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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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Selected Patient Questions and Answers

Sclerotherapy - Patients ask, Dr. Ringpfeil answers

Please feel free to use the blog below to share information about Sclerotherapy or to ask Dr. Franziska Ringpfeil a question that might be of interest to others.

# 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)

Efficiency

#12025-07-31

Very little wait time, which is so appreciated! Very comfortable atmosphere. Really a wonderful appointment.

#22011-06-02 16:32:12

good service

#32011-04-19 10:17:20

People, help, expertise.

#42011-01-17 15:16:10

I like the doctor and how careful and thorough she is.

#52025-11-21

I found the office pleasant and staff, medical assistant, and doctor very friendly, yet very efficient, well-informed, professional, and knowledgeable. A very satisfying experience!

#62026-01-10

Dr. Ringpfeil is wonderful. I must say i've visited various dermatologist in the past and this is the first doctor that has touched my face. Very important to me so that was big believe it or not. Also very easy to talk to and you dont feel rushed.She explains well. i'm very satisfied with my visit.

#72025-06-21

the doctors accent

#82026-03-08

Was able to get an appointment on the same day. Staff worked deligently to assist with my referral

#92011-05-27 10:56:18

The friendliness of the staff; I felt like the doctor really cared and wasn't just rushing me through the appointment. I felt heard and seen and appreciated.

#102011-01-25 09:09:30

See more patient answers >>

What can we do better?

(answers:373)

Everything was great! No further suggestion at this time.

#12025-12-27

Being able to get an appointment at the time of the outbreak.

#22026-01-12

I have a suggestion: I noticed that two of the lovely rugs pose hazards to patients using walkers or who may have other mobility issues. The large rug placed at an angle and the narrow rug placed in front of the reception desk leave no room for these individuals to safely manuveur around the reception area and are likely to contribute to fall risks. I would suggest leaving these areas clear.

#32010-10-04 12:14:56

I do not believe there is a need to improve.

#42010-11-01 14:00:26

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

Too Early

#62025-10-30

cannot be improved

#72026-02-01

This was my first visit and although i was uncomfortable with my problem which was addressing I was truly happy with everything else.

#82011-07-28 15:11:23

Service was excellent, keep up your service as is.