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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)

Friendly, well educated

#12026-01-23

The doctor and physicians assistant were both very professional and knowledgeable.

#22025-08-01

The entire staff was very attentive.

#32026-05-06

The attentiveness I received by Dr. Ringpfeil. She explained everything well.

#42026-04-13

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

#52026-03-03

I liked that the doctor was well informed about the proper medicines to help me with my acne, and also was well informed about my medical condition, and was able to prescribe medication to help both!

#62026-04-04

Did not have to wait long.

#72025-10-19

professional staff

#82010-12-02 11:39:52

All was excellent

#92011-05-03 10:51:30

Dr. Ringpfeil is great. I'm glad that Dr. Haab recommended her.

#102025-10-26

What can we do better?

(answers:373)

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.

#12025-08-06

Keep up the good work!

#22025-09-24

Get some better parking spaces

#32026-05-17

this computer system doesnt show the full anser in some cases. and some required tabs shouldnt be required, like cell phone and work phone.

#42025-09-05

Please consider offering more appointments after 5pm since it can be a challenge to take time off from work.

#52026-03-12

There is a problem with availability of parking during busy week days.

#62025-09-15

website access to new patients more visable on site

#72026-02-01

Keep up the thinks you are doing....

#82025-10-29

You can't improve upon excellence.

#92025-08-20

my visit was great

#102026-04-14

Customer Rating : 4.7

Based on 637 ratings