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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)

location conveinent

#12025-08-20

dr was very nice and easy to talk with

#22025-07-01

speed of the apt. Dr. Took time to share thoughts

#32025-08-21

Everyone was very nice! Thankyou for all your help!

#42026-03-12

The med assistant and the doctor were very pleasant and I feel like I can leave knowing that I am ok and had an excellent exam

#52025-10-05

The professionalism was awesome.

#62012-07-03 15:04:31

The amount of time the doctor spent and the medical assistant. I didn't feel rushed

#72025-08-23

Linda was very thorough and took time with me rather than rush me like she couldn't wait to get to the next patient. I've had that experience before so I appreciated that.

#82011-06-02 14:59:00

I'm impressed with the office layout & decore + like the classical music played.I continue to be impressed by Dr. Ringpheil, who is also treating my son.

#92025-06-10

not a crowded office

#102025-11-09

What can we do better?

(answers:373)

Excellent experience Can't think of anything I would change

#12011-04-04 11:16:27

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.

#22025-09-17

Everything was good

#32011-03-08 15:22:54

keep on doing excellent customer service skills

#42026-02-07

no complains

#52025-12-16

I thought everyone was fantastic and very helpful-no suggestions had a great experience

#62025-11-06

nothing

#72010-09-13 14:34:51

Everyone and everything is excellent!

#82011-03-23 10:51:26

nothing just keep up the good work.

#92025-05-08

I was impressed with every step of making the appointment to seeing the physician.

#102010-12-16 12:26:48

Customer Rating : 4.7

Based on 637 ratings