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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)

Dr. Ringpfeil took her time and was attentive to my concerns. Writing all options on paper was very helpful and will help me when I start my regimen

#12026-01-08

knowledge and friendly

#22026-05-13

Yes, the doctor listened attentively to my description of symptoms and was authentically interested in helping me to resolve a skin issue that numerous specialist have not been able to identify.

#32026-06-13

service

#42026-04-16

You people are superb. The doctor and the assistant understand what they are doing. The doctor really talks like a professional - she knows it for sure.

#52025-10-06

Everyone is extremely nice and professional. I like the fact that the office is utilizing technology for things such as consent forms and patient information forms rather than paper. Good for the environment!

#62010-12-01 12:08:05

Everyone was cordial and very attentive. Will definitely come back.

#72025-11-26

as a man and coming in to see a doctor is usually awkward especially a female doctor to look over your entire body. The staff made me feel very comfortable and relaxed. Thanks so much.

#82025-09-10

I liked how they wanted to know about past experiences and history and seemed to take that into account and also thought outside the box. Very personable, friendly, yet right to the point.

#92026-04-18

Mainly speaking with the Dr and being explained everything.

#102025-12-29

What can we do better?

(answers:373)

Everything was great! The only thing I would say is when I called to make an appointment for sun spot treatment to let me know that I should limit my sun exposure and wear sunblock.

#12011-05-05 13:30:08

Good the way it is.

#22026-05-24

Everything was wonderful - no complaints at all!

#32026-01-21

Service was fantastic. No suggestions.

#42011-11-29 13:58:45

please change the paintings in the reception area....

#52011-02-02 11:01:42

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

#62026-03-06

was fine

#72026-01-04

There is a problem with availability of parking during busy week days.

#82025-12-07

I've never been in a medical office that was so warm and inviting. The decor and overall appearance has the feel of your living room but also reminds you that you are in a clinical environment as well. This practice surpasses my expectations in every way, from the staff, dress code, advances in technology and overall care of the patient. I was made to feel that my care is your number one priority.

#92011-04-29 11:02:03

The only downside is parking!

#102011-11-17 12:08:50

Customer Rating : 4.7

Based on 637 ratings