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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)

Very Professional and Friendly. Would definitely recommend to friends and family.

#12026-05-06

Fast, fun, very pretty office, excellent art works

#22010-12-07 10:07:04

frendliness of entire staff doc is terrific

#32025-10-24

Did not have to wait at all. Other places I would wait 4 hours or more.

#42010-11-10 08:57:14

visit was great

#52025-06-01

I was very impressed by everyone I had contact with on the staff - they were so personable as well as professional which goes a very long way with me! The office itself is also beautiful, I love the artwork and the entire atmosphere!

#62011-12-14 13:47:03

I didn't feel rushed and felt like I was really listened to and taken seriously. I didn't feel like someone was just throwing ointments at me to get me out the door. I really appreciate the care I received here. Thank you.

#72025-06-16

it was a good experience and the music was excellent!

#82025-08-31

the doctor was very nice and all the staff was very nice and answered all my questions i had.

#92025-06-07

thoroughness of staff

#102026-04-29

What can we do better?

(answers:373)

Just continue to be as thorough and caring as my experience today. Quite like a breath of fresh air!

#12025-12-04

Always laugh at my jokes.

#22025-08-05

Can't think of anything. I feel good about this visit.

#32010-09-09 11:47:56

Everything to date that your office has performed has been done professionally and expeditiously. It's a pleasure to deal with all the staff.

#42025-09-26

Your rain spouts put water into the driveway to the back parking lot. As it gets colder, it will freeze and create a dangerous pathway for clients

#52010-12-13 11:23:03

Service was great, wouldn't change a thing.

#62010-10-06 09:19:36

no complaints. everything was fine.

#72025-06-28

The service was great I don't see anything better u can do!

#82025-07-27

No complaints - overall best experience at any dermatologist.

#92011-09-27 12:59:17

I wish the aesthetician was available earlier in the morning or later in the afternoon to accomodate working women.

#102025-07-27

Customer Rating : 4.7

Based on 637 ratings