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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)

Fast, fun, very pretty office, excellent art works

#12010-12-07 10:07:04

The doctor was extremely attentive and I did not feel rushed at all. This is by far the best experience I have had at the dermatologist

#22026-02-07

Very relaxed and comforting environment. This was my first visit with a dermatologist and am quite happy with the experience.

#32026-02-14

The medical assistant and the doctor listen and the doctor explains the procedure and different options very well and explains what to expect from different options or procedure.

#42025-09-19

Very friendly staff. Made the experience easy and comfortable.

#52026-03-07

Very well organized! Dr. Ringpfeil was very professional and thorough!

#62026-03-01

Definitely the best overall dermatology practice I've seen (I've seen a lot). Very well run and obviously the Dr. is extremely expert and knowledgeable.

#72011-06-09 11:41:32

love the new office!!!!

#82026-06-04

Everyone is so warm and welcoming! great ambience, great music The lovely doctor is perfect- highly skilled, warm and a great mother!

#92025-12-16

The staff was thorough and extremely friendly, I felt welcomed and well informed.

#102011-12-01 14:56:48

What can we do better?

(answers:373)

I had requested an email for appointment purposes. Was never sent. Other than that - Excellent!

#12025-09-15

Everything was perfect today

#22010-10-05 10:42:21

excellent service

#32026-05-10

Appointments on Fridays

#42010-09-27 09:26:48

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

#52026-03-10

I had requested an email for appointment purposes. Was never sent. Other than that - Excellent!

#62025-10-30

Keeping me from dying of skin cancer would be good (I will behave and do the checks and annual exam to help out!!!)

#72010-11-29 11:47:11

No suggestions

#82025-09-25

Keeping me from dying of skin cancer would be good (I will behave and do the checks and annual exam to help out!!!)

#92010-11-29 11:47:11

Everything is just great!

#102026-01-13

Customer Rating : 4.7

Based on 637 ratings