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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)

LIKE THE WAY WAY THE EXPLAIN THE PROCEDURE ,AND ALSO LIKE THE STAFF PATIENT INTERACTION.

#12012-10-09 10:22:11

How kind and attentive both Linda and Jenny were. I did not feel rushed and I did not feel pushed into buying products, which were two reasons I left the last practice I was using.

#22011-04-14 11:05:49

Patience and Politiness

#32025-05-06

Dr made eye contact and listened to my concerns....

#42026-03-03

How great everyone treats you here!

#52025-10-30

Very efficient!

#62025-12-03

Office staff was very polite and Dr was very thorough and everything was automated!

#72025-09-11

dr. ringpfiel's fabulous jewelry.

#82011-01-20 10:35:40

The friendly people who work here are great. Probably the best thing, though, is the timeliness of service. Most physicians make me wait far past my appointment time. I appreciate on-time service immensely!

#92025-06-16

The Dr. was excellent in every way !

#102011-04-18 11:48:00

What can we do better?

(answers:373)

super happy with visit

#12025-10-19

Coffee, Tea? only kidding. Hope I gave the reader a smile today.

#22011-02-21 10:56:55

I would like you to offer evening and/or Saturday hours for both dermatology and esthetician appointments.

#32010-11-04 16:32:44

music in office was just okay

#42025-10-16

very satisfied

#52010-10-13 11:22:48

My experience in the office today was absolutely excellent

#62026-03-17

Have the patient internet working

#72011-09-08 11:08:45

While I totally understand the late policy, unfortunately my daughter and I drove 1.5 hrs to the facility and given the weather and errorous directions, we ended up being 7 mins late. I immediately called the office while on route to explain that we were lost and sought correct directions. The receptionist was very curt, short and condesending. Upon our arrival, there was no warm greeting and very limited eye contact. Again,as a heath care provider myself, I appreciate the need to follow a schedule, however, our appointments were in direct succession and I do not think it would have had a significant impact on the work schedule, given our special circumstance.

#82011-03-24 10:10:11

Completely satisfied

#92010-10-20 09:59:20

music in office was just okay

#102026-01-05

Customer Rating : 4.7

Based on 637 ratings