the stratum corneum plays a crucial role in epidermal barrier function. Various changes occur in granular cells at the uppermost stratum granulosum during cornification. To understand the temporal details of this process, we visualized the cell shape and organelles of cornifying keratinocytes in a living human epidermal equivalent model. three-dimensional time-lapse imaging with a two-photon microscope revealed that the granular cells did not simply flatten but first temporarily expanded in thickness just before flattening during cornification. Moreover, before expansion, intracellular vesicles abruptly stopped moving, and mitochondria were depolarized. When mitochondrial morphology and quantity were assessed, granular cells with fewer, mostly punctate mitochondria tended to transition to corneocytes. Several minutes after flattening, DNA leakage from the nucleus was visualized. We also observed extension of the cell-flattening time induced by the suppression of filaggrin expression. Overall, we successfully visualized the time-course of cornification, which describes temporal relationships between alterations in the transition from granular cells to corneocytes. The human epidermis is a heterogeneous, multilayered structure constructed from keratinocytes 1. All keratinocytes are originally produced at the lowest layer of the epidermis, the stratum basale (SB), following which they move towards the skin surface while differentiating through the stratum spinosum (SS) and stratum granulosum (SG) and finally transform into corneocytes at the border between the SG and the most outer layer, the stratum corneum (SC). Due to the robust hydrophobic features of the SC and tight junctions that form at the second layer of the SG, these factors play a crucial role in protection against physical damage and harmful factors outside the body as well as the prevention of water loss from inside the body 2-4. The terminal differentiation of the uppermost granular cells to corneocytes, the cells of the SC, is called cornification, which is a kind of programmed cell death. During cornification, a variety of phenomena occur in granular cells 3. One of the most obvious changes is in their thickness. Corneocytes are very thin with a thickness of approximately 0.2-0.5 μm 5. Furthermore, corneocytes do not contain nuclei and other organelles but rather are filled with densely packed keratin filaments throughout their cytoplasm 3,6. The condensation of keratin filaments is induced by interaction with filaggrin monomers 7,8. At the cell periphery, the cornified envelope, a structure consisting of various cross-linked intracellular proteins such as involucrin and loricrin, is formed 9. Adjacent corneocytes are interconnected by corneodesmosomes, which are modified desmosomes, and their intercellular space is filled with lipids 2. Several recent reports have elucidated that autophagy is involved in the elimination of nuclei and mitochondria during terminal differentiation 10,11. It has also been reported that DNA is degraded by both DNase1L2 ...