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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 office has a very relaxed setting this was the most comfort that I ever felt going to any doctors office, and also great music, you guys we here from me around the holidays and after my outcome with the other specialist!!! Thanks again!! Service AAAAA+++++++++

#12025-08-13

Promptness of being seen by physician, excellent, friendly staff. Dr. really listened and offered a plan to resolve my problem.

#22011-10-17 11:50:17

Having the classical music from WRTI radio station in the background as well as the amicable staff

#32025-12-13

the doctor was very nice and all the staff was very nice and answered all my questions i had.

#42026-05-04

The doctor's exam was thorough and gentle. The music was pleasant and soothing.

#52025-11-14

The office is beautiful and the Dr. and MA was very attentive

#62011-04-25 09:15:09

The Dr. listened and was patient. I was nervous!

#72026-03-30

I liked the computers.

#82026-02-21

The med assistant and the doctor were very pleasant and I feel like I can leave knowing that I am ok and had an excellent exam

#92026-01-23

Little to no waiting

#102012-09-19 10:54:21

What can we do better?

(answers:373)

just continue listening which is so important

#12025-09-30

move closer to home

#22010-11-08 09:51:29

Everything was great

#32010-11-04 12:31:22

More appointment availability either early or later (before or after the normal 9-5 workday)

#42010-08-23 16:22:28

The restroom could be cleaner.

#52011-01-19 08:56:51

I have no suggestions. I am very pleased with ever aspect of my care

#62010-10-18 16:25:51

All aspects of care were remarkable--much better than I've encountered elsewhere.

#72025-08-13

don't change a thing, you guys are the best! Please send me Real Estate Referrals, thanks

#82010-09-30 09:51:55

that you can call the insured company ehen there's a problem

#92026-02-04

Excellent, no improvement needed.

#102025-07-15

Customer Rating : 4.7

Based on 637 ratings