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Feel beautiful.
Feel natural.
Feel confident.
Feel empowered.

Dr. Karen M. Horton

Our Specialties

Breast

Dr. Horton is experienced in a range of cosmetic and reconstructive surgeries, including breast augmentation, breast reduction, breast lift, revision breast surgery, breast reconstruction, and mommy makeovers with an emphasis on patient safety and a focus on beautiful results.

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Face

The visible effects of gravity, time, and other factors can result in a prematurely aged and tired-looking appearance. San Fransisco Board Certified Plastic Surgeon, Dr. Horton is highly skilled in advanced techniques for facelift, neck lift, and eye lift surgery to restore a youthful appearance.

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bodygallery

Body

Feeling confident and comfortable in your body can greatly improve your quality of life. Body sculpting surgery, including liposuction, abdominoplasty, and post-weight loss surgery body contouring, can remove stubborn fat or excess skin to define curves for a svelte figure.

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Mommy
Makeover

Dr. Horton specializes in customized treatment plans to help women feel renewed and revitalized after bodily changes from pregnancy, birth, and breastfeeding. A mommy makeover may include breast procedures, liposuction, tummy tuck, labiaplasty and non-surgical procedures.

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Injectables

Our Board-Certified Nurse Practitioner Emily Sespaniak offers a variety of injectable treatment options including Botox Cosmetic, Juvederm, Belotero, Voluma and Restylane, that reduce the signs of aging and provide a refreshed appearance with little to no downtime.

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Skin
Rejuvenation

Non-surgical skin rejuvenation, such as Intense Pulsed Light (IPL) and the Clear + Brilliant™ laser, can correct hyperpigmentation, diminish fine lines and wrinkles, improve the appearance of scars, and treat sun damage to restore a youthful glow.

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Skin
Care

We offer exclusive medical-grade skin care lines with higher concentrations of active ingredients that are clinically proven to be effective. At your consultation, our Aesthetic Nurse Practitioner will determine the most beneficial skin care regimen for your unique skin type.

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Scar
Therapy

Six to eight weeks post-surgery, surgical patients will meet with our Aesthetic Nurse Practitioner for scar therapy. Scars are an unavoidable part of having surgery, but the long-term appearance of your surgical scar can depend greatly on adequate scar therapy in the first year after surgery.

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"My role as a Plastic Surgeon is to educate, inform, and empower women." "My role as a Plastic Surgeon is to educate, inform, and empower women."

Dr. Karen M. Horton

Excellence in Plastic Surgery

Dr. Karen M. Horton is Internationally Board Certified in Plastic Surgery by both the American Board of Plastic Surgery and the Royal College of Surgeons of Canada specializing in cosmetic and reconstructive surgery for women. Based in San Francisco, Dr. Horton focuses on providing her patients with meticulous attention to detail, individualized care, exceptional surgical results, in a warm, welcoming environment. Her practice is centered on providing beautiful, natural and long-lasting results for breast cancer survivors using microsurgery or implants in a single stage. She also specializes in rejuvenation of the breasts and body for women who have completed child-rearing, known as the “mommy makeover“!

Aesthetic Nurse Practitioner & Expert Injector

Emily Sespaniak, MSN, FNP-C is an experienced and board-certified Nurse Practitioner who specializes in the skilled administration of non-surgical cosmetic treatments. Emily ‘s focus is on minimally invasive procedures used to refresh and enhance natural beauty, including cosmetic injectables and dermal fillers, non-ablative laser treatments, and medical-grade skin care. These rejuvenating treatments can be utilized preventatively, as an alternative to surgery, or in conjunction with surgical procedures to maximize results. With an emphasis on patient education, Emily’s goal is for her patients to leave the office feeling refreshed and rejuvenated, as well as informed on how to maintain results between visits.

Meet Our Team

Our team is composed of talented and experienced medical professionals, most of whom have been working with Dr. Karen Horton for many years. From the front desk to the operating room, everyone who collaborates on your care at San Francisco Plastic Surgery is dedicated to patient education, safety, and empowerment. We work together as a team to help you achieve your goals.

Before & After Gallery

We take pride in the exceptional care we provide to our patients and our surgical results. We are honored to share before-and-after images of Plastic Surgery results with you in our Photo Gallery. The privacy of our patients is absolutely vital and respected above all else. Therefore, we have chosen not to show some preoperative and postoperative images where confidentiality could potentially be compromised. When you arrive to your consultation at our office, you will have the opportunity to view additional confidential representative preoperative and postoperative examples if they are not featured here.

Surgical Procedures Non-Surgical Procedures

Horton Gallery - Girl On Chair

Download This Free Breast Augmentation Decision Aid

*Decision aid provided courtesy of The Aesthetic Society. Breast Augmentation Decision Aid Brochure Graphic

What is the purpose of this decision aid?
• Introduce the decisions necessary to consider before primary breast augmentation surgery.
• Educate you on the essential information you need to know to make each decision.
• Identify your goals, values, and preferences relevant to each decision and clearly communicate them to your Plastic Surgery care team.

Latest News

Dr. Horton's Blog

Explore the Magic of Barre Workouts with Dr. Karen Horton

By: Karen Horton | Feb 02, 2024

Finding the perfect workout can be a challenge, but Dr. Karen Horton shares her secret in Haute Living San Francisco Magazine: the transformative power of barre workouts. Barre, a unique blend of strength, cardio, balance, flexibility, and endurance training, offers...

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About Dr. Horton

New Year’s Resolutions & Personal Goals

By: Karen Horton | Jan 19, 2024

New Year's Resolutions. Have you made any? I try not to set traditional New Year's resolutions, as I strive to live every single day as my best self. You see, I believe that it's essential to maintain a healthy lifestyle,...

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Dr. Horton's Blog

Dr. Horton Featured on KRON4 News San Francisco

By: Karen Horton | Dec 29, 2023

For Breast Cancer Awareness Month, Dr. Horton was interviewed about thermogram screenings and how they are less useful in detecting breast cancer than digital mammograms on KRON4 News San Francisco. Watch the video below. Additionally, in the Q&A below, she...

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Social Media

In The Media

Dr. Karen M. Horton is often consulted as an expert in plastic surgery and has been featured in a number of world renowned publications. Read more to get the latest news from Dr. Horton and learn about the current innovations in plastic surgery and non-surgical cosmetic enhancement.

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Schedule a Consultation

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Dr. Karen M. Horton
2100 Webster St UNIT 520
San Francisco, CA 94115
Phone: 415.923.3067
We are located in the Pacific Heights District in the Pacific Professional Building.

Our Location

Hours

Monday-Friday: 9am - 5pm

Saturday-Sunday: Closed

Monday:
9 AM to 5 PM

Tuesday:
9 AM to 5 PM

Wednesday:
9 AM to 5 PM

Thursday:
9 AM to 5 PM

Friday:
9 AM to 5 PM

Saturday:
Closed

Sunday:
Closed

Address

Dr. Karen M. Horton
2100 Webster St UNIT 520
San Francisco, CA 94115
Phone: 415.923.3067

We are located in the
Pacific Heights District
in the Pacific Professional Building.

SHOP SKIN CARE ICONSHOP SKIN CARE

*Please note: Our office is no longer a Participating Provider for insurance. We can provide a financial quote for what anticipated surgical fees will be after your consultation.

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Dr Karen Horton