Meet Dr. Karen Horton
Dr. Horton
Emily Sespaniak, MSN, FNP-C
Danielle Bautista, MSN, ANP
Voted Best Cosmetic Surgeon in the Bay Area – SFGATE Best of 2025
Why Choose Dr. Karen Horton for Your Plastic Surgery
Award-Winning Plastic Surgeon Recognized for Excellence
Professional Credentials & Board Certifications
Education & Surgical Training
Areas of Expertise
Commitment to Breast Cancer Survivors
Media Recognition & Public Education
Thought Leadership & Publications
Professional Affiliations & Memberships
San Francisco Plastic Surgery Practice
Life Outside the Operating Room
Dr. Karen Horton is an internationally Board-Certified Plastic Surgeon specializing in aesthetic and reconstructive breast surgery, body contouring, and facial rejuvenation for patients throughout the San Francisco Bay Area. Since establishing her boutique private practice in Pacific Heights in 2006, Dr. Horton has earned recognition as one of the region’s most accomplished Plastic Surgeons, combining meticulous surgical technique with a patient-centered philosophy centered on education, empowerment, and beautiful, natural-looking and long-lasting results.
Certified by both the American Board of Plastic Surgery (ABPS) and the Royal College of Physicians and Surgeons of Canada (RCPSC), Dr. Horton brings a unique international perspective to Plastic Surgery. Her commitment to surgical excellence, combined with her dedication to advancing the field through research and education, has established her as a trusted authority in Plastic Surgery for patients seeking transformative results with compassionate, personalized care.
Voted Best Cosmetic Surgeon in the Bay Area – SFGATE Best of 2025 and 2026
Dr. Karen Horton is proud to be recognized as the Best Cosmetic/Plastic Surgeon in the Bay Area by the SFGATE Best of 2025 and 2026 Awards. This community driven honor reflects the trust and satisfaction of her patients, the quality of her results, and her commitment to compassionate, individualized care. With gratitude for this recognition, Dr. Horton remains dedicated to delivering the highest standard of Plastic Surgery to each and every patient she serves.
Why Choose Dr. Karen Horton for Your Plastic Surgery
Dr. Horton’s approach to Plastic Surgery is rooted in three core principles: EDUCATE, INFORM, and EMPOWER. Rather than simply recommending procedures, she takes time to help patients understand their options, discuss realistic outcomes, and make informed decisions aligned with their aesthetic goals and values. This philosophy has earned her consistent recognition from patients and peers alike.
“The most rewarding part of my practice is seeing patients gain confidence and feel comfortable in their own skin,” Dr. Horton reflects. “I believe that beautiful results come from understanding each patient’s unique anatomy, aesthetic preferences, and life circumstances—not from a one-size-fits-all approach.”
Her boutique practice model ensures that every patient receives individualized attention throughout their surgical journey, from the initial consultation through post-operative care and follow-up. Dr. Horton treats patients as she would treat a dear friend or family member, and she is comfortable gently saying “no” to patients who are not good surgical candidates, explaining her concerns in detail and offering alternative solutions when appropriate.
About the Surgeon: Dr. Karen Horton, Board-Certified Plastic
Surgeon in San Francisco
Dr. Karen Horton: Award-Winning Plastic Surgeon on Purpose,
Passion & Empowering Women
Award-Winning Plastic Surgeon Recognized for Excellence
Dr. Horton’s dedication to exceptional Plastic Surgery has earned consistent recognition from leading medical organizations and publications:
- SFGATE Best of the Bay 2026 Award – Voted Best Cosmetic/Plastic Surgeon in the Bay Area
- SFGATE Best of of the Bay 2025 Award — Voted Best Cosmetic/Plastic Surgeon in the Bay Area, also awarded Best Medical Spa 2025
- Marin Magazine Top Doctors 2026 Award — Recognition for Excellence in Plastic Surgery
- Castle Connolly Exceptional Women in Medicine Award (2026, 2025, 2024, 2023, 2022, 2021, 2020, 2019)
- America’s Best Plastic Surgeons for Breast Augmentation and Tummy Tuck — Newsweek.com (2025, 2026)
- Haute Living San Francisco Cover Feature (November/December 2022) — “Finding Beauty Beyond Boundaries”
- Quad A Accreditation 2025-2027 — San Francisco Plastic Surgery
“This community-driven honor reflects the trust and satisfaction of my patients, the quality of results, and my commitment to compassionate, individualized care,” Dr. Horton reflects on her recognition. “With gratitude for these awards, I remain dedicated to delivering the highest standard of Plastic Surgery to each and every patient I serve.”
