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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)

The aesthetician was great, very straight forward and running on time!

#12011-05-05 13:30:08

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

#22026-04-17

Mainly speaking with the Dr and being explained everything.

#32025-08-09

The doctor was very thorough.

#42025-09-21

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!

#52026-02-22

The reassurance that my concerns were addressed.

#62010-11-09 11:24:08

Dr very friendly and made me comfortable.

#72026-02-24

speed of the apt. Dr. Took time to share thoughts

#82025-10-06

The people are friendly and understand.

#92025-10-29

I'm impressed with the office layout & decore + like the classical music played.I continue to be impressed by Dr. Ringpheil, who is also treating my son.

#102025-09-02

What can we do better?

(answers:373)

Everything was delightfully pleasant and comforting.

#12011-03-28 09:42:42

A sign in front of office to locate parking for first timers would be helpful.

#22025-11-09

excellent service

#32025-08-10

Have an accessible examining table!!!

#42011-08-31 14:28:17

not sure yet

#52026-04-05

May be by considering the comfort of the patients by allowing a grace period of atleast10-15mins and also by functioning on weekends too

#62025-12-25

Service was excellent, keep up your service as is.

#72025-10-06

Keep up the good work!

#82025-08-11

No recommendations - very satisfied/pleased with everything about the visit and the office and the Doctor and her assistants. thank you to everybody for makinng me feel so comfortable (i was verrrrrry nerous)!!

#92025-10-12

This was my very first visit; as a result, some of the questions above jump the gun a bit. However, the initial visit was a pleasant experience.

#102025-08-25

Customer Rating : 4.7

Based on 637 ratings