Thank you for your question! Yes, it can be used externally an internally as well. There are numerous non-surgical options available for your skin, and some can be used in combination to get best outcomes, but you would need a consultation with an expert. Some options for skin tightening include: - Thermage radiofrequency to heat the skin, tighten it over time, and prevent the aging process- Ultherapy high-intensity ultrasound to contract the muscle, tighten the face and neck, and prevent the aging process- PDO NovaThreads or InstaLift threads for immediate lifting without surgery and long-term collagen production- Sculptra injections for collagen production to areas of the face and neck with crepey skin or early sagging- BTL Exilis Ultra, Venus Legacy, and Thermi250 for monthly collagen stimulation with facials- ThermiRF, Renuvion (J Plasma), or Inmode BodyTite for internal heating and tightening with or without surgery- Fillers (or facial implants) to contour the jawline and chin to improve the appearance of the neck- Face lift / neck lift with fat grafting and fillers if you need a significant improvement- Incorporating medical-grade skincare products for use at home which can be found at Emeragecosmetics.com along with a free consultation with one of my free Skin Care Specialists I would suggest getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer