# https://www.drkarenhorton.com llms-full.txt ## Plastic Surgery Services Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) [Before & After Gallery](https://www.drkarenhorton.com/gallery/) [Visit Our Surgery Center Page](https://www.drkarenhorton.com/surgery-center/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/c/DrKarenHorton "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") Feelbeautiful. Feelnatural. Feelconfident. Feelempowered. # Dr. Karen M. Horton ## Our Specialties ### [Before & After Gallery](https://www.drkarenhorton.com/gallery/) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/09/breastgallery.jpg)[**Breast**](https://www.drkarenhorton.com/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. [Explore](https://www.drkarenhorton.com/breast/) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/09/face.jpg)[**Face**](https://www.drkarenhorton.com/face/) The visible effects of gravity, time, and other factors can result in a prematurely aged and tired-looking appearance. San Fransisco 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. [Explore](https://www.drkarenhorton.com/face/) ![bodygallery](https://hortonnew.b-cdn.net/wp-content/uploads/2019/09/bodygallery.jpg)[**Body**](https://www.drkarenhorton.com/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. [Explore](https://www.drkarenhorton.com/body/) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/09/mommymakeover.jpg)[**Mommy Makeover**](https://www.drkarenhorton.com/body/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. [Explore](https://www.drkarenhorton.com/body/mommy-makeover/) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/09/injectables-1.jpg)[**Injectables**](https://www.drkarenhorton.com/non-surgical/injectables/) Our Board-Certified Nurse Practitioner Emily Sespaniak offers a variety of injectable treatment options including Botox Cosmetic, Juvederm, Belotero, Voluma and Restylane, that reduce the signs of aging and provide a refreshed appearance with little to no downtime. [Explore](https://www.drkarenhorton.com/non-surgical/injectables/) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/09/skinrejuivation1.jpg)[**Skin Rejuvenation**](https://www.drkarenhorton.com/skin-rejuvenation-procedures/) 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. [Explore](https://www.drkarenhorton.com/skin-rejuvenation-procedures/) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/09/skincare.jpg)[**Skin Care**](https://www.drkarenhorton.com/non-surgical/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, our Aesthetic Nurse Practitioner will determine the most beneficial skin care regimen for your unique skin type. [Explore](https://www.drkarenhorton.com/non-surgical/skin-care/) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2023/07/scar-therp.webp)[**Scar Therapy**](https://www.drkarenhorton.com/non-surgical/scar-therapy/) Six to eight weeks post-surgery, surgical patients will meet with our Aesthetic Nurse Practitioner 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. [Explore](https://www.drkarenhorton.com/non-surgical/scar-therapy/) "My role as a Plastic Surgeon is to educate, inform, and empower women." "My role as a Plastic Surgeon is to educate, inform, and empower women." Dr. Karen M. Horton ## Excellence in Plastic Surgery **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“! ![Castle Connolly Exceptional Women in Medicine award](https://hortonnew.b-cdn.net/wp-content/uploads/2025/03/2025-CASTLE-CONNOLLY-EWIM-LOGO-small.webp) [Meet Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [View Our Patient Results](https://www.drkarenhorton.com/gallery/) [Play Video](https://www.drkarenhorton.com/#)![](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/rightimage.jpg)![]() ![](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/emilyhome.jpg)![]() ## Aesthetic Nurse Practitioner & Expert Injector **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. ## Meet Our Team 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. ![](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/team-home.webp) ## 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. [Surgical Procedures](https://www.drkarenhorton.com/gallery/) [Non-Surgical Procedures](https://www.drkarenhorton.com/gallery/) ![Horton Gallery - Girl On Chair](https://hortonnew.b-cdn.net/wp-content/uploads/2018/09/gallerygirl.jpg) ## Download This Free Breast Augmentation Decision Aid \*Decision aid provided courtesy of The Aesthetic Society.![Breast Augmentation Decision Aid Brochure Graphic](https://hortonnew.b-cdn.net/wp-content/uploads/2021/05/d-aid.png) **What is the purpose of this decision aid?** • Introduce the decisions necessary to consider before primary breast augmentation surgery. • Educate you on the essential information you need to know to make each decision. • Identify your goals, values, and preferences relevant to each decision and clearly communicate them to your Plastic Surgery care team. do or do not , there is no try I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. ## Latest News [Read Our Blog](https://www.drkarenhorton.com/blog/) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2025/04/KH-Article-Journey-Canva-560x440-v2-e1743705679205_560x440_acf_cropped.webp) Practice News ### Advancements in Skincare: Expert Insights from Dr. Karen Horton and Emily Sespaniak, NP By: Karen Horton \| Apr 03, 2025 A recent article from the American Society of Plastic Surgeons highlights the latest trends in non-surgical skincare, with insights from Dr. Karen Horton and Emily Sespaniak, NP. They discuss the effectiveness of proven treatments like IPL Photofacial for sun damage... [Learn More](https://www.drkarenhorton.com/practice-news/advancements-in-skincare-expert-insights-from-dr-karen-horton-and-emily-sespaniak-np/ "Advancements in Skincare: Expert Insights from Dr. Karen Horton and Emily Sespaniak, NP") ![](https://hortonnew.b-cdn.net/wp-content/uploads/2025/03/KH-CastleConnolly-TopDoc-Social-Feed-1080x1080-1_560x440_acf_cropped.webp) Practice News ### Dr. Karen Horton Featured by Castle Connolly for Her Patient-First Philosophy By: Karen Horton \| Mar 28, 2025 Dr. Karen Horton was recently featured in a Castle Connolly article, “Changing the Conversation Around Plastic Surgery: Dr. Karen Horton’s Patient-first Approach,” recognizing her dedication to truly knowing her Plastic Surgery patients and advocating for their best interests. As a... [Learn More](https://www.drkarenhorton.com/practice-news/dr-karen-horton-featured-by-castle-connolly-for-her-patient-first-philosophy/ "Dr. Karen Horton Featured by Castle Connolly for Her Patient-First Philosophy") ![](https://hortonnew.b-cdn.net/wp-content/uploads/2025/03/KH-Article-Journey-Canva-feat-img_560x440_acf_cropped.webp) Body Procedures ### Embracing Your Unique Aesthetic Journey: Dr. Karen Horton on Supporting, Not Comparing, Plastic Surgery Experiences By: Karen Horton \| Mar 17, 2025 Dr. Karen Horton was recently featured in an American Society of Plastic Surgeons (ASPS) article exploring the idea of “normal” in Plastic Surgery recovery. The piece, titled “What is Normal Anyway? How to Support – Not Compare – Aesthetic Journeys,”... [Learn More](https://www.drkarenhorton.com/dr-hortons-blog/embracing-your-unique-aesthetic-journey-dr-karen-horton-on-supporting-not-comparing-plastic-surgery-experiences/ "Embracing Your Unique Aesthetic Journey: Dr. Karen Horton on Supporting, Not Comparing, Plastic Surgery Experiences") **Subscribe to our Blog** Please leave this field empty First name Email \* Enter your Name and Email to receive all our latest blog posts. Check your inbox or spam folder to confirm your subscription. ## Social Media Follow Dr. Karen Horton [instagram](https://www.instagram.com/drkarenhorton/ "instagram") [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") [facebook](https://www.facebook.com/drkarenhorton "facebook") [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") [youtube](https://www.youtube.com/c/DrKarenHorton "youtube") [twitter](https://twitter.com/drkarenhorton "twitter") [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP [instagram](https://www.instagram.com/bayareainjector/ "instagram") [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") ## In The Media Dr. Karen M. Horton is often consulted as an expert in plastic surgery and has been featured in a number of world renowned publications. Read more to get the latest news from Dr. Horton and learn about the current innovations in plastic surgery and non-surgical cosmetic enhancement. [View All Features](https://www.drkarenhorton.com/media/) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2022/11/Dr-Horton-Haute-Magazine-Holiday-Issue-Cover.png)](https://hortonnew.b-cdn.net/wp-content/uploads/2022/11/KH-Haute-Living-Magazine-combined.pdf) [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.301.6995](tel:+14153016995) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.301.6995](tel:+14153016995) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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. [Back To Top](https://www.drkarenhorton.com/#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Dr. Karen Horton Media Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # In the Media [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) Click on any of the thumbnails below to find out more about individual media appearances. ## Common Questions About Breast Augmentation Answered by Dr. Horton Unfortunately, an error occurred: [![Dr. Karen Horton](https://yt3.ggpht.com/Bjp4fKPuFoccIJzFhtldO8XKc2RGKvcSD7g0neljt8QvhnCB-ji_YwjFYJP2Bljhte7TCVAK-A=s88-c-k-c0x00ffffff-no-rj)](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q/ "Dr. Karen Horton") [Dr. Karen Horton](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q/ "Dr. Karen Horton") San Francisco Double Board Certified Woman Plastic Surgeon 177871321.1k [iframe](https://www.youtube.com/subscribe_embed?usegapi=1&channelid=UCYtq6AWTUGTJqi10EroZt7Q&origin=https%3A%2F%2Fwww.drkarenhorton.com&gsrc=3p&jsh=m%3B%2F_%2Fscs%2Fabc-static%2F_%2Fjs%2Fk%3Dgapi.lb.en.fwXSHnIYz-4.O%2Fd%3D1%2Frs%3DAHpOoo_SvulQ5pP6FvvJyrQeIOJ4MStGTQ%2Fm%3D__features__#_methods=onPlusOne%2C_ready%2C_close%2C_open%2C_resizeMe%2C_renderstart%2Concircled%2Cdrefresh%2Cerefresh&id=I0_1744042780473&_gfid=I0_1744042780473&parent=https%3A%2F%2Fwww.drkarenhorton.com&pfname=&rpctoken=33129594) - [Cosmetic Town Media Appearances](javascript:void(0)) - [TUG Flap](javascript:void(0)) [![Meet Dr. Karen M. Horton - Plastic Surgeon - San Francisco, CA](https://i.ytimg.com/vi/SeYWR0kzAg4/hqdefault.jpg)00:21](https://www.youtube.com/watch?v=SeYWR0kzAg4 "Meet Dr. Karen M. Horton - Plastic Surgeon - San Francisco, CA") [Meet Dr. Karen M. Horton - Plastic Surgeon - San Francisco, CA](https://www.youtube.com/watch?v=SeYWR0kzAg4 "Meet Dr. Karen M. Horton - Plastic Surgeon - San Francisco, CA") [![How can Breast Augmentation cause Capsular Contracture? - Dr. Karen M. Horton - San Francisco, CA](https://i.ytimg.com/vi/OrdHSRcL5GM/hqdefault.jpg)00:38](https://www.youtube.com/watch?v=OrdHSRcL5GM "How can Breast Augmentation cause Capsular Contracture? - Dr. Karen M. Horton - San Francisco, CA") [How can Breast Augmentation cause Capsular Contracture? - Dr. Karen M. Horton - San Francisco, CA](https://www.youtube.com/watch?v=OrdHSRcL5GM "How can Breast Augmentation cause Capsular Contracture? - Dr. Karen M. Horton - San Francisco, CA") [![How is Breast Augmentation performed? - Dr. Karen M. Horton - San Francisco, CA](https://i.ytimg.com/vi/8N3YjCi8sO4/hqdefault.jpg)00:27](https://www.youtube.com/watch?v=8N3YjCi8sO4 "How is Breast Augmentation performed? - Dr. Karen M. Horton - San Francisco, CA") [How is Breast Augmentation performed? - Dr. Karen M. Horton - San Francisco, CA](https://www.youtube.com/watch?v=8N3YjCi8sO4 "How is Breast Augmentation performed? - Dr. Karen M. Horton - San Francisco, CA") [![How long does Breast Augmentation last? - Dr. Karen M. Horton - San Francisco, CA](https://i.ytimg.com/vi/9kGsj1w--es/hqdefault.jpg)00:44](https://www.youtube.com/watch?v=9kGsj1w--es "How long does Breast Augmentation last? - Dr. Karen M. Horton - San Francisco, CA") [How long does Breast Augmentation last? - Dr. Karen M. Horton - San Francisco, CA](https://www.youtube.com/watch?v=9kGsj1w--es "How long does Breast Augmentation last? - Dr. Karen M. Horton - San Francisco, CA") [![Is Breast feeding after Breast Augmentation possible? - Dr. Karen M. Horton - San Francisco, CA](https://i.ytimg.com/vi/qpJNhaS-0AA/hqdefault.jpg)00:41](https://www.youtube.com/watch?v=qpJNhaS-0AA "Is Breast feeding after Breast Augmentation possible? - Dr. Karen M. Horton - San Francisco, CA") [Is Breast feeding after Breast Augmentation possible? - Dr. Karen M. Horton - San Francisco, CA](https://www.youtube.com/watch?v=qpJNhaS-0AA "Is Breast feeding after Breast Augmentation possible? - Dr. Karen M. Horton - San Francisco, CA") [![Breast Augmentation technique minimizing Capsular Contracture? - Dr. Karen M. Horton](https://i.ytimg.com/vi/zNe0XVwR-Ew/hqdefault.jpg)00:40](https://www.youtube.com/watch?v=zNe0XVwR-Ew "Breast Augmentation technique minimizing Capsular Contracture? - Dr. Karen M. Horton") [Breast Augmentation technique minimizing Capsular Contracture? - Dr. Karen M. Horton](https://www.youtube.com/watch?v=zNe0XVwR-Ew "Breast Augmentation technique minimizing Capsular Contracture? - Dr. Karen M. Horton") There are no videos in this group. ## Online Media Appearances Dr. Horton is quoted in publications including Cosmopolitan, Allure, Women's Health, Living Beyond Breast Cancer, Plastic Surgery News and others. Click the links below to see her features. [![](https://hortonnew.b-cdn.net/wp-content/uploads/2025/03/dr-horton-castle-connolly-articlemar12.webp)](https://www.drkarenhorton.com/media#castle-connolly-article-changing-the-conversation-around-plastic-surgery-dr-karen-hortons-patient-first-approach) × ![]() ### Castle Connolly Article: Changing the conversation around Plastic Surgery: Dr. Karen Horton’s patient-first approach Dr. Karen Horton shares her philosophy on plastic surgery: build relationships, offer impartial advice, and know your patients inside and out. [Read the Article Online](https://www.castleconnolly.com/topics/top-doctor-spotlights/changing-the-conversation-around-plastic-surgery-dr-karen-hortons-patient-first-approach) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2025/01/Karen-Horton-MD-ASPS-Article-Plastic-Surgeons-Can-Help-Gynecomastia.png)](https://www.drkarenhorton.com/media#asps-article-how-plastic-surgeons-help-men-with-gynecomastia) × ![]() ### ASPS Article: How Plastic Surgeons Help Men with Gynecomastia Dr. Horton recently contributed to an article for the American Society of Plastic Surgeons (ASPS) regarding how Plastic Surgeons can help men with gynecomastia. [Read the Article Online](https://www.plasticsurgery.org/news/articles/how-plastic-surgeons-help-men-with-gynecomastia) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2024/12/Horton-Sespaniak-Scar-Revision-Article-ASPS.png)](https://www.drkarenhorton.com/media#an-exploration-of-scar-revision-surgery-applications) × ![]() ### An Exploration of Scar Revision Surgery Applications Dr. Horton and Emily Sespaniak, NP recently contributed to an article by the American Society of Plastic Surgeons (ASPS) about surgical and nonsurgical options for scar revision. [Read the Article Online](https://www.plasticsurgery.org/news/articles/an-exploration-of-scar-revision-surgery-applications) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2024/12/Horton-ASPS-Article-Maintaining-Results-Over-Holidays.webp)](https://www.drkarenhorton.com/media#maintaining-liposuction-and-body-contouring-results-during-the-holidays) × ![]() ### Maintaining Liposuction and Body Contouring Results During the Holidays Featured in the latest American Society of Plastic Surgeons article, Dr. Karen Horton shares her top tips for maintaining your hard-earned results this holiday season. [Read the Article Online](https://www.plasticsurgery.org/news/articles/maintaining-liposuction-and-body-contouring-results-during-the-holiday-season) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2024/10/Karen-Horton-MD-ASPS-Article-Eye-and-Brow-Lifts.png)](https://www.drkarenhorton.com/media#asps-article-feature-combination-eye-and-brow-lifts) × ![]() ### ASPS Article Feature: Combination Eye and Brow Lifts Dr. Horton was recently featured in an article from the American Society of Plastic Surgeons (ASPS) which discusses a solution for those who are experiencing filler and toxin fatigue: combination eye and brow lift procedures for a tauter, more youthful complexion. [Read the Article Online](https://www.plasticsurgery.org/news/articles/combination-eye-and-brow-lifts-how-this-pairing-can-help-combat-filler-and-toxin-fatigue) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2024/09/Karen-Horton-MD-ASPS-Article-Plastic-Surgery-Inspiration.png)](https://www.drkarenhorton.com/media#asps-article-plastic-surgery-inspiration-where-should-you-look-for-fresh-ideas) × ![]() ### ASPS Article – Plastic surgery inspiration: Where should you look for fresh ideas? Dr. Horton was quoted in this recent article from the American Society of Plastic Surgeons (ASPS) about where to look for inspiration when you are considering Plastic Surgery. [Read the Article Online](https://www.plasticsurgery.org/news/articles/plastic-surgery-inspiration-where-should-you-look-for-fresh-ideas) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2024/09/Karen-Horton-MD-Anatomy-of-a-Successful-Team-Retreat-ASPS-Article.png)](https://www.drkarenhorton.com/media#creating-synergy-the-anatomy-of-a-successful-team-retreat) × ![]() ### Creating Synergy: The Anatomy of a Successful Team Retreat Dr. Horton recently authored a new article for Haute Living San Francisco magazine on how to host a successful retreat for your team. Click below to read her tips for a synergistic team retreat! [Read the Article Online](https://www.hautelivingsf.com/2024/08/18/creating-synergy-the-anatomy-of-a-successful-team-retreat/) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2024/07/Karen-Horton-MD-ASPS-Neck-Lift-Article.webp)](https://www.drkarenhorton.com/media#asps-article-your-face-isnt-giving-away-your-age-its-your-neck) × ![]() ### ASPS Article: Your face isn’t giving away your age, it’s your neck. Dr. Horton was pleased to contribute to a recent article about Neck Lifts by the ASPS. In the article, Dr. Horton discusses her technique of choice for a Neck Lift and when paired with a facelift or eyelid lift, the entire facial area can be rejuvenated for a cohesive and youthful appearance. [Read the Article Online](https://www.plasticsurgery.org/news/articles/your-face-isnt-giving-away-your-age-its-your-neck) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2024/06/Karen-Horton-MD-ASPS-Article-Cosmetic-Procedures-Plastic-Surgeons.png)](https://www.drkarenhorton.com/media#what-cosmetic-procedures-do-plastic-surgeons-choose-for-themselves) × ![]() ### What Cosmetic Procedures Do Plastic Surgeons Choose for Themselves? Dr. Horton contributed to this article from the American Society of Plastic Surgeons (ASPS) which features several ASPS Member Surgeons who shared their personal journeys with cosmetic enhancements. [Read the Article Online](https://www.plasticsurgery.org/news/articles/the-cosmetic-secrets-of-plastic-surgeons-what-procedures-do-they-choose-for-themselves) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2024/06/Karen-Horton-MD-2024-ASPS-Article-Swimwear-Ready-Procedures.png)](https://www.drkarenhorton.com/media#procedures-that-will-have-you-swimwear-ready-fast) × ![]() ### Procedures That Will Have You Swimwear-Ready Fast Dr. Horton was pleased to contribute to a new article from the American Society of Plastic Surgeons (ASPS) on which procedures are available that have minimal downtime and can get you swimwear-ready in a hurry. Click below to read the article! [Read the Article Online](https://www.plasticsurgery.org/news/articles/uh-oh-its-already-swimsuit-season-procedures-that-will-have-you-swimwear-ready-fast) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2024/05/Karen-Horton-MD-Haute-Living-SF-Article-Spring-2024-v2.png)](https://www.drkarenhorton.com/media#say-hello-to-a-refreshed-glowing-you-this-spring) × ![]() ### Say Hello to a Refreshed, Glowing YOU this Spring Read the latest article by Dr. Horton in Haute Living Magazine, “Say Hello to a Refreshed, Glowing YOU this Spring,” a must-read for those seeking to rejuvenate their skin and overall wellness. [Read the Article Online](https://www.hautelivingsf.com/2024/05/01/say-hello-to-a-refreshed-glowing-you-this-spring/) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2024/04/Karen-Horton-MD-Lip-Augmentation-Article-ASPS-2024.png)](https://www.drkarenhorton.com/media#all-about-the-lips-an-insider-overview-of-lip-augmentation-procedures) × ![]() ### All about the lips: An insider overview of lip augmentation procedures Dr. Karen Horton and Emily Sespaniak, NP discuss the ins and outs of modern lip augmentation procedures in this ASPS article. [Read the Article Online](https://www.plasticsurgery.org/news/articles/all-about-the-lips-an-insider-overview-of-lip-augmentation-procedures) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2024/04/Karen-Horton-MD-Haute-Living-SF-Article-Sonoma-Epicurean-Weekend-2024.png)](https://www.drkarenhorton.com/media#v-foundation-for-cancer-research-sonoma-epicurean-weekend-raises-over-3-4-million) × ![]() ### V Foundation for Cancer Research Sonoma Epicurean Weekend Raises Over $3.4 Million Dr. Horton attended the 2024 V Foundation for Cancer Research Sonoma Epicurean Weekend which raised over $3.4 million for cancer research. Read her article where she covers all of the details of this fantastic weekend! [Read the Article Online](https://www.hautelivingsf.com/2024/03/28/v-foundation-for-cancer-research-sonoma-epicurean-weekend-raises-over-3-4-million/) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2024/04/Karen-Horton-MD-ASPS-Article-Achieving-Gender-Parity.png)](https://www.drkarenhorton.com/media#dr-karen-horton-contributes-to-asps-article-on-achieving-gender-parity-in-plastic-surgery) × ![]() ### Dr. Karen Horton Contributes to ASPS Article on Achieving Gender Parity in Plastic Surgery Dr. Horton was honored to be featured in another article from the American Society of Plastic Surgeons (ASPS) which covers some of the challenges that female Plastic Surgeons face and how they are working to achieve gender parity. [Read the Article Online](https://www.plasticsurgery.org/news/articles/achieving-gender-parity-womens-role-in-plastic-surgery) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2024/03/Dr-Karen-Horton-ASPS-Article-Balancing-Act.png)](https://www.drkarenhorton.com/media#dr-horton-quoted-in-article-by-asps-on-balancing-parenthood-and-professionalism) × ![]() ### Dr. Horton Quoted in Article by ASPS on Balancing Parenthood and Professionalism Dr. Horton was pleased to contribute to a recent article by the American Society of Plastic Surgeons (ASPS) about balancing parenthood with professionalism for women in Plastic Surgery. [Read the Article Online](https://www.plasticsurgery.org/news/articles/balancing-act-parenthood-and-professionalism-for-women-in-plastic-surgery) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2024/01/Dr-Karen-Horton-Haute-Living-San-Francisco-Article-Barre-Workouts-Benefits.png)](https://www.drkarenhorton.com/media#dr-horton-on-the-many-benefits-of-barre-workouts) × ![]() ### Dr. Horton on the Many Benefits of Barre Workouts In this recent article for Haute Living San Francisco magazine, Dr. Horton covers the many benefits of Barre workouts. [Read the Article Online](https://www.hautelivingsf.com/2024/01/03/the-many-benefits-of-barre-workouts/) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2023/12/Dr-Karen-Horton-ASPS-Article-Feature-Plastic-Surgery-Different-Stages.png)](https://www.drkarenhorton.com/media#plastic-surgery-at-all-ages-asps-article) × ![]() ### Plastic Surgery At All Ages – ASPS Article Dr. Horton was featured as an expert in a recent article published by the ASPS titled: Plastic surgery at all ages: Tailoring procedures to different life stages. Dr. Horton speaks to catering to young and mature demographics as well as the influence of social media on young adults. [Read the Article Online](https://www.plasticsurgery.org/news/articles/plastic-surgery-at-all-ages-tailoring-procedures-to-different-life-stages) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2023/08/Dr-Karen-Horton-ASPS-Article-Feature-Explant-Surgery.png)](https://www.drkarenhorton.com/media#asps-article-are-more-patients-getting-explants-and-returning-to-a-more-natural-look) × ![]() ### ASPS Article: Are more patients getting explants and returning to a more natural look? Dr. Karen Horton was asked to comment on an article by the American Society of Plastic Surgeons (ASPS) titled “Trend watch: Are more patients getting explants and returning to a more natural look?” Read the full article to learn what Dr. Horton thinks about this recent trend. [Read the Article Online](https://www.plasticsurgery.org/news/articles/trend-watch-are-more-patients-getting-explants-and-returning-to-a-more-natural-look) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2023/08/Dr-Horton-Emily-Sespaniak-NP-ASPS-Article-Busy-Moms-Guide-Self-Care.png)](https://www.drkarenhorton.com/media#dr-horton-and-emily-sespaniak-np-on-the-busy-moms-guide-to-self-care) × ![]() ### Dr. Horton and Emily Sespaniak, NP on “The Busy Mom’s Guide to Self-Care” Dr. Horton and