Contact Us: 415-570-7352

About the Practice

The practice of Dr. Karen Horton is located in the prestigious Pacific Heights district of the San Francisco Bay Area. A rare all-women Plastic Surgery private practice, we offer the entire spectrum of cosmetic surgery and reconstructive surgery of the breasts, the body and the face.

Dr. Horton is a classically educated Plastic Surgeon who received her training at an esteemed Residency program and pursued additional Fellowship training in Reconstructive Microsurgery.


“Dear Dr. Horton, Thank you SO much for choosing this important field in which to apply your excellent skills. I imagine you are extremely loved and admired by your fortunate patients, where you are a life-saving star. Healthy or sick, we ALL are grateful for YOU!”

Specializing in all types of Breast Surgery, Dr. Horton devotes herself to creating the most beautiful, natural results possible, whether for cosmetic or reconstructive purposes. Women facing breast cancer are offered state-of-the-art reconstruction options using Microsurgical techniques that preserve the major muscles of the body. We also offer nipple-sparing mastectomy and immediate single-stage breast implant reconstruction, the latest technique in aesthetic breast reconstruction.

We offer Moms the exciting “Mommy Makeover” spectrum of procedures to rejuvenate the breasts and body after a woman has finished having her children, including breast augmentations, breast lifts or breast reductions, tummy tucks and liposuction.

Body Contouring procedures include sculpting of the abdomen, hips, thighs, buttocks and arms, post-weight loss body contouring surgery, and labiaplasty.

I watch the show “Botched” (Where screwed up plastic surgery is fixed) like crazy, so when I was looking for my own surgeon, I had a list of qualifications. Dr. Horton hit all of them and MORE. She is kind, caring, compassionate. She is HONEST about what to expect, what you need to deal with, what results you will get. She does not push you to book right away, she gives you time to think it over.

I spoke to her other aitents and they all had nothing but nice things to say about her and her service, and I totally see why. I LOVE my results, I look great, but also natural. I appreciate that her staff also do scar management therapy. I just started doing it and I am already seeing results.

Post surgery, she has been super kind, given me lots of great advice and encouragement. I appreciate I could text her with questions and get a reply same day. I am so happy I found her.

Amy Miriam

December 11, 2017


Facial Rejuvenation options range from non-surgical, Minimally Invasive Procedures to facelifts, neck lifts, eye rejuvenation, rhinoplasty and forehead procedures to achieve a more youthful, rested and revived appearance to the face, eyes and neck. Medical-Grade Skin Care prepares the facial region for anti-aging procedures and maintains a rejuvenated and fresh complexion, potentially correcting skin issues without surgery.

Dr. Karen Horton with Emily Sespaniak, FNP-C

Dr. Karen Horton with Emily Sespaniak, NP-C

Board-Certified Nurse Practitioner Emily Sespaniak specializes in non-surgical cosmetic procedures including Botox and other neuromodulators, dermal fillers, laser skin rejuvenation treatments, and CoolSculpting. Emily is known as “the gentle injector” who generates NATURAL results in all our patients! She works closely with Dr. Horton’s surgical patients to optimize their surgical scars after Plastic Surgery.

Regardless of the body area or procedure details, our patients are treated with individualized care and compassion, meticulous attention to detail and the utmost surgical skill, in a confidential, warm and welcoming atmosphere.

Learn more about the background, surgical training and professional philosophy of Dr. Karen Horton.

Discover what to expect at Your Plastic Surgery Consultation.

Meet Our Office Staff, and read our Patient Testimonials!

“Dr. Horton’s whole office will make you feel like you’re part of the family! Her whole staff is very friendly and knowledgeable. Her office is very warm and welcoming and you know that there a woman’s touch to her office with all the nice colors and paintings! I want to thank Dr. Horton and her staff for the wonderful experience I have had. I look forward to future visits with them. I don’t think I could have found any one more caring than Dr. Horton. She truly cares about her patients and has their interests in mind.”

Dr. Karen M. Horton, M.D. - Plastic Surgery, Physicians & Surgeons - Medical-M.D., San Francisco, CA