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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 friendliness with the staff kept me comfortable.

#12026-01-15

Friendly staff and very nice office space

#22011-05-27 14:24:47

The openness and friendliness. The doctor was very careful to make sure I understood. Thanks. The fact that you urged me to come back for an annual exam I consider very kind and caring.

#32010-11-29 11:47:11

It is clearly evident taht Dr. Ringpfeil is genuinely motivated by listening to your full symptoms, issues and then selecting the approach that is best for you. I scheduled my appt with the hopes of undergoing pricey treatments. Rather than signing me up and taking my check, she insisted that we first address the cause of my problems. Obviously, her goal is to heal the patient, not simply select the treatments that would be most lucrative for her. Impressive.

#42025-09-18

Dr took time to answer all my questions.

#52025-12-01

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

#62025-06-18

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

#72011-10-19 12:56:42

I love the Edith Piaf music being piped in - that was an awesome touch.

#82025-07-11

I thought the staff and the Doctor was extremely proffesional and courteous. I had a positive first experience and will continue to visit.

#92025-08-31

The freindliness of the staff!

#102011-06-01 13:35:16

What can we do better?

(answers:373)

Everything was great!

#12025-08-11

No complaints at all. Excellent experience

#22010-09-30 10:38:51

we are okay

#32026-04-13

The service is wonderful nothing needs to be changed.

#42025-06-11

Having Lip Gloss we can give others to let others know about you.

#52026-01-22

No complaints at all, but since you asked, receptionist today could have been "warmer"

#62010-08-25 10:41:35

No comments at this time.

#72025-08-07

Keep doing what you are doing!

#82025-09-28

Service was excellent!

#92010-09-30 13:09:12

You often have a long wait time in the room for the doctor. When she does come in it is not for a very long time.

#102010-08-23 17:00:56

Customer Rating : 4.7

Based on 637 ratings