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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.

Online Consultation

Get treatment plan from Dr. Ringpfeil or Dr. Abraham by tomorrow evening without visiting the office.

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# of surveys: 4187
Last updated: 1/02/2024 11:10 AM

PATIENT RATINGS

Would you recommend us?

definitely
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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%
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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
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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
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very poor
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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
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What WE DID WELL

(Answers:674)

The friendliness of everyone I came in contact with

#12025-01-08

being seen promptly

#22025-02-15

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

#32012-10-09 10:22:11

Having Alana accompany me from start to finish of the appt. It was comforting.

#42011-04-28 17:24:05

Andrea was very responsive to my original request to be seen, and you provided a very quick appointment even though I was not a patient. As an architect, I especially appreciate the attention to detail in how you have retrofitted the office.

#52024-07-14

The professionalism was awesome.

#62012-07-03 15:04:31

Office ambiance and the how attentive everyone is in the office.

#72024-10-25

original paintings are wonderful

#82010-12-15 11:34:02

Friendliness of everyone.

#92025-02-21

Woderful atmosphere and service

#102024-12-09

What can we do better?

(answers:373)

Magazines in the examining room to read while I waited for the doctor (I get bored easily).

#12025-05-23

I think I was served most excellently. I cannot thing of anything to add.

#22024-12-31

give me choices of what type of medicines that i can take

#32024-11-14

Can't think of a thing. I was very impressed.

#42010-09-27 14:45:03

Nothing!

#52025-06-04

A little warmer temperature.

#62010-09-09 16:03:32

I can't think of anything else that you can do, everything was excellent.

#72024-10-02

Service was outstanding!

#82025-02-18

we are okay

#92024-08-08

Waiting time in reception area was too long.

#102025-05-23

Customer Rating : 4.7

Based on 637 ratings
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