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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)

cleanliness of office, layout of facility, short wait time to see physician, communication skills of physician and medical asst.

#12026-06-02

Punctuality of apointment.

#22026-04-29

No waiting!

#32012-09-06 10:30:16

respectful and relaxing

#42025-12-19

the stafff and doctor were extremely friendly

#52026-05-27

I was very impressed by everyone I had contact with on the staff - they were so personable as well as professional which goes a very long way with me! The office itself is also beautiful, I love the artwork and the entire atmosphere!

#62011-12-14 13:47:03

The friendliness. professionalism and knowledge of all staff members.

#72025-08-31

I enjoyed the French music in the reception area.

#82026-01-20

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.

#92025-09-03

The thorough exam that Dr. Ringpfeil gave me. The professionalism of the entire staff. Everything from the ambience to the music.

#102025-10-29

What can we do better?

(answers:373)

There was some wait between my initial interview with the medical assistantand my meeting the physician. This wait could have been shorter.

#12026-01-15

super happy with visit

#22025-08-03

Waiting time in reception area was too long.

#32026-06-24

It was good

#42025-09-10

Appointments on Fridays

#52010-09-27 09:26:48

There is a problem with availability of parking during busy week days.

#62026-01-27

Everything was very clean and I cannot think of much you could do better.

#72026-05-09

Nothing, my visit was great.

#82025-11-29

Appointments available on shorter notice

#92010-10-25 10:00:31

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