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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)

Parking

#12025-10-24

The Dr treated me as a Person, not a commodity. She talked to me so I could understand what needed to be done and what possible courses of actions needed to be taken. I enjoyed the fact that the Dr. took time to listen to me & took action considering my desires as well.

#22026-04-19

everybody smiles

#32011-12-16 09:57:55

Dr took time to answer all my questions.

#42026-03-01

Did not have to wait long.

#52025-10-09

Everyone was extremely friendly. Doctor was fantastic. Would highly recommend.

#62025-12-11

Very nice medical assistant and doctor.

#72011-05-25 11:22:06

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

#82025-11-26

Very efficient!

#92025-11-17

I did not feel rushed. I felt I was Heard and listened to. The exam and explanations were clear .When my visit ended all of my questions,, symptoms, and diseases were addressed extensively.I am thrilled that I have found this office. I intend to refer my husband, son and friends.

#102011-05-26 11:49:32

What can we do better?

(answers:373)

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

#12025-09-21

Excellent, no improvement needed.

#22025-09-03

I have a suggestion: I noticed that two of the lovely rugs pose hazards to patients using walkers or who may have other mobility issues. The large rug placed at an angle and the narrow rug placed in front of the reception desk leave no room for these individuals to safely manuveur around the reception area and are likely to contribute to fall risks. I would suggest leaving these areas clear.

#32010-10-04 12:14:56

Always laugh at my jokes.

#42026-06-05

I have an unusual challenge getting to and from the office. Your practice is doing a great job; I will deal with the transportation issues.

#52011-03-21 10:03:43

keep doing what you did.

#62011-03-11 14:14:27

service wonderful!

#72011-01-03 11:45:01

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)!!

#82025-08-09

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)!!

#92025-09-30

Having Lip Gloss we can give others to let others know about you.

#102026-03-06

Customer Rating : 4.7

Based on 637 ratings