NuDerm works with retin-A to stimulate your skin to repair epidermal and dermal damage. The hydroquinone (HQ) in the product line simultaneously drives out sun related skin discolorations of brown. So my suggestion to you is skip the facials for now, since they are likely too superficial to do anything of value while your skin is being driven by the NuDerm change. After you have been on the system for a few weeks to months, however, your skin will be more receptive than ever to light or medium peels or laser treatments. So if you have plateaued on your improvement, you can take a slightly more aggressive progression. Or you can treat those last issues that are just too advanced for NuDerm to correct. The skin will seem more irritated, or red, or thin, during the first few weeks while the system strips away the damaged surface cells. But over time the process will regularize the cell maturation, compact levels of the skin, and result in smoother more youthful skin. It can be an impressive degree of improvement.
As your skin perks up, or reverses some of the age spots, preexisting vessel abnormalities might become more apparent. The obagi system does not technically alter your vessels. But if other irregularities that once hid them are corrected, small dilated patches can be easily treated with vascular specific lasers or IPL's.