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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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Selected Patient Questions and Answers

Sclerotherapy - Patients ask, Dr. Ringpfeil answers

Please feel free to use the blog below to share information about Sclerotherapy or to ask Dr. Franziska Ringpfeil a question that might be of interest to others.

# 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)

Doctor spent time engaging my child, and making her feel comfortable before the exam.

#12011-10-17 16:27:23

Friendliness of all staff.

#22026-02-03

This was the fastest (in a positive way) medical appointmenet I've had since moving to this area.

#32011-01-05 08:38:17

I was scared that I had something on my face after my laser treatment. As it turns out Jill took a second look and told me it was normal and it will resolve. The reason why I tell you this is because Lisa at the front desk was instrumental on making sure I was followed up and that my fears were elevated. Lisa was outstanding! From my experiences in the past, I find most people at the front desk don't really care about the patients. However, I did not get that from Lisa. She kept in contact with me until I was completely satisfied with my care. She really is a professional and deserves recognition. Her job is the most important one in the office. I have left other offices in the past because I didn't care for the staff. That won't happen here! Hats of to LISA!!!! P.S. The computer in the waiting room is AWESOME too!!!

#42012-12-06 11:38:48

The atmosphere was pleasent and during appointment, didnt feel judged about skin.

#52025-08-23

Everybody was polite and understanding. I will definetly be coming back.

#62011-05-24 14:13:45

ambiance, music and moood of office was upbeat yet happily calm today!

#72026-03-30

aNDREA AND DR RINGFEIL WERE ABS0LUTELY TERRIFIC AND VERY FRIENDLY

#82026-03-05

Everything was easy, transitions were smooth, staff was friendly, everyone smiled. It was a great experience

#92012-07-26 11:37:17

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.

#102026-05-09

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What can we do better?

(answers:373)

No comments at this time.

#12025-12-21

Everything was great!

#22025-06-24

Waiting time in reception area was too long.

#32026-05-02

I cant think of anything

#42026-01-24

Everything was wonderful

#52026-03-08

Everything was outstanding

#62011-11-18 16:18:36

Magazines in the examining room to read while I waited for the doctor (I get bored easily).

#72025-11-23

Everything was wonderful

#82026-02-22

Keep doing what you are doing now..make sure no one slips, then I will make sure I write about it.

#92026-03-01

Medical newsletters or updates are helpful and informative. If it is advisable to have an annual mole check, for example, friendly reminders are always appreciated.

#102025-08-13

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Customer Rating : 4.7

Based on 637 ratings