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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)

Friendly, curteous service from all I was in contact with.

#12025-08-05

The ample amount of time that the dr spent talking to me

#22025-08-16

very comfortable, but classy environment. Gave the feeling that the practice was upscale and therefore service would be quality

#32011-12-22 16:04:37

I have been to a number of derm docs....often it seems as though they have you try this or that but never seem to have a clear plan as to how they will treat ALL of the issues at hand. Thank you for taking the time to address each one of my concerns.

#42025-07-23

The atmosphere was pleasent and during appointment, didnt feel judged about skin.

#52025-12-14

Staff was very friendly. The office is beautiful, organized, and very clean. I am very happy with my choice to see Dr. Ringpfeil!

#62025-07-18

I liked the friendlyness and professionalism of the staff and the MD. I was very impressed with the thorough examination I received and the way the MD explained what she found on that exam.

#72025-08-22

Everyone very freindly. That's important.

#82025-04-08

I think the doctor is very thorough in her evaluations and explanations and the staff is extremely professional and friendly. Definitely 5 star service!

#92011-09-22 13:13:46

Lovely environment, sunny, spotless and relaxing classical music

#102026-01-05

What can we do better?

(answers:373)

It was good

#12025-09-26

A follow up, even if its an email, after the apt. could help!

#22010-08-23 16:38:55

The restroom could be cleaner.

#32011-01-19 08:56:51

Shorter wait

#42025-04-12

Your rain spouts put water into the driveway to the back parking lot. As it gets colder, it will freeze and create a dangerous pathway for clients

#52010-12-13 11:23:03

All fine

#62025-05-05

Can't imagine any better first impression.

#72011-02-24 14:49:37

Couldn't be better!

#82026-01-02

let people know about opportunity for free consultation with Jill(?) when making appointment.

#92010-09-13 11:24:22

I have zero complaints--top notch service from booking of appointment to treatment to checkout.

#102011-07-26 14:19:25

Customer Rating : 4.7

Based on 637 ratings
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