Feel beautiful.

Feel natural.

Feel confident.

Feel empowered.

Our Specialties

Before & After Gallery

Breast

Dr. Horton is experienced in a range of cosmetic and reconstructive surgeries, including breast augmentation, breast reduction, breast lift, prepectoral and microsurgical breast reconstruction, and mommy makeovers with an emphasis on patient safety and a focus on beautiful results that enhance natural body contours.

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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, brow lift, neck lift, and eye lift surgery to restore a youthful appearance.

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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 complementary non-surgical procedures.

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Injectables

Our Board-Certified Nurse Practitioner 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
Rejuvination

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 visible 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. Get a personalized consultation to determine the most beneficial skin care regimen for your unique skin type.

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Cool
Sculpting

CoolSculpting is an innovative, non-surgical procedure to permanently remove unwanted fat from areas that are resistant to diet and exercise. Minimal downtime with no scarring, no anesthesia, and proven results make this a popular body contouring treatment.

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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“!

Meet Dr. Horton View Our Patient Results

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 Emily, NP

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

Latest News

Breast Augmentation

Selling Used Breast Implants!? Dr. Karen Horton Tells Allure Why This is a Bad Idea

By: horton_admin | Jun 11, 2019

Allure magazine reached out to Dr. Karen Horton for her professional opinion on a peculiar story involving the resale of breast implants. A woman in Texas recently posted in the Facebook Marketplace advertising used breast implants for sale. There is...

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Body Procedures

Dr. Karen Horton Featured in Refinery 29 Report on Cardi B’s Plastic Surgery Complications

By: horton_admin | May 31, 2019

Music star Cardi B, who has been open about having liposuction and breast augmentation, recently cancelled performances in order to take time to recover from Plastic Surgery due to apparent complications. In their report on the rapper’s cancellation announcement, Refinery...

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Breast Procedures

New Beauty Consults Dr. Karen Horton on Breast Surgery

By: horton_admin | May 17, 2019

Breast surgery accounts for over half a million plastic surgery procedures each year in the United States. Breast augmentation has been the most popular cosmetic procedure for several years in a row, and breast reduction and breast lift surgeries are...

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Social Media

Instagram Dr Karen Horton

#sanfrancisco #summer 🌁@karlthefog 55F #brrr!!

Bye Nashville... until the February 2020 plasticsurgeryasps #WPS #womensplasticsurgery retreat! plasticsurgerycente… https://t.co/e8O6wV6ASU

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Instagram Dr Karen Horton

Back in Cali! ✈️ #welcomehome 🌁 #SanFrancisco 🌈 Full day of #plasticsurgery cases tomorrow! 👩🏼‍⚕️

Instagram Dr Karen Horton

👩🏼‍⚕️😷👉🏼 VIDEO: How real surgeons scrub! (Not like on #graysanatomy...) We put on our own masks, lather up and take our time before entering the O.R.! #drkarenhorton #plasticsurgery #cosmeticsurgery #mommymakeover #liposuction #breastaugmentation #breastlift #breastreduction #tummytuck #abdominoplasty #labiaplasty #womansurgeon #breastrevision #boobjob #breastreconstruction #breastcancer #nipplesparing #prepectoral #savinglivesonebreastatatime #BRAday #DIEPflap #TUGflap #breastimplants

RT @ASPS_News: Which surgical procedures might be included in a mommy makeover? https://t.co/lUJS4bZoMQ #MommyMakeover #TrustASPS #PlasticS…

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Back in the office seeing patients today! 👩🏼‍⚕️ ❤️ #drkarenhorton #plasticsurgery #cosmeticsurgery #mommymakeover… https://t.co/1ruVP1rOQX

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My new Instagram page is getting ready to launch... drkarenhortonbeforeandafters 😁😁😁 Follow to see my results!!… https://t.co/JAMEmClwlo

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👩🏼‍⚕️😷👉🏼 VIDEO: How real surgeons scrub! (Not like on #graysanatomy...) We put on our own masks, lather up and take… https://t.co/kzWScyY0Wb

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#art of #Nashville #toomuch #notenough @ Country Music Hall of Fame and Museum https://t.co/noNMJ9EpqX

