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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)

prompt everything explained clearly

#12026-04-20

Thorough body check.

#22011-12-20 11:18:43

It was very timely

#32026-01-06

I liked the fact that I could enter my information on a computer and I was not asked to provide the same more than once on the informational forms!

#42025-07-10

The great service, short waiting time, and the doctor was super helpful!

#52026-01-07

everything is so gracious and lovely ....just add a fountain to complete ambience

#62026-03-15

dr and med asst. made me very comfortable instead of the traditional white coat syndrome

#72011-06-02 13:39:55

The amount of time the doctor spent and the medical assistant. I didn't feel rushed

#82025-08-12

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

#92010-11-10 08:57:14

I like that you can schedule and access info by computer. The office is beautiful, very relaxing and staff is wonderful. The nicest doctors office I have ever been too

#102011-10-19 12:56:42

What can we do better?

(answers:373)

Talk a little slower

#12011-09-12 11:44:23

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

#22010-11-08 11:23:38

I was very pleased!!

#32026-02-25

Keep up the good work

#42025-09-20

more relaxing music

#52025-08-12

I am completely happy with my needs being met here.

#62010-08-23 16:52:07

More chairs in the waiting room. More parking spaces.

#72010-09-15 12:08:01

Foodcoffe

#82025-12-06

Have the patient internet working

#92011-09-08 11:08:45

I am completely happy with my needs being met here.

#102010-08-23 16:52:07

Customer Rating : 4.7

Based on 637 ratings