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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 doctor definitely has a wonderful bedside manner, so unexpected when a woman my age is dealing with aging vanity issues.

#12025-12-11

The staff was knowlegable in answering any additional questions I may have

#22025-07-24

Liked the all the friendliness of the doctor's assistants and the doctor as well. also loved the brightness and colors of the waiting room.

#32026-01-22

There is an open, respectful friendliness about the practise.

#42026-05-11

Receptionist friendly and helpful and cheerful {shawna}. Emily was very friendly and professional and cheerful and puts patient at ease. Dr. was very thorough and explained everthing on patients level and also cheerful. I will definately reccomend to friends!

#52012-12-10 09:51:20

The appearance and presentation of the office.

#62025-12-06

THE ATMOSPHERE IS LOVELY AND DR. RINGPFEIL IS VERY THOROUGH AND I HAVE CONFIDENCE IN HER.

#72025-10-27

I found this to be a very pleasant and professional appointment -- better than most .... I would absolutely recommend to others and will utilize the many services available at this office.

#82010-12-15 11:51:05

Everyone seem to be knowing what they are doing and loving to take the time to assure you that they care and can assit you..

#92011-04-19 09:23:01

Both the doctor and medical assistant were very knowledgable.

#102010-11-09 10:53:55

What can we do better?

(answers:373)

Can't think of a thing. I was very impressed.

#12010-09-27 14:45:03

Loved all the options for appointments, very appreciative. Thank you

#22011-02-23 17:51:48

Parking was a little tight.

#32011-06-09 15:52:46

Provide some written information for questions asked. I can't remember everything said.

#42026-03-05

no recommendations necessary

#52025-12-26

just keep giving me good news and no cancer.

#62025-07-17

All my concerns were addressed, I was pleased.

#72011-03-11 11:53:21

Almost too methodical - thought of one more 15 second type question after Dr. left re one spot not noted - would have waited some time to have her look at it. Told no time until lunch.

#82011-11-03 10:28:10

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)!!

#92026-02-25

no suggestions

#102025-07-15

Customer Rating : 4.7

Based on 637 ratings