Now Offering XERF™ Skin Tightening in San Francisco
San Francisco Plastic Surgery now offers XERF™ skin tightening, a needle-free way to firm a softening jawline or a looser neck without surgery or downtime. If you’ve been stuck in…
Not Just Cosmetic Surgery.
a Partnership IN Empowerment.
Dr. Karen Horton
Dr. Horton
Emily Sespaniak, MSN, FNP-C
Danielle Bautista, MSN, ANP
Elevating the Female Form with Purposeful Aesthetic Vision
With warmth, precision, and deep listening, Dr. Horton and her all-women team guide you through a journey of self-discovery and confidence. Every result is crafted not just for beauty, but for you to feel whole, powerful, and in control.
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.
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.
Face
The visible effects of gravity, time, and other factors can result in a prematurely aged and tired-looking appearance. San Francisco 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.
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.
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.
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.
Face
The visible effects of gravity, time, and other factors can result in a prematurely aged and tired-looking appearance. San Francisco 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.
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.
Injectables
Our Board-Certified Nurse Practitioners offer a variety of injectable treatment options including Botox Cosmetic, Juvederm, Voluma and Restylane, that reduce the signs of aging and provide a refreshed appearance with little to no downtime.
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.
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, one of our Aesthetic Nurse Practitioners will determine the most beneficial skin care regimen for your unique skin type.
Scar Therapy
Six to eight weeks post-surgery, surgical patients will meet with one of our Aesthetic Nurse Practitioners 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.
Injectables
Our Board-Certified Nurse Practitioners offer a variety of injectable treatment options including Botox Cosmetic, Juvederm, Voluma and Restylane, that reduce the signs of aging and provide a refreshed appearance with little to no downtime.
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.
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, one of our Aesthetic Nurse Practitioners will determine the most beneficial skin care regimen for your unique skin type.
Scar Therapy
Six to eight weeks post-surgery, surgical patients will meet with one of our Aesthetic Nurse Practitioners 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.
“My role as a Plastic Surgeon is to educate, inform, and empower women.”
Dr. Horton
Dr. Karen M. Horton
To Dr. Horton, Plastic Surgery is more than a profession, it’s a calling to help women feel whole, powerful, and beautifully themselves again.
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”!
Emily Sespaniak, MSN, FNP-C
From Botox to dermal fillers and personalized skincare, Emily offers advanced aesthetic care tailored to your goals and grounded in medical expertise.
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.
Danielle Bautista, MSN, ANP
Aesthetic Nurse Practitioner & Regenerative Injectables Specialist
Danielle Bautista, MSN, ANP is a Board-Certified Nurse Practitioner with a background spanning regenerative medicine and aesthetic care. After years working in interventional spine and sports medicine, she shifted toward ultrasound-guided regenerative injections and found a natural bridge into cosmetic aesthetics. Danielle trained for five years alongside a facial plastic surgeon and researcher, contributing to clinical studies on neuromodulators and dermal fillers. Her practice today centers on neuromodulator treatments, facial fillers, PDO thread lifts, IPL, and microneedling, along with medical weight-loss support. Committed to lifelong learning, she regularly trains in advanced injection techniques, including specialized lip-injection methods studied abroad. Danielle’s approach favors natural, refined results, and she’s dedicated to helping each patient look and feel their best.
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.
Warm & Skilled: Meet the Women Behind Your Care
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.
Practice News
Thinking About a Christmastime Procedure? Dr. Karen Horton on Why the Time to Plan Is Now
Dr. Karen Horton, Board-Certified Plastic Surgeon in San Francisco, was recently featured in an American Society of Plastic Surgeons (ASPS) article on a topic that might feel counterintuitive in the…
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Dr. Horton
Emily Sespaniak, MSN, FNP-C
Danielle Bautista, MSN, ANP
