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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)

medical assistant

#12011-11-30 15:41:16

I really liked that I felt as though I was in a warm and friendly environment vs the sterile and cold feel many other physicians offices maintain. I also thought the tablet P.C. was very cool!

#22025-09-03

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

#32011-09-22 13:13:46

Everyone was very pleasant and I very much appreciated the fact that there was no waiting for either the medical assistant or the doctor. Thank you!

#42026-03-25

No waiting!

#52012-09-06 10:30:16

I thought the staff and the Doctor was extremely proffesional and courteous. I had a positive first experience and will continue to visit.

#62025-12-05

I have to say this was the most comfortable experience at any doctor office I have ever been to in my life. Dr. Ringpfeil is incredibly nice and compassionate. Lauren was super. The receptionists are very friendly. I now have a new dermatologist. Thanks!

#72012-12-13 10:14:16

nice music!

#82026-05-01

no everything was great. everyone is so wonderful

#92025-07-14

Dr. Ringpfeil listened patiently and explained treatment and diagnosis thoroughly

#102025-10-13

What can we do better?

(answers:373)

Just continue your good work to keep your credibility in place.

#12010-10-12 10:33:59

Keep me informed of specials on products that might be good for my skin.

#22011-01-05 16:01:31

I am completely satisfied with the current level of service and really can't think of anything that you could improve upon. This survey is a good thing.

#32010-10-13 09:38:13

Everything is just great!

#42025-08-16

Can not be better!

#52011-04-05 09:29:32

Nothing - excellent.

#62011-01-25 12:57:52

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

#72010-12-16 12:15:00

So far so good!

#82011-01-04 10:23:13

this is my first time so will let you know as time progresses

#92010-11-02 11:02:24

Keep up the good work

#102026-02-14

Customer Rating : 4.7

Based on 637 ratings