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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 time the doctor took in answering questions and discussing issues

#12026-04-18

Loved the office decor. the soothing music. Everyone was very friendly and helpful. Great experience.

#22011-12-05 10:22:59

taken promptly for appointment

#32010-11-08 14:14:51

Everyone is very nice.

#42026-04-25

very professional

#52010-11-30 07:53:54

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

#62026-07-14

The Dr. was excellent in every way !

#72011-04-18 11:48:00

Dr Ringfell was very attentive to my problem. She reviewed my medical history throughly unlike any other physician that I have met before. I felt that she aswered to all my questions with extreme knowledge and confidence. I am leaving my appointment today reasured that she will find the right diagnosis to my problem.

#82026-07-21

I like the waiting room.

#92025-08-22

I liked the friendlyness and professionalism of the staff and the MD. I was very impressed with the thorough examination I received and the way the MD explained what she found on that exam.

#102025-09-01

What can we do better?

(answers:373)

I couldn't find any parking.

#12026-05-24

No complaints at all. Excellent experience

#22010-09-30 10:38:51

Keep it up!

#32025-12-30

don't see how you could improve anything

#42011-01-12 08:19:57

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

#52025-09-13

Well basically there is no need because your doing a very good job.

#62010-10-04 16:54:13

Have some toys or children books in the waiting room

#72025-09-14

No recommendations - very satisfied/pleased with everything about the visit and the office and the Doctor and her assistants. thank you to everybody for makinng me feel so comfortable (i was verrrrrry nerous)!!

#82025-09-28

cannot be improved

#92026-03-23

THANK YOU!

#102025-11-18

Customer Rating : 4.7

Based on 637 ratings