Professional Credentials & Board Certifications
Dr. Horton holds dual board certifications in Plastic Surgery, a distinction that reflects her rigorous training and commitment to the highest standards of surgical care:
– Diplomate, American Board of Plastic Surgery (ABPS) — Certified November 16, 2013; Continued Certification through December 31, 2033
– Fellow, Royal College of Physicians and Surgeons of Canada (FRCSC) — Certified June 30, 2005; No expiration
– Fellow, American College of Surgeons (FACS) — Granted 2011
– ABPS Oral Examiner — Currently serves as an examiner for the American Board of Plastic Surgery (2024-ongoing), evaluating candidates seeking Board Certification in Plastic Surgery
– Scientific Article Peer Reviewer — Aesthetic Surgery Journal
– Medical License — Medical Board of California
These credentials represent not only Dr. Horton’s expertise but also her active role in maintaining the highest standards within the Plastic Surgery field and giving back to her professional community.
Education & Surgical Training
Dr. Horton’s path to becoming a Plastic Surgeon began with a strong foundation in scientific research and medicine:
Undergraduate & Graduate Education:
– Bachelor of Science, First Class Honours — Queen’s University, Kingston, Ontario (1994)
– Master of Science in Molecular Biology/Cancer Research — Queen’s University (1996)
– Doctor of Medicine, First Class Honours — University of Toronto (2000)
Her early research background in cancer biology informed her later interest in breast reconstruction and her commitment to serving breast cancer survivors.
Surgical Training:
– Core Surgery Internship — University of Manitoba (2000-2002)
– Plastic Surgery Integrated Residency — University of Manitoba (2002-2005); Chief Resident (2004-2005)
– Senior Clinical Fellowship in Hand and Microsurgery — The Buncke Clinic Institute for Plastic & Reconstructive Surgery, San Francisco (2005-2006)
Her Fellowship training at The Buncke Clinic, one of the world’s premier Microsurgery centers, equipped her with advanced techniques in complex breast reconstruction and advanced microsurgical procedures—skills that have distinguished her practice and allowed her to tackle complex reconstructive cases.
Areas of Expertise
Dr. Horton’s surgical expertise spans cosmetic and reconstructive Plastic Surgery, with particular specialization in:
Breast Surgery
- Breast Augmentation (cosmetic enhancement with natural-looking results)
- Breast Lift (mastopexy) and Breast Reduction using the auto-augmentation technique
- Breast Reconstruction (following mastectomy, using both implant placed prepectorally and autologous tissue techniques,)
- Complex Breast Revision Surgery
- Nipple-Sparing Mastectomy with Immediate Reconstruction
- Microsurgical Breast Reconstruction (DIEP, TUG, and other autologous free flap techniques)
Non-Surgical Treatments
- Injectable Wrinkle Reducers (BOTOX, Dysport)
- Dermal Fillers
- Skin Rejuvenation Treatments
- Non-Ablative Lasers
Body Contouring
- Mommy Makeover (comprehensive body rejuvenation following pregnancy)
- Liposuction and Body Sculpting
- Tummy Tuck (abdominoplasty)
- Labiaplasty and other Female Cosmetic Genital Surgery
- Post-Weight Loss Body Contouring
Facial Rejuvenation
- Facelift and Neck Lift
- Eyelid Surgery (blepharoplasty)
- Earlobe Repair and Rejuvenation
- Liposuction of the Neck
Dr. Horton’s philosophy emphasizes beautiful, natural-looking results that enhance each patient’s unique features rather than creating an artificial appearance. Whether performing cosmetic surgery or complex reconstructive procedures, she prioritizes meticulous technique, patient safety, and outcomes that exceed expectations.
Commitment to Breast Cancer Survivors
A Breast Cancer Surgeon’s eldest daughter, Dr. Horton followed in her father’s footsteps, caring especially for women facing breast cancer by offering advanced breast reconstruction options. For over two decades, Dr. Horton has dedicated significant time to complex breast reconstruction, including:
- Sophisticated microsurgical techniques using the body’s own tissue
- Nipple-sparing mastectomy with immediate prepectoral single-stage breast implant reconstruction
- Complex revision surgeries for women seeking improved symmetry and aesthetics
While Dr. Horton no longer participates in insurance networks, she continues to serve breast cancer survivors through her private practice, offering complex breast revision surgeries to women who have completed their cancer treatment and desire improved symmetry to their reconstruction or improved aesthetics to their breasts.
