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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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Last updated: 1/02/2024 11:10 AM

PATIENT RATINGS

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Compare our service to other similar practices

excellent
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very good
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good
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Overall doctor performance

excellent
94.2%
very good
4.89%
good
0.80%
poor
0.03%
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The doctor listened to you attentively

excellent
93.9%
very good
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good
1.05%
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The doctor took time to answer your questions

excellent
94.0%
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good
1.27%
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The doctor explained treatment options

excellent
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The doctor explained treatment options

excellent
92.0%
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5.69%
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2.18%
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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%
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Office comfort

excellent
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6.93%
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Parking

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15.7%
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Friendliness of the staff during appointment

excellent
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What WE DID WELL

(Answers:674)

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

#12026-05-09

Friendliness of the staff.

#22025-11-25

The friendliness of the staff, their attitude, their orange uniform..yessssss.

#32025-07-15

Friendly faces pleasant people wonderful and comfortable atmosphere.

#42026-04-28

Excellent service; thanks for not making me wait to be seen, like I do in every other doctor's office!

#52011-06-08 09:39:58

My visit was very professional. I walked in and was assisted with emmediately. I am very happy with the service that was given to me today. I will gladly return.

#62026-04-25

The entire staff was extremely pleasant and I appreciate being able to see the doctor on such short notice. Everything was top notch!

#72025-06-28

The entire staff was very kind. Linda made me feel safe throughout the procedure.I also enjoyed the art which was beautifully displayed.

#82012-12-14 09:58:48

The doctor's exam was thorough and gentle. The music was pleasant and soothing.

#92025-12-17

From the moment I walked in the great experience started for me.

#102026-02-11

What can we do better?

(answers:373)

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

#12025-11-26

I think everything was wonderful. Keep up the good work!

#22011-02-22 09:25:17

Can't think of anything. I feel good about this visit.

#32010-09-09 11:47:56

I did not have any issues. The service was great.

#42025-06-22

shorter wait time for new patient appointment.

#52026-04-14

keep on what you are doing because you are doing a good job

#62025-08-13

Everything was great

#72010-11-04 12:31:22

This was a great experience and I would not change anything

#82025-11-20

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

#92025-10-02

Keep doing what you're doing.

#102025-08-30

Customer Rating : 4.7

Based on 637 ratings