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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)

EXCELLENT SERVICE, THANK YOU FOR YOUR ADVISE & ASSISTANCE. VERY CLEAN, NICE & CONFIRTABLE OFFICE SETTING. VERY KNOWLEDGEBLE DOCTOR. THANK YOU AGAIN. I WILL RECOMMEND YOU GUYS TO OTHERS. EXCELLENT JOB!!!

#12025-06-11

Our chat about green building! Call me if you are interested in chatting more about greening your practice. Thanks for your wonderful care.

#22010-11-29 13:58:59

Efficiency

#32025-12-27

I go away feeling like my concerns have been heard and taken seriously. I liked the music too. Good choices!

#42025-09-25

Fast, fun, very pretty office, excellent art works

#52010-12-07 10:07:04

start to finish it was a perfect experience, i found the reception area very heplful and understanding,

#62025-08-05

Everyone was incredibly kind, informative and helpful. It was one of the best doctor office experiences I've ever had.

#72025-12-04

EVERYONE WAS VERY NICE AND FRIENDLY AND I ESPECIALLY LIKED EVRYONES SMILE!

#82010-12-14 11:35:36

Excellent staff who seem to like what they are doing! (A rarity in many offices!)

#92011-11-17 12:08:50

everything

#102025-09-26

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What can we do better?

(answers:373)

move closer to home

#12010-11-08 09:51:29

I do not believe there is a need to improve.

#22010-11-01 14:00:26

The service was excellent as is.

#32025-12-01

I recommended this practice to a family member but they showed up 15 mins late to their first appt. due to traffic and were turned away (after traveling over an hour to get here). I would suggest on the first visit to allow more leeway for late appointments (try to fit them in) and then explain the late policy for all appointments moving forward.

#42011-09-21 14:47:49

everything was fine

#52011-02-24 15:01:34

everything was great! as always nothing i can say to improve on! jill is always attentive and very thorough:)

#62010-10-27 12:20:56

Get some better parking spaces

#72025-08-05

Service was excellent, keep up your service as is.

#82025-06-13

n/a

#92025-11-10

it's a little thing, but when you enter an office and ask the receptionist attending to you how are you, she say fine, but does not inquire how you are, and is not engaging, I just think its rude.

#102025-10-16

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