Emily Sespaniak, NP were featured as experts in a recent publication by the American Society of Plastic Surgeons (ASPS) titled: “The busy mom’s guide to self-care: Balancing motherhood, personal wellbeing and cosmetic treatments.” Dr. Horton and Emily weigh in on some of the preferred cosmetic treatments for mothers post-pregnancy and beyond. [Read the Article Online](https://www.plasticsurgery.org/news/articles/the-busy-moms-guide-to-self-care-balancing-motherhood-personal-wellbeing-and-cosmetic-treatments) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2023/07/Horton-Haute-Living-SF-Summer-2023.png)](https://www.drkarenhorton.com/media#unlocking-your-teams-full-potential) × ![]() ### Unlocking Your Team’s Full Potential Dr. Horton recently authored an article titled “Unlocking Your Team’s Full Potential” for Haute Living San Francisco in which she shares her workplace philosophy and her best practices for growing a successful team. [Read the Article Online](https://issuu.com/hautelivingsanfrancisco/docs/hlsf_june_july_2023_full_high_res/116) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2022/12/Olivia-Decker-Karen-Horton.jpg)](https://www.drkarenhorton.com/media#dr-horton-attends-the-haute-living-san-francisco-holiday-issue-launch-party) × ![]() ### Dr. Horton Attends the Haute Living San Francisco Holiday Issue Launch Party Dr. Horton was honored to attend the launch party for the 2022 Holiday Issue of Haute Living San Francisco, of which she graces the cover! Read the article online to learn more. [Read the Article Online](https://www.hautelivingsf.com/2022/12/27/haute-living-san-francisco-the-holiday-issue-launch-party/) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2022/10/Karen-Horton-MD-Allure-Article-Blepharoplasty-Eyelid-Lift-2022.png)](https://www.drkarenhorton.com/media#dr-horton-featured-in-allure-magazine-article-on-blepharoplasty-eyelid-lift) × ![]() ### Dr. Horton Featured in Allure Magazine Article on Blepharoplasty (Eyelid Lift) Dr. Horton was recently featured in an Allure Magazine article about a popular plastic surgery procedure called Blepharoplasty, or Eyelid Lift. [Read the Article Online](https://www.allure.com/story/blepharoplasty-eyelid-lift) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2022/10/Karen-Horton-MD-Breast-Reconstruction-Awareness-Day-2022.png)](https://www.drkarenhorton.com/media#breast-reconstruction-awareness-bra-day-2022) × ![]() ### Breast Reconstruction Awareness (BRA) Day – 2022 Dr. Horton and her team celebrated breast reconstruction awareness this year by talking about what breast reconstruction means to them, how they have been touched by breast cancer, and sending encouraging messages to women who are facing breast cancer. [Read the Article Online](https://youtu.be/1DidhbLR1d8) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2022/10/Karen-Horton-MD-San-Francisco-Plastic-Surgeon-Prime-Journal-Article-Employee-Retention-Oct-2022.png)](https://www.drkarenhorton.com/media#dr-horton-on-building-keeping-her-dream-team) × ![]() ### Dr. Horton on Building & Keeping Her Dream Team Dr. Horton recently contributed to an article in Prime Journal about recruiting and retaining employees since the start of the pandemic. She gives her feedback on how she has built and maintained her “dream team”. [Read the Article Online](https://www.prime-journal.com/91105-2/) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2022/05/Karen-Horton-MD-Haute-Living-SF-Article-Non-Surgical-Procedures.jpg)](https://www.drkarenhorton.com/media#haute-living-san-francisco-article-best-non-surgical-treatments-for-spring) × ![]() ### Haute Living San Francisco Article: Best Non-Surgical Treatments for Spring In this Haute Living San Francisco article, Dr. Horton interviews Aesthetic Nurse Practitioner Emily Sespaniak about the best non-surgical treatments to prepare your skin for Spring. [Read the Article Online](https://www.hautelivingsf.com/2022/05/23/best-non-surgical-treatments-for-spring/) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2022/04/Karen-Horton-MD-Haute-Living-San-Francisco-Article-April-2022.png)](https://www.drkarenhorton.com/media#dr-horton-shares-whats-hot-in-cosmetic-treatments-haute-living-san-francisco) × ![]() ### Dr. Horton Shares What’s Hot in Cosmetic Treatments – Haute Living San Francisco Dr. Horton discusses trends she is seeing in cosmetic treatments and also talks about her own personal plastic surgery journey in this Haute Living San Francisco article. [Read the Article Online](https://www.hautelivingsf.com/2022/04/11/top-plastic-surgeon-shares-whats-hot-in-cosmetic-treatments/) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2022/02/Dr-Karen-Horton-Emily-Sespaniak-NP-Nob-Hill-Gazette-Self-Care-in-2022.png)](https://www.drkarenhorton.com/media#dr-horton-and-emily-sespaniak-np-interviewed-by-the-nob-hill-gazette-on-self-care-goals-for-2022) × ![]() ### Dr. Horton and Emily Sespaniak, NP Interviewed by the Nob Hill Gazette on Self-Care Goals for 2022 Dr. Horton and aesthetic nurse practitioner Emily Sespaniak were interviewed by the Nob Hill Gazette and shared their tips and recommendations for self-care goals in 2022. [Read the Article Online](https://nobhillgazette.com/add-self-care-to-your-goals-this-year/) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2021/11/Dr-Horton-Feature-Nob-Hill-Gazette-Nov-2021.png)](https://www.drkarenhorton.com/media#dr-horton-interviewed-for-nob-hill-gazette-article-on-breast-cancer-survivor-support) × ![]() ### Dr. Horton Interviewed for Nob Hill Gazette Article on Breast Cancer Survivor Support Dr. Horton was recently interviewed by the Nob Hill Gazette for an article on emotional support for breast cancer survivors, specifically if they are undergoing a reconstruction revision procedure. [Read the Article Online](https://nobhillgazette.com/beyond-the-meal-train/) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2021/10/Dr-Karen-Horton-Warriors-Thrive-Article-2021.png)](https://www.drkarenhorton.com/media#dr-horton-featured-in-north-bay-woman-article-highlighting-breast-cancer-thrivers) × ![]() ### Dr. Horton Featured In North Bay Woman Article Highlighting Breast Cancer “Thrivers” Dr. Karen Horton was recently featured in an article by North Bay Woman Magazine titled “Warriors Thrive After Diagnosis”. The article shares the story of 3 Bay Area women who have survived breast cancer diagnoses and are thriving. [Read the Article Online](https://blogs.marinij.com/northbaywoman/warriors-thrive-after-diagnosis/) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2021/06/Horton-ASPS-Video-New-York-Times-Article.png)](https://www.drkarenhorton.com/media#dr-hortons-asps-video-plastic-surgery-for-men-featured-in-new-york-times-article) × ![]() ### Dr. Horton’s ASPS Video “Plastic Surgery for Men” Featured in New York Times Article The American Society of Plastic Surgeons (ASPS) video “Plastic Surgery for Men” featuring Dr. Horton and her colleague, Dr. Jamie Moenster, was recently highlighted in an article in the New York Times. The article discusses cosmetic procedures which have gained popularity amongst men during the pandemic. [Read the Article Online](https://www.nytimes.com/2021/06/04/style/mens-plastic-surgery-pandemic.html) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2020/07/Screen-Shot-2020-07-20-at-11.10.23-AM.png)](https://www.drkarenhorton.com/media#dr-karen-horton-weighs-in-on-fat-transfer-to-the-breasts) × ![]() ### Dr. Karen Horton Weighs In on Fat Transfer to the Breasts Dubbed the “natural boob job”, fat transfer to the breasts is becoming more and more popular. Dr. Horton was invited by RealSelf News to weigh in on the procedure and discuss under which circumstances she recommends it for her patients. [Read the Article Online](https://www.realself.com/news/how-to-make-breasts-bigger-without-implants) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2020/07/Karen-Horton-MD-San-Francisco-Plastic-Surgeon-Sparkle-Foundation-e1595278884743.png)](https://www.drkarenhorton.com/media#dr-karen-horton-supports-sparkle-foundation-with-her-own-sparkle) × ![]() ### Dr. Karen Horton Supports Sparkle Foundation With Her Own Sparkle Dr. Karen Horton is proud to support Sparkle Foundation, a Bay Area based nonprofit organization, and its mission to empower single mothers and families and provide goods, enrichment and resources to women and children in need. Read more about the foundation and how Dr. Horton gets involved! [Read the Article Online](https://marinmagazine.com/sponsored/dr-karen-horton-supports-sparkle-foundation-with-her-own-sparkle/) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2020/02/Karen-Horton-MD-Women-Plastic-Surgery-PRS-Resident-Blog.png)](https://www.drkarenhorton.com/media#dr-horton-featured-in-women-in-plastic-surgery-empowering-the-next-generation) × ![]() ### Dr. Horton Featured in “Women in Plastic Surgery: Empowering the Next Generation” Dr. Horton was featured in an article in the PRS Resident Chronicles, the official blog of Plastic and Reconstructive Surgery and PRS Global Open, Journals of the American Society of Plastic Surgeons. She shares her thoughts on what it takes to be a successful female Plastic Surgeon. [Read the Article Online](https://prsresidentchronicles.com/2020/01/23/women-in-plastic-surgery-empowering-the-next-generation/) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2020/01/Karen-Horton-MD-RealSelf-Article-1.png)](https://www.drkarenhorton.com/media#realself-dr-horton-on-procedures-for-self) × ![]() ### RealSelf Interviewed Dr. Horton and 13 Other Plastic Surgeons on Which Procedures They are Considering for Themselves [RealSelf](https://www.realself.com/) consulted with Dr. Karen Horton for their article, _14 Plastic Surgeons Reveal the Procedures They’re Considering for Themselves—and Who They’d Trust to Perform Them._ [Read the Article Online](https://www.realself.com/news/plastic-surgeons-reveal-procedures-they-want-to-try) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/10/Karen-Horton-MD-RealSelf-Article-Breast-Reconstruction-Facts.png)](https://www.drkarenhorton.com/media#dr-horton-interviewed-by-realself-on-breast-reconstruction-facts) × ![]() ### Dr. Horton Interviewed by RealSelf on Breast Reconstruction Facts [RealSelf](https://www.realself.com/) consulted with Dr. Horton for their article titled _Breast Reconstruction: What You Should Know_. [Read the Article Online](https://www.realself.com/breast-reconstruction) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/10/Dr-Karen-Horton-BRA-Day-Everviolet-Feature.png)](https://www.drkarenhorton.com/media#dr-horton-featured-in-everviolet-blog-bra-day-and-two-plastic-surgeons-we-love) × ![]() ### Dr. Horton Featured in Everviolet Blog: BRA Day and Two Plastic Surgeons We Love Dr. Horton was recently featured in [Everviolet](https://everviolet.com/)‘s online blog as a “plastic surgeon we love”. Everviolet is an intimate apparel and loungewear collection designed for survivors of breast cancer. [Read the Article Online](https://everviolet.com/blogs/journal/bra-day-and-two-plastic-surgeons-we-love) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/09/Karen-Horton-7x7-article-e1568929984727.jpg)](https://www.drkarenhorton.com/media#dr-horton-7-x-7-feature) × ![]() ### Dr. Karen Horton is San Francisco’s Women-Focused Plastic Surgeon Dr. Horton was recognized as “San Francisco’s Women-Focused Plastic Surgeon” in a recent 7×7 article. [Read the Article Online](https://www.7x7.com/dr-karen-horton-is-san-franciscos-women-focused-plastic-surgeon-2640198205.html) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/07/Dr-Karen-Horton-ASPS-Article-Finding-Voice-on-Social-Media.png)](https://www.drkarenhorton.com/media#finding-your-own-voice-and-amplifying-it-on-social-media) × ![]() ### Finding Your Own Voice (and Amplifying It) on Social Media Dr. Horton recently wrote an article for the American Society of Plastic Surgeons (ASPS) website, geared toward plastic surgeons who would like to be successful with their social media but do not necessarily know how or where to start. [Read the Article Online](https://www.plasticsurgery.org/for-medical-professionals/education-and-resources/publications/psn-extra/news/social-media-focus-finding-your-own-voice-(and-amplifying-it)-on-social-media) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/06/Dr-Karen-Horton-Plastic_Surgeon-Cardi-B-No-More-Surgery-Announcement-Refinery29.png)](https://www.drkarenhorton.com/media#dr-karen-horton-on-cardi-bs-recent-decision-regarding-plastic-surgery) × ![]() ### Dr. Karen Horton on Cardi B’s Recent Decision Regarding Plastic Surgery Dr. Horton was approached by _Refinery29_ to comment on Cardi B’s recent announcement that she won’t get plastic surgery again due to the complications she experienced after her liposuction and breast augmentation procedures. [Read the Article Online](https://www.refinery29.com/en-gb/2019/06/235664/cardi-b-done-with-plastic-surgery-complications) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/06/Dr-Karen-Horton-San-Francisco-Plastic-Surgeon-Allure-Magazine-Article.png)](https://www.drkarenhorton.com/media#allure-magazine-speaks-to-dr-horton-about-used-breast-implants-for-sale) × ![]() ### Allure Magazine Speaks to Dr. Horton About Used Breast Implants for Sale Dr. Horton was interviewed by Allure Magazine for her medical opinion after a woman posted her used breast implants for sale on Facebook’s marketplace. [Read the Article Online](https://www.allure.com/story/woman-sells-used-breast-implants-on-facebook) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/05/Dr-Karen-Horton-Plastic-Surgery-San-Francisco-Cardi-B-Liposuction-Complications-Article.png)](https://www.drkarenhorton.com/media#dr-horton-featured-in-times-now-article-about-cardi-bs-reported-plastic-surgery-complications) × ![]() ### Dr. Horton Featured in Times Now Article About Cardi B’s Reported Plastic Surgery Complications Dr. Horton was featured in an article by _TimesNowNews.com_ which discusses Cardi B’s reported complications related to her recent liposuction procedure. [Read the Article Online](https://www.timesnownews.com/entertainment/news/international-news/article/cardi-b-has-cancelled-her-show-citing-plastic-surgery-complications-is-liposuction-to-blame/423544) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/05/Dr-Karen-Horton-San-Francisco-Plastic-Surgeon-Cardi-B-Plastic-Surgery-Complications.png)](https://www.drkarenhorton.com/media#dr-horton-featured-in-refinery29-article-about-cardi-bs-reported-plastic-surgery-complications) × ![]() ### Dr. Horton Featured in Refinery29 Article About Cardi B’s Reported Plastic Surgery Complications Dr. Horton spoke to _Refinery29_ about Cardi B’s reported plastic surgery complications, and offers some explanations for what could be the cause. [Read the Article Online](https://www.refinery29.com/en-us/2019/05/233380/cardi-b-plastic-surgery-complications-cancelled-show) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/04/Karen-Horton-MD-San-Francisco-Plastic-Surgeon-Nipple-Article-BloodMilk.png)](https://www.drkarenhorton.com/media#why-are-my-nipples-hard-and-other-nipple-phenomenons) × ![]() ### Why Are My Nipples Hard? (And Other Nipple Phenomenons) Dr. Horton was interviewed by online publication Blood + Milk all about nipple phenomenon – why they get hard, and how to spot abnormal nipple phenomena that could be cause for concern. [Read the Article Online](https://www.bloodandmilk.com/why-are-my-nipples-hard-and-other-nipple-phenomenons/) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/03/Karen-Horton-MD-Interview-Cosmopolitan.com-Dark-Circles-v3.png)](https://www.drkarenhorton.com/media#dr-hortons-interview-with-cosmopolitan-com-about-under-eye-dark-circles) × ![]() ### Dr. Horton’s Interview with Cosmopolitan.com About Under-Eye Dark Circles Dr. Horton was interviewed by Cosmopolitan.com for this article about the cause of dark circles beneath the eyes. [Read the Article Online](https://www.cosmopolitan.com/style-beauty/beauty/g21990502/dark-circles-under-eye-treatment-creams/) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/03/Vaginal_Rejuvenation_Overview_225x300-225x300.png)](https://www.drkarenhorton.com/media#vaginal-rejuvenation-overview-with-asps-member-surgeon-karen-horton-md) × ![]() ### Vaginal Rejuvenation Overview with ASPS Member Surgeon Karen Horton, MD ASPS member surgeon Dr. Karen Horton explains the options available to women for vaginal rejuvenation, and discusses some of the reasons why women opt for these types of procedures. [iframe](https://www.youtube.com/embed/yTEaxBBLwVk) [Read the Article Online](https://youtu.be/yTEaxBBLwVk) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2018/05/vulva.jpg)](https://www.drkarenhorton.com/media#10807) × ![]() ### 8 Different Types of Vulvas – Illustrated Dr. Karen Horton was again interviewed by Women’s Health Magazine about variations in a woman’s anatomy in her vulva, labia and pubic region. She describes why some women seek labiaplasty surgery and changes that can occur after pregnancy and menopause. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2018/05/8-Different-Types-Of-Vulvas%E2%80%94Illustrated-2.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2018/03/8-nipple-symptoms-1.jpg)](https://www.drkarenhorton.com/media#8-nipple-symptoms-that-are-totally-normal) × ![]() ### 8 Nipple Symptoms That Are Totally Normal Dr. Horton was interviewed again for Women’s Health Magazine about the different types of nipples that women have, and how Plastic Surgery is sometimes used to improve their appearance. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2018/03/Nipple-Symptoms-Are-My-Nipples-Norma_-https___www.womenshealthmag.com_hea.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2018/02/6-Different-Types-of-Labia.jpg)](https://www.drkarenhorton.com/media#6-different-types-of-labia-illustrated) × ![]() ### 6 Different Types Of Labia Dr. Horton was interviewed for this article on the different types of labia and the reasons why women seek labiaplasty surgery. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2018/02/6-Different-Types-of-Labia.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2018/02/diep.jpg)](https://www.drkarenhorton.com/media#living-beyond-breast-cancer-women-who-rebuild-both-breasts-with-diep-flap-surgery-see-more-issues) × ![]() ### Living Beyond Breast Cancer – Women Who Rebuild Both Breasts With DIEP Flap Surgery See More Issues Dr. Horton was invited to guest review an article about bilateral versus unilateral DIEP flap breast reconstruction, complications rates, and comment on the study’s findings. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2018/02/DIEP-Flap-Article-1.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2017/10/coolSculpting-town.jpg)](https://www.drkarenhorton.com/media#coolsculpting) × ![]() ### Cosmetic Town Journal Dr. Karen Horton was recently featured in Cosmetic Town Journal where she discusses the CoolSculpting applicator to treat arm fat, waistline and much more. [Read the Article Online](http://www.cosmetictown.com/journal/fat_removal/CoolSculpting) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/03/Karen-Horton-MD-PRS-interview-on-Plastic-Surgery-and-pregnancy-1-150x150.jpg)](https://www.drkarenhorton.com/media#women-in-plastic-surgery-pregnancy) × ![]() ### Women In Plastic Surgery: Pregnancy [iframe](https://www.youtube.com/embed/kvMjcDaE6mE) [Read the Article Online](https://www.youtube.com/watch?v=kvMjcDaE6mE&feature=youtu.be) × ### PRS Journal Karen Horton, MD discusses the article “Current Trends and Controversies in Breast Augmentation” by Hidalgo, et al., appearing in the April 2016 issue of Plastic and Reconstructive Surgery, Volume 137 Issue 4. Video Player [https://www.drkarenhorton.com/wp-content/uploads/video/prsjournal.mp4](https://hortonnew.b-cdn.net/wp-content/uploads/video/prsjournal.mp4) Media error: Format(s) not supported or source(s) not found [Download File: https://hortonnew.b-cdn.net/wp-content/uploads/video/prsjournal.mp4?\_=1](https://hortonnew.b-cdn.net/wp-content/uploads/video/prsjournal.mp4?_=1) 00:00 00:00 00:00 [Use Up/Down Arrow keys to increase or decrease volume.](javascript:void(0);) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2014/07/multiplicity.jpg)](https://www.drkarenhorton.com/media#twinversity) × ![]() ### Twinversity [Read the Article Online](http://issuu.com/twiniversity/docs/multiplicity_summer2014_single__8473e27a5c3501/24) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2014/05/MPOMC.jpg)](https://www.drkarenhorton.com/media#marin-parents-of-multiples-newsletter) × ![]() ### Marin Parents of Multiples Newsletter Dr. Horton shares sun safety tips & treatments for kids and parents. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2014/05/MPOMC.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/12/coping-article.jpg)](https://www.drkarenhorton.com/media#coping-magazine) × ![]() ### Coping Magazine Dr. Horton’s article for coping magazine, entitled, “After Breast Cancer: What You Need to Know if You Choose Breast Reconstruction.” [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2012/12/coping-article-2012.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/Women_cover2.jpg)](https://www.drkarenhorton.com/media#a-womans-health-2) × ![]() ### A Woman’s Health – 84 Reconstruction Advances 84 Reconstruction Advances – The latest advances in implants and autogenous tissue breast reconstruction offer women more options as they face mastectomy and reconstruction choices. [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/Women_cover.jpg)](https://www.drkarenhorton.com/media#a-womans-health) × ![]() ### A Woman’s Health Dr. Karen Horton discusses how microsurgery offers women an exciting new option as they contemplate breast reconstruction. [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/04/exploring-your-options2.jpg)](https://www.drkarenhorton.com/media#young-survival-coalition) × ![]() ### Young Survival Coalition Dr. Karen Horton presents ‘Breast Cancer : Exploring Your Options’ at the 8th Annual Conference for Young Women Effected By Breast Cancer. [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/breastcancerawareness.png)](https://www.drkarenhorton.com/media#breast-cancer-awareness) × ![]() ### Breast Cancer Awareness Featured on the Breast Cancer Awareness website, Dr. Karen Horton’s article explores an overview of procedures and options for reconstruction of the breast after cancer. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/001_BreastCancerAwareness.com_Reconstruction-of-the-Breast-After-Cancer_An-Overview.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/LBBC3.jpg)](https://www.drkarenhorton.com/media#living-beyond-breast-cancer-exploring-your-options) × ![]() ### Living Beyond Breast Cancer – Exploring Your Options The Living Beyond Breast Cancer Website features Dr. Horton’s podcast on advances in technology which continue to provide new options for breast reconstruction. [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/LBBC2.jpg)](https://www.drkarenhorton.com/media#living-beyond-breast-cancer-understanding-your-options) × ![]() ### Living Beyond Breast Cancer – Understanding Your Options The Living Beyond Breast Cancer Website features Dr. Horton’s podcast on the latest research in rebuilding the breast and how to find the option that is right for you. [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/LBBC-1.jpg)](https://www.drkarenhorton.com/media#living-beyond-breast-cancer-breast-reconstruction) × ![]() ### Living Beyond Breast Cancer – Breast Reconstruction The Living Beyond Breast Cancer Website features Dr. Horton on the latest advances and newest procedures in the field of breast reconstruction. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2018/02/Breast-Reconstruction-Experts-Living-Beyond-Breast-Cancer-1-1.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/divinecaroline.jpg)](https://www.drkarenhorton.com/media#divine-caroline) × ![]() ### Divine Caroline Dr. Karen Horton contributed this article concerning mommy makeover surgery to the website, DivineCaroline.com. [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/bayareamama.png)](https://www.drkarenhorton.com/media#bay-area-mama) × ![]() ### Bay Area Mama Dr. Horton contributed this article to BayAreaMama.com regarding breast reconstruction after cancer: the latest and greatest techniques. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/Bay-Area-Mama-Breast-Reconstruction-article-2.