Hello, you could always try mouth exercises /stretching. It helps a little. Facial massages are also a good tool. Borage oil helps the skin. Gotu kola is also one of my essentials. You could take them orally or topically. I've had scleroderma since I was about 12. Keep your esophagus protected. I wish I would've taken medicine sooner for my reflux. My lungs are terribly damaged now. I feel I could've prevented this if I would've known what I know now. Try to stay positive and exercise. Diet and exercise are so important. May I ask how old you are?