Contact Us: 415-570-7352


What’s the difference between saline and silicone breast implants?

Breast implant shells and dimensions All breast implants have a shell made out of an inert polymer called silicone, which is an inert (non-reactive) substance.  Breast implant shell surfaces can be smooth or textured.  Smooth walled implants roll around subtly in their breast pocket, mimicking movement of a natural breast, […]

Read More

7th generation breast implants: softer, safer, less ripply!

In the last few months, two new implants have become available, to our patients’ benefit!  In the United States, we previously had the 5th generation of silicone gel breast implants, available from the mid-1990s onward.  Learn about the history of augmenting breasts with all sorts of foreign material to the […]

Read More

Breast Revision for Implant-Related Complications

In my previous blog post, I highlighted several common reasons women seek breast revision surgery. Since many of these reasons pertained to rare but potential implant-related complications, I would like to focus on how resolving these particular concerns via breast revision should be approached. The conditions of symmastia (also known as […]

Read More

What You Need to Know About Breast Revision Surgery

Before scheduling any revision to previous breast surgery, every Plastic Surgery patient should do her homework! Breast revision surgery often is quite complex, and it is much more involved than simple primary cosmetic Plastic Surgery of the breasts. A “primary procedure” refers to a cosmetic breast augmentation, breast lift, or […]

Read More

Explantation: What happens when breast implants are removed?

Breast augmentation is an incredible procedure, and results are usually fantastic!  However, breast implants are not for everyone.  I occasionally see patients who no longer wish to have their breast implants and are requesting removal.  Is a “boob job” reversible?   Explantation, as it is called, is a simple procedure […]

Read More

Breast implant revision – changing implants to on TOP of the muscle

In my practice, I see many women who not entirely happy with their results after having breast implant surgery elsewhere.  Their surgery may be reconstructive, for instance after mastectomy or lumpectomy for breast cancer, or a cosmetic breast augmentation. Why are implants placed under the muscle?   Many Plastic Surgeons place breast […]

Read More

My thoughts and commentary on the E! reality show “Botched”

Tonight, the reality show “Botched” aired on E! entertainment television.  While I regularly perform breast revision surgery for both cosmetic and reconstructive purposes, my first impression when seeing the intro and some of the patients snippets was “Wait, WHAT?”! “Revision Plastic Surgery” describes surgical procedures designed to redo and correct […]

Read More

Plastic Surgery Myth #8: Implants affect breast feeding

Breast implants are placed to augment the natural volume of a woman’s breasts, to correct congenital asymmetries or abnormalities (such as Poland’s Syndrome or tubular breasts), as part of a Mommy Makeover procedure, or to help add volume during a concurrent breast lift (known as mastopexy-augmentation). Breast augmentation, by definition, […]

Read More

Plastic Surgery Myth #2: It’s too expensive

Is Plastic Surgery really ONLY for the rich and famous?  Is it really THAT expensive?  NO!!! They myth that most Plastic Surgery procedures are extremely expensive and out of the question for the average person is actually quite the opposite. Most of my patients are not wealthy ‘Housewives of the […]

Read More

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