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.
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 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 (2025, 2024, 2023)
America’s Best Plastic Surgeons — Newsweek.com (2025, 2024)
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.”
Voted Best Cosmetic Surgeon in the Bay Area – SFGATE Best of 2025
Dr. Karen Horton is proud to be recognized as the Best Cosmetic/Plastic Surgeon in the Bay Area by the SFGATE Best of 2025 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.
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)
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
Non-Surgical Treatments
Injectable Wrinkle Reducers (BOTOX, Dysport)
Dermal Fillers
Skin Rejuvenation Treatments
Non-Ablative Lasers
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.
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.
Selected Key Publications:
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.
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:
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.
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"Working with Dr. Horton and her staff has been one of the best healthcare experiences I've had. My surgery went as expected and the result was what I'd hoped for and we discussed. Beyond that, the entire staff made me feel safe and cared for. It was an incredibly easy and smooth process. Each time I was in touch with them, in person, by phone, email, texting, or post-surgery…I felt like I was the most important patient. They were encouraging and supportive as questions and sometimes worries arose. I can't say enough positive about my experience with the entire team at Dr. Horton's practice. I walked away from a $1,000 deposit with a different surgeon to be with Dr. Horton and so glad that I did. I am so grateful."
— Patient, San Francisco
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Patient Testimonials
"I have never been so impressed by a doctor. I felt like it was an old friend who I trusted completely. Dr. Horton is extraordinary. Her compassion and attitude makes being a patient easy. She is one in a million and I feel so lucky to have found her."
“I booked a consultation with Dr. Horton and I’m so glad I did. She’s very professional and listens closely to her patients. She treated me like I was the only one she was seeing the whole day; I felt very important. She understands what women want because she is a woman as well. That was a big plus for me to find a woman Plastic Surgeon whose approach was more of a natural breast look than other surgeons’ results. She has extensive information on her website and is really good about answering every question you have about surgery. She goes over everything she will be doing before, during and after the procedure. She’s extremely informative and the consultation put me completely at ease.”
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:
Dr. Horton Featured on the Cover of Haute Living San Francisco Magazine
Procedure FAQs
Where can I find a Board-Certified Plastic Surgeon near me in San Francisco?
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.
Can I combine multiple procedures with my Plastic Surgery?
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.
What is Dr. Horton's approach to natural-looking results?
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.
How does Dr. Horton stay current with advances in Plastic Surgery?
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.
*Please note: Our office is no longer a Participating Provider for insurance. We can provide a financial quote for what anticipated surgical fees will be after your consultation.
