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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)

Beautiful reception/waiting areas

#12011-05-27 15:59:15

choice of music - French, Brazilian, etc appreciated being called when a cancellation opened up an appointment for me that was sooner than my originally scheduled appointment

#22026-06-02

Friendliness of the satt and theri attentiveness. Also thoroughness of the questions

#32025-11-23

Beautiful reception/waiting areas

#42011-05-27 15:59:15

The way Dr.Ringpfeil and the medical assistant has communicated

#52025-11-24

I liked the friendlyness and professionalism of the staff and the MD. I was very impressed with the thorough examination I received and the way the MD explained what she found on that exam.

#62025-11-06

There didn't seem to be an overload of other patients in the office, which is what I am normally used to from other offices.

#72011-01-04 15:49:01

every thing was great.

#82026-02-18

Doctor Ringpfeil was very friendly, interested and seemed to take a personal interest in me and my husband.

#92025-09-24

I enjoyed how friendly everyone was.

#102025-12-24

What can we do better?

(answers:373)

DO NOT CHANGE A THING- YOU FOLKS ARE WONDERFUL!!!!!

#12026-04-14

any information on services provided for enhancing skin apperance

#22025-07-07

Please consider offering more appointments after 5pm since it can be a challenge to take time off from work.

#32025-12-17

Can't think of anything right now.

#42010-10-21 15:50:32

The experience was very pleasant, and relaxed. I would not recommend changing anything!

#52025-06-04

Don't know, you guys did a great job.

#62026-01-07

maybe classical music on the radio? and some hunting and fishing magazines for the men. but the waiting period is so short it may not matter

#72010-11-08 11:23:38

Everything was great! No further suggestion at this time.

#82026-03-19

Not a lot to improve on service is already top notch.

#92010-09-30 11:25:20

it's a little thing, but when you enter an office and ask the receptionist attending to you how are you, she say fine, but does not inquire how you are, and is not engaging, I just think its rude.

#102025-12-15

Customer Rating : 4.7

Based on 637 ratings