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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)

Friendly, curteous service from all I was in contact with.

#12025-11-08

Everyone was very attentive and helpful.

#22026-04-12

No wait time, very efficient and easy to get in/out during work day.

#32011-09-27 12:59:17

The concern and empathy of the doctor and all the office staff regarding my daughter. Thank you so much!

#42026-05-03

Everyone was friendly and helpful. We did not feel rushed at all and that is wonderful. Thanks!!

#52011-11-29 10:38:27

everybody very pleasant - and the backgroud music was such a relief from the musical noise one usually hears in waiting rooms

#62025-07-01

Latte!

#72011-06-02 09:33:27

Dr. was very attentive and took the time to talk with my daughter and put her at ease. Assistant was great, taking my daughter on tour of facility while I asked the doctor a few questions.

#82025-06-11

I did not have to wait to be seen at all. From the start of my visit until I walked out the door the doctor & staff were very professional & took the tim to answer my questions and listen to me also. I have been seen by other dermatologist and I was defibately impressed here.+++A+++ Higly recommended.

#92025-07-23

staff/ambiance/cleanliness

#102025-10-28

What can we do better?

(answers:373)

I've never been in a medical office that was so warm and inviting. The decor and overall appearance has the feel of your living room but also reminds you that you are in a clinical environment as well. This practice surpasses my expectations in every way, from the staff, dress code, advances in technology and overall care of the patient. I was made to feel that my care is your number one priority.

#12011-04-29 11:02:03

With such excellent service, there's nothing I can add to it. I am a very satisfied patient.

#22010-09-09 11:12:17

Parking was a little tight.

#32011-06-09 15:52:46

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

#42025-06-07

Just keep doing what the company is doing and yall will be fine. no problems at all i will refer anybody to this compnay

#52025-07-18

no complains

#62026-05-21

Just continue your good work to keep your credibility in place.

#72010-10-12 10:33:59

was fine

#82025-06-15

This visit was great.

#92025-07-24

Send the paperwork to my home address in advance of appointment. Provide better reading material in the reception area.

#102026-03-01

Customer Rating : 4.7

Based on 637 ratings