Financing & Insurance Options:
Dr. Horton’s office accepts financing through these third party companies: Cherry, PatientFi and CareCredit. We can provide guidance to patients in initiating an insurance claim for reimbursement after surgery.
Media Recognition & Public Education
Dr. Horton is an invited guest speaker at meetings throughout the United States, educating colleagues and the public about Plastic Surgery. She has been featured on numerous media platforms, including:
- KRON 4’s Body Beautiful Show
- The Holistic Plastic Surgery Show
- Podcasts and online publications
- YouTube Channel
Follow Dr. Horton on Social Media:
Thought Leadership & Publications
Dr. Horton is a prolific contributor to the medical literature, with over 100 peer-reviewed publications, book chapters, and presentations to her name. Her research and clinical insights have advanced the field of Plastic Surgery and educated both colleagues and patients.
Peer-Reviewed Journal Articles:
- Buntic RF, Horton KM, Brooks D, Althubaiti GA. “Transverse Upper Gracilis Flap as an Alternative to Abdominal Tissue Breast Reconstruction: Technique and Modifications.” Plastic & Reconstructive Surgery, 128(6):607e–613e, 2011.
- Buntic RF, Horton KM, Brooks D, Lee CK. “The Free Partial Superior Latissimus (PSL) Muscle Flap: Preservation of Donor Site Form and Function.” Plastic & Reconstructive Surgery, 121(5):1659-1663, May 2008.
- Herrera F, Horton KM, Buntic RF, Buncke GM. “Bilateral Sporotrichosis Infection of the Hands: A Case Report and Review of the Literature.” The Internet Journal of Hand Surgery, 2(2), 2009.
- Herrera FA, Horton KM, Suliman A, Buncke GM. “Aeromonas Hydrophila Infection Causing Delayed Vascular Thrombosis in a Nearly Amputated Finger.” Journal of Hand Surgery, 32A: 1058–1060, 2007.
Book Chapters:
- Horton KM. “Expert’s View: Another Option with Implants,” Chapter Six. In: The Complete Guide to Breast Reconstruction: Choosing the Best Options After Your Mastectomy, Fifth Edition. Steligo K. Baltimore: Johns Hopkins University Press, p. 89-90, 2023.
- Horton KM. “Chapter 22: Expander-Implant and Nipple-Areolar Reconstruction.” In: Pearls of Wisdom: Plastic & Reconstructive Surgery Board Review, Second Edition. Lin SJ and Hijawi JB, Eds. New York: McGraw-Hill Medical Publishing Division, p.149-154, 2011.
- Horton KM. “Chapter 24: Breast Reconstruction: Alternative Flaps.” In: Pearls of Wisdom: Plastic & Reconstructive Surgery Board Review, Second Edition. Lin SJ and Hijawi JB, Eds. New York: McGraw-Hill Medical Publishing Division, p.165-177, 2011.
- Horton KM. “Chapter 69: Gracilis Flaps for Breast Reconstruction.” In: Spear’s Surgery of the Breast: Principles and Art, Third Edition. Spear SL, et al., Eds. Philadelphia: Lippincott Williams & Wilkins, 2011.
Educational & Professional Publications:
- Sullivan E, Amalfi A, Horton KM. “American Society of Plastic Surgeons’ Social Media Toolkit: Courses 1-5.” American Society of Plastic Surgeons Education Network, 2022-2023.
- Horton KM. “Silicone vs Saline Breast Implants.” American Society of Plastic Surgeons Blog, July 14, 2017.
- Horton KM. “The Mommy Makeover: Dispelling Myths and Providing Truths.” Multiplicity Magazine, Summer 2014: 25-27.
- Horton KM. “After Breast Cancer: What You Need to Know if You Choose Breast Reconstruction.” Coping Magazine, Sept/Oct 2012: 38.
For a comprehensive list of Dr. Horton’s 100+ publications, presentations, and research contributions, please view her complete Curriculum Vitae.
Professional Affiliations & Memberships
Dr. Horton maintains active memberships in leading Plastic Surgery organizations:
- American Society of Plastic Surgeons (ASPS) — Active Member; Social Media Committee (2015-2026)
- The Aesthetic Society (formerly ASAPS) — Active Member; Chair, Integrated Marketing Committee (2023-2026)
- American College of Surgeons (ACS) — Fellow (FACS)
- California Society of Plastic Surgeons (CSPS) — Active Member
- American Society for Reconstructive Microsurgery (ASRM) — Active Member
- International Society of Aesthetic Plastic Surgery (ISAPS) — Full Member
- International Confederation for Plastic, Reconstructive and Aesthetic Surgery (IPRAS) — Active Member
- Mountain West Society of Plastic Surgeons (MWSPS) — Active Member
- Women Plastic Surgeons (WPS) — Active Member
- American Medical Association (AMA) — Active Member
- California Medical Association (CMA) — Active Member
San Francisco Plastic Surgery Practice
Dr. Horton’s boutique practice, located in the prestigious Pacific Heights neighborhood of San Francisco, reflects her commitment to personalized, high-quality care. The practice environment is warm, welcoming, and designed to make patients feel comfortable and supported throughout their surgical journey.