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/youngsurvivialcoalition1.png)](https://www.drkarenhorton.com/media#youngsurvival-org) × ![]() ### Young Survival Coalition Featured in the “Ask the Expert” section of the Young Survival Coalition website, Dr. Karen Horton answers frequently asked questions from readers about breast reconstruction surgery. [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/twinpregnancy1.png)](https://www.drkarenhorton.com/media#twin-pregnancy-and-beyond) × ![]() ### Twin Pregnancy and Beyond Dr. Karen Horton interviewed by the website Twin Pregnancy and Beyond in this article, “Plastic Surgery After Twins – Getting Your Body Back”. [Read the Article Online](http://www.twin-pregnancy-and-beyond.com/plastic-surgery-after-twins.html) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/tummytuckmoms1.png)](https://www.drkarenhorton.com/media#tummy-tuck-moms) × ![]() ### Tummy Tuck Mom’s Dr. Karen Horton answers frequently asked questions about tummy tuck. [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/breastaugmentationmoms1.png)](https://www.drkarenhorton.com/media#breast-augmentation-moms) × ![]() ### Breast Augmentation Mom’s Dr. Karen Horton answers frequently asked questions about breast augmentation. [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/breastreductionmoms1.png)](https://www.drkarenhorton.com/media#breast-reduction-moms) × ![]() ### Breast Reduction Mom’s Dr. Karen Horton discusses frequently asked questions about breast reduction. [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/liposucitonmoms1.png)](https://www.drkarenhorton.com/media#liposuction-moms) × ![]() ### Liposuction Mom’s Dr. Karen Horton answers frequently asked questions about liposuction. [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/breastliftmoms1.png)](https://www.drkarenhorton.com/media#breast-lift-moms) × ![]() ### Breast Lift Mom’s Dr. Karen Horton answers frequently asked questions about breast lift surgery. [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/NCMag1.png)](https://www.drkarenhorton.com/media#neko-cheri-and-nc-mag-online) × ![]() ### Neko Cheri and NC Mag Online Dr. Horton was interviewed by Neko Cheri about her experience being a woman plastic surgeon and in starting her practice and business in San Francisco. [Read the Article Online](http://womensplasticsurgery.blogspot.com/2010/02/online-article-with-dr-karen-horton-of.html) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/cancerconnect1.png)](https://www.drkarenhorton.com/media#cancer-connect) × ![]() ### Cancer Connect Dr. Karen Horton discusses microsurgery as an exciting new option in breast reconstruction. ## Print Media Appearances [![](https://hortonnew.b-cdn.net/wp-content/uploads/2024/03/Breast-Reconstruction-Book-Expert-Insight.png)](https://www.drkarenhorton.com/media#the-complete-guide-to-breast-reconstruction-choosing-the-best-options-after-your-mastectomy) × ![]() ### The Complete Guide to Breast Reconstruction: Choosing the Best Options After Your Mastectomy Dr. Horton was honored to contribute expert insight on “Another Option with Implants” to the book, authored by Kathy Steligo. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2024/03/20240228_Choosing-the-Best-Options-after-Your-Mastectomy.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2023/10/Karen-Horton-MD-Haute-Living-San-Francisco-Article-October-2023.webp)](https://www.drkarenhorton.com/media#dr-horton-on-anti-aging-tips-for-a-youthful-appearance) × ![]() ### Dr. Horton on Anti-Aging Tips for a Youthful Appearance An article written by Dr. Horton was featured in a recent issue of Haute Living San Francisco magazine. The article is titled: Anti-aging Tips for a Youthful Appearance. Read the full article to hear Dr. Horton’s tips! [Read the Article Online](https://www.hautelivingsf.com/2023/08/28/anti-aging-tips-for-a-youthful-appearance/) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2023/06/Horton-Haute-Living-SF-Travel-Issue-Summer-2023.png)](https://www.drkarenhorton.com/media#dr-karen-horton-shares-her-tips-for-summer-self-care) × ![]() ### Dr. Karen Horton Shares Her Tips for Summer Self-Care In Haute Living San Francisco magazine’s 2023 Travel Issue, Dr. Horton shares her tips for staying healthy, happy and keeping your skin protected during the summer months. [Read the Article Online](https://issuu.com/hautelivingsanfrancisco/docs/hlsf_may_june_full_high_res/115) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2023/06/Horton-Sespaniak-Haute-Living-Feature-Spring-2023.png)](https://www.drkarenhorton.com/media#dr-horton-and-emily-sespaniak-np-featured-in-haute-living-san-francisco-magazine) × ![]() ### Dr. Horton and Emily Sespaniak, NP Featured in Haute Living San Francisco Magazine This Spring, Dr. Horton and Aesthetic Nurse Practitioner Emily Sespaniak, NP were featured in the 2023 Fashion Issue of Haute Living San Francisco magazine. In the article, Emily discusses her recommended treatments for a “Spring Refresh”. [Read the Article Online](https://issuu.com/hautelivingsanfrancisco/docs/hlsf_march_april_full_issue_high_res/116) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2023/01/Dr-Horton-Haute-Living-San-Francisco-Home-and-Design-Issue-2023.png)](https://www.drkarenhorton.com/media#dr-hortons-plan-for-a-healthy-and-happy-2023) × ![]() ### Dr. Horton’s Plan for a Healthy and Happy 2023 Dr. Horton authored an article for Haute Living San Francisco’s Home & Design issue titled “Become the Best Version of You This Year”, in which she shared recommendations for a healthy mind and body in the new year. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2023/01/Cover-120-121.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2022/11/Dr-Karen-Horton-San-Francisco-Plastic-Surgeon-Haute-Living-San-Francisco-Magazine-Cover.png)](https://www.drkarenhorton.com/media#dr-horton-featured-on-cover-of-haute-living-magazine) × ![]() ### Dr. Horton Featured on Cover of Haute Living Magazine Dr. Horton was honored and thrilled to be featured on the cover of the Holiday 2022 issue of Haute Living magazine! Read her story inside. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2022/11/KH-Haute-Living-Magazine-combined.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2022/09/Karen-Horton-MD-San-Francisco-The-Art-and-Science-of-Breast-Lifts-Haute-Living-SF.png)](https://www.drkarenhorton.com/media#the-art-science-of-breast-lifts) × ![]() ### The Art & Science of Breast Lifts In her first byline, Dr. Karen Horton discusses the ins and outs of Breast Lift (Mastopexy) surgery in Haute Living San Francisco magazine. [Read the Article Online](https://www.hautelivingsf.com/2022/08/10/the-art-and-science-of-breast-lifts/) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2022/05/Women-In-Business-Showcase-Real-Estate-and-Design-Magazine-249x300-1.jpeg)](https://www.drkarenhorton.com/media#dr-horton-featured-in-real-estate-design-magazine) × ![]() ### Dr. Horton Featured in Real Estate & Design Magazine Dr. Horton was recently featured in the “Women In Business” special showcase in Real Estate & Design’s May 15, 2022 issue. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2022/05/Real-Estate-and-Design-Magazine-Women-In-Business-Feature-May-2022.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2022/05/Marin-Living-Magazine-May-2022.png)](https://www.drkarenhorton.com/media#dr-horton-and-emily-sespaniak-np-featured-in-marin-living-magazine-2) × ![]() ### Dr. Horton and Emily Sespaniak, NP Featured in Marin Living Magazine Dr. Horton and Emily Sespaniak, NP are featured in the May 2022 issue of Marin Living Magazine and discuss what makes their Plastic Surgery practice groundbreaking. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2022/05/marin-living-may-2022-edited-1.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2022/04/Aesthetic-Society-News-Special-Issue-Spring-2022.png)](https://www.drkarenhorton.com/media#dr-horton-a-featured-speaker-at-the-aesthetic-meeting-2022) × ![]() ### Dr. Horton a Featured Speaker at The Aesthetic Meeting 2022 Dr. Horton was a featured speaker in a panel discussion on the “social side” of aesthetic surgery at this year’s Aesthetic Meeting 2022. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2022/04/ASN-Spring-2022-pg70-71.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2021/05/Dr-Horton-First-Come-First-Served-Article.png)](https://www.drkarenhorton.com/media#dr-horton-on-prejuvenation) × ![]() ### Dr. Horton on “Prejuvenation” in the Nob Hill Gazette Dr. Horton was asked to weigh in on her thoughts about “prejuvenation” – or preventative cosmetic treatments which can help stave off more invasive procedures down the road in an article for the Nob Hill Gazette. Flip to page 54 to read more! [Read the Article Online](https://www.flipsnack.com/nobhillgazette/nhg-april-2021.html) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2021/05/Dr-Horton-NHG-April-2021.png)](https://www.drkarenhorton.com/media#dr-horton-featured-in-the-nob-hill-gazette) × ![]() ### Dr. Horton’s Plastic Surgery Practice Featured in the Nob Hill Gazette Dr. Horton was featured in the April 2021 issue of the Nob Hill Gazette in an article titled “Get Instant Cosmetic Results with Dr. Horton”. Flip to page 52 to read all about it! [Read the Article Online](https://www.flipsnack.com/nobhillgazette/nhg-april-2021.html) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2020/11/Karen-Horton-MD-Emily-Sespaniak-NP-Marin-Living-Winter-2020.jpg)](https://www.drkarenhorton.com/media#dr-horton-and-emily-sespaniak-np-featured-in-marin-living-magazine) × ![]() ### Dr. Horton and Emily Sespaniak, NP Featured in Marin Living Magazine Dr. Karen Horton and Emily Sespaniak, NP were recently featured in Marin Living magazine’s November/December 2020 issue, discussing what sets their practice apart. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2020/11/1120MedicalHealth_KarenHorton-1.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2020/09/Dr-Karen-Horton-Article-The-Last-Stitch.png)](https://www.drkarenhorton.com/media#dr-horton-featured-in-the-last-stitch) × ![]() ### Dr. Horton Featured in The Last Stitch Did you know that Dr. Horton bartended to help pay for school during her medical training? Read more in this fun article in _The Last Stitch_. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2020/09/Karen-Horton-Last-Stitch-Page.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2020/08/Karen-Horton-MD-Best-Plastic-Surgeon-Women-Marin-County.png)](https://www.drkarenhorton.com/media#dr-horton-featured-in-marin-magazine-best-of-2020-issue) × ![]() ### Dr. Horton Featured in Marin Magazine “Best of 2020” Issue Dr. Horton is proud to be featured in Marin Magazine’s Best of 2020 issue as “The Face of Plastic Surgery for Bay Area Women”. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2020/08/Horton_FACES_0820_v1-1.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2020/07/KarenHorton_SocialMedia2.jpg)](https://www.drkarenhorton.com/media#marin-living-magazine-celebrating-marin-visionaries) × ![]() ### Marin Living Magazine “Celebrating Marin Visionaries” Dr. Horton was featured as a Marin Visionary in the July/August issue of Marin Living Magazine. Dr. Horton discussed her advocacy for women and her approach to patient care. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2020/07/CMV_KarenHorton.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2020/05/Dr-Karen-Horton-Marin-Magazine-2020.png)](https://www.drkarenhorton.com/media#dr-horton-featured-in-marin-magazines-2020-women-in-business) × ![]() ### Dr. Horton Featured In Marin Magazine’s 2020 Women In Business Dr. Horton appears again this year in Marin Magazine’s special feature titled “Celebrating Women in Business”. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2020/05/marin202005-158892179200067c6a1e7ce-pp.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/08/Pillars-of-Practice-Flyer.png)](https://www.drkarenhorton.com/media#dr-hortons-new-ebook-is-now-available-for-purchase-on-amazon) × ![]() ### Dr. Horton’s New eBook Is Now Available for Purchase on Amazon! _Pillars of Practice: Online Marketing Tactics They Never Taught Us in Medical School_, a new eBook co-authored by Dr. Karen Horton, is now available for purchase on Amazon. [Read the Article Online](https://books2read.com/u/mqGPwv) [![Dr. Horton Featured in Marin Magazine](https://hortonnew.b-cdn.net/wp-content/uploads/2019/07/drkarenhorton-faces-of-marin-august-2019.png)](https://www.drkarenhorton.com/media#marin-magazine-feature-face-of-woman-focused-plastic-surgery) × ![]() ### Marin Magazine Feature: Face of Woman-Focused Plastic Surgery Dr. Horton was recently featured in _Marin Magazine_ in a special segment titled “Faces of Marin 2019”, highlighting her woman-focused plastic surgery practice in San Francisco. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2019/07/Marin-Magazine-August-2019.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/06/Dr-Karen-Horton-Marin-Magazine-Women-In-Business-Feature.png)](https://www.drkarenhorton.com/media#dr-karen-horton-innovative-woman-focused-plastic-surgeon) × ![]() ### Dr. Karen Horton: Innovative Woman-Focused Plastic Surgeon Dr. Horton was featured in Marin Magazine’s May 2019 issue, in a special section titled “Celebrating Women in Business”. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2019/06/Marin-Magazine-May-2019.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/05/Karen-Horton-MD-San-Francisco-Plastic-Surgeon-Breast-Implant-Article-New-Beauty.png)](https://www.drkarenhorton.com/media#dr-horton-featured-in-new-beauty-article-about-breast-surgery) × ![]() ### Dr. Horton Featured in New Beauty Article About Breast Surgery Dr. Horton was interviewed by _New Beauty_ about breast procedures, including Breast Augmentation, Breast Lift and Breast Reduction. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2019/05/Karen-Horton-MD-San-Francisco-Plastic-Surgeon-Article-New-Beauty.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/03/MedEsthetics_Sept_2018_Cover_Medical_Career_Mentorship-220x300.png)](https://www.drkarenhorton.com/media#a-guiding-hand-medical-career-mentoring) × ![]() ### A Guiding Hand: Medical Career Mentoring Dr. Horton was recently interviewed by _MedEsthetics_ about the importance of mentors, and discusses her own mentorship under Dr. Christopher Forrest while a student at the University of Toronto. Having a mentor can help future doctors become more successful and feel more confident in their medical careers! [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2018/09/MedEsthetics_SEP-2018.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2017/10/print-cal.jpg)](https://www.drkarenhorton.com/media#bay-area-cancer-connections-breast-ovarian-cancer-information-support) × ![]() ### Bay Area Cancer Connections – Breast & Ovarian Cancer Information & Support Dr. Horton contributed an article on the latest breast implant reconstruction techniques after breast cancer treatment to the Bay Area Breast Cancer Connections October-December 2017 publication. Dr. Horton discusses nipple-sparing mastectomy and other techniques used to save the nipple in breast cancer surgery, “hidden incisions” in the fold beneath the breast, “pre-pectoral” (subcutaneous) implant placement on top of the muscle using smooth walled, permanent, postoperatively adjustable implants – which Dr. Horton has been doing for 12 years – and “direct-to-implant” breast reconstruction. She also educates about the newest generations of silicone gel breast implants and safety issues with textured devices such as BIA-ALCL. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2017/10/Program-Calendar-OCT-DEC-2017.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2017/04/4-5-17-LS-page-v5-1.jpg)](https://www.drkarenhorton.com/media#the-last-stitch) × ![]() ### ASPS Surgeon Spotlight “Dr. Horton was featured in the prestigious American Society of Plastic Surgeon (ASPS)’s “Plastic Surgery News” publication. “Surgeon Spotlight” presents a good-natured look at the lives of notable American Society of Plastic Surgery Members who the ASPS believes are making significant contributions to the specialty of Plastic Surgery.” [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2017/04/4-5-17-LS-page-v5.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2015/08/Thumbnail.png)](https://www.drkarenhorton.com/media#7031) × ![]() ### Bay Area’s Premier Plastic Surgeon [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2015/08/Dr.-Horton.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2014/10/breastcancer.jpg)](https://www.drkarenhorton.com/media#bay-area-news-group) × ![]() ### Bay Area News Group In this special insert to Bay Area newspapers, Dr. Karen Horton discusses post-treatment surgical options for breast cancer patients. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2014/10/BCA-2014-Final.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/10/coping-cover.jpg)](https://www.drkarenhorton.com/media#horton-in-coping-with-cancer) × ![]() ### Coping with Cancer magazine Dr. Horton discusses ‘What You Need to Know if You Choose Breast Reconstruction’ in ‘Coping with Cancer’ magazine. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2012/10/Horton-page-38.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/10/NewBeautyMagazine3.jpg)](https://www.drkarenhorton.com/media#new-beauty-magazine) × ![]() ### New Beauty Magazine Dr. Karen Horton is featured in New Beauty Magazine as a prominent female plastic surgeon in the San Francisco Bay area. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/New-Beauty-Writeup-Dr-Karen-M-Horton-2.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/03/health-magazine-225x300.jpg)](https://www.drkarenhorton.com/media#health-magazine) × ![]() ### Health Magazine In this Go-To Beauty Guide featured in Health Magazine, Dr. Karen Horton discusses the best anti-aging secrets. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/The-Best-Anti-Aging-Secrets-Health.com_.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/Jakartapost-cover-web.jpg)](https://www.drkarenhorton.com/media#jakarta-post) × ![]() ### Jakarta Post Dr. Karen Horton was featured in the _Jakarta Post_ discussing the changing role of plastic surgery in society. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/Jakarta-Post.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/Neko-cover-web.jpg)](https://www.drkarenhorton.com/media#neko) × ![]() ### Neko Dr. Karen Horton was interviewed by NC Mag about her study, practice, and career. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/Neko.pdf) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/CRAVE-SF-cover-web.jpg)](https://www.drkarenhorton.com/media#crave) × ![]() ### Crave Dr. Karen Horton was featured in _Crave_ discussing her work. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/CRAVE-feature-2.jpg) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/FogCutter-cover.jpg)](https://www.drkarenhorton.com/media#fog-cutter) × ![]() ### Fog Cutter Dr. Karen Horton was featured in the Spring 2010 issue of _Fog Cutter_, the magazine of the Junior League of San Francisco, interviewing several local breast surgeons regarding Mammograms and Breast-Self Exams. [Download a full copy of the article](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/FogCutter.pdf) ## Radio and Webcast Media Appearances [![](https://hortonnew.b-cdn.net/wp-content/uploads/2022/12/Dr-Karen-Horton-Entrepreneurship-In-Focus-Video-Series.png)](https://www.drkarenhorton.com/media#dr-horton-featured-in-entrepreneurship-in-focus-video-series) × ![]() ### Dr. Horton Featured in Entrepreneurship In Focus Video Series Dr. Karen Horton, an internationally board certified plastic surgeon operating in San Francisco, focuses on providing her patients with meticulous attention to detail, individualized care, exceptional surgical results, in a warm, welcoming environment. [Listen online](https://youtu.be/cdkSrcQx1LI) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2021/05/Dr-Karen-Horton-InspiHERd-Podcast-Feature.png)](https://www.drkarenhorton.com/media#dr-horton-featured-on-inspiherd-podcast) × ![]() ### Dr. Horton Featured on InspiHER’d Podcast Listen to the latest InspiHER’d podcast to hear all about Dr. Horton’s own journey with Plastic Surgery. She talks about the good, the bad and the body image changes after cosmetic surgery – plus so much more! [Listen online](https://inspiherd.podbean.com/e/dr-karen-m-horton-md-plastic-surgeon-extraordinaire-episode-18/) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/12/Horton-thumbnail.png)](https://www.drkarenhorton.com/media#a-day-in-the-office-with-karen-horton-md) × ![]() ### A Day In the Office With Karen Horton, MD Follow along as the American Society of Plastic Surgeons (ASPS) shadows Dr. Karen Horton during a typical day at her Plastic Surgery practice in San Francisco. [Listen online](https://www.youtube.com/watch?v=zzFfwfWnLp8&feature=youtu.be) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/07/Dr-Karen-Horton-The-Holistic-Plastic-Surgery-Show-with-Dr-Anthony-Youn-1.png)](https://www.drkarenhorton.com/media#dr-horton-on-the-holistic-plastic-surgery-show-five-of-the-best-cosmetic-treatmentsand-two-of-the-worst) × ![]() ### Dr. Horton on The Holistic Plastic Surgery Show: Five of the Best Cosmetic Treatments…and Two of the Worst Dr. Horton joins Dr. Anthony Youn on this episode of _The Holistic Plastic Surgery Show_ to share with the audience the five cosmetic treatments which she puts at the top of her list along with two which she recommends that you stay away from. [Listen online](https://looklivebeaudio.podcastpartnership.net/five-of-the-best-cosmetic-treatmentsand-two-of-the-worst-with-top-plastic-surgeon-dr-karen-horton-holistic-plastic-surgery-show-143) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/04/Dr-Karen-Horton-Featured-Holistic-Plastic-Surgery-Show-Anthony-Youn-MD.png)](https://www.drkarenhorton.com/media#dr-karen-horton-featured-on-the-holistic-plastic-surgery-show-with-anthony-youn-md) × ![]() ### Dr. Karen Horton Featured on the Holistic Plastic Surgery Show with Anthony Youn, MD Dr. Horton joins Dr. Anthony Youn on the Holistic Plastic Surgery Show, as they reveal everything you need to know about Plastic Surgery of the Breasts. [Listen online](https://www.youtube.com/watch?time_continue=112&v=DxqCBkc91GQ) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2016/05/PRS.jpg)](https://www.drkarenhorton.com/media#prs-journal-podcast) × ![]() ### PRS Journal Podcast Plastic Surgery Insider: Mommy Makeover Plastic Surgery, Private Practice and Proper Patient Selection [Listen online](https://hortonnew.b-cdn.net/wp-content/uploads/2016/05/Karen-Horton-Podcast.mp3) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2015/03/Horton94.13.jpg)](https://www.drkarenhorton.com/media#dreena-on-wild-94-9-features-dr-karen-horton-and-the-perks-of-a-mommy-makeover) × ![]() ### Dreena on WiLD 94.9 features Dr. Karen Horton and the perks of a Mommy Makeover [Listen Online](https://hortonnew.b-cdn.net/wp-content/uploads/2015/03/Dr.-Karen-Horton-Dreena-live-read-.mp3) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2015/03/lbbc.jpg)](https://www.drkarenhorton.com/media#dr-horton-discusses-breast-reconstruction-in-webinar-for-living-beyond-breast-cancer) × ![]() ### Dr. Horton Discusses Breast Reconstruction In Webinar For Living Beyond Breast Cancer [Listen online](https://hortonnew.b-cdn.net/wp-content/uploads/video/horton-breast-recon-webinar.mp3) ## Television Media Appearances × ### Dr. Karen Horton was interviewed by Terri Coutee Dr. Karen Horton was interviewed by Terri Coutee, founder of the DIEPcFoundation, about TUG flap microsurgical breast reconstruction [DIEPcFoundation](https://www.diepcfoundation.org/) [iframe](https://www.youtube.com/embed/p_6pr9L1Dic) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/body-beautiful-pt1-media-icon.jpg)](https://www.drkarenhorton.com/media#kron-body-beautiful-01-07) × ![]() ### Dr. Karen Horton on KRON TV-4 on January 7, 2008 Karen Horton was featured on a segment of “Body Beautiful” on KRON TV 4 on January 7, 2008. [iframe](https://www.youtube.com/embed/lQtpkSUzraA?rel=0&showinfo=0) [Read the Article Online](https://www.youtube.com/watch?v=lQtpkSUzraA) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/body-beautiful-pt2-media-icon.jpg)](https://www.drkarenhorton.com/media#kron-body-beautiful-10-15) × ![]() ### Dr. Karen Horton on KRON-TV 4 “Body Beautiful” on October 15, 2007 Dr. Karen Horton was featured on a segment of “Body Beautiful” on KRON TV 4 on October 15, 2007. [iframe](https://www.youtube.com/embed/qHkp9npg-dI?rel=0&showinfo=0) [Read the Article Online](https://www.youtube.com/watch?v=qHkp9npg-dI) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/03/body-beautiful-pt3-media-icon.jpg)](https://www.drkarenhorton.com/media#dr-karen-horton-on-kron-body-beautiful-10-28) × ![]() ### Dr. Karen Horton on KRON-TV 4 “Body Beautiful” on October 21, 2008 Dr. Karen Horton was featured on a segment of “Body Beautiful” on KRON TV 4 on October 21, 2008. She talks about breast surgeries. [iframe](https://www.youtube.com/embed/DsRbsIvnMvE?rel=0&showinfo=0) [Read the Article Online](https://www.youtube.com/watch?v=DsRbsIvnMvE&t=3s) × ### Best of the Bay Dr. Karen Horton appeared on “Best of the Bay” to promote the Women’s Plastic Surgery practice and discuss her focus on women’s reconstructive and cosmetic plastic surgery. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). 