What is the percentage of retinoid (tretinoin) is in AlphaRet Skin Better Science overnight cream? 0.25%? Less?

AlphaRet™ (AHA-Ret) is not tretinoin. it is a a double conjugated retinoid, combines a retinoid with lactic acid to create a new molecule. AHA-Ret undergoes nontraditional, double hydrolysis, gradually releasing the retinoid and AHA into the skin maximizing efficacy and minimizing potential irritations. I would suggest a proper medical grade skincare regimen and start aerify every 2 weeks (see link).

at home peels like cosmelan, enlighten and aerify along with dermarolling (EmerageSkin roller with anteage AERIFY MD ampules weekly, see link) should be started now to prevent further aging.

For facial rejuvenation, I would suggest a combination approach of
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin
8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)

Best, Dr. Emer.