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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)

I am extremely impressed. Felt comfortable and confident in the doctor's treatments. the staff was very professional yet kind and very helpful. The doctor's knowledge of medical condition

#12026-03-05

I actually was able to see the physician, the physician assistant and the aesthetician, which was awesome for one visit! It shows that the team works together to provide patients with the best possible results.

#22011-10-04 14:18:20

the staff is terrific....

#32026-06-18

professional staff

#42010-12-02 11:39:52

The neatness of the clinic and the efficency of the staff and the doctor. Dr. Ring fieil was wonderful and knows her fireld, i have been to several dermatologists and finally I found the one who knows what she is talking about.

#52025-11-18

Electronic Files

#62010-11-15 12:09:12

I liked that Dr.Ringpfeil answered all of my questions, and spent time with me going over all the problems.She is very helpful and knowlegable.

#72025-10-12

the personalized acne regiment.

#82026-02-09

The Dr. and assistant were both very professional and efficient. Everything was done quickly and smoothly. Also, patient and friendly with my 2 1/2 yr old. Thank you.

#92026-05-18

Being explained about shopping around at diff. pharmacies for pricing of prescriptions.

#102026-04-14

What can we do better?

(answers:373)

Everything was delightfully pleasant and comforting.

#12011-03-28 09:42:42

cannot be improved

#22025-11-13

Nothing I can think of

#32025-09-22

All aspects of care were remarkable--much better than I've encountered elsewhere.

#42026-04-17

Hard to say, this was a short visit and the service and treatment, as far as I can tell, were excellent

#52026-04-30

excellent service

#62025-12-12

keep up the good work. you have an excellent service and your office is great

#72026-02-28

no complaints. everything was fine.

#82026-01-06

can't think of anything

#92011-12-12 10:13:47

Can not be better!

#102011-04-05 09:29:32

Customer Rating : 4.7

Based on 637 ratings