The two main types of chemical peels are TCA or phenol/croton oil. Each can very in concentration depending on which area of the face is being treated. I prefer phenol/croton oil peels for treatment of lines/wrinkles/hyperpigmentation of the face, as this peel treats the isues beautifully and definitively. TCA may improve the situation somewhat, but likely will need to be repeated at some point.
Regardless of method, you will absolutely need to receive a full skin evaluation prior to undergoing resurfacing, and in my practice we require that you are using Retin-A as well as a hydroquinone 4% for at least 6 weeks prior to peeling to insure a good result. I have skin care specialists who evaluate your skin and map out a plan with you for pre and post peel skin care.
The resurfacing peel may or may not take care of the spider veinds. these may require the use of a special laser or sclerotherapy.
Good luck!
