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

Our Specialties


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.



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.



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.



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.



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.



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.



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.



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.


"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.

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

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

Breast Cancer Awareness

2021 Virtual BRA Benefit

By: Karen Horton | Oct 14, 2021

Support those in need of breast reconstruction and get the opportunity to win fantastic prizes at the same time! We’ve all been touched by breast cancer; whether you’ve undergone successful breast reconstruction yourself or are a friend or family member...

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Dr. Horton's Blog

Improve Surgical Scars With Scar Therapy

By: Karen Horton | Sep 08, 2021

Cosmetic surgery procedures such as facelift, breast augmentation and abdominoplasty all require surgical incisions. We understand that some patients are so nervous about scarring that they avoid Plastic Surgery altogether, however, there are a variety of ways that we can...

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Dr. Horton's Blog

Dr. Horton Featured In The New York Times On The Rise of Plastic Surgery For Men

By: Karen Horton | Jul 14, 2021

Dr. Karen Horton was recently featured in a New York Times article on the rise in male Plastic Surgery procedures during the pandemic. Plastic Surgery has historically been dominated by female patients, but cosmetic treatments are no longer just for...

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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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Dr. Karen M. Horton
2100 Webster St #506
San Francisco, CA 94115
Phone: 415.570.7352
We are located in the Pacific Heights District in the Pacific Professional Building.

Our Location


Monday-Friday: 9am - 5pm

Saturday-Sunday: Closed

9 AM to 5 PM

9 AM to 5 PM

9 AM to 5 PM

9 AM to 5 PM

9 AM to 5 PM




Dr. Karen M. Horton
2100 Webster St #506
San Francisco, CA 94115
Phone: 415.570.7352

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


*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.

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