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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)

Dr. Ringpfeil appeared concerned about me.

#12025-12-10

I liked the modern office look, and how the doctor was very friendly and listened to everything I said.

#22026-02-18

Explanation by both DR. and assistant Thanks!

#32025-08-09

I liked the staff, the office, decor, music and the overall atmosphere. I felt comfortable. I will definitely recommened this practice in the future.

#42025-07-28

Doctor's thoroughness and bedside manner (and great blue eyes).

#52025-08-31

Ease of getting an appointment. Other places called I needed to wait more than 4 months for an appointment.

#62025-07-26

I liked the office, very nice and clean. The doctor and doctor assistant were very nice and very concerened with my problems and answered my questions very well. Thank You agian

#72025-08-20

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.

#82025-10-17

everyone is wonderful, nice, accommodating, and awesome. Great customer service overall.

#92011-12-21 17:29:36

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

#102011-10-19 12:56:42

What can we do better?

(answers:373)

Have the patient internet working

#12011-09-08 11:08:45

music mix

#22026-04-17

beethoven & mahler symphonic music pumped N2 waiting area* squash magazine & velonews & roleur periodical*(my wish list JK)

#32026-02-16

Don't change anything, it's excellent.

#42010-11-08 15:17:21

service was excellent

#52026-02-28

I was very happy with the care I received.

#62010-09-14 10:44:00

I cant think of anything

#72026-06-08

Keep doing what you are doing now..make sure no one slips, then I will make sure I write about it.

#82025-10-06

Shorter wait

#92026-01-08

Just do the same good job

#102026-04-15

Customer Rating : 4.7

Based on 637 ratings