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We can provide a financial quote for what anticipated surgical fees will be after your consultation. ## Accreditations Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/media#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") 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Unfortunately for each of us, facial aging is inevitable and is influenced by time, gravity, genetics, smoking and years of sun damage. Typical hallmarks of the aging face include Loose Skin in the face and under the chin and jaw, formation of “Jowls” under the jaw line, Sagging of the mid-face area, deep Wrinkles and Bags in the lower eyelids, lines from the bottom of the nose to the corners of the mouth (known sometimes as “Parentheses”), and “Crows Feet” (deep creases) at the outer aspects of the eyes. With age, the facial area in fact experiences Loss of Facial Volume, and the volume and fat of the face Descends Downward, creating a Tired, sagging and sometimes angry appearance to the face. Additional lines (known as “Rhytids”) can form in the “Tear Trough” region (deep creases below the lower eyelids) and in the “Nasolabial Folds” (deep lines running between the nose and the cheek). Occasionally “Marionette Lines” form at the sides of the mouth downward to the jaw. Facial aging that can be accelerated by smoking and chronic sun exposure can be treated by both surgical and non-surgical techniques. Commonly, a combination of therapies is employed, based on an individual’s unique anatomy, their skin condition and their particular aesthetic goals. ## What Procedures Are Available to Rejuvenate the Aging Face? Facial Rejuvenation includes a spectrum of procedures that work to reverse signs of aging and improve facial appearance, creating a rested, youthful and natural appearance to the face, eyes, neck and forehead regions. Many facial rejuvenation surgeries are complimentary to one another and are commonly performed together to address multiple areas of the face at one time. The definitive goal of facial rejuvenation is to create a Natural, Rested and Youthful Look rather than to change your appearance or to look like you have “had work done”. ### Facelift (Rhytidectomy) A [Facelift](https://www.drkarenhorton.com/face/lift/) smoothes wrinkles and corrects aging in the cheeks, the mid-face, the neck region and jaw line. The outcome of a facelift is a rested, more youthful, natural result that can increase your confidence in “facing” the world with more confidence and appearing more youthful and energized. [Learn more about Facelift surgery here.](https://www.drkarenhorton.com/face/lift/) ### Neck Lift A [Neck Lift](https://www.drkarenhorton.com/face/neck-lift/) specifically smoothes the neck, corrects crepe-like neck skin, eliminates vertical banding in the neck, and redefines a more youthful jaw line. A neck lift is often combined with a facelift and makes up half of a “lower facelift”. [Learn more about Neck Lift surgery here.](https://www.drkarenhorton.com/face/neck-lift/) ### MACS Lift Dr. Horton is extensively trained in ALL the available techniques for face lifts and neck lifts, from subcutaneous to deep plane, SMAS excision/plication/suspension procedures, endoscopic techniques, ones with lengthy scars to minimal scar techniques. As always, we gravitate toward procedures “that make sense” and that address the anatomic issues that are causing age-related changes to the face and neck. The facial rejuvenation surgery preferred by our office is called the [MACS lift](https://www.drkarenhorton.com/face/lower-face-neck-macs-lift/). This procedure provides the most natural results and accurate anatomic correction of changes that take place to create aging of the lower face and neck. To learn all about this exciting state-of-the-art surgery to rejuvenate the lower face, jowls and neck click the button below. [Learn more about MACS surgery here.](https://www.drkarenhorton.com/face/lower-face-neck-macs-lift/) ### Neck and Chin Liposuction [Liposuction of the chin and neck](https://www.drkarenhorton.com/face/neck-lift/#chin_neck) area is often performed at the same time as a neck lift, a lower facelift or other procedures to additionally de-fat the neck and chin area and to achieve the most aesthetic contour to the jaw line. [Learn more about Liposuction surgery here.](https://www.drkarenhorton.com/face/neck-lift/#chin_neck) ### Eyelid Lift Surgery (Blepharoplasty) A [Blepharoplasty](https://www.drkarenhorton.com/face/eyelid-lift/) creates a rested, refreshed and rejuvenated appearance to the eyes and specifically addresses bags and extra skin of the upper and lower eyelids. [Learn more about Eyelid Rejuvenation surgery here.](https://www.drkarenhorton.com/face/eyelid-lift/) ### Non-Surgical (Minimally Invasive) Facial Rejuvenation Some individuals may not want or yet need surgical facial rejuvenation, but need to address skin changes from aging or chronic sun damage. Non-surgical aesthetic treatments can include [BOTOX](https://www.drkarenhorton.com/non-surgical/botox/) ® Cosmetic and alternatives to correct wrinkles, [Injectable Fillers](https://www.drkarenhorton.com/non-surgical/injectables/), Lasers and other skin rejuvenation treatments for the face, neck and chest. Some patients compliment their surgical procedures with non-surgical cosmetic treatments for the very best results. Non-surgical facial rejuvenation cannot achieve the exact outcome as surgery, but they may help postpone future surgery to some degree and can complement the results of facial Plastic Surgery. [Learn more about Non-Surgical Minimally Invasive Procedures here.](https://www.drkarenhorton.com/non-surgical/) ### Medical-Grade Skin Care “Medical-grade” refers to professional [skin care](https://www.drkarenhorton.com/non-surgical/skin-care/) products containing the highest possible concentration of their active ingredients, available only through a Physician’s office. We recommend only FDA-approved, clinically proven products that are supported by medical science and peer-reviewed clinical studies. Medical-grade skin care can rejuvenate the skin, help to correct aging and sun damage, prepare the face and body for other non-surgical rejuvenation, and optimize the skin when facial cosmetic procedures are being considered. [Learn about Medical-Grade Skin Care here.](https://www.drkarenhorton.com/non-surgical/skin-care/) [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/face#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Plastic Surgery Insights Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) [Back To Homepage](https://www.drkarenhorton.com/) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2024/02/new-logo-2024.webp)](https://www.drkarenhorton.com/blog/) # BLOG POSTS [![]()](https://www.drkarenhorton.com/blog/) ## Follow Us Online: [B&A Gallery](https://www.facebook.com/drkarenhortonbeforeandafters/) [Dr. Horton](https://www.instagram.com/drkarenhorton/) [B&A Gallery](https://www.instagram.com/drkarenhortonbeforeandafters/) [Emily Sespaniak, NP](https://www.instagram.com/bayareainjector/) **Subscribe to our Blog** Please leave this field empty First name Email \* Enter your Name and Email to receive all our latest blog posts. 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[Filter By Category](https://www.drkarenhorton.com/blog#) - [About Emily Sespaniak](https://www.drkarenhorton.com/category/about-emily-sespaniak/) (1) - [Body Procedures](https://www.drkarenhorton.com/category/body-procedures/) (84) - [Abdominoplasty](https://www.drkarenhorton.com/category/body-procedures/abdominoplasty-body-procedures/) (23) - [Brachioplasty Arm Lift](https://www.drkarenhorton.com/category/body-procedures/brachioplasty-arm-lift/) (1) - [CoolSculpting](https://www.drkarenhorton.com/category/body-procedures/coolsculpting/) (15) - [Gynecomastia](https://www.drkarenhorton.com/category/body-procedures/gynecomastia/) (1) - [Labiaplasty](https://www.drkarenhorton.com/category/body-procedures/labiaplasty-surgery/) (23) - [Liposuction](https://www.drkarenhorton.com/category/body-procedures/liposuction-2/) (34) - [Breast Cancer Awareness](https://www.drkarenhorton.com/category/breast-cancer-awareness/) (38) - [Breast Procedures](https://www.drkarenhorton.com/category/breast-procedures/) (137) - 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[Horton SPA](https://www.drkarenhorton.com/category/horton-spa/) (73) - [Botox](https://www.drkarenhorton.com/category/horton-spa/botox-horton-spa/) (23) - [Dermal Fillers](https://www.drkarenhorton.com/category/horton-spa/dermal-fillers/) (18) - [Eyelashes](https://www.drkarenhorton.com/category/horton-spa/eyelashes/) (6) - [Hyperhidrosis Treatment](https://www.drkarenhorton.com/category/horton-spa/hyperhidrosis-treatment/) (3) - [IPL/lasers](https://www.drkarenhorton.com/category/horton-spa/ipllasers/) (20) - [Skin Care](https://www.drkarenhorton.com/category/horton-spa/skin-care/) (28) - [Specials](https://www.drkarenhorton.com/category/horton-spa/specials/) (2) - [Mommy Makeover](https://www.drkarenhorton.com/category/mommy-makeover-procedure/) (74) - [Non-surgical procedures](https://www.drkarenhorton.com/category/non-surgical-procedures/) (12) - [Practice News](https://www.drkarenhorton.com/category/practice-news/) (117) - [Procedures for Men](https://www.drkarenhorton.com/category/procedures-for-men/) (44) - [Male Breast Reduction](https://www.drkarenhorton.com/category/procedures-for-men/male-breast-reduction/) (14) - [Uncategorized](https://www.drkarenhorton.com/category/uncategorized/) (1) [![](https://www.drkarenhorton.com/wp-content/uploads/2025/04/KH-Article-Journey-Canva-560x440-v2-e1743705679205_560x440_acf_cropped.webp)](https://www.drkarenhorton.com/practice-news/advancements-in-skincare-expert-insights-from-dr-karen-horton-and-emily-sespaniak-np/) Practice News ### Advancements in Skincare: Expert Insights from Dr. Karen Horton and Emily Sespaniak, NP By: Karen Horton \| Apr 03, 2025 A recent article from the American Society of Plastic Surgeons highlights the latest trends in non-surgical skincare, with insights from Dr. Karen Horton and Emily Sespaniak, NP. They discuss the... [Learn More](https://www.drkarenhorton.com/practice-news/advancements-in-skincare-expert-insights-from-dr-karen-horton-and-emily-sespaniak-np/) [![](https://www.drkarenhorton.com/wp-content/uploads/2025/03/KH-CastleConnolly-TopDoc-Social-Feed-1080x1080-1_560x440_acf_cropped.webp)](https://www.drkarenhorton.com/practice-news/dr-karen-horton-featured-by-castle-connolly-for-her-patient-first-philosophy/) Practice News ### Dr. Karen Horton Featured by Castle Connolly for Her Patient-First Philosophy By: Karen Horton \| Mar 28, 2025 Dr. Karen Horton was recently featured in a Castle Connolly article, “Changing the Conversation Around Plastic Surgery: Dr. Karen Horton’s Patient-first Approach,” recognizing her dedication to truly knowing her Plastic... [Learn More](https://www.drkarenhorton.com/practice-news/dr-karen-horton-featured-by-castle-connolly-for-her-patient-first-philosophy/) [![](https://www.drkarenhorton.com/wp-content/uploads/2025/03/KH-Article-Journey-Canva-feat-img_560x440_acf_cropped.webp)](https://www.drkarenhorton.com/dr-hortons-blog/embracing-your-unique-aesthetic-journey-dr-karen-horton-on-supporting-not-comparing-plastic-surgery-experiences/) Body Procedures ### Embracing Your Unique Aesthetic Journey: Dr. Karen Horton on Supporting, Not Comparing, Plastic Surgery Experiences By: Karen Horton \| Mar 17, 2025 Dr. Karen Horton was recently featured in an American Society of Plastic Surgeons (ASPS) article exploring the idea of “normal” in Plastic Surgery recovery. The piece, titled “What is Normal... [Learn More](https://www.drkarenhorton.com/dr-hortons-blog/embracing-your-unique-aesthetic-journey-dr-karen-horton-on-supporting-not-comparing-plastic-surgery-experiences/) [![](https://www.drkarenhorton.com/wp-content/uploads/2025/01/KH-APSP-Canva-Feed-v2-male_560x440_acf_cropped.webp)](https://www.drkarenhorton.com/dr-hortons-blog/gynecomastia-surgery-dr-karen-hortons-expert-insights/) Dr. Horton's Blog ### Gynecomastia Surgery: Dr. Karen Horton’s Expert Insights By: Karen Horton \| Jan 30, 2025 Gynecomastia, a condition characterized by the enlargement of male breast tissue, can impact self-esteem and body image. Board-Certified Plastic Surgeon Dr. Karen Horton provides expert guidance on effective treatment options... [Learn More](https://www.drkarenhorton.com/dr-hortons-blog/gynecomastia-surgery-dr-karen-hortons-expert-insights/) [![](https://www.drkarenhorton.com/wp-content/uploads/2025/01/NEW-650x440-1_560x440_acf_cropped.jpg)](https://www.drkarenhorton.com/dr-hortons-blog/revealing-the-secrets-to-scar-revision-dr-karen-horton-shares-insights/) Dr. Horton's Blog ### Revealing the Secrets to Scar Revision: Dr. Karen Horton Shares Insights By: Karen Horton \| Jan 08, 2025 When considering Plastic Surgery, the thought of scarring is a common concern. Stories of prominent or unsightly scars can deter patients from pursuing procedures that might otherwise enhance their lives.... [Learn More](https://www.drkarenhorton.com/dr-hortons-blog/revealing-the-secrets-to-scar-revision-dr-karen-horton-shares-insights/) [![](https://www.drkarenhorton.com/wp-content/uploads/2024/12/horton-blog-dec13_560x440_acf_cropped.webp)](https://www.drkarenhorton.com/dr-hortons-blog/dr-karen-horton-shares-practical-tips-for-maintaining-your-plastic-surgery-results-during-the-holiday-season/) Dr. Horton's Blog ### Dr. Karen Horton Shares Practical Tips for Maintaining Your Plastic Surgery Results During the Holiday Season By: Karen Horton \| Dec 13, 2024 Dr. Karen Horton contributed to an article on maintaining liposuction and body contouring results during the holiday season for the American Society of Plastic Surgeons (ASPS) website. In the piece,... [Learn More](https://www.drkarenhorton.com/dr-hortons-blog/dr-karen-horton-shares-practical-tips-for-maintaining-your-plastic-surgery-results-during-the-holiday-season/) [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/blog#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Expert Plastic Surgery Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # About Us [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") Page Updated: December 26, 2024 The practice of Dr. Karen Horton is located in the prestigious Pacific Heights district of the San Francisco Bay Area. Our practice offers a broad spectrum of cosmetic surgery and reconstructive surgery of the breasts, the body and the face. ![Dr. Karen Horton](https://hortonnew.b-cdn.net/wp-content/uploads/2018/10/horton_about.jpg) Dr. Karen Horton Dr. Horton is a classically educated [Plastic Surgeon](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) who received her training at an esteemed Residency program and pursued additional Fellowship training in Reconstructive Microsurgery. Specializing in all types of [Breast Surgery](https://www.drkarenhorton.com/breast/), 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. Learn more about the background, surgical training and professional philosophy of [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/). Dr. Karen Horton Introduction: Educator, Innovator, Mentor in Plastic and Reconstructive Surgery - YouTube Dr. Karen Horton 871 subscribers [Dr. Karen Horton Introduction: Educator, Innovator, Mentor in Plastic and Reconstructive Surgery](https://www.youtube.com/watch?v=aCwB2QqQ_qY) Dr. Karen Horton Search Watch later Share Copy link Info Shopping Tap to unmute If playback doesn't begin shortly, try restarting your device. More videos ## More videos You're signed out Videos you watch may be added to the TV's watch history and influence TV recommendations. To avoid this, cancel and sign in to YouTube on your computer. CancelConfirm Share Include playlist An error occurred while retrieving sharing information. Please try again later. [Watch on](https://www.youtube.com/watch?v=aCwB2QqQ_qY&embeds_referring_euri=https%3A%2F%2Fwww.drkarenhorton.com%2F) 0:00 0:00 / 0:39•Live • [Watch on YouTube](https://www.youtube.com/watch?v=aCwB2QqQ_qY "Watch on YouTube") "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.” “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!” [See Real Patient Reviews](https://www.drkarenhorton.com/about/patient-reviews/) ![Emily Sespaniak, NP-C](https://hortonnew.b-cdn.net/wp-content/uploads/2018/10/emily_about.jpg) Emily Sespaniak, NP-C Board-Certified [Nurse Practitioner](https://www.drkarenhorton.com/about/emily-sespaniak-nurse-practitioner-san-francisco-ca/) Emily Sespaniak specializes in non-surgical cosmetic procedures including Botox and other neuromodulators, dermal fillers, and laser skin rejuvenation treatments. 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. Learn more about the background, training and professional philosophy of [Emily Sespaniak, NP](https://www.drkarenhorton.com/about/emily-sespaniak-nurse-practitioner-san-francisco-ca/). We offer Moms the exciting “ [Mommy Makeover](https://www.drkarenhorton.com/body/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](https://www.drkarenhorton.com/body/) procedures include sculpting of the abdomen, hips, thighs, buttocks and arms, post-weight loss body contouring surgery, and labiaplasty. [Facial Rejuvenation](https://www.drkarenhorton.com/face/) options range from non-surgical, [Minimally Invasive Procedures](https://www.drkarenhorton.com/non-surgical/) 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](https://www.drkarenhorton.com/non-surgical/skin-care/) prepares the facial region for anti-aging procedures and maintains a rejuvenated and fresh complexion, potentially correcting skin issues without surgery. ![](https://hortonnew.b-cdn.net/wp-content/uploads/2024/12/Yelp-Award-2024.jpeg)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. Discover what to expect at [Your Plastic Surgery Consultation](https://www.drkarenhorton.com/patient-information/consultation/). [Meet Our Office Staff](https://www.drkarenhorton.com/about/staff/), and read our [Patient Testimonials](https://www.drkarenhorton.com/about/testimonials/)! “ Dear Dr. Horton and The Dream Team, You have brightened all of my days. With a heartfelt thank you, I hope these (flowers) brighten up yours as well. #LeagueofTheirOwn. Love you! „ [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/about#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Patient Gallery Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Before & After Patient 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. \*All photos are actual patient photographs and are for illustrative purposes only. Individual results may vary. ![](https://hortonnew.b-cdn.net/wp-content/uploads/2014/02/Karen_Horton_Plastric_Surgery_Body_Procedures_Gallery_2.jpg) ## Body - [Abdominoplasty](https://www.drkarenhorton.com/gallery/body/abdominoplasty/) - [Brachioplasty](https://www.drkarenhorton.com/gallery/body/brachioplasty/) - [Belly Button Surgery (Umbilicoplasty)](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/) - [Labiaplasty](https://www.drkarenhorton.com/gallery/body/labiaplasty/) - [Liposuction of the Body](https://www.drkarenhorton.com/gallery/body/liposuction/) - [Liposuction of the Axillary Rolls](https://www.drkarenhorton.com/gallery/body/liposuction-of-the-axillary-rolls/) - [Liposuction of the Arms](https://www.drkarenhorton.com/gallery/body/liposuction-of-the-arms/) - [Mommy Makeover](https://www.drkarenhorton.com/gallery/body/mommy-makeover/) - [Medial Thigh Lift](https://www.drkarenhorton.com/gallery/body/medial-thigh-lift/) - [Post-Weight Loss](https://www.drkarenhorton.com/gallery/body/post-weight-loss/) - [Scar Revisions](https://www.drkarenhorton.com/gallery/body/scar-revisions/) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2014/02/Karen_Horton_Plastic_Surgery_Breast_Gallery.jpg) ## Breast - [Breast Augmentation](https://www.drkarenhorton.com/gallery/breast/breast-augmentation/) - [Breast Implant Removal (Explantation)](https://www.drkarenhorton.com/gallery/breast/explantation/) - [Breast Lift](https://www.drkarenhorton.com/gallery/breast/breast-lift/) - [Breast Reduction](https://www.drkarenhorton.com/gallery/breast/breast-reduction/) - [Breast Revision Surgery](https://www.drkarenhorton.com/gallery/breast/revision-breast-surgery/) - [Breast Reduction or Lift as Reconstruction](https://www.drkarenhorton.com/gallery/breast/breast-reduction-or-lift-as-reconstruction/) - [Delayed Implant Reconstruction](https://www.drkarenhorton.com/gallery/breast/delayed-implant-reconstruction/) - [DIEP-SIEA Flap Reconstruction](https://www.drkarenhorton.com/gallery/breast/diep-siea-flap-reconstruction/) - [Immediate Implant Reconstruction](https://www.drkarenhorton.com/gallery/breast/immediate-implant-reconstruction/) - [Mastopexy-Augmentation](https://www.drkarenhorton.com/gallery/breast/mastopexy-augmentation/) - [Mommy Makeover Breast Rejuvenation](https://www.drkarenhorton.com/gallery/breast/mommy-makeover/) - [Nipple Cosmetic Surgery](https://www.drkarenhorton.com/gallery/breast/cosmetic-nipple-surgery/) - [Nipple Reconstruction](https://www.drkarenhorton.com/gallery/breast/nipple-areolar-reconstruction/) - [Poland Syndrome](https://www.drkarenhorton.com/gallery/breast/poland-syndrome/) - [Tubular Breast Correction](https://www.drkarenhorton.com/gallery/breast/tubular-breast-augmentation/) - [TUG Flap Reconstruction](https://www.drkarenhorton.com/gallery/breast/tug-flap-reconstruction/) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2017/07/Karen_Horton_Plastic_Surgery_Face_Neck_Gallery.jpg) ## Face and Neck - [Blepharoplasty](https://www.drkarenhorton.com/gallery/face-and-neck/blepharoplasty/) - [Earlobe Repair & Cosmetic Ear Surgery](https://www.drkarenhorton.com/gallery/face-and-neck/earlobe-repair/) - [Facial Mole Removal & Scar Treatment](https://www.drkarenhorton.com/gallery/face-and-neck/facial-mole-removal-scar-treatment/) - [Face/Neck/MACS Lift](https://www.drkarenhorton.com/gallery/face-and-neck/neckmacs-lift/) - [Liposuction of the Neck](https://www.drkarenhorton.com/gallery/face-and-neck/liposuction/) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2014/02/Karen_Horton_MD_Non_Surgical_Procedures_Gallery_v6.jpg) ## Non-Surgical Procedures - [Lip Flip](https://www.drkarenhorton.com/gallery/non-surgical-procedures/lip-flip/) - [Botox® / Dysport](https://www.drkarenhorton.com/gallery/non-surgical-procedures/botox/) - [Dermal Fillers](https://www.drkarenhorton.com/gallery/non-surgical-procedures/dermal-fillers/) - ↳ [Chin Augmentation](https://www.drkarenhorton.com/gallery/non-surgical-procedures/dermal-fillers/chin-augmentation/) - ↳ [Midface](https://www.drkarenhorton.com/gallery/non-surgical-procedures/dermal-fillers/midface/) - ↳ [Lip Augmentation](https://www.drkarenhorton.com/gallery/non-surgical-procedures/dermal-fillers/lip-augmentation/) - ↳ [Nasolabial Folds](https://www.drkarenhorton.com/gallery/non-surgical-procedures/dermal-fillers/nasolabial-folds/) - [IPL](https://www.drkarenhorton.com/gallery/non-surgical-procedures/ipl/) - [Scar Therapy](https://www.drkarenhorton.com/gallery/non-surgical-procedures/scar-therapy/) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2014/02/dkh_gallery_landing_page_rnd3b_12.jpg) ## Procedures for Men - [Blepharoplasty (eyelid lift)](https://www.drkarenhorton.com/gallery/procedures-for-men/blepharoplasty-eyelid-lift/) - [Liposuction](https://www.drkarenhorton.com/gallery/procedures-for-men/liposuction-for-men/) - [Male Breast Reduction (Gynecomastia)](https://www.drkarenhorton.com/gallery/procedures-for-men/male-breast-reduction-gynecomastia/) - [Men's Post-Weight Loss](https://www.drkarenhorton.com/gallery/procedures-for-men/mens-post-weight-loss/) × **NOTICE** The photo gallery page you have requested may contain nudity. If you are at least 18 years of age and wish to continue, please click the 'OK' button now. [OK](https://www.drkarenhorton.com/gallery#) [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St #506 San Francisco, CA 94115 Phone: [415.570.7352](tel:+14155707352) ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## Hours **Monday-Friday:** 8am - 5pm **Saturday-Sunday:** Closed Monday: 8 AM to 5 PM Tuesday: 8 AM to 5 PM Wednesday: 8 AM to 5 PM Thursday: 8 AM to 5 PM Friday: 8 AM to 5 PM Saturday: 8 AM to 5 PM Sunday: 8 AM to 5 PM ## Address Dr. Karen M. Horton 2100 Webster St #506 San Francisco, CA 94115 Phone: [415.570.7352](tel:+14155707352) ## Accreditations Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/gallery#) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2017/07/Karen_Horton_Plastic_Surgery_Face_Neck_Gallery.jpg) ## Face and Neck - [Blepharoplasty](https://www.drkarenhorton.com/gallery/face-and-neck/blepharoplasty/) - [Earlobe Repair & Cosmetic Ear Surgery](https://www.drkarenhorton.com/gallery/face-and-neck/earlobe-repair/) - [Facial Mole Removal & Scar Treatment](https://www.drkarenhorton.com/gallery/face-and-neck/facial-mole-removal-scar-treatment/) - [Face/Neck/MACS Lift](https://www.drkarenhorton.com/gallery/face-and-neck/neckmacs-lift/) - [Liposuction of the Neck](https://www.drkarenhorton.com/gallery/face-and-neck/liposuction/) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2014/02/Karen_Horton_Plastic_Surgery_Breast_Gallery.jpg) ## Breast - [Breast Augmentation](https://www.drkarenhorton.com/gallery/breast/breast-augmentation/) - [Breast Implant Removal (Explantation)](https://www.drkarenhorton.com/gallery/breast/explantation/) - [Breast Lift](https://www.drkarenhorton.com/gallery/breast/breast-lift/) - [Breast Reduction](https://www.drkarenhorton.com/gallery/breast/breast-reduction/) - [Breast Revision Surgery](https://www.drkarenhorton.com/gallery/breast/revision-breast-surgery/) - [Breast Reduction or Lift as Reconstruction](https://www.drkarenhorton.com/gallery/breast/breast-reduction-or-lift-as-reconstruction/) - [Delayed Implant Reconstruction](https://www.drkarenhorton.com/gallery/breast/delayed-implant-reconstruction/) - [DIEP-SIEA Flap Reconstruction](https://www.drkarenhorton.com/gallery/breast/diep-siea-flap-reconstruction/) - [Immediate Implant Reconstruction](https://www.drkarenhorton.com/gallery/breast/immediate-implant-reconstruction/) - [Mastopexy-Augmentation](https://www.drkarenhorton.com/gallery/breast/mastopexy-augmentation/) - [Mommy Makeover Breast Rejuvenation](https://www.drkarenhorton.com/gallery/breast/mommy-makeover/) - [Nipple Cosmetic Surgery](https://www.drkarenhorton.com/gallery/breast/cosmetic-nipple-surgery/) - [Nipple Reconstruction](https://www.drkarenhorton.com/gallery/breast/nipple-areolar-reconstruction/) - [Poland Syndrome](https://www.drkarenhorton.com/gallery/breast/poland-syndrome/) - [Tubular Breast Correction](https://www.drkarenhorton.com/gallery/breast/tubular-breast-augmentation/) - [TUG Flap