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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)

Yes your patiences and willingness to answer all my questions.

#12025-09-01

I enjoyed the fast service and great eviorment. keep up the good work!

#22026-07-10

Was able to get an appointment on the same day. Staff worked deligently to assist with my referral

#32011-05-27 10:56:18

Doctor was very knowledgable.

#42025-09-23

Artwork, National Geographic

#52011-05-18 16:03:39

very informative about everything

#62026-06-04

Friendliness and professionalism

#72026-02-08

relaxing decor, classical music

#82025-09-25

The Dr treated me as a Person, not a commodity. She talked to me so I could understand what needed to be done and what possible courses of actions needed to be taken. I enjoyed the fact that the Dr. took time to listen to me & took action considering my desires as well.

#92025-12-06

Punctuality - Perfect Sense of humor of staff

#102025-09-04

What can we do better?

(answers:373)

Nicer chairs in office

#12011-01-24 14:33:36

Everything was great!

#22025-08-09

I think I was served most excellently. I cannot thing of anything to add.

#32025-08-22

I am completely satisfied with the current level of service and really can't think of anything that you could improve upon. This survey is a good thing.

#42010-10-13 09:38:13

Everything was great!

#52026-01-29

My advice would be to continue doing exactly what you are presently doing. I had a very good first impression of Dr. Ringpfeil and the practice. Thank you.

#62011-02-07 10:50:14

I am completely happy with my needs being met here.

#72010-08-23 16:52:07

I wish the aesthetician was available earlier in the morning or later in the afternoon to accomodate working women.

#82025-12-19

More convenient office hours for those who work during the day. Perhaps one evening?

#92011-03-16 11:16:24

I wish the aesthetician was available earlier in the morning or later in the afternoon to accomodate working women.

#102025-10-24

Customer Rating : 4.7

Based on 637 ratings