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Dear Dr. Gray —
Thank you so much for your generous gift and using your incredible talent on my body. I cannot thank you enough for being such a big part of changing my life for the better. I can’t wait to see the final results. Thanks x 1 million!!! Name, Date

Dear Dr. Pink —
Thank you so much for your generous gift and using your incredible talent on my body. I cannot thank you enough for being such a big part of changing my life for the better. I can’t wait to see the final results. Thanks x 1 million!!! Name, Date

SFGATE BestOfBayArea Award 2025 Dr. Karen Horton

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.

Dear Dr. Horton —
Thank you so much for your generous gift and using your incredible talent on my body. I cannot thank you enough for being such a big part of changing my life for the better. I can’t wait to see the final results. Thanks x 1 million!!! — Name, Date

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Procedure FAQs

Who is a good candidate

Breast augmentation can help to improve a woman’s sense of body image, and in many instances can enhance self-esteem and self-confidence! As women Plastic Surgeons, we intimately understand how a woman’s feelings about her breasts can influence her self-image and feelings of femininity.

Who is a good candidate

Breast augmentation can help to improve a woman’s sense of body image, and in many instances can enhance self-esteem and self-confidence! As women Plastic Surgeons, we intimately understand how a woman’s feelings about her breasts can influence her self-image and feelings of femininity.

Who is a good candidate

Breast augmentation can help to improve a woman’s sense of body image, and in many instances can enhance self-esteem and self-confidence! As women Plastic Surgeons, we intimately understand how a woman’s feelings about her breasts can influence her self-image and feelings of femininity.

Who is a good candidate

Breast augmentation can help to improve a woman’s sense of body image, and in many instances can enhance self-esteem and self-confidence! As women Plastic Surgeons, we intimately understand how a woman’s feelings about her breasts can influence her self-image and feelings of femininity.

Inside the Procedure

Common questions about breast augmentation answered by Dr. Horton

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John Dude, San Francisco

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Jane Smith, San Francisco

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Featured Case

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Breast augmentation involves placing a breast implant behind the breast to “augment” (enhance) the volume of breast tissue you were born with, to create a more balanced appearance to your body if you have relatively small breasts, or to replace breast volume you may have lost after having children, following significant weight loss or with age.

Breast augmentation can help to improve a woman’s sense of body image, and in many instances can enhance self-esteem and self-confidence! As women Plastic Surgeons, we intimately understand how a woman’s feelings about her breasts can influence her self-image and feelings of femininity.

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Is breast augmentation part of a Mommy Makeover?

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Breast augmentation is a very frequent component and very often the highlight of a Mommy Makeover! Please see our Mommy Makeover section to learn about changes that commonly occur in the breasts, the tummy and other areas of your body after pregnancy, and about breast rejuvenation as a component of a Mommy

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Is breast augmentation part of a Mommy Makeover?

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Breast augmentation is a very frequent component and very often the highlight of a Mommy Makeover! Please see our Mommy Makeover section to learn about changes that commonly occur in the breasts, the tummy and other areas of your body after pregnancy, and about breast rejuvenation as a component of a Mommy

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Breast augmentation involves placing a breast implant behind the breast to “augment” (enhance) the volume of breast tissue you were born with, to create a more balanced appearance to your body if you have relatively small breasts, or to replace breast volume you may have lost after having children, following significant weight loss or with age.

Breast augmentation can help to improve a woman’s sense of body image, and in many instances can enhance self-esteem and self-confidence! As women Plastic Surgeons, we intimately understand how a woman’s feelings about her breasts can influence her self-image and feelings of femininity.

Breast augmentation can help to improve a woman’s sense of body image, and in many instances can enhance self-esteem and self-confidence! As women Plastic Surgeons, we intimately understand how a woman’s feelings about her breasts can influence her self-image and feelings of femininity. we intimately understand how a woman’s feelings about her breasts can influence her self-image and feelings of femininity. we intimately understand how a woman’s feelings about her breasts can influence her self-image and feelings of femininity.

Breast augmentation can help to improve a woman’s sense of body image, and in many instances can enhance self-esteem and self-confidence! As women Plastic Surgeons, we intimately understand how a woman’s feelings about her breasts can influence her self-image and feelings of femininity.

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Breast augmentation can help to improve a woman’s sense of body image, and in many instances can enhance self-esteem and self-confidence! As women Plastic Surgeons, we intimately understand how a woman’s feelings about her breasts can influence her self-image and feelings of femininity.

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Breast augmentation can help to improve a woman’s sense of body image, and in many instances can enhance self-esteem and self-confidence! As women Plastic Surgeons, we intimately understand how a woman’s feelings about her breasts can influence her self-image and feelings of femininity.

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Is breast feeding still possible after breast augmentation? What about nipple sensation?

So long as breast tissue and ducts are not divided during surgery, all structures that lead to the nipple including milk ducts, sensory nerves and vital blood vessels will remain intact. Preservation of these critical structures is a major reason why the inframammary incision is usually recommended for breast augmentation in our practice.

After breast augmentation surgery, your nipple sensation should gradually recover over time (allow many weeks to months for full recovery). You should maintain the ability to breast feed, assuming you would have been able to nurse before having surgery.

What are potential risks and complications of breast augmentation?

Please see our Preparing for Surgery section to learn about risks and potential complications related to surgery, Special Considerations for Breast Surgery and Postoperative Instructions for Breast Surgery for additional information pertaining to breast augmentation.

What will my scars be like after breast augmentation?

The inframammary scar used for breast augmentation is a fine, thin line approximately an inch and a half long. If a breast lift is also performed at the time of augmentation, additional incisions will also be concealed in a bra or bikini top. Please see our Scar Therapy section for more information on scars.

Dr. Karen Horton has either authored or reviewed and approved this content.

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Dr. Karen M. Horton
2100 Webster St., Suite 520
San Francisco, CA 94115
Phone: 415.923.3067
We are located in the Pacific Heights District in the Pacific Professional Building.

Our Location

Hours

Monday-Friday: 9am - 5pm

Saturday-Sunday: Closed

Monday:
9 AM to 5 PM

Tuesday:
9 AM to 5 PM

Wednesday:
9 AM to 5 PM

Thursday:
9 AM to 5 PM

Friday:
9 AM to 5 PM

Saturday:
Closed

Sunday:
Closed

Address

Dr. Karen M. Horton
2100 Webster St., Suite 520
San Francisco, CA 94115
Phone: 415.923.3067

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

SHOP SKIN CARE ICONSHOP SKIN CARE

*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.

Accreditations

ACS FACS logo
The Aesthetic Society Logo - ASAPS New Logo
Castle Connolly Exceptional Women in Medicine award
Castle Connolly top doctors 2025 logo

About Dr. Horton

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