Reconstruction](https://www.drkarenhorton.com/gallery/breast/tug-flap-reconstruction/) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2014/02/Karen_Horton_Plastric_Surgery_Body_Procedures_Gallery_2.jpg) ## Body - [Abdominoplasty](https://www.drkarenhorton.com/gallery/body/abdominoplasty/) - [Brachioplasty](https://www.drkarenhorton.com/gallery/body/brachioplasty/) - [Belly Button Surgery (Umbilicoplasty)](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/) - [Labiaplasty](https://www.drkarenhorton.com/gallery/body/labiaplasty/) - [Liposuction of the Body](https://www.drkarenhorton.com/gallery/body/liposuction/) - [Liposuction of the Axillary Rolls](https://www.drkarenhorton.com/gallery/body/liposuction-of-the-axillary-rolls/) - [Liposuction of the Arms](https://www.drkarenhorton.com/gallery/body/liposuction-of-the-arms/) - [Mommy Makeover](https://www.drkarenhorton.com/gallery/body/mommy-makeover/) - [Medial Thigh Lift](https://www.drkarenhorton.com/gallery/body/medial-thigh-lift/) - [Post-Weight Loss](https://www.drkarenhorton.com/gallery/body/post-weight-loss/) - [Scar Revisions](https://www.drkarenhorton.com/gallery/body/scar-revisions/) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2014/02/Karen_Horton_MD_Non_Surgical_Procedures_Gallery_v6.jpg) ## Non-Surgical Procedures - [Lip Flip](https://www.drkarenhorton.com/gallery/non-surgical-procedures/lip-flip/) - [Botox® / Dysport](https://www.drkarenhorton.com/gallery/non-surgical-procedures/botox/) - [Dermal Fillers](https://www.drkarenhorton.com/gallery/non-surgical-procedures/dermal-fillers/) - ↳ [Chin Augmentation](https://www.drkarenhorton.com/gallery/non-surgical-procedures/dermal-fillers/chin-augmentation/) - ↳ [Midface](https://www.drkarenhorton.com/gallery/non-surgical-procedures/dermal-fillers/midface/) - ↳ [Lip Augmentation](https://www.drkarenhorton.com/gallery/non-surgical-procedures/dermal-fillers/lip-augmentation/) - ↳ [Nasolabial Folds](https://www.drkarenhorton.com/gallery/non-surgical-procedures/dermal-fillers/nasolabial-folds/) - [IPL](https://www.drkarenhorton.com/gallery/non-surgical-procedures/ipl/) - [Scar Therapy](https://www.drkarenhorton.com/gallery/non-surgical-procedures/scar-therapy/) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2014/02/dkh_gallery_landing_page_rnd3b_12.jpg) ## Procedures for Men - [Blepharoplasty (eyelid lift)](https://www.drkarenhorton.com/gallery/procedures-for-men/blepharoplasty-eyelid-lift/) - [Liposuction](https://www.drkarenhorton.com/gallery/procedures-for-men/liposuction-for-men/) - [Male Breast Reduction (Gynecomastia)](https://www.drkarenhorton.com/gallery/procedures-for-men/male-breast-reduction-gynecomastia/) - [Men's Post-Weight Loss](https://www.drkarenhorton.com/gallery/procedures-for-men/mens-post-weight-loss/) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Breast Surgery Services Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Breast Surgery [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") ## Breast Augmentation Augmentation of the breasts involves placing a silicone or saline-filled implant to enhance breast volume or to correct “deflation” of the breasts after having children or following significant weight loss. The goal for breast augmentation is always to create the most beautiful and Natural result that remains proportional to a woman’s frame. [Learn more about breast augmentation](https://www.drkarenhorton.com/breast/augmentation/). Why is it Called Plastic Surgery, Anyway? \| Karen Horton, MD - YouTube Dr. Karen Horton 871 subscribers [Why is it Called Plastic Surgery, Anyway? \| Karen Horton, MD](https://www.youtube.com/watch?v=qfHicouluO4) Dr. Karen Horton Search Watch later Share Copy link Info Shopping Tap to unmute If playback doesn't begin shortly, try restarting your device. More videos ## More videos You're signed out Videos you watch may be added to the TV's watch history and influence TV recommendations. To avoid this, cancel and sign in to YouTube on your computer. CancelConfirm Share Include playlist An error occurred while retrieving sharing information. Please try again later. [Watch on](https://www.youtube.com/watch?v=qfHicouluO4&embeds_referring_euri=https%3A%2F%2Fwww.drkarenhorton.com%2F) 0:00 0:00 / 1:07•Live • [Watch on YouTube](https://www.youtube.com/watch?v=qfHicouluO4 "Watch on YouTube") ## Download This Free Breast Augmentation Decision Aid do or do not , there is no try I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. ![Breast Augmentation Decision Aid Brochure Graphic](https://hortonnew.b-cdn.net/wp-content/uploads/2021/05/d-aid.png) **What is the purpose of this decision aid?** • Introduce the decisions necessary to consider before primary breast augmentation surgery. • Educate you on the essential information you need to know to make each decision. • Identify your goals, values, and preferences relevant to each decision and clearly communicate them to your Plastic Surgery care team. _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!!!_ ## Breast Lift (Mastopexy) Breast lift (“mastopexy”) surgery reshapes the breasts by rearranging the breast tissue, removing and redraping loose breast skin, and lifting the nipples and areolas to a higher and more aesthetic position. The goal of mastopexy is to create a perkier, lifted, and more youthful breast shape. [Learn more about breast lift (mastopexy) surgery](https://www.drkarenhorton.com/breast/lift/). ## Breast Lift with Augmentation Combination breast augmentation with lift is known as “mastopexy-augmentation” (or breast lift with implants). This procedure both enhances the breast volume and creates a fuller, perkier breast with increased projection and a more youthful shape. The nipples are lifted to a higher position on the breast, excess skin is removed, and an implant fills out the breast for enhanced volume. [Learn more about breast lift with augmentation](https://www.drkarenhorton.com/breast/lift-with-augmentation/). ## “Mommy Makeover” Breast Rejuvenation Following pregnancy, permanent changes often occur in the breasts, regardless of breastfeeding or not. Rejuvenation of the breasts is a key component of our “ [Mommy Makeover](https://www.drkarenhorton.com/body/mommy-makeover/)” procedure. Most Moms wish to correct breast deflation and droop, restoring their breasts to a fuller, perkier, more youthful shape. Options for breast rejuvenation include breast augmentation, breast lift, combination mastopexy-augmentation and breast reduction. [Learn more about options to rejuvenate the breasts in a “Mommy Makeover”](https://www.drkarenhorton.com/body/mommy-makeover/#breast). ## Breast Reduction Breast reduction surgery is designed to relieve symptoms from excessive breast size and weight, known as “symptomatic hypermastia”. Breast reduction is often listed as the number one most satisfying procedure that Plastic Surgery has to offer! After breast reduction, breasts are more proportional to the rest of the body, clothes fit better, and many women are able to become more physically active. By its nature, a breast reduction always includes a lift to make the breasts as beautiful as possible. [Learn more about breast reduction surgery](https://www.drkarenhorton.com/breast/reduction/). ## Revision Breast Surgery The goal of revision breast surgery is to reshape or improve the appearance of breasts that have previously undergone surgery. Revision may include removal or replacement of breast implants, capsulectomy to remove contracted scar tissue, conversion of malpositioned submuscular implants to a more natural position on top of the muscle, lifting previously operated on but droopy breasts, or correction of unsightly breast scars. Correction may be for cosmetic purposes or for breast reconstruction after cancer. [Learn more about revision breast surgery procedures](https://www.drkarenhorton.com/breast/augmentation-revision/). ## Breast Reconstruction Reconstruction of the breasts after breast cancer can involve the use of breast implants or the body’s own tissue (flap reconstruction). Nipple-sparing mastectomy is the technique used most often in our practice. Implant-based [breast reconstruction](https://www.drkarenhorton.com/breast/reconstruction/) is usually done as a single-stage, using a permanent, postoperatively adjustable breast implant. Flap reconstruction involves microsurgical transplantation of the body’s own tissue from the abdomen ( [DIEP](https://www.drkarenhorton.com/breast/reconstruction/flap/#diep) flap, [SIEA](https://www.drkarenhorton.com/breast/reconstruction/flap/#siea) flap) or the inner thigh region ( [TUG](https://www.drkarenhorton.com/breast/reconstruction/flap/#tug) flap) to reconstruct the breast, without sacrificing major muscles of the body. [Learn more about breast reconstruction options after breast cancer](https://www.drkarenhorton.com/breast/reconstruction/). ## Male Breast Reduction (Gynecomastia Correction) [Gynecomastia](https://www.drkarenhorton.com/breast/male-reduction/) is the development of male breast tissue, which can create self-consciousness or embarrassment for a man. Male breast reduction involves removal of excess breast tissue and/or fat from the chest area to create a more smooth and natural contour to the chest. [Learn more about gynecomastia correction (male breast reduction surgery).](https://www.drkarenhorton.com/breast/male-reduction/) ## Tubular Breast Correction Tubular (“tuberous”) breasts refer to an unusual tubular shape to the breasts, with a small and elongated breast diameter, breast droop and/or an enlarged areola. Correction of [tubular breasts](https://www.drkarenhorton.com/breast/tubular/) involves breast augmentation and/or mastopexy, which creates a more natural breast shape and enhances the breast volume for better symmetry and enhanced volume to the breasts. [Learn more about options for correction of tubular breasts.](https://www.drkarenhorton.com/breast/tubular/) ## Poland Syndrome [Poland Syndrome](https://www.drkarenhorton.com/breast/poland-syndrome/) is a rare congenital condition affecting the chest, breast, and occasionally the upper extremity on one side of the body. Correction of Poland syndrome can include breast implant reconstruction, specialized pectoral implants, flap reconstruction and other complimentary procedures to create symmetry where it is lacking and reconstruct the chest wall contour. [Learn more about Poland syndrome and surgical options for correction.](https://www.drkarenhorton.com/breast/poland-syndrome/) ## Nipple Correction Procedures [Nipple correction](https://www.drkarenhorton.com/breast/nipple-surgery/) includes inverted nipple repair and nipple reduction. These procedures correct partially or permanently inverted nipples or reduce the size and projection of excessively large nipples, creating a more natural and aesthetically pleasing result. [Learn more about nipple correction procedures.](https://www.drkarenhorton.com/breast/nipple-surgery/) ## Nipple and Areolar Reconstruction Following breast cancer treatment, the nipple and areola are reconstructed using the body’s own tissue and a medical tattoo to complete the breast reconstruction. [Nipple and areolar reconstruction](https://www.drkarenhorton.com/breast/reconstruction/nipple-surgery/) is the “icing on the cake” that acts as the finishing touch and makes the reconstruction appear natural and complete. [Learn more about reconstruction of the nipple and areola after breast cancer.](https://www.drkarenhorton.com/breast/reconstruction/nipple-surgery/) [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/breast#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Body Contouring Services Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Body Contouring [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") ## What is Body Contouring? Body contouring aims to create a more aesthetic and defined contour to the tummy and flanks, breasts or chest, back, neck, hips, inner and outer thighs, or pubic region. Each of us is unique, and there is surely not a one-size-fits-all approach to body contouring procedures. Each procedure is carefully individualized to achieve one’s personal goals, taking into account body shape, height, body proportions, muscle contour, skin tone and texture. Body contouring surgery can help improve an individual’s body image, self-esteem and self confidence, potentially improving overall quality of life! “ _Dear Dr. Horton,_ _Thank you so much for your help. After I had the surgery, I felt that my body is much lighter and I am very happy now. My husband noticed it too and he is also happy for me, I should have done it a long time ago but it was not too late even though I did it recently. The things you do make a big difference to your patients. I believe you make patients much happier, more confident and change their lives in a better and positive way. My family and I are very grateful to you for your help, patience and kindness. You are the best. May God’s glory shine upon you and your family with health, happiness, peace and harmony. Blessings!_ „ ## What Procedures Are Available to Contour the Body? ### Abdominoplasty (Tummy Tuck) [Abdominoplasty](https://www.drkarenhorton.com/body/tummy-tuck/) surgery removes excess skin and fat from the lower abdomen, producing a taut and shapelier abdominal contour. A tummy tuck can reverse the effects of pregnancy and/or weight gain by creating a slimmer and tighter tummy silhouette, with reduced abdominal laxity and improved tone. An abdominoplasty truly restores the tummy’s muscle structure to improve posture, strength, muscle tone and ergonomics, decreasing waist diameter from the inside! In some individuals, liposuction is added to additional remove excess fat deposits in the surrounding areas. [Learn more about Abdominoplasty (Tummy Tuck) surgery here.](https://www.drkarenhorton.com/body/tummy-tuck/) ### Liposuction [Liposuction](https://www.drkarenhorton.com/body/liposuction/) is a simple and effective outpatient procedure that removes excess fatty deposits from specific areas of the body, improving body contour and reducing overall body size. Liposuction can create a more proportional contour in many areas of the body, with less downtime than other more invasive surgeries. Liposuction can be performed on multiple areas of the body at one time, or is used as a complimentary procedure to surgery of the breasts, tummy, body or face. [Learn more about Liposuction here.](https://www.drkarenhorton.com/body/liposuction/) ### Mommy Makeover Surgery The “ [Mommy Makeover](https://www.drkarenhorton.com/body/mommy-makeover/)” spectrum of procedures rejuvenates a mother’s body after she has finished having children. Changes in the body after pregnancy can include breast deflation or drooping, loss of abdominal muscle tone, stretch marks, excess abdominal skin and fat or stubborn and persistent fat in other regions. Mommy makeover surgery usually focuses on the breasts, tummy and body, with the goal of recreating a pre-pregnancy shape, or sometimes to even look better than before having kids! [Learn more about Mommy Makeover surgery here.](https://www.drkarenhorton.com/body/mommy-makeover/) ### Labiaplasty [Labiaplasty](https://www.drkarenhorton.com/body/labiaplasty/) is a cosmetic procedure that creates a neat and tidy appearance to the labia region and can treat associated physical concerns such as self-consciousness or physical discomfort related to elongated or excess labia tissue. During a labiaplasty, excess or stretched-out labia tissue is carefully trimmed. Rejuvenation of the labia area can be an empowering experience, potentially improving a woman’s body image, sensuality and comfort during intimacy. [Learn more about Labiaplasty surgery here.](https://www.drkarenhorton.com/body/labiaplasty/) ### Post-Weight Loss Surgery Body Contouring Following significant weight loss, most individuals have loose, hanging skin and folds that do not reflect their actual energy and youth. [Post-weight loss surgery](https://www.drkarenhorton.com/body/post-weight-loss/) creates a more pleasing appearance to the body, contributing to improved body image, confidence and self-esteem. Individuals who have lost a significant amount of weight often choose to have body contouring Plastic Surgery to uncover their newly fit and healthy bodies underneath! Post-weight loss surgery can involve sculpting and lifting of the breasts, contouring of the chest, arms, the tummy or back, and lifting the buttocks, inner or outer thighs. [Learn more about Post-Weight Loss surgery here.](https://www.drkarenhorton.com/body/post-weight-loss/) [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/body#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Our Caring Team Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Meet Our Team [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") Page Updated: March 7, 2025 _Dear Dr. Horton and Staff, You are angels and wonderful caregivers. Thank you so much for all of your care. You are an amazing group of doctors and staff. You have made my life much better, healthier and prettier!_ ## Mary Pasache – Patient Coordinator ![Mary Pasache](https://hortonnew.b-cdn.net/wp-content/uploads/2018/10/Mary-1.jpg)Mary Pasache is our invaluable Patient Coordinator, having been with the practice since 1994. Mary is extremely experienced, knowledgeable and conversant about all facets of our practice, both surgical and non-surgical. Mary will schedule your consultation with [Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) or [Emily Sespaniak, NP](https://www.drkarenhorton.com/about/emily-sespaniak-nurse-practitioner-san-francisco-ca/), and will answer your initial questions, getting to know you a little over the phone. Mary can provide you with general information about the procedure(s) you are interested in, an estimate of fees, and additional background information about our practice. You will meet Mary in person after your consultation. She will provide you with information regarding insurance authorization, a quote for expected fees and a packet that describes the procedure(s) in more detail. Mary schedules all our surgeries and works together with other Physicians’ offices to schedule combined procedures (with Breast Surgeons for mastectomies and immediate breast reconstruction, or OB-GYNs for combined Plastic Surgery and gynecological procedures). Mary will be your “point person” throughout your surgical planning stages and will schedule your [Preoperative Visit](https://www.drkarenhorton.com/patient-information/preparing-surgery/) a week or two before your surgery date. She is available by phone or email to answer your questions and will accommodate your specific scheduling needs as best as possible. Outside of our office, Mary enjoys physical fitness, is an accomplished triathlete and has an incredible shoe collection! She enjoys spending time with her son, her husband of over 16 years and their four dogs. Contact her directly at: mary@drkarenhorton.com. _Mary - Thanks so much! I've really enjoyed working with you and Dr. Horton throughout this process. The whole team is wonderful, and I love that it's an office of woman power! Just fabulous._ ## Emily McCarthy, RN – Preoperative Nurse Educator, Operating Room & PACU Nurse [![](https://hortonnew.b-cdn.net/wp-content/uploads/2022/03/Emily-McCarthy-Registered-Nurse.jpg)](https://hortonnew.b-cdn.net/wp-content/uploads/2022/03/Emily-McCarthy-Registered-Nurse.jpg)“Nurse Emily” has successfully filled some big shoes, taking over for [Nurse Mari](https://www.drkarenhorton.com/practice-news/nurse-maris-retirement-celebration/) since her retirement. Originally from Bakersfield, California, Nurse Emily has an undergraduate degree in Public Health from the University of California, Berkeley. She received her Master of Nursing in Clinical Nurse Leadership from Georgetown University in Washington D.C. where she then worked in the operating room. Emily is a perfect fit for our office team! We are calling her “Nurse Emily” to differentiate her from Emily Sespaniak NP, our Aesthetic Nurse Practitioner. Nurse Emily meets every patient of Dr. Horton at their preoperative visit 1-2 weeks before surgery. With a warm, caring and compassionate bedside manner, Emily provides extensive education about surgical recovery, teaches patients about drains if indicated, reviews postoperative restrictions and prescribes postoperative medications. She is there for you every step of your surgical process. Emily’s role in our practice is multi-will help take care of patients during their Plastic Surgery procedure, in the recovery room and again at each of their follow up visits. Please help us welcome her to our family! She can be reached directly at nurseemily@drkarenhorton.com. ## Rachel Powell, RN – Operating Room Nurse Manager ![](https://hortonnew.b-cdn.net/wp-content/uploads/2025/03/Rachel-Powell-350x408-1.webp)Born in San Francisco and raised in the Bay Area, Rachel has worked in the Plastic Surgery field for over a decade and has been a Nurse Manager for five years. Rachel is thrilled to return to what made her fall in love with working in the Plastic Surgery field: providing full cycle catered care. This includes getting to know patients from their first consultation, educating and prepping them for surgery, comforting them on their big surgery day, and supporting them during their recovery phases. When not at work, Rachel loves to spend time with her family, practicing mindfulness, and likes to surround herself with GOOD VIBES! ## Rose Natukunda, CSPDT – Lead Scrub Technician ![](https://hortonnew.b-cdn.net/wp-content/uploads/2024/06/Rose-Natukunda-Headshot-2024.webp)Rose Natukunda has been a Surgical Assistant, Operating Room Scrub Technician and Sterile Processing Department (SPD) expert for twenty years. She loves being in the operating room, setting up for complex procedures, and ensuring that all aspects of the surgical process intraoperatively go smoothly. After surgery, she cleans, sterilizes and processes surgical instruments to ensure we are ready for the next patient. Born and raised in Uganda, Rose worked and traveled throughout the world before settling in San Francisco. She is experienced in assisting/scrubbing advanced Neurosurgery/Spine surgery, Obstetrics and Gynecological Surgery, Endoscopy, Orthopedic Surgery and of course, Plastic Surgery! Rose met Dr. Horton during the pandemic and they discovered they worked together like long-lost family. When not at work, Rose likes hiking and watching old movies. It’s the little things that make her smile, like seeing an unexpected red door, fireflies and fireworks. Rose is truly a member of our long-term family and we are so happy she is in the operating room with us! In her words, “#BestWorkFamilyEver.” ## Sharron Wong – Insurance Preauthorization and Billing Specialist ![Sharron Wong](https://hortonnew.b-cdn.net/wp-content/uploads/2018/10/Sharron.jpg)Behind the scenes managing our Back Office is Sharron Wong. Sharron is fundamental to our office and has been with the practice since 2002. You may seldom see her, but Sharron lends a hand with each and every patient! Sharron is in charge of billing medical insurance for surgeries, insurance preauthorization, accounts payable/receivable and banking activities. When not hard at work negotiating with insurance companies on behalf of our patients, Sharron enjoys an active lifestyle, volunteering and teaching at the Embarcadero YMCA, maintaining physical fitness, and enjoying World Champion San Francisco Giants baseball! ## Niloo Feizian – Front Office Coordinator ![](https://hortonnew.b-cdn.net/wp-content/uploads/2021/07/Niloo-Front-Office-Coordinator.jpg)A veteran in the Plastic Surgery and cosmetic nonsurgical procedures world, Niloo joined our team in 2020 and embraced the important role of greeting patients, educating about aesthetic and reconstructive surgery, scheduling visits and assisting with in-office procedures. ⁠⁠ ⁠⁠ Niloo is FANTASTIC with patients, getting to know them individually and chatting with them before and after their appointment with our practitioners. Her decades of experience makes our patients feel at ease and well taken care of. Niloo loves to laugh and truly brightens the room. ⁠⁠ ⁠⁠ When not at work, Niloo spends time with her family (she’s a SuperAuntie) and her significant other. ## Autumn Anderson – Non-Surgical Front Office Coordinator ![autumn anderson profile picture - horton staff](https://hortonnew.b-cdn.net/wp-content/uploads/2024/08/big-Autumn-350x408-1.webp)Autumn joins our team with nearly half a decade’s worth of Patient Care Coordination experience in the Medical Aesthetics field. In her role as the Front Office Coordinator for [Emily Sespaniak, NP](https://www.drkarenhorton.com/about/emily-sespaniak-nurse-practitioner-san-francisco-ca/) she strives to provide all our patients a comfortable and welcoming environment. With a focus on patient privacy and confidentiality, she handles each patient and their medical records with the utmost professionalism. She plays a pivotal part in ensuring a positive and warm experience for each and every non-surgical patient. In her free time, Autumn enjoys reading, fawning over her cats (please feel free to ask to see photos!), and keeping a detailed list of the best San Francisco restaurants that rivals the Michelin Guide. Her favorite non-surgical treatment is a close tie between Botox and microneedling! _Dear Dr. Horton,I wanted to thank you for the care you and your staff have given me during the whole process of this elective surgery. Everyone has been kind and attentive, knowledgeable and patient. You have been honest, thorough and direct with me about what to expect and when. I cannot begin to tell you how wonderful and rare that is. I wish all my doctors were as tuned in as you are and I wish they ran their practices with both the warmth and efficiency that yours is ran with. I have felt both calm and certain about my decision to do this surgery. I have known what to expect at any given point. While I know I am still at the beginning of the healing process, I am delighted by the results thus far and I know it will only improve with time as I heal. You clearly love your work, are confident in your skill and I truly value that.I will also add that Fernando and the staff at CPMC- Davies Campus were excellent and caring. They all spoke very highly of you. I am grateful and happy with all the care provided across the board by you and your awesome staff.Thank you so much._ [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). 