Chemical Peel for Spider Veins and Large Pores?

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best,
Dr. Karamanoukian
Realself100 Surgeon

Chemical peels do not have any effect on the appearance of spider veins and may in fact make them slightly more visible by removing pigmentation and overlying tissues. Pores may be slightly improved.

No chemical peels help spider veins.  Facial spider veins are best treated with laser or pulsed light therapy.

I recommend a series of light peels, microdermabrasion or pulsed light therapy to lessen the appearance of  enlarged pores.  An at home dermatologist recommended skin care program can be a helpful adjunct also.  

So we have to remember that we are mammals and covered with hair follicles. When the edges of the follicles become prominent then the pores of our skin become more noticable. To treat this would be to slough the surface of the skin with either resurfacing laser techniques, chemical peels or topical tretinion, and to shrink the underlying nearby oil glands with a topical tretinoin cream. In your case it seems that a topical vitamin A cream, tretinoin or retinol, would be helpful in decreasing the appearance of the pores. The treatment of vessles/veins is performed best with lasers or light devices. The vessel is targeted and shrunk/destroyed in this method. Remember that these treatments are not perminent and the pores and vessels can recur as time progresses.

Chemical Peels are not the answer for pores and veins, both are too deep and unresponsive to be effected by a peel, even a deep one. Topically applied retinoids such as Retin A, or tazorac, can improve skin texture and pores to some extent and vascular lasers work very well on enlarged veins. More invasive lasers like a fractionated CO2 laser (Activ Fx) improve both problems, but involve down time and can be expensive.