These spider patches are likely spider angiomas, which are harmless, dilated blood vessels near the skin's surface. Topical creams generally cannot make these vessels disappear. While mild topical retinoids (like tretinoin) can sometimes improve overall skin texture, the most effective treatments are minor in-office procedures performed by a dermatologist. These include laser therapy or electrocautery, which safely seal the vessels. I recommend consulting a healthcare provider or dermatologist. They can confirm the diagnosis, ensure there are no underlying hormonal causes, and help you choose the best cosmetic treatment option. Please don't worry, as these are very common and highly treatable!