BackgroundAs an emerging hybrid imaging modality, microwave‐induced thermoacoustic imaging (MITAI) provides high contrast and deep tissue penetration, and has been extensively applied in cancer diagnosis, arthritis detection, and brain research. However, the previous studies had a limited spatial resolution of about 0.45–1.5 mm.PurposeHere, we describe a microwave‐induced thermoacoustic microscopy (MITAM) system to help overcome the resolution limitation of current MITAI to image more subtle tissue features. On this basis, this paper applies MITAM to the thin skin and to demonstrate the potential of MITAM in detecting scleroderma.MethodsTo achieve high resolution, short pulse width microwave (pulse width: 70 ns) and high‐frequency ultrasonic point‐focused transducer (center frequency: 25 MHz) were used to build the MITAM system. Two parallel copper wires with a diameter of 90 μm in the X/Y plane and Y/Z plane were imaged to estimate X/Y/Z resolution. Nine Balb/c mice were randomly divided into three groups and injected with different concentrations of bleomycin to induce scleroderma models. Their ex vivo skins were then imaged by our MITAM system. Visual observations were performed on the 3‐dimensional skins MITAM images. And the mean value, Standard deviation, quartile distance, and signal‐to‐noise ratio were calculated to verify the results of the qualitative observations. Hematoxylin‐Eosin (HE) and Masson staining were used to validate the findings of the MITAM.ResultsThe thickness of each imaged skin was measured to be about 450 μm. As an organ composed of multiple layers of tissues, the skin needs to be imaged at high resolution for the detection of related diseases. The results obtained showed that the improved resolution (68 μm in the Z‐axis and 135 μm in the X‐axis/Y‐axis) of MITAM over conventional MITAI allowed us to differentiate scleroderma skins from normal skins and to identify the severity of scleroderma skins, consistent with the pathological findings of these skins.ConclusionsThe preliminary results obtained indicate that the MITAM can relieve the resolution limitation of traditional MITAI and has the potential to detection scleroderma. However, the transmission‐type MITAM mentioned in this paper is difficult to image in vivo due to the narrow area between the antenna and the transducer. In the future, a reflective scanning MITAM will be constructed to detect scleroderma in vivo.