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We can provide a financial quote for what anticipated surgical fees will be after your consultation. ## Accreditations Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/about/staff#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Contact Dr. Horton Press Alt+1 for screen-reader mode, Alt+0 to cancel [Accessibility Screen-Reader Guide, Feedback, and Issue Reporting](https://accessibe.com/blog/knowledgebase/screen-reader-guide) ![Close](https://cdn-cookieyes.com/assets/images/close.svg) We value your privacy We use cookies to enhance your browsing experience, serve personalized ads or content, and analyze our traffic. 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Please contact me via PhonePhone EmailEmail Consultation TypePlease ChooseVirtual ConsultationIn Person Address City State Zip Code ### I am Interested in Surgical Procedures: AbdominoplastyAbdominoplasty Body ContouringBody Contouring BrachioplastyBrachioplasty Breast AugmentationBreast Augmentation Breast Implant RemovalBreast Implant Removal Breast LiftBreast Lift Breast ReconstructionBreast Reconstruction Breast ReductionBreast Reduction Earlobe SurgeryEarlobe Surgery Eyelid RejuvenationEyelid Rejuvenation Face/Neck RejuvenationFace/Neck Rejuvenation Fat GraftingFat Grafting LabiaplastyLabiaplasty LiposuctionLiposuction Male Breast ReductionMale Breast Reduction Mommy MakeoverMommy Makeover Other Facial SurgeryOther Facial Surgery Poland Syndrome CorrectionPoland Syndrome Correction Revision Breast SurgeryRevision Breast Surgery UmbilicoplastyUmbilicoplasty OtherOther Non-Surgical Procedures: Botox/DysportBotox/Dysport Dermal FillersDermal Fillers Skin CareSkin Care Clear + Brilliant LaserClear + Brilliant Laser Intense Pulsed Light (IPL)Intense Pulsed Light (IPL) MicroneedlingMicroneedling Medical-Grade PeelsMedical-Grade Peels Bruxism (teeth grinding) TreatmentBruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) TreatmentHyperhidrosis (excessive sweating) Treatment OtherOther Message Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.539.1951](tel:+14155391951%EF%BB%BF) Sign Up for Our Email NewsletterSign Up for Our Email Newsletter I agree to the Terms of Use\* I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. [iframe](https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LeHBskZAAAAAJ9XYgHG4F2j9uvyn1Sts2Si_Awc&co=aHR0cHM6Ly93d3cuZHJrYXJlbmhvcnRvbi5jb206NDQz&hl=en&v=hbAq-YhJxOnlU-7cpgBoAJHb&size=normal&cb=dyp4pdi6f8mk) ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## Hours **Monday-Friday:** 8am - 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 UNIT 520 San Francisco, CA 94115 Phone: [415.539.1951](tel:+14155391951) ## Accreditations Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/contact-us#) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") [iframe](https://www.google.com/recaptcha/api2/bframe?hl=en&v=hbAq-YhJxOnlU-7cpgBoAJHb&k=6LeHBskZAAAAAJ9XYgHG4F2j9uvyn1Sts2Si_Awc) ## Breast Augmentation Overview Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Breast Augmentation [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") Page Updated: March 26, 2025 ## Breast Augmentation [What is Breast Augmentation?](https://www.drkarenhorton.com/breast/augmentation#what) [Benefits of Breast Augmentation Surgery](https://www.drkarenhorton.com/breast/augmentation#benefits) [Breast Augmentation Before and After Photos](https://www.drkarenhorton.com/breast/augmentation#gallery) [Who is a Good Candidate for Breast Augmentation?](https://www.drkarenhorton.com/breast/augmentation#candidate) [Types of Breast Implants](https://www.drkarenhorton.com/breast/augmentation#types) [Breast Augmentation Incision Options](https://www.drkarenhorton.com/breast/augmentation#incision) [Breast Implant Placement Options](https://www.drkarenhorton.com/breast/augmentation#placement) [Choosing Your Breast Implant Size](https://www.drkarenhorton.com/breast/augmentation#size) [Breast Augmentation Patient Stories](https://www.drkarenhorton.com/breast/augmentation#stories) [Preparing for Breast Augmentation](https://www.drkarenhorton.com/breast/augmentation#preparing) [The Breast Augmentation Procedure](https://www.drkarenhorton.com/breast/augmentation#procedure) [Recovery After Breast Augmentation](https://www.drkarenhorton.com/breast/augmentation#recovery) [FAQs About Breast Augmentation](https://www.drkarenhorton.com/breast/augmentation#faq) ## What is Breast Augmentation? Breast augmentation is a Plastic Surgery procedure designed to enhance the size, shape, and overall appearance of the breasts using breast implants. This procedure is popular among women seeking to improve breast volume loss due to weight loss, pregnancy, or aging, as well as those desiring a more proportionate breast size or correction of asymmetry or a tubular breast shape. Internationally Board-Certified Plastic Surgeon Dr. Karen Horton uses advanced techniques and a variety of implant options, including silicone gel, cohesive gummy bear implants or permanent adjustable saline-filled devices in reconstructive situations, to achieve each patient’s unique aesthetic goals. Breast augmentation can improve or enhance the breast shape, improve patients’ self-confidence, and provide beautiful, natural-looking results when performed by an experienced Board-Certified Plastic Surgeon like Dr. Horton. **Did you know Dr. Horton had a breast augmentation herself?** **And she blogged about it?** [![Blog Icon](https://hortonnew.b-cdn.net/wp-content/uploads/2023/03/blogicon.webp)**Read her 10-part blog series here.**](https://www.drkarenhorton.com/category/dr-hortons-blog/dr-hortons-breast-augmentation-journey/) ## Curious about breast augmentation? Download our free Breast Augmentation Guide! do or do not , there is no try I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. ![Breast Augmentation Decision Aid Brochure Graphic](https://hortonnew.b-cdn.net/wp-content/uploads/2023/03/breast-aug-optin-new-e1680200365859.webp) ## Benefits of Breast Augmentation Surgery Breast augmentation offers numerous potential benefits for women seeking to enhance their appearance and boost their self-confidence related to their breasts. Each patient has unique reasons for pursuing breast enhancement, and breast implants can help achieve a variety of aesthetic goals, including: - Restoring breast volume lost due to pregnancy, breastfeeding, weight loss, or aging - Enhancing breast size, shape, and projection for a more balanced figure - Correcting breast asymmetry for improved symmetry and proportion - Increasing self-esteem and confidence in swimwear, lingerie, and form-fitting clothing – without the need to wear a bra - Creating a more youthful breast appearance with enhanced cleavage and contour In addition to aesthetic augmentation, breast implants can also be used in breast reconstruction following mastectomy. Board-Certified Plastic Surgeon Dr. Karen Horton customizes each breast augmentation procedure to the patient’s anatomy and aesthetic goals, ensuring natural-looking results and a positive, empowering experience. # Inside the Procedure Common questions about breast augmentation answered by Dr. Horton Previous [iframe]() [Play Video](https://www.drkarenhorton.com/breast/augmentation#)![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/06/KH_thumbnails_V1_577x341_1.jpg) Meet Dr. Karen M. Horton [iframe]() [Play Video](https://www.drkarenhorton.com/breast/augmentation#)![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/06/KH_thumbnails_V1_577x341_2.jpg) How can Breast Augmentation cause Capsular Contracture? [iframe]() [Play Video](https://www.drkarenhorton.com/breast/augmentation#)![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/06/KH_thumbnails_V1_577x341_3.jpg) How is Breast Augmentation performed? [iframe]() [Play Video](https://www.drkarenhorton.com/breast/augmentation#)![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/06/KH_thumbnails_V1_577x341_4.jpg) How long does Breast Augmentation last? [iframe]() [Play Video](https://www.drkarenhorton.com/breast/augmentation#)![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/06/KH_thumbnails_V1_577x341_5.jpg) Is Breast feeding after Breast Augmentation possible? [iframe]() [Play Video](https://www.drkarenhorton.com/breast/augmentation#)![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/06/KH_thumbnails_V1_577x341_6.jpg) Breast Augmentation technique minimizing Capsular Contracture? [iframe]() [Play Video](https://www.drkarenhorton.com/breast/augmentation#)![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/06/KH_thumbnails_V1_577x341_7.jpg) Is there an age limit for Breast Augmentation patients? [iframe]() [Play Video](https://www.drkarenhorton.com/breast/augmentation#)![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/06/KH_thumbnails_V1_577x341_8.jpg) Is there an ideal candidate for Breast Augmentation? [iframe]() [Play Video](https://www.drkarenhorton.com/breast/augmentation#)![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/06/KH_thumbnails_V1_577x341_9.jpg) What are the limitations and side effects of Breast Augmentation? [iframe]() [Play Video](https://www.drkarenhorton.com/breast/augmentation#)![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/06/KH_thumbnails_V1_577x341_10.jpg) What is the average cost of Breast Augmentation? [iframe]() [Play Video](https://www.drkarenhorton.com/breast/augmentation#)![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/06/KH_thumbnails_V1_577x341_11.jpg) What is the recovery time for Breast Augmentation? [iframe]() [Play Video](https://www.drkarenhorton.com/breast/augmentation#)![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/06/KH_thumbnails_V1_577x341_12.jpg) What type of patient can Breast Augmentation most benefit? Next ## Who is a Good Candidate for Breast Augmentation? Candidates for breast augmentation typically include individuals in good physical health with realistic expectations who wish to enhance their breast size, shape, or symmetry. Ideal candidates may have naturally small breasts, volume loss from pregnancy, breastfeeding, weight loss, or aging, or desire correction of asymmetry. [1](https://www.drkarenhorton.com/breast/augmentation#sources) Board-Certified Plastic Surgeon Dr. Karen Horton works closely with each patient to determine if breast augmentation is the right choice based on their anatomy, goals, and lifestyle. **[Read more](https://www.drkarenhorton.com/category/breast-procedures/augmentation/)** about breast augmentation with Dr. Horton in her blog [Back to Top](https://www.drkarenhorton.com/breast/augmentation#) # Featured Case [View Our Patient Gallery](https://www.drkarenhorton.com/breast/augmentation) Previous ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG5786232055-2988-b/original.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG5786232071-2988-a/original.jpg) Drag the slider to see transformation ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG5786232055-2988-b/original.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG5786232071-2988-a/original.jpg) Drag the slider to see transformation Next [View More Cases](https://www.drkarenhorton.com/gallery/breast/breast-augmentation/) ## What Types of Breast Implants Are Available? Dr. Karen Horton offers a wide range of breast implant options to suit different body types and aesthetic goals. All breast implants have a shell made of silicone – which is an inert, non-reactive material. For most patients, Dr. Horton recommends soft and natural-feeling silicone gel breast implants for their beautiful outcome, their durability, and high aesthetic appeal. She prefers high-quality implants from Sientra or Natrelle, both known for their safety, longevity, and natural-looking and -feeling results. Our office stays up to date with advancements in new technology such as new implants on the market – technology is always changing, and new options are available to patients every few years. We recommend smooth-surfaced implants for our patients. Textured breast implants are associated with more rippling (visible wrinkles of the implants through the skin) and are reported to be associated with development of a rare subtype of blood cell cancer (bia-ALCL). Learn more [here](https://www.drkarenhorton.com/dr-hortons-blog/allergan-textured-breast-implants-pulled-from-the-u-s-market/). ### Saline Implants Filled with sterile saltwater, saline breast implants and are FDA-approved for patients 18 years of age and older. They are inserted empty and filled with saline solution during surgery, sometimes allowing for smaller incisions. Dr. Horton uses a permanent, postoperatively adjustable saline implant for breast reconstruction after a mastectomy for breast cancer or in other conditions causing breast asymmetry such as Poland Syndrome or congenital breast hypoplasia. The major advantage of saline-filled implants is that they are adjustable – this is why they are used for reconstructive purposes. Following healing after breast reconstruction, saline implants are often exchanged for silicone devices for the very best aesthetic outcome. ### Standard Silicone Implants (“soft gummy bears”) Silicone gel breast implants are filled with soft, cohesive silicone gel that mimics natural breast tissue and has less rippling/wrinkling than saline implants, ideal for patients wanting a realistic look and feel. Dr. Horton offers all brands of silicone gel breast implants, trusted for their quality and aesthetic results. Silicone implants are FDA-approved for patients 22 years and older. ### Highly Cohesive Silicone Gel Implants (“firm gummy bears”) More highly cohesive gel implants are available that tend to retain their shape even if the shell is compromised, minimizing rippling and providing durable results. Dubbed the original “gummy bear” implants, these implants usually feel stiffer than other types of silicone gel. They also carry a small risk of “flipping” upside down in their pocket, which may necessitate surgery to flip them back and close off the implant pocket. They are used mostly for breast reconstruction when rippling of the implant through the skin is an issue. Dr. Horton helps each patient select the best implant type, shape, and size to achieve their desired breast augmentation results, ensuring a tailored approach to every procedure. # Learn More About Silicone Gel Implants [iframe]() [Play Video](https://www.drkarenhorton.com/breast/augmentation#)![](https://hortonnew.b-cdn.net/wp-content/uploads/2023/03/Karen-Horton-MD-Silicone-Implants.png) Dr. Karen Horton Talks about Silicone Breast Implants [iframe]() [Play Video](https://www.drkarenhorton.com/breast/augmentation#)![](https://hortonnew.b-cdn.net/wp-content/uploads/2023/03/Natrelle-Breast-Implants-Video-e1680028143539.webp) Natrelle Cohesive Gel Implants ## Breast Augmentation Incision Options Dr. Karen Horton offers several incision options for breast augmentation, each with its own benefits and considerations: ### ![](https://hortonnew.b-cdn.net/wp-content/uploads/2023/03/Case-5-Arms-Overhead-scaled-e1680029759787.jpg) Inframammary Fold (IMF) Incision Placed in the natural fold beneath the breast, this is the most common incision due to its ability to preserve breastfeeding function, nipple sensation, and future mammogram readings. It has the lowest complication risk, and allows for precise implant placement and is necessary for future breast surgeries. ### Peri-areolar Incision Made along the lower edge of the areola, this option is less common due to potential risks such as loss of nipple sensation, breastfeeding challenges, and visible scarring. There is an increased risk of capsular contracture associated with incisions around or through the areola as bacteria live in and around the nipple – therefore, this incision is rarely recommended. ### Trans-axillary Incision Made in the armpit, this scar is hidden with the arms down (visible when the arms are raised), it usually requires the implant to be placed under the muscle, it affords poor visibility of the implant pocket and cannot be reused for future procedures and carries a slightly higher risk of infection. For these reasons, the trans-axillary incision is also rarely suggested. ### Trans-umbilical (TUBA) Incision Made in the belly button, this method is rarely used due to its complexity, limited implant options, and potential for visible scar tissue. Only saline-filled implants are able to be inserted in a rolled-up fashion through a tube that travels under the skin to a pocket under the breast. Visualization is poor, it is a single-use incision, and permanent scar bands under the skin are other complications. Dr. Horton discusses each breast augmentation incision option during implant-related consultations to ensure patients make informed decisions based on their anatomy, lifestyle, and goals. [Back to Top](https://www.drkarenhorton.com/breast/augmentation#) After thinking about doing this surgery for many many years, I finally decided to do it and after doing my homework chose Dr. Karen Horton! A. McDonald, San Francisco Diane G. Dr. Horton and her staff were fantastic! I had my bilateral mastectomy reconstruction redone after 10 years as I was embarrassed at how I looked and she gave me my breasts back, tattoos during surgery and all! I gave her 5 stars out of 5, she really earned 10 stars out of 5. Amazing compassion, professionalism, artistry and medical expertise! The pre-surgery education and post surgery education kept you informed making the process easier. Thank you Dr. Horton for helping me and caring for me. The 4 hour drive to SF for appointments was so worth it! 10.16.18 Jennifer C. Dr. Horton is wonderful! Thank you so much for taking the time to go above and beyond - every visit to the office is a positive experience thanks to Dr. Horton and her wonderful Team. They really make an extra effort to listen - and are all friendly, thoughtful and committed to getting fantastic results! Cheers and thanks again!! 9.28.18 [See Real Patient Reviews](https://www.drkarenhorton.com/about/patient-reviews/) ## Breast Implant Placement Options Dr. Karen Horton offers two primary options for breast implant placement: ### Subglandular Breast Implant Placement ![](https://hortonnew.b-cdn.net/wp-content/uploads/2023/03/Case-2-After-Subglandular.jpg) Implants are placed above the pectoralis major muscle on the chest wall but beneath the breast tissue. This option is preferred by Dr. Horton for nearly every patient (including herself – read [her blog](https://www.drkarenhorton.com/category/dr-hortons-blog/dr-hortons-breast-augmentation-journey/)!) for the subglandular more natural look, consistent breast shape over time, and preservation of muscle function. It reduces post-surgery discomfort and avoids muscle-related deformities, making it ideal for active, slender, athletic patients or those seeking natural breast movement. ### Submuscular Breast Implant Placement ![](https://hortonnew.b-cdn.net/wp-content/uploads/2023/03/Case-2-Before-Submuscular-scaled-e1680030770295.jpg) Submuscular Implant (Before Surgery) Implants are placed beneath the chest muscle, which can provide additional coverage for patients with minimal breast tissue. However, it usually creates an animation deformity with muscle flexion, significantly more post-operative pain and swelling, and potential muscle strength changes. This placement may also lead to the ‘Snoopy deformity’ or ‘waterfall deformity’ over time, where the muscle pulls the implant up high and the breast tissue sags or falls off the implant, creating the false appearance of breast droop. Dr. Horton carefully evaluates each patient’s anatomy, lifestyle, and preferences to recommend the most suitable placement for natural, aesthetically pleasing results. She usually recommends for her patients what she would want for her own body. [Back to Top](https://www.drkarenhorton.com/breast/augmentation#) * * * ## Choosing Your Breast Implant Size Selecting the right breast implant size is a personalized process tailored to each patient’s body, lifestyle, and aesthetic goals. Dr. Karen Horton emphasizes that breast augmentation is more than just picking a size; it involves thorough planning, open communication, and a keen aesthetic eye. Patients are encouraged to bring in ‘Wish Pictures’ — including ‘YES’ images that reflect the breast size, shape, and projection they desire — as well as ‘NO’ breast images that highlight what patients want to avoid. These visuals help Dr. Horton understand each patient’s vision and ensure realistic expectations. During consultations, Dr. Horton considers factors like height, weight, body proportions, and lifestyle to recommend an implant size, shape and projection that enhances the patient’s natural figure while maintaining balance and harmony. This collaborative approach ensures that every patient feels confident in their choice, resulting in breast augmentation outcomes that are both beautiful and natural-looking. ## How Do I Select the Right Breast Implants? Read more about [choosing the right breast implants](https://www.drkarenhorton.com/dr-hortons-blog/how-do-i-select-the-right-breast-implants/) in Dr. Horton’s blog! [Read More](https://www.drkarenhorton.com/dr-hortons-blog/how-do-i-select-the-right-breast-implants/) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2017/05/image-1.jpg) # Breast Augmentation Patient Stories Hear from our patients! [iframe]() [Play Video](https://www.drkarenhorton.com/breast/augmentation#)![](https://hortonnew.b-cdn.net/wp-content/uploads/2023/03/Annes-Patient-Story-Breast-Augmentation.jpg) Anne's Patient Story [iframe]() [Play Video](https://www.drkarenhorton.com/breast/augmentation#)![](https://hortonnew.b-cdn.net/wp-content/uploads/2023/03/Natalies-Patient-Story-Video.jpg) Natalie's Patient Story # Preparing for Breast Augmentation The first step in your breast augmentation journey is your personal consultation with Dr. Horton. At your initial breast augmentation consultation, a complete medical history will be taken. Dr. Horton will spend a great deal of time with you getting to know you personally. She will explore your reasons for seeking surgery and examine your breasts. If you are an appropriate candidate for breast augmentation, your options will be described in detail. Proper preparation is essential for a smooth breast augmentation experience and optimal results. Dr. Karen Horton provides each patient with detailed written preoperative instructions, including guidance on medications to avoid, lifestyle adjustments, and planning for recovery. Patients are advised to stop smoking, arrange for post-surgery transportation, and ensure they have support during their initial recovery period – including another adult at home with them at least the first night after surgery. Dr. Horton also emphasizes the importance of discussing all questions and concerns during pre-surgery appointments to ensure patients feel confident and well-prepared. Note: GLP-1 medications must be stopped a full month before any surgery under general anesthesia to avoid complications. Learn more about how to stay safe when taking diabetic or weight loss medications including semaglutides in [this blog post](https://www.drkarenhorton.com/dr-hortons-blog/new-year-new-bod/). [Learn more about Preparing for Surgery](https://www.drkarenhorton.com/patient-information/preparing-surgery/) # The Breast Augmentation Procedure The breast augmentation surgical procedure with Dr. Karen Horton is performed under general anesthesia to ensure patient comfort, safety and a reliable outcome. The procedure begins with carefully making the selected incision type, followed by the creation of a pocket to accommodate the breast implant. Dr. Horton then places the implant either above or below the pectoral muscle, based on the pre-surgical plan tailored to the patient’s anatomy and aesthetic goals. Drains are inserted, an antibiotic solution is used to irrigate the pocket and the implant, and the no-touch technique is used to insert each implant. Incisions are meticulously closed in layers of dissolving sutures to minimize scarring, and surgical dressings are applied. Dr. Horton’s precise techniques and attention to detail help ensure natural-looking results and a smooth recovery process. Patients are provided with comprehensive post-operative care instructions to support healing and achieve the best outcomes. Dr. Horton places surgical drains to provide an outlet for wound fluid that is produced in the pocket created for the breast implant, which helps to decrease the risk of complications such as capsular contracture and hastens postoperative recovery. We urge you to read Dr. Horton’s blog post on surgical drains and watch all of the accompanying videos so that you are well prepared to care for your drains after surgery. Drains are removed within the first week, and do not hurt. “Drains are your friends”! [Read Blog Post](https://www.drkarenhorton.com/dr-hortons-blog/dr-hortons-breast-augmentation-journey-part-vii/) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2021/03/new-beauty-feature-2048x847.png)[![Dr. Horton's Breast Augmentation Journey](https://hortonnew.b-cdn.net/wp-content/uploads/2021/03/KH-Natrelle-Web-v2.png)](https://youtube.com/playlist?list=PL7d17GP_P0-7noiQOysJfPcTxci9pJGUq) **Did you know Dr. Horton had a breast augmentation herself?