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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)

The service was great!

#12026-01-31

Everyone was so nice! I've never been to a doctor's office where everyone is so pleasant and the service is so quick! I didn't wait at all! You guys are great!

#22011-10-05 11:53:28

We liked that Dr. Ringpfeil explained everything to us and made my daugther (almost 6 yo) feel very comfortable in the office. She was very friendly, kind and professional.

#32026-02-21

Friendly!

#42025-11-01

The dr spent a lot of time answering my questions.

#52011-10-17 16:10:34

I think the doctor is very thorough in her evaluations and explanations and the staff is extremely professional and friendly. Definitely 5 star service!

#62011-09-22 13:13:46

everyone was great

#72025-12-04

I like that everything was fully explained to me than before from previous doctors.

#82025-09-08

the doctor and the staff were excellent and very attentive.

#92025-09-29

The friendliness. professionalism and knowledge of all staff members.

#102026-05-12

See more patient answers >>

What can we do better?

(answers:373)

maybe offering a bit more evaluation of options -that I haven't already thought of or asked about- for skin care and amelioration, as I am not certain what exists

#12026-01-12

everything was beyond my expectations . No doctor has ever given me such a complete exam

#22010-10-07 10:02:42

I can't think of anything at this time.

#32026-07-04

Can't think of a thing

#42026-03-17

clear directions to facility

#52026-02-13

any information on services provided for enhancing skin apperance

#62025-12-13

The lock on the door of the unisex bathroom is a little challenging in that you don't know whether it is locked or not. This was a little unnerving.