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🙌🏻 Welcome Sharmane to our boutique San Francisco Plastic Surgery office Front Desk position! We are happy you are… https://t.co/H2AxG7eLJQ

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Instagram Dr Karen Horton

Bye Nashville... until the February 2020 @plasticsurgeryasps #WPS #womensplasticsurgery retreat! @plasticsurgerycenternashville @mhawsplastics @gingergrass81 @katgallus @cvillesurgeon @ckavali

Instagram Dr Karen Horton

👙👙👙 My practice specializes in #plasticsurgery of the breasts, but that's not all I do! #savinglivesonebreastatatime...⠀ ⠀ I focus on breast and body #cosmeticsurgery, #breastreconstruction that leaves chest muscles alone, uses implants in a single stage or #microsurgery, #breastaugmentation or #breastlift or #breastreduction, #MommyMakeover surgery, #labiaplasty and #liposuction. ⠀ ⠀ However, I also perform an increasing number of #necklift procedures, specifically the #MACSlift and upper lid #blepharoplasty surgeries (#eyelidlift). ⠀ ⠀ To learn more, visit my website and sign up to see before and after posts at my upcoming @drkarenhortonbeforeandafters Instagram page!

taylorswift’s #rhinestoneguitar 🎸 @countrymusichof @ Country Music Hall of Fame and Museum https://t.co/aVB4YQNEgN

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👙👙👙 My practice specializes in #plasticsurgery of the breasts, but that's not all I do!… https://t.co/MNbwIxv4eS

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Instagram Dr Karen Horton

We love our #plasticsurgery patients!!!! ♥️❤️💗💖#lovemyjob⠀ ⠀ #drkarenhorton #cosmeticsurgery #SanFrancisco #BayArea #MommyMakeover #breastaugmentation #labiaplasty #breastimplants #liposuction #breastlift #breastreduction #mastopexy #tummytuck #abdominoplasty #boobjob #breastrevision #necklift #MACSlift #savinglivesonebreastatatime #savinglivesonefatcellatatime #breastreconstruction #DIEPflap #TUGflap #Microsurgery #ilooklikeaPlasticSurgeon #ilooklikeaSurgeon #boardcertifiedplasticsurgeon⠀

Our biggest fans this week: FettKeven. Thank you! via https://t.co/6jssaBRibU https://t.co/l7CslIlTC8

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Instagram Dr Karen Horton

My new Instagram page is getting ready to launch... @drkarenhortonbeforeandafters 😁😁😁 Follow to see my results!! #drkarenhorton #plasticsurgery #cosmeticsurgery #mommymakeover #liposuction #breastaugmentation #breastlift #breastreduction #tummytuck #abdominoplasty #labiaplasty #womansurgeon #breastrevision #boobjob #breastreconstruction #breastcancer #nipplesparing #prepectoral #savinglivesonebreastatatime #BRAday #DIEPflap #TUGflap #breastimplants

More #Nashville 🎻🎻🎻 We did a lot in 5 days... And we haven’t even shared our time at plasticsurgerycenternashville… https://t.co/3NS8UM2JjV

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So many amazing #countrymusic hits!! 🎸🎶🥁🎤🗣👩🏼‍🌾🏆🎼🎧🎺🎻📀 @ Country Music Hall of Fame and Museum https://t.co/VZ857UqlUE

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Instagram Dr Karen Horton

#examineyourselfie 🤳🏻 #drkarenhorton #ilooklikeaplasticsurgeon #ilooklikeasurgeon #plasticsurgery #selfiequeen

My week on Twitter 🎉: 10 Mentions, 20.5K Mention Reach, 46 Likes, 7 Retweets, 55.2K Retweet Reach. See yours with… https://t.co/2PFwN2d5Nx

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Instagram Dr Karen Horton

🙌🏻 Welcome Sharmane to our boutique San Francisco Plastic Surgery office Front Desk position! We are happy you are joining us. 😁 And that you changed careers from being a teacher to work with us! 😊 👩🏼‍⚕️ @bayareainjector 💋@maryoribellopasache @sonflower1953 #drkarenhorton 👠👠 #plasticsurgery #cosmeticsurgery #mommymakeover #liposuction #breastaugmentation #breastlift #breastreduction #tummytuck #abdominoplasty #labiaplasty #womansurgeon #breastrevision #boobjob #breastreconstruction #breastcancer #nipplesparing #prepectoral 👙#savinglivesonebreastatatime #BRAday #DIEPflap #TUGflap #breastimplants