** **And she blogged about it?** [![Blog Icon](https://hortonnew.b-cdn.net/wp-content/uploads/2023/03/blogicon.webp)**Read her 10-part blog series here.**](https://www.drkarenhorton.com/category/dr-hortons-blog/dr-hortons-breast-augmentation-journey/) # Recovery After Breast Augmentation Recovery from breast augmentation typically involves some tenderness, swelling, and bruising, which can be managed with prescribed pain medication or regular Tylenol (Acetaminophen). Patients are advised to rest and avoid strenuous activities for the first 1-2 weeks, including lifting anything over five pounds. Light activities can gradually resume, but strenuous exercise should be avoided for one month. While visible enhancement is noticeable immediately after surgery, final results may take several months to a year as swelling fully subsides. Dr. Horton provides personalized recovery instructions and ongoing support to help ensure a smooth healing process and optimal results. Your own preoperative and postoperative photos will be reviewed with you during follow-up visits and can be shared with you securely through the Symplast patient App. **Dr. Horton had breast augmentation herself, and she blogged about it! Learn more about her experience!** [![Blog Icon](https://hortonnew.b-cdn.net/wp-content/uploads/2023/03/blogicon.webp)**Read her 10-part blog series here.**](https://www.drkarenhorton.com/category/dr-hortons-blog/dr-hortons-breast-augmentation-journey/) ### Implant Massage During the first month of your recovery, you will be instructed by Dr. Horton and our aesthetic surgery staff on how to perform breast implant massage. Don’t worry, it does not hurt! It is important that you gently move your implant around in its pocket to avoid scar tissue from contracting around the implant (known as capsular contracture). Implant massage also can serve as a breast self-examination. [Learn more about Breast Implant Massage](https://www.drkarenhorton.com/dr-hortons-blog/breast-implant-massage-why-its-done-and-important/) # Procedure FAQs Is breastfeeding possible after breast augmentation? Breastfeeding is typically still possible after breast augmentation as long as the breast tissue and milk ducts remain intact during surgery. Dr. Horton prioritizes techniques that preserve essential structures, such as using the inframammary incision, to reduce the risk of interfering with breastfeeding abilities. Will breast augmentation affect nipple sensation? Nipple sensation may be temporarily affected after breast augmentation, but it usually recovers over time. Patients should allow several weeks to months, up to a full year or longer for full sensation to return. Dr. Horton uses careful surgical methods to minimize the risk of long-term changes in nipple sensitivity. Can breast implants help achieve more youthful breasts? While breast implants enhance breast size, they may not address sagging or other age-related changes in breast appearance. For patients seeking a more youthful look, Dr. Karen Horton often recommends combining breast augmentation with a [breast lift](https://www.drkarenhorton.com/breast/lift/). This procedure raises the nipples and areolas to a higher position and removes excess lower pole breast skin and/or tissue, creating a rejuvenated and more youthful breast contour. What will my scars be like after breast augmentation? The inframammary scar used for breast augmentation is a fine, thin line approximately an inch to an inch and a half long. If a breast lift is also performed at the time of augmentation, additional “lollipop” incisions will also be concealed in a bra or bikini top. Dr. Horton recommends medical-grade scar gel, available in her [online store](https://shop.drkarenhorton.com/), and patients may see a member of the San Francisco Plastic Surgery team for scar therapy after surgery. Can I have mammograms with breast implants? Regardless of the location of implant placement (under the muscle or not), the fill material (silicone or saline) and the implant size, having a breast augmentation does not interfere with breast self-examination, physician breast exams, mammograms, ultrasound, MRI or any other cancer detection techniques. Dr. Horton shares her mammogram experience after breast augmentation in her blog - read it [here](https://www.drkarenhorton.com/dr-hortons-blog/mammograms-with-breast-implants/)!Breast augmentation will not change your personal risk of breast cancer, nor will implants interfere with cancer screening. If you are over the age of 40 years, you should have a baseline preoperative mammogram before breast augmentation (or any surgery of the breast).If you are under 40 years, routine mammography screening is not recommended as long as there is no history of breast or ovarian cancer in your immediate family. Dr. Horton will take a complete history at your consultation and will make recommendations for breast imaging or other referrals, if necessary.When you have implants in place, please notify the mammogram technician and they will perform additional images (known as Eklund displacement view” - or the “horizon view”) to ensure that all breast tissue is fully visualized around the implant. #### Mammograms with Breast Implants: Q & A with Dr. Horton Learn more about mammograms after breast augmentation in this blog by Dr. Karen Horton. [Read More](https://www.drkarenhorton.com/dr-hortons-blog/mammograms-with-breast-implants/) ![mammogram equipment in office](https://hortonnew.b-cdn.net/wp-content/uploads/2023/09/Mammogram-advancements-HN3132-iStock-1311077677-Sized.jpg) # Procedure FAQs Do breast implants cause cancer? Breast implants have been linked to a very rare type of cancer known as anaplastic large cell lymphoma (ALCL), particularly in patients with textured implants. The risk is extremely low, with estimates ranging between 1 in 2,207 and 1 in 86,029 women with breast implants [2](https://www.drkarenhorton.com/breast/augmentation#sources). ALCL is typically treated by removing the implant and surrounding capsule.Breast implants have not been shown to increase the risk of breast cancer. [3](https://www.drkarenhorton.com/breast/augmentation#sources) Studies indicate that women with breast implants are not at higher risk for breast cancer, nor do implants interfere with the accuracy of mammograms or ultrasounds in detecting breast abnormalities. What are the risks associated with breast augmentation? All breast implants used by Dr. Karen Horton are FDA-approved and have been demonstrated to be safe through scientific research. However, like any surgical procedure, breast augmentation carries some risks. One of the most common long-term risks is capsular contracture, where scar tissue around the implant tightens, potentially causing discomfort or affecting breast appearance. Dr. Horton’s surgical expertise helps reduce this risk, and she is extensively experienced in performing breast implant revision procedures if needed. [iframe]() [Play Video](https://www.drkarenhorton.com/breast/augmentation#)![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/06/KH_thumbnails_V1_577x341_2.jpg) How can breast augmentation cause capsular contracture? Additional risks associated with breast implants include: - Breast Implant Illness (BII) – also termed “Systemic Symptoms related to Breast Implants” (SSBI) in the medical literature – read Dr. Horton’s [blog series](https://www.drkarenhorton.com/category/breast-procedures/augmentation/breast-implant-illness/) about this condition - Pain or discomfort - Breast implant rupture/implant breakdown (saline and silicone) - Deflation of saline implants - Silent rupture of silicone implants - Asymmetry - Infection [4](https://www.drkarenhorton.com/breast/augmentation#sources) - Change in breast sensation - Scars - Breast implant associated anaplastic large cell lymphoma (bia-ALCL) – textured implants only (not offered in our practice) – learn more here Dr. Horton’s expertise as a Board-Certified Plastic Surgeon with over two decades of breast reconstruction experience helps reduce these risks, ensuring patients receive the highest quality care throughout their breast augmentation journey. # Procedure FAQs Will I need additional surgery after breast augmentation? While breast implants are designed to be long-lasting, some patients may require additional surgery in the future, such as implant removal, replacement, implant pocket adjustment or scar revisions, based on their changing needs or preferences. Dr. Karen Horton emphasizes that there is no set timeline for implant revision, and additional surgery is only necessary if complications arise or if patients wish to make changes. Regular follow-up visits with Dr. Horton helps ensure long-term satisfaction and address any concerns over time. How much does breast augmentation cost in San Francisco? The cost of breast augmentation varies depending on factors such as the type of implants, surgical technique, and individual patient needs. Dr. Karen Horton provides detailed cost estimates during consultations, ensuring patients understand all aspects of their breast augmentation procedure without listing specific prices online. Want to learn more about Breast Augmentation? [Check out Dr. Horton’s blog](https://www.drkarenhorton.com/category/breast-procedures/augmentation/)! ## Where Can I See Before and After Photographs of Breast Augmentation? Please visit our patient gallery to see [before and after breast augmentation](https://www.drkarenhorton.com/gallery/breast/breast-augmentation/) pictures! [Back to Top](https://www.drkarenhorton.com/breast/augmentation#) ## Schedule Your Breast Augmentation Consultation If you are considering breast augmentation, Board-Certified Plastic Surgeon Dr. Karen Horton offers personalized care, decades of experience and exceptional aesthetic results. Schedule a consultation with our San Francisco breast augmentation surgeon to discuss your goals, explore your options, and begin your journey to enhanced confidence and beauty. [Contact](https://www.drkarenhorton.com/contact-us/) our San Francisco Plastic Surgery Bay Area office today to take the first step toward achieving your aesthetic goals. [Schedule An Appointment](https://www.drkarenhorton.com/contact-us/) ![Planning Your Procedure](https://hortonnew.b-cdn.net/wp-content/uploads/2019/08/Horton-Plan-Your-Procedure.jpg) ## Sources 1American Society of Plastic Surgeons. Who is a good candidate for breast augmentation? Available: [https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation/candidates](https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation/candidates). Accessed February 13, 2025. 2FDA. Questions and Answers about Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL). Available: [https://www.fda.gov/medical-devices/breast-implants/questions-and-answers-about-breast-implant-associated-anaplastic-large-cell-lymphoma-bia-alcl](https://www.fda.gov/medical-devices/breast-implants/questions-and-answers-about-breast-implant-associated-anaplastic-large-cell-lymphoma-bia-alcl). Accessed February 13, 2025. 3Hoshaw SJ, Klein PJ, Clark BD, Cook RR, Perkins LL. Breast implants and cancer: causation, delayed detection, and survival. Plast Reconstr Surg. 107(6):1393-407, 2001. Accessed February 13, 2025. 4FDA. What to Know About Breast Implants. Available: https://www.fda.gov/consumers/consumer-updates/what-know-about-breast-implants. Accessed February 13, 2025. [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). 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We can provide a financial quote for what anticipated surgical fees will be after your consultation. ## Accreditations Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/breast/augmentation#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Labiaplasty Overview Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Labiaplasty [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") Page Updated: March 12, 2025 ## Labiaplasty [What is Labiaplasty?](https://www.drkarenhorton.com/body/labiaplasty#what) [Benefits of Labiaplasty](https://www.drkarenhorton.com/body/labiaplasty#benefits) [What are the Types of Labiaplasty?](https://www.drkarenhorton.com/body/labiaplasty#types) [Who is a Good Candidate for Labiaplasty?](https://www.drkarenhorton.com/body/labiaplasty#candidate) [Labiaplasty: What to Expect](https://www.drkarenhorton.com/body/labiaplasty#expect) [Preparing for Labiaplasty](https://www.drkarenhorton.com/body/labiaplasty#preparing) [The Labiaplasty Procedure](https://www.drkarenhorton.com/body/labiaplasty#procedure) [Recovery After Labiaplasty](https://www.drkarenhorton.com/body/labiaplasty#recovery) [Frequently Asked Questions About Labiaplasty](https://www.drkarenhorton.com/body/labiaplasty#faq) ## What is Labiaplasty Surgery? Board Certified San Francisco Plastic and Aesthetic Surgeon Dr. Karen Horton understands how important it is for a woman to feel comfortable and confident in her body, as another woman who happens to be a Surgeon would only know. In some cases, women have insecurities about the appearance of their vaginas, or the shape of their vagina may cause discomfort when walking, working out, or engaging in other daily activities. Excess labia tissue may also make a woman more likely to get yeast infections, or it can create friction or soft tissue tears. A labiaplasty is a genital surgical procedure where long, enlarged, or redundant labia minora tissue is removed, and may be performed for cosmetic or functional reasons, or a combination of the two.1 [View Our Patient Gallery](https://www.drkarenhorton.com/gallery/body/labiaplasty/) ## Benefits of Labiaplasty Benefits of labiaplasty include: - Eliminating irritation from excess labial tissue - Improved aesthetics - Correction of asymmetry - Feeling less self-conscious - Improved self-confidence - Enhanced sexual pleasure2 - Expanded clothing and swimsuit options ![Pretty black woman smiling outside](https://hortonnew.b-cdn.net/wp-content/uploads/2022/07/labiaplasty-model.jpg) “ Dr. Horton and the Dream Team - A long overdue THANK YOU for your care and love this fall. Thank you for making my labiaplasty surgery amazing, simple - dare I say FUN!? (at times) and as painless and stress free as possible! Thank you for warmly welcoming all my kiddos as well (they keep asking to come back to see the nice beautiful Doctors with the great snacks!). I couldn't have dreamed up a better experience! ... and just like you said - the gift of "NOT THINKING/WORRYING ABOUT IT" anymore was the greatest! Lots of love, A „ ## What are the Types of Labiaplasty? There are a number of cosmetic procedures that are considered labiaplasty: ### Labia Minora Reduction The most common type of labiaplasty is a labia minora reduction, which involves trimming the inner lips of the labia. ### Labia Majora Reduction During this Plastic Surgery procedure, the labia majora (outer lips of the vulva) are reduced. This is a less common labiaplasty procedure, and may result in scarring and additional post-surgical swelling.3 ### Clitoral Hood Reduction Some women have redundant clitoral hood tissue. In these cases, the excess tissue is carefully trimmed away and overlying skin is rearranged. This procedure is done with extreme care, so as not to risk nerve injury to the clitoris or affect sexual stimulation or sensation.4 The best analogy to a clitoral hood reduction is transforming pleated-front pants to flat-front pants. ### Combination Procedures Some women have a variety of issues that dictate a combination of labia minora trim, clitoral hood reduction and labia majora reduction. The most common combination is labia minora and clitoral hood reduction. Every woman’s body is different, and each labiaplasty procedure is tailored to her unique anatomy and aesthetic goals. [Back to Top](https://www.drkarenhorton.com/body/labiaplasty#) # Learn More About Labiaplasty [iframe]() [Play Video](https://www.drkarenhorton.com/body/labiaplasty#)![](https://hortonnew.b-cdn.net/wp-content/uploads/2023/03/karen-horton-md-vaginal-rejuvenation-e1679535397856.webp) Vaginal Rejuvenation Overview Karen Horton MD [iframe]() [Play Video](https://www.drkarenhorton.com/body/labiaplasty#)![](https://hortonnew.b-cdn.net/wp-content/uploads/2023/03/karen-horton-md-labiaplasty-v2.png) All About Labiaplasty Surgery Karen Horton MD ## Who is a Candidate for Labiaplasty? If you are unhappy with the appearance of your labia, or if excess labial tissue causes you discomfort, you may be a good candidate for labiaplasty plastic surgery. Women of all ages, backgrounds, shapes, and sizes seek labiaplasty, and we believe that women should feel no embarrassment in seeking this procedure. ## Labiaplasty: What to Expect ### Preparing for Labiaplasty The first step in preparing for labiaplasty is a private consultation with Dr. Karen Horton. During this 45 minute long meeting, Dr. Horton will help you feel at ease so that you can candidly discuss your cosmetic concerns and goals. Together, you will review labiaplasty surgical technique options and decide whether this is the right procedure for you. A full history and getting to know you as a patient, physical examination (no photos will be taken at the consultation) and evaluation of your anatomy will take place in a warm and friendly, professional setting. ![labiaplasty incision location](https://hortonnew.b-cdn.net/wp-content/uploads/2018/10/labiaplasty-incision-location-225x300.jpg) Typical location of a labiaplasty scar, hidden in a natural fold. ### The Labiaplasty Procedure Labiaplasty is an outpatient procedure, and is usually performed under inhaled laughing gas, an oral anti-anxiety medication and local anesthesia. General anesthesia can be used for patients who request it, but this is rarely needed. The most common labiaplasty procedure is the “trim technique”, during which Dr. Horton removes excess tissue from the back to the front of the labia, including excess clitoral skin,, taking a small “pinch” of tissue from each side of the clitoral hood region. This procedure removes the darkly pigmented and cobblestone-like textured labia minora tissue that is unwanted by most women seeking a labiaplasty. The more smooth, shiny and pink tissue that is up higher on the labia minora is preserved to maintain a normal and natural appearance and normal labia function – lubrication and prevention of friction. ### Recovery After Labiaplasty Following labiaplasty, it is normal to experience some discomfort and swelling. Dr. Horton will make sure you are prepared with pain medication, and will give you detailed post-surgical instructions and monitor your healing during follow-up appointments. It is best for patients to avoid strenuous physical activity for the first two weeks following labiaplasty surgery. You should also refrain from using tampons and engaging in sexual intercourse for six weeks after labiaplasty. [Back to Top](https://www.drkarenhorton.com/body/labiaplasty#) “ I had the best experience having my surgery with Dr. Horton; I felt very listened to and very secure in her hands. She was extremely personable and understood me and what I wanted. She put me in touch with women who had had similar operations and made herself available to answer any questions or concerns I had. Moreover, I am extremely happy with all the results of my surgery, it is exactly what I have dreamed of and am so grateful she has given me this huge gift. Dr. Horton is skilled, personable, and accommodating, and is definitely someone I would recommend to any of my closest relatives. She has my 100% recommendation and if I need any surgery in the future, I would make the trip back to see her. „ # Procedure FAQs Is liposuction done with labiaplasty? In some cases, [liposuction](https://www.drkarenhorton.com/body/liposuction/) is performed with labiaplasty to improve contours of the pubic region, inner thighs, and/or buttocks. Liposuction can also be done on other areas of the body, like the abdomen, at the same time as labiaplasty for a more complete body contouring transformation. What are the risks of labiaplasty? Labiaplasty is considered to be a safe procedure, but any surgical procedure does carry some risk of complications. Working with an experienced cosmetic surgeon like Dr. Horton is the best way to feel confident in the outcome of your labiaplasty. Risks of labiaplasty may include: - Bleeding - Infection - Over-resection of the labia - Chronic dryness - Pain during intercourse5 Can I have labiaplasty before pregnancy? Labiaplasty has no effect on childbirth, and surgical results will not be affected by pregnancy, so it is reasonable to have this procedure before having children. Even after multiple vaginal deliveries, the labia will not get all stretched out again. Labiaplasty is a “one-time procedure” with lasting results, and is a “quality of life surgery” that can improve the ability to be physically active without discomfort in women as young as older teens to women in their 60’s and 70’s. Most women notice their labia minora grow darker and longer starting at puberty. With age and time, women lose supportive collagen and stretchy elastin in all areas of our body, including the labia minora and majora - thus, many women notice more redundancy and hanging of their external genitalia as they get older. The best time to plan a labiaplasty is personal, and should take into consideration lifestyle issues, ability to take time off work and physical activities for recovery, and level of readiness for surgery, both mental and emotional. Is labiaplasty part of a Mommy Makeover? Absolutely. In many instances, Moms choose to have a labiaplasty to address changes to their external genitalia that may have become accentuated by pregnancy and childbirth. It is not uncommon for women to combine this with other surgical procedures or treatments in their personalized [Mommy Makeover](https://www.drkarenhorton.com/body/mommy-makeover/). Will I have scars after labiaplasty? The labia minora is composed of mucosa, similar to the inner lining of your mouth and gums. Consequently, there is very little scarring after a labiaplasty - the tissue heals similar to when you bite the inside of your cheek accidentally. For labia majora reduction, we plan the procedure to carefully hide any scars in the natural folds of the labia where the labia minora and majora meet. In many cases, labiaplasty scars often heal so well that even a gynecologist can’t see them.6 Where can I see actual before and after images of labiaplasty? Visit our [labiaplasty website gallery here!](https://www.drkarenhorton.com/gallery/body/labiaplasty/) ## Planning Your Labiaplasty Procedure - **Average Cost:** $10,000-$12,000 - **Average Procedure Time:** 2 hours - **Average Recovery Time:** 3-6 weeks _Please note that pricing will vary and all information provided represents an average of typical costs and time and does not guarantee pricing or availability. Your individual treatment plan will be personalized to meet your needs and we recommend scheduling a consultation to receive a more accurate breakdown of pricing and recovery expectations._ ![Planning Your Procedure](https://hortonnew.b-cdn.net/wp-content/uploads/2019/08/Horton-Plan-Your-Procedure.jpg) # Want to Learn More? [Read Our Labiaplasty Blogs](https://www.drkarenhorton.com/category/body-procedures/labiaplasty-surgery/) ## Contact Dr. Karen Horton Dr. Karen Horton and her team understand that the decision to undergo cosmetic surgery is deeply personal, and we make sure that each of our patients feels comfortable and confident during their experiences with us. To learn more about vaginoplasty and vaginal rejuvenation, please [contact us](https://www.drkarenhorton.com/contact-us/) to schedule a private and confidential consultation with Dr. Horton in San Francisco. 1 American Society of Plastic Surgeons. What is labiaplasty? Available: [https://www.plasticsurgery.org/cosmetic-procedures/aesthetic-genital-plastic-surgery/labiaplasty](https://www.plasticsurgery.org/cosmetic-procedures/aesthetic-genital-plastic-surgery/labiaplasty). Accessed April 6, 2022. 2 Veale, D., Naismith, I., Eshkevari, E. et al. Psychosexual outcome after labiaplasty: a prospective case-comparison study. Int Urogynecol J 25, 831–839 (2014). Available: [https://doi.org/10.1007/s00192-013-2297-2](https://doi.org/10.1007/s00192-013-2297-2). Accessed April 6, 2022. 3 American Society of Plastic Surgeons. What is a labia majoraplasty? Available: [https://www.plasticsurgery.org/cosmetic-procedures/aesthetic-genital-plastic-surgery/labia-majoraplasty](https://www.plasticsurgery.org/cosmetic-procedures/aesthetic-genital-plastic-surgery/labia-majoraplasty). Accessed April 6, 2022. 4 American Society of Plastic Surgeons. What is a clitoral hood reduction? Available: [https://www.plasticsurgery.org/cosmetic-procedures/aesthetic-genital-plastic-surgery/clitoral-hood-reduction](https://www.plasticsurgery.org/cosmetic-procedures/aesthetic-genital-plastic-surgery/clitoral-hood-reduction). Accessed April 6, 2022. 