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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 help desk (reseptionist/m.a) was phenomenal!

#12026-06-03

relaxing decor, classical music

#22025-08-12

I WAS VERY COMFORTABLE WITH THE VISIT

#32026-06-14

I like the doctor and how careful and thorough she is.

#42025-11-30

Everything! I appreciate the fact that Dr. Ringpfeil has a great understanding of my medical condition and how it has affacted my skin. I look forward to seeing her for all my future dermatalogical needs. I really needed a wonderful dermatologist and am grateful to Dr. Sandorfi for referring me to Dr. Ringpfeil.

#52011-01-12 12:15:01

It was a comphrehensive examination ..

#62025-07-19

The time the Doctor spent talking to me about my problem. She did not rush.

#72011-12-15 12:54:52

Yes, I liked Dr. Ringpfeil's attentive, friendly demeanor and the fact that she expained things well, making available every sort of treatment, but also making clear what was needed/recommended and what could/should be skipped in a sensible, conservative approach.

#82025-08-02

The doctor was very clear and extremely thorough along with being pleasant. She makes her patients comfortable.

#92025-09-27

LIKE THE WAY WAY THE EXPLAIN THE PROCEDURE ,AND ALSO LIKE THE STAFF PATIENT INTERACTION.

#102012-10-09 10:22:11

What can we do better?

(answers:373)

Having Lip Gloss we can give others to let others know about you.

#12025-12-07

I was feeling a bit thirsty the whole stay in the office, maybe making some water available during waiting time would make the stay more comfortable.

#22026-03-27

keep doing what you did.

#32011-03-11 14:14:27

every thing was great!

#42026-07-07

I was a bit embarressed by not knowing more information regarding my parents history. I believe it would have been better handled if I were asked to please get more info and then let the dr's office know.

#52025-12-26

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

#62010-12-16 12:26:48

I wish there is a more flexible schedule for the morning visit.

#72010-12-16 12:15:00

Maybe directions as "across from the Lexus place." Have the assistant say there may be a name recall test later, as she introduces herself.

#82010-12-07 10:07:04

I was a bit embarressed by not knowing more information regarding my parents history. I believe it would have been better handled if I were asked to please get more info and then let the dr's office know.

#92026-02-12

you cannot serve me any better than I was served today

#102025-08-13

Customer Rating : 4.7

Based on 637 ratings