What's on the menu for today? 👙👙 We are going to MAKE SOMETHING AWESOME. Specifically, breasts!… https://t.co/9frRUTRJMX

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Our biggest fans this week: FettKeven, khan96faiz. Thank you! via https://t.co/6jssaBRibU https://t.co/h9ncFTGx2X

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#examineyourselfie 🤳🏻 #drkarenhorton #ilooklikeaplasticsurgeon #ilooklikeasurgeon #plasticsurgery #selfiequeen @ Na… https://t.co/vkRanjDewF

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Instagram Dr Karen Horton

Back in the office seeing patients today! 👩🏼‍⚕️ ❤️ #drkarenhorton #plasticsurgery #cosmeticsurgery #mommymakeover #liposuction #breastaugmentation #breastlift #breastreduction #tummytuck #abdominoplasty #labiaplasty #womansurgeon #breastrevision #boobjob #breastreconstruction #breastcancer #nipplesparing #prepectoral #savinglivesonebreastatatime #BRAday #DIEPflap #TUGflap #breastimplants

Back in Cali! ✈️ #welcomehome 🌁 #SanFrancisco 🌈 Full day of #plasticsurgery cases tomorrow! 👩🏼‍⚕️ @ San Francisco… https://t.co/IffDp3wbux

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#sanfrancisco #summer 🌁@karlthefog 55F #brrr!! @ Golden Gate Bridge https://t.co/oFd8J2eaKF

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We love our #plasticsurgery patients!!!! ♥️❤️💗💖#lovemyjob⠀ ⠀ #drkarenhorton #cosmeticsurgery #SanFrancisco #BayArea… https://t.co/VSb2hNHnu5

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Instagram Dr Karen Horton

Get the look you want with minimal downtime so you can get back to work. Dr. Horton only performs subglandular surgery – meaning the implant is placed over the muscle rather than under. Performing the augmentation this way generally makes for shorter recovery time, less pain and no muscle sacrifice. . Dr. Karen Horton ⭐️⭐️⭐️⭐️⭐️ San Francisco Board Certified Plastic Surgeon 👠 Mommy Makeovers, Cosmetic Surgery, Breast Reconstruction www.drkarenhorton.com ☎️ 415.570.7352 📍San Francisco, CA . #DrKarenHorton #DrHorton #plasticsurgery #plasticsurgeon #femaleplasticsurgeon #topplasticsurgeon #sanfranciscoplasticsurgery #sanfrancisco #bayareaplasticsurgery #SanFranciscogirl #breastaugmentation #breastaug

#westernwear of #Nashville @countrymusichof @ Country Music Hall of Fame and Museum https://t.co/kKUdTyrPys

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Instagram Dr Karen Horton

What's on the menu for today? 👙👙 We are going to MAKE SOMETHING AWESOME. Specifically, breasts! #BreastAugmentation and bilateral #BreastReconstruction with the #DIEPflap are our plan! ⠀⠀ ⠀⠀ #drkarenhorton #plasticsurgery #cosmeticsurgery #SanFrancisco #BayArea #MommyMakeover #labiaplasty #breastimplants #liposuction #breastlift #breastreduction #mastopexy #tummytuck #abdominoplasty #boobjob #breastrevision #necklift #MACSlift #savinglivesonebreastatatime #savinglivesonefatcellatatime #breastreconstruction #TUGflap #Microsurgery #ilooklikeaPlasticSurgeon #ilooklikeaSurgeon #boardcertifiedplasticsurgeon⠀⠀

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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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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 #506
San Francisco, CA 94115
Phone: 415.570.7352

*Please note: Cosmetic surgical and non-surgical procedures are not covered by insurance. Dr. Horton accepts limited insurance plans for breast reconstruction and breast reduction. Please contact our office to inquire about insurance coverage for reconstructive surgery.

Accreditations

About Dr. Horton