5 American Society of Plastic Surgeons. What is labiaplasty? Available: [https://www.plasticsurgery.org/cosmetic-procedures/aesthetic-genital-plastic-surgery/labiaplasty](https://www.plasticsurgery.org/cosmetic-procedures/aesthetic-genital-plastic-surgery/labiaplasty). Accessed April 6, 2022. 6 American Society of Plastic Surgeons. Four common questions women have about recovery after labiaplasty. Available: [https://www.plasticsurgery.org/news/blog/four-common-questions-women-have-about-recovery-after-labiaplasty](https://www.plasticsurgery.org/news/blog/four-common-questions-women-have-about-recovery-after-labiaplasty). Accessed April 6, 2022. [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/body/labiaplasty#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Hiring Administrative Assistant Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # We’re Hiring: Front Office Administrative Assistant [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") ## Position: Front Office Administrative Assistant To apply for this position, submit your resume to: [info@drkarenhorton.com](mailto:info@drkarenhorton.com). ## About Our Practice We are a boutique Plastic Surgery practice in San Francisco. Our Plastic Surgeon specializes in cosmetic and reconstructive surgery, while our Nurse Practitioner specializes in non-surgical cosmetic procedures including injectables, laser skin rejuvenation, and CoolSculpting. We are passionate about providing beautiful, natural looking results, and we pride ourselves on delivering a top-notch patient experience. ## What We’re Looking For We are looking for a professional, motivated, and detail-oriented Front Office Administrator to perform administrative duties and deliver white glove service to our clientele. This position will be supporting the non-surgical side of our practice. Our ideal candidate is looking for long-term employment, and as our business grows, we would love to develop and promote employees that demonstrate exemplary work. ### Job Responsibilities - Warmly greet clients, schedule appointments, and execute all front office duties efficiently - Confirm client information on file for accuracy and update any changes - Manage provider schedules and enforce cancellation policy - Effectively communicate with clients about treatment and product offerings, loyalty program benefits, and office policies and procedures - Promote current specials to stimulate sales and encourage client retention - Maintain relationships with vendors and reps, acting as a liaison between them and the provider - Manage retail product inventory and order supplies when needed - Conduct point-of-sale transactions with accuracy ### Job Requirements - Bachelor’s Degree (preferred) - Experience in the Aesthetic Industry (1+ years strongly preferred) - Excellent verbal and written skills - Ability to follow a proven process and work well in a fast-paced environment - Must be friendly, enthusiastic, and committed to delivering the highest level of customer service - This is a full-time position. Our hours of operation are Monday through Friday from 9-5. Competitive pay, DOE. Benefits include medical/dental, PTO and paid holidays. [**Apply Now**](mailto:info@drkarenhorton.com) [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/administrative-assistant#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Dr. Horton's Patient Testimonials Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Patient Testimonials [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") “ _Dear Dr. Horton, I LOVE my reconstructed boobs!! You ought to have BILLBOARDS in breast care centers worldwide! Thanks so much!PS - Thank you for putting up w/ me! I am fully cognizant your work is extraordinarily skillful, courageous, (the radiated breast, etc.) and artistic, and I am so grateful to you. Thank you so much._ „ “ _Thanks for your caring practice and great team. I love the results of my surgery! You’re a very talented and dedicated doctor. Wishing you all the success._ „ “ _Dr. Horton, Thank you so much for taking care of my burn. I can tell you are a physician with integrity, wisdom and compassion._ „ “ _Hi Karen, I think of you everyday and of how you changed my life. I wish I could say thank you enough times so it would convey what I feel. I hope you are very well and as always, very much love to you! PS I even went skydiving a couple of months ago. I never could have done it without you!_ „ _Dear Dr. Horton,_ I can’t thank you enough for all you have done for me. You are a fantastic surgeon, but more importantly you are a wonderful person inside and out. In your presence I always feel safe and secure. With all the bad news that comes along with a breast cancer diagnosis, I feel you were the light at the end of a dark tunnel. I feel like you pieced me back to my old self. In time, I’m sure I will see all of this as a distant memory. I will always have a special place in my mind and heart for all the TLC you have given me! ![](https://hortonnew.b-cdn.net/wp-content/uploads/2011/12/lucy_rosy.jpg) “ _Dr. Horton has truly changed my life. After having three children and losing my figure to pregnancies and years of breastfeeding, I finally feel sexy, young and like the vital woman I am on the inside. Having my Mommy Makeover was the best decision I could have made for myself, my marriage and my family. Thank you!_ „ “ _Dr. Horton, I can’t thank you enough for what you have given back to me. You started with a disfigured chest and made beautiful breasts. More importantly, you gave me back my self-confidence in how I look as a woman. I wouldn’t have had the confidence to share intimacy again with someone till you worked your “magic”._ „ “ _Dear Dr. Horton, I would just like to say thank you for being a wonderful, knowledgeable and very caring doctor to your patients. I am very fortunate to have met you and you have given me the best care. Again, I want to thank you and your staff for providing me exceptional treatment and outstanding care._ „ # Breast Reconstruction Patient Experience Click on this video to see a [breast reconstruction](https://www.drkarenhorton.com/breast/reconstruction/) patient’s experience over a full year of treatment. She underwent [bilateral nipple-sparing mastectomies](https://www.drkarenhorton.com/breast/reconstruction/implants/#sparing), immediate [single-stage implant reconstructions](https://www.drkarenhorton.com/breast/reconstruction/implants/), followed by chemotherapy and radiation therapy. This strong, brave woman and her supportive husband created this video on their own to share with others, and to demonstrate how she remains an empowered, bold, beautiful breast cancer survivor! Click on the box on the lower right of the video to make the slideshow larger to and to be able to read the text that accompanies her slides. Video Player [https://www.drkarenhorton.com/wp-content/uploads/video/Breastcancer.mp4](https://hortonnew.b-cdn.net/wp-content/uploads/video/Breastcancer.mp4) ![](https://hortonnew.b-cdn.net/wp-content/uploads/video/Breastcancer.jpg) ![Download File](https://hortonnew.b-cdn.net/wp-content/uploads/video/Breastcancer.jpg) Media error: Format(s) not supported or source(s) not found [Download File: https://hortonnew.b-cdn.net/wp-content/uploads/video/Breastcancer.mp4?\_=2](https://hortonnew.b-cdn.net/wp-content/uploads/video/Breastcancer.mp4?_=2) 00:00 00:00 00:00 [Use Up/Down Arrow keys to increase or decrease volume.](javascript:void(0);) “ _Dear Dr. Horton, Thank you for making my choice in surgeons an easy one. I appreciate the excellent care and advice and know I am in excellent hands with you._ „ “ _Dr. Horton, I am so happy that my search for the right Doctor guided us to you! EVERYTHING about this experience has been positive. We thank you for your extremely professional manner and your generous spirit. The results are amazing. From the moment I looked at your picture and profile online until now I have felt a sense of security and peace. Thank you for passing that on to us through your skilled hands. This experience has affirmed that fact that women can and do change the world for the better, every hour of every day! Thanks again._ „ “ _Dear Dr. Horton and Staff, You are angels and wonderful caregivers. Thank you so much for all of your care. You are an amazing group of doctors and staff. You have made my life much better, healthier and prettier!_ „ “ _Dear Karen, I just wanted to thank you for all you have done for me. I have never gone through anything like this but your confidence and expertise calmed me and I knew I was in the best of care!_ „ “ _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._ „ “ _Dear Dr. Horton, I want to thank you for all of the time and patience that you have given me during the process of deciding to have surgery. I’m happy that I’ve found you as a surgeon!_ „ “ _Dr. Horton, I just wanted to say how thankful I am to have found such a wonderful doctor. You made me feel so comfortable and made this surgery not as horrible as I thought it would be! I can’t explain how happy I am with my new EVEN boobs! You did a great job and I couldn’t be happier. Keep up the good work! Thank you, thank you, thank you so much…_ „ “ _Dear Dr. Horton, I can’t thank you enough for the impact you have had on my life! Having a breast reduction was the best thing ever. I can run, bike and dance without any pain. I am healing beautifully and can’t wait to get a bathing suit for the summer! I just graduated from college and could wear a cute red sun dress. Thank you, thank you, thank you!_ „ “ _Dear Karen, Thank you so much for your support and encouragement of my wife at our appointment yesterday. You are a talented and knowledgeable doctor and your encouragement was greatly needed. You are a real God-send for us and we look forward to meeting with you again. You are the first doctor who seemed to understand where she was coming from – thank you for your wonderful spirit!_ „ “ _Dear Dr. Horton, Thank you from the bottom of my heart. THANK YOU is an understatement. You are a miracle worker, who makes magical reconstructions happen. It means so much to me, I feel like you have me back my womanhood. You are amazing._ „ “ _Dear Karen, Karoline, Mary and Nurse Mari, I just wanted you to know how much I appreciate all of you. Your kindness, your generosity of spirit, you genuine care and concern for me holds me in ways that you can’t even know. I am so immensely grateful for your patience and the kindness you have shown me during the recent ups and downs of my healing journey. Karen, I am so grateful that I fond you. I know you will put me back together beautifully and artistically. Knowing that keeps me from worrying about the future. This is a really huge gift. I appreciate everything that you have and will be doing for me. I have an incredible team all around me, and I have you to thank for it! With my deepest gratitude._ „ “ _Karen Horton, M.D. is an exceptional physician with the best bedside manner of any physician I have ever known!_ „ “ _Karen, There’s not enough space on this card to thank you for all you’ve done for all your “Ladies”. When we met you told me you were the doctor who would make me feel beautiful again. I believed you, but I had no idea it would be both inside and outside! I saw Saturday that you have that effect on a lot of people! Thank you for inviting me to meet such a wonderful, beautiful, strong and funny group of women! They humbled and encouraged me!! And for that I thank both you and them!! Love and friendship!_ „ “ _Dear Dr. Horton, In 2008 I consulted with you on my breast reconstruction after a diagnosis of cancer. I came to San Francisco because there are no reputable, women Plastic Surgeons in my area. The experience at your office was such a welcome change from what I’d seen before – so female-positive. I really needed that, after what I’d been through. I have always wanted to express my extreme gratitude for how well I was treat at the office and for how wonderful I thought you were. I’ve told many other breast cancer patients about you!_ „ “ _Dear Dr. Horton, Thank you for taking care of our Mommy. Thank you so much for fixing our Mommy’s belly. We are excited to see her new belly button._ „ “ _Dearest Karen, from the bottom of my heart THANK YOU for making me feel ALIVE again. Your gift to heal is just priceless! God bless you! All my love…_ „ “ _Dear Karen, Mary and Nurse Mari, Thank you so much for taking such good care of my daughter and me. Your support, quick availability and lending ear have made our recovery easy and pleasant! You’re the best!_ „ “ _Dr. Horton, I wanted to say thank you very much for all you have done for me. It made a huge difference in my life and you are truly awesome._ „ “ _Dear Karen, Please let me extend our gratitude for your wonderful skills and warmth. My daughter is thrilled with her “new ears” and she is starting to wear her hair up and doesn’t worry when the wind blows!_ „ “ _Dear Karen, Thank you for the excellent skill and care you gave me during and after surgery. I have a great new breast!!!!_ „ “ _Dr. Karen Horton & Staff, I wanted to thank you all for being so patient and understanding during my difficult time being diagnosed with Paget’s disease and ductal carcinoma in situ. The diagnosis was such a shock to me. I am a healthy young woman and I never thought I would be faced with such horrific news. Meeting Dr. Horton has made the reconstruction and recovery a God send!!_ „ “ _ear Dr. K., Thank you for all you’ve done. This has been hard, but you tell me up front what to expect and I truly appreciate it. You are the BEST!_ „ “ _Thank you, Dr. Horton and your wonderful staff for everything that you did for me. I am a much happier woman. I love, love, LOVE THE “new girls”! It feels so good to be pain-free._ „ “ _Hi Dr. Horton, I am so grateful to have you as my surgeon. Many thanks for the care and compassion you have for all your patients. You are beautiful on the inside and outside too!_ „ “ _Dr. Horton, Thank you for your kindness for listening and for caring for me. It’s been a LONG road, but you always made it easier._ „ “ _Dear Dr. Horton – I am so grateful for getting my body back, for feeling whole again! And the added bonus of the tummy tuck!!! Thank you! Thank you! Thank you!_ „ “ _Dear Dr. Horton, I just wanted to say thank you for “holding my hand” through this extraordinary time in my life. You have helped make this big decision doable. I felt like your only patient and that kind of care is unique._ „ “ _Dr. Horton & Staff, Thank you… My husband and I are really grateful for all you’ve done to make this surgery the best I could have. We appreciate you and your staff (hospital too) for the caring touches you all put into my visits and surgery. Again, THANKS!_ „ “ _Dr. Horton, many thanks for all the nice things that you do. You are never too busy to answer any questions. I am grateful for the beautiful surgery and the gift of my new breasts. Thank you so much!_ „ “ _Dear Dr. Horton, Thank you very much for my results from surgery. I feel like I look fantastic and balanced. All my clothes have a whole new meaning and I love getting dressed everyday now._ „ “ _As a breast cancer survivor, Dr. Horton helped ease my transition to the “new normal” with a beautiful new breast. She is a caring woman and skilled artist. I am whole again._ „ “ _Dear Karen, I want to thank you with all my heart for all the care you have extended to me the last 15 months. Today I felt like the bird that is strong enough to leave the nest and fly! I never imagine how difficult my work was going to be to heal – both my body and my soul. Your compassion, openness to discussing all aspects of our process together and eager listening guided me through the toughest and darkest time of my life. I’ve learned a lot from your example and hope I can serve others better as a result. You have gathered a totally compatible, capable team and your office and the hospital which adds even more to the experience that I had. Each team member was more amazing and unique than the other. It’s a tribute to your spirit that you keep such good company. Thank you for your good taste and delicate, meticulous techniques with my body. Now I have a new beginning and I am really feeling comfortable!_ „ “ _Dear Dr. Horton, this note is to express my deep gratitude for how well I was treated by you and your fabulous staff. You made one of my most difficult years better just by knowing you all. I especially wanted to mention that in 53 years of living and 38 years of being in the health care workplace I have never met anyone more professional, cheerful and just plain adorable as your front desk manager! She always put me at ease and I love her for it!_ „ “ _Dear Doctor Horton, I want to thank you so much for hearing me and really listening to me through this long process of breast and ovarian cancer. It’s been beyond any journey I could have dreamed of at this point in life, but somehow with your support, talent and care we made it through. I am most thrilled to just be here and alive, but I also LOVE the way my new breasts look and thank you for the time and patience to get me there!_ „ “ _Dear Dr. Horton, thank you and your staff (Mary in particular) for making this process so smooth and easy. I appreciate having to do “homework” prior to starting down this path. And, everyone in your office is so friendly and welcoming. As odd as this is to say, the whole mastectomy and reconstruction has been much better than I ever imagined!_ „ “ _Dr. Horton is the kindest, most gentle, caring and incredibly talented surgeon._ „ “ _Dear Dr. Horton, as I reflect over the blessings in my life, you and your staff top the list. Thank you for the amazing part you played in my treatment and recovery process. I shall be forever grateful._ „ “ _Dear Dr. Horton, thank you for everything you have done for me. You have made me look, walk and feel a woman again – you completed me! You are a wonderful, and more beautiful, inside as well as outside and you make us women also feel that way. Thank you for being there for me. God bless you!_ „ “ _Dr. Horton, thank you so very much for taking me as your patient. I am honored to have you as my doctor. The whole experience has been great! I LOVE my new boobies and so does my husband. You hospital was the best ever. Everyone was wonderful! I wish there world had more doctors like you that are so caring of their patients. You are truly wonderful. Thanks again for EVERYTHING._ „ “ _Karen, you have been an amazing presence in my life. I met you in a very hard time in my life. Your genuine care of me, your skilled hands and professionalism helped to put me at ease. Your hands changed my body and helped me on my path, and now when I look in the mirror I see a cancer-free Goddess. What powerful gifted hands of love, knowledge, and skill!_ „ “ _Dear Dr. Horton, I wanted to let you know how much I've appreciated my experience with you and your office. Your staff has been so helpful and easy to work with throughout scheduling my surgery, insurance approvals and general questions. I respect your trade and expertise and hive you my greatest gratitude for having me as a patient._ „ “ _Dr. Horton,_ _2007 has been a year full of challenges. My thanks to you for your professional skills, caring ways, upbeat personality and personal care. Have a wonderful holiday. You have not seen the last of me yet!_ _~ With much fondness and respect, LK_ „ “ _Dr. Horton,_ _Thank you so much for being the wonderful Doctor that you are!_ _You have helped me get through this difficult time and I am so thankful for all you do! You are the best! Happy Holidays and here’s to a wonderful 2008! Happy Holidays to a fantastic doctor & a wonderful staff._ _~ Your grateful patient, SL_ „ “ _Dear Dr. Horton,_ _Thank you so much for presenting at the 3rd annual microsurgery Nursing Symposium. We appreciate your support of the microsurgery at CPMC Davies. We look forward to working with you next year._ _Sincerely,_ _The Microsurgery Nursing Committee_ „ \*Individual Results May Vary [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/about/testimonials#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Facelift Consultation Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Facelift [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") Page Updated: December 31, 2024 As we age, the effects of time, gravity, and environmental factors can lead to visible changes in the face. Common concerns include sagging skin, deep wrinkles, jowls, and a loss of youthful definition in the jawline and neck. These changes can make individuals look older or more tired than they feel, often affecting their confidence. Pursuing a facelift is a highly personal decision, motivated by the desire to address these concerns and restore a refreshed, vibrant appearance. At her San Francisco practice, Dr. Karen Horton works closely with patients to understand their goals and create a customized plan to rejuvenate their appearance while preserving their natural beauty. [What is a Facelift?](https://www.drkarenhorton.com/face/lift#what) [Benefits of a Facelift](https://www.drkarenhorton.com/face/lift#benefits) [Who is a Good Candidate for Facelift Surgery?](https://www.drkarenhorton.com/face/lift#candidate) [Preparing for Your Facelift](https://www.drkarenhorton.com/face/lift#preparing) [What Is the Most Common Facelift Procedure performed by Dr. Horton?](https://www.drkarenhorton.com/face/lift#common) [What Really Happens During a Facelift?](https://www.drkarenhorton.com/face/lift#happens) [What is the Recovery After Facelift Surgery?](https://www.drkarenhorton.com/face/lift#recovery) [Where Can I See Before and After Photographs of Facelift Surgery?](https://www.drkarenhorton.com/face/lift#gallery) [FAQs About Facelift Surgery](https://www.drkarenhorton.com/face/lift#faq) ## What is a Facelift? A facelift, or rhytidectomy, is a surgical procedure designed to reduce visible signs of aging by addressing sagging skin, deep wrinkles, and diminished facial contours. Over time, natural aging processes, gravity, and environmental factors such as sun exposure can lead to the development of jowls, loose neck skin, and a loss of youthful definition in the face. By carefully lifting and tightening the underlying facial structures, removing excess skin, and re-draping the remaining skin, a facelift can restore a smoother, firmer appearance to the face and neck. This cosmetic surgery procedure is ideal for individuals seeking to look refreshed and rejuvenated, often reflecting the vitality and energy they still feel within. Facelifts are highly customizable to each individual’s unique needs and aesthetic goals. Techniques can range from targeting specific areas of concern to achieving comprehensive rejuvenation. While a facelift cannot stop the aging process, it can provide long-lasting, natural-looking results that subtly enhance your appearance, helping you look like a more youthful version of yourself—never overly “done” or artificial. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/ "Contact Us") [![](https://hortonnew.b-cdn.net/wp-content/uploads/2018/02/bna1.png)](https://www.drkarenhorton.com/gallery/face-and-neck/neckmacs-lift/patient-1)[View Our Patient Gallery](https://www.drkarenhorton.com/gallery/face-and-neck/neckmacs-lift/patient-1) ## Benefits of a Facelift Facelift surgery offers a transformative approach to addressing the visible signs of aging, providing numerous aesthetic and emotional benefits. By lifting and repositioning sagging skin and underlying tissues, a facelift can help you achieve a more youthful, refreshed appearance. Specific benefits include: - Tightening loose, sagging skin in the face and neck - Restoring volume and contour to the midface - Reducing the appearance of jowls for a more defined jawline - Smoothing deep creases and wrinkles - Enhancing overall facial harmony and rejuvenation In addition to physical improvements, many individuals experience a boost in self-confidence and a renewed sense of vitality after a facelift. For those seeking comprehensive facial rejuvenation, a facelift can also be combined with procedures like neck lift, brow lift, or eyelid surgery to achieve even more dramatic and harmonious results. [Back to Top](https://www.drkarenhorton.com/face/lift#) ## Who is a Good Candidate for Facelift Surgery? Ideal candidates for facelift surgery are generally healthy individuals who are at or near their ideal body weight, including those who have achieved a stable weight after significant weight loss. They should have realistic expectations for the procedure and a clear understanding of its benefits and limitations. Certain factors may disqualify someone from being a good candidate for facelift surgery. These include active smoking, untreated medical conditions, or emotional readiness issues. It’s crucial for prospective patients to be physically prepared, emotionally stable, and supported by family or friends throughout the process.2 A facelift can be a highly rewarding procedure when performed for the right reasons by a Board-Certified Plastic Surgeon. Proper education about the surgery and its recovery is essential to ensure a successful experience. ## What Is the Most Common Facelift Procedure performed by Dr. Horton? There are several different facelift surgery techniques – some are subcutaneous, many involve manipulation of the SMAS (submusculoaponeurotic system of the face), and others go “deep plane” – which can put the vital facial nerve for movement of the facial muscles at risk. All facelift techniques involve creation of permanent scars, repositioning the deep tissues of the face, lifting the skin and removing excess neck fat at the same time. