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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.

# 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)

Every aspect was oustanding, most importantly the expertise of the physician.

#12026-01-13

Attention by all staff.

#22025-07-05

location conveinent

#32025-11-29

IN ADDITION TO THE EXCELLENT ENVIRONMENT AND STAFF AND DOCTOR, THE MUSIC WAS ALSO EXCELLENT AND SOOTHING. sOME OFFICES HAVE AWFUL MUSIC STREAMING.

#42010-11-11 15:36:56

I liked the promptness of seeing the doctor, and I loved that I was given all the time that I needed to speak with her.

#52025-12-21

I actually was able to see the physician, the physician assistant and the aesthetician, which was awesome for one visit! It shows that the team works together to provide patients with the best possible results.

#62011-10-04 14:18:20

The Dr. is very personable.

#72025-12-27

NO WAITING,THANK YOU !

#82025-02-24

I loved the office space. Very friendly and the decor was very nice. I also appreciated the opportunity to do documentation on the computer.

#92025-03-25

It was very timely

#102025-08-25

What can we do better?

(answers:373)

maybe classical music on the radio? and some hunting and fishing magazines for the men. but the waiting period is so short it may not matter

#12010-11-08 11:23:38

sometimes I feel the phone staff is not as helpful as it could be, but that is not reflected in the quality of services. Front office is very professional overall.

#22010-11-04 13:29:14

Tea? Just kidding! Everything was great.

#32010-10-26 10:16:13

website access to new patients more visable on site

#42026-01-19

Get some better parking spaces

#52026-01-03

just keep giving me good news and no cancer.

#62025-05-17

I couldn't find any parking.

#72025-08-27

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.

#82011-02-07 10:50:14

I recommended this practice to a family member but they showed up 15 mins late to their first appt. due to traffic and were turned away (after traveling over an hour to get here). I would suggest on the first visit to allow more leeway for late appointments (try to fit them in) and then explain the late policy for all appointments moving forward.

#92011-09-21 14:47:49

Everything was well above my expecatations.

#102025-05-29

Customer Rating : 4.7

Based on 637 ratings
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