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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)

quickness of the whole process design and comfort of the offices

#12025-07-21

Dr. was very attentive to my needs and laid out the complete treatment plan, including what may or may not be covered by insurance.

#22025-06-21

The Dr. wanted to start with the simpliest treatment before jumping into medicated treatment.

#32025-08-10

Everyone was very kind and helpful.

#42026-01-19

I like that you can schedule and access info by computer. The office is beautiful, very relaxing and staff is wonderful. The nicest doctors office I have ever been too

#52011-10-19 12:56:42

Didn't feel rushed like most doctor's offices

#62011-04-12 08:58:12

Dr. Ringpfeil is extremely professional and thorough. I appreciated her manner and knowledge and will definately refer her to friends and family.

#72025-11-22

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.

#82025-07-21

I liked how they wanted to know about past experiences and history and seemed to take that into account and also thought outside the box. Very personable, friendly, yet right to the point.

#92025-08-14

The service overall was excellent!

#102012-07-06 12:10:33

What can we do better?

(answers:373)

I think I was served most excellently. I cannot thing of anything to add.

#12025-09-05

Nothing missing.

#22025-08-13

Everything was wonderful

#32025-12-13

don't think you could!!

#42025-11-12

It was good

#52025-07-14

Service was great, wouldn't change a thing.

#62010-10-06 09:19:36

The entire visit was just perfect so I had no suggestions at this time.

#72010-10-05 12:14:11

You were amazing

#82010-09-28 09:24:38

Service was extremely good.

#92011-01-27 16:47:12

Can't think of anything right now.

#102010-10-21 15:50:32

Customer Rating : 4.7

Based on 637 ratings