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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 swiftness and kindness of the staff, felt very comfortable

#12026-05-07

This is an amazingly professional as well as patient-oriented practice. Thank you! I will highly recommend your practice to everyone.

#22012-08-31 09:32:27

All of my questions were answered.

#32026-04-23

The doctor didn't rush

#42025-09-19

I liked that the doctor was well informed about the proper medicines to help me with my acne, and also was well informed about my medical condition, and was able to prescribe medication to help both!

#52025-07-09

I was extremely impressioned with the professionalism of the entire staff and the uplifing atmosphere of the office as it made me feel relaxed and welcomed. I love the color scheme of the office too!

#62026-06-13

I found it very interesting and feel that I came to the right place and trust the doctor's treatment for me.

#72025-08-05

There didn't seem to be an overload of other patients in the office, which is what I am normally used to from other offices.

#82011-01-04 15:49:01

I liked the fact that I could enter my information on a computer and I was not asked to provide the same more than once on the informational forms!

#92025-07-25

Promptness

#102011-06-06 08:59:45

What can we do better?

(answers:373)

Don't change anything, it's excellent.

#12010-11-08 15:17:21

Couldn't be better!

#22026-02-17

Everything was great!

#32025-09-23

Everything is just great!

#42026-06-09

I was very pleased!!

#52026-03-29

I was more than pleased with my first visit; a very warm and professional office

#62011-03-09 09:12:38

don't see how you could improve anything

#72011-01-12 08:19:57

Try to get enrolled as a provider in Tricare Prime!

#82025-12-20

Keep me informed of specials on products that might be good for my skin.

#92011-01-05 16:01:31

Please send out paperwork in advance for pediatric patients

#102026-05-22

Customer Rating : 4.7

Based on 637 ratings