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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)

Punctuality - Perfect Sense of humor of staff

#12026-03-20

I loved the office space. Very friendly and the decor was very nice. I also appreciated the opportunity to do documentation on the computer.

#22025-11-05

Everyone was knowledgeable and comfortable... clean, efficient, great!

#32011-04-18 09:46:06

The appearance and presentation of the office.

#42025-11-19

The doctor is exceptionalyy easy to talk to. Excellent people skills!

#52026-04-10

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!

#62026-04-26

service

#72026-02-28

The doctor made me feel very comfortable when I was asking questions.

#82026-01-26

The doctor was very thorough and pleasant. Having Melissa take notes was an excellent strategy for covering so much information in a short amount of time.

#92026-01-28

I like the knowledge and confident in Dr Ringpfeil.

#102010-12-16 12:15:00

What can we do better?

(answers:373)

shorter wait time for new patient appointment.

#12026-04-22

keep on on trying to do your best

#22026-01-23

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

#32011-02-02 11:01:42

My experience in the office today was absolutely excellent

#42026-04-04

Everything was very clean and I cannot think of much you could do better.

#52025-09-10

I checked off compimentary consultation with aesthetician on the intake forms, but it wasn't mentioned and I forgot to ask during the examination.

#62025-12-17

This visit was great.

#72026-03-17

no recommendations necessary

#82025-08-22

was fine

#92026-05-28

it was a little warm in the waiting area

#102026-06-15

Customer Rating : 4.7

Based on 637 ratings