Practice Highlights:
- Established 2006 — Nearly two decades of trusted care in San Francisco
- Boutique Model — Limited patient load ensures individualized attention
- Comprehensive Care — From initial consultation through post-operative follow-up
- State-of-the-Art Facility — Modern surgical center with advanced equipment
- Experienced Team — Compassionate staff dedicated to patient comfort and safety
- “Unreasonable Hospitality” — Unwavering VIP service, going above and beyond to every single patient
- Private Practice — No longer participates in insurance networks; focuses on self-pay and financing options
- Quad A Accreditation 2025 — Recognized for quality and safety standards
Dr. Horton treats patients as she would treat a dear friend or family member, combining clinical expertise with genuine care and attention.
The Importance of Selecting Your Plastic Surgeon | Karen Horton, MD
A Day In the Office With Karen Horton, MD
Life Outside the Operating Room
Outside of surgery, Dr. Horton pursues physical fitness and is committed to staying in her very best shape. She has practiced Pure Barre for over a decade, rides Peloton and enjoys skiing throughout the winter months in Lake Tahoe. She encourages all her patients to become physically active before surgery and to strive toward their weight loss and fitness goals prior to undergoing any major surgery.
Dr. Horton lives in Marin County with her husband and fraternal twin daughters. For a sneak peek of Dr. Karen’s life in the office, operating room, and outside of surgery, follow her on Instagram:
@drkarenhorton — Daily life, education, and practice updates
@drkarenhortonbeforeandafters — Surgical results and patient transformations
Read Dr. Horton’s Curriculum Vitae
Frequently Asked Questions
Dr. Karen Horton’s practice is conveniently located in Pacific Heights, San Francisco, serving patients throughout the Bay Area. With dual board certifications (ABPS and RCPSC), extensive surgical training, and nearly two decades of experience, Dr. Horton offers the expertise and personalized care you deserve. Whether you’re seeking cosmetic enhancement, breast reconstruction, or body contouring, Dr. Horton combines surgical precision with a patient-centered philosophy to deliver beautiful, natural-looking results. Schedule a consultation to discuss your aesthetic goals.
Yes. Many patients choose to combine procedures for comprehensive results and convenience. Common combinations include:
- Mommy Makeover — Breast surgery combined with body contouring (tummy tuck, liposuction)
- Facial Rejuvenation Package — Facelift combined with eyelid surgery, submental liposuction and non-surgical aesthetic treatments
- Breast and Body Contouring — Breast augmentation or lift combined with liposuction or tummy tuck
Dr. Horton will assess your anatomy, discuss your goals, and recommend a personalized surgical plan that achieves optimal results while prioritizing your safety and recovery. During your consultation, she’ll explain the benefits and considerations of combining procedures.
Dr. Horton’s philosophy centers on enhancing your natural beauty rather than creating an artificial appearance. Whether performing breast augmentation, facial rejuvenation, or body contouring, she prioritizes:
- Respecting your unique anatomy and proportions
- Choosing implant sizes and shapes that complement your frame
- Using surgical techniques that create seamless, natural contours
- Avoiding over-correction or exaggerated results
“Beautiful Plastic Surgery should be noticeable for the results, not for looking ‘done,'” Dr. Horton explains. Her before-and-after gallery showcases her commitment to natural aesthetics.
Dr. Horton is deeply committed to continuing education and professional development. She:
- Regularly attends national and international Plastic Surgery conferences
- Publishes research and clinical insights in peer-reviewed journals
- Serves as an ABPS Oral Examiner, evaluating candidates for Board Certification in Plastic Surgery
- Participates in professional society committees and leadership roles
- Mentors surgical Fellows and Residents
- Stays informed about the latest surgical techniques and technologies
This commitment ensures her patients benefit from the most current, evidence-based approaches to Plastic Surgery.
Contact Dr. Horton
To schedule a consultation with Dr. Karen Horton and discuss your Plastic Surgery goals, please contact San Francisco Plastic Surgery.
Follow Dr. Horton on Social Media:
