This article describes the use of dermatography as a method to reduce large cosmetically unacceptable scars in the temporo-occipital region after craniosurgery. Over a period of 15 years, 17 patients were treated in two to five 1-hour sessions without local anesthesia. The results show that dermatography is effective in providing a lasting cosmetically satisfactory effect, with subtle pseudo-hair formation and color pigments stably deposited. At the same time, the hypertrophic scars themselves are reduced and flattened, with their tissue made supple.