and the medical assistant were wonderful

#32011-09-16 11:42:32

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.

#42011-05-25 13:14:40

Everything was good. I like this place.

#52025-09-27

as a man and coming in to see a doctor is usually awkward especially a female doctor to look over your entire body. The staff made me feel very comfortable and relaxed. Thanks so much.

#62025-09-19

Very nice office, physician, physician's assistant are extremely helpful and understanding.

#72025-09-08

the office looks great, doctor is very nice and helpful

#82026-04-03

IN ADDITION TO THE EXCELLENT ENVIRONMENT AND STAFF AND DOCTOR, THE MUSIC WAS ALSO EXCELLENT AND SOOTHING. sOME OFFICES HAVE AWFUL MUSIC STREAMING.

#92010-11-11 15:36:56

The doctor made me feel very comfortable when I was asking questions.

#102025-09-17

What can we do better?

(answers:373)

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

#12026-01-09

Everthing was excellent

#22010-10-27 13:58:55

move closer to home

#32010-11-08 09:51:29

More upbeat music! The warm temperature and the John Mayer-esque music made me feel as if it were bedtime =)

#42011-09-16 11:42:32

My next appointment could not be scheduled for 6 weeks. I wish I could be seen sooner!

#52010-12-16 10:06:03

This was a great experience and I would not change anything

#62026-05-31

Send the paperwork to my home address in advance of appointment. Provide better reading material in the reception area.

#72026-06-30

I was impressed with every step of making the appointment to seeing the physician.

#82010-12-16 12:26:48

REDUCE WAIT TIME TO SEE DOCTOR

#92011-01-10 12:20:58

I thought that consideration could have been made re: pricing of skin tag removal since I only had one tag removed.

#102026-04-09

Customer Rating : 4.7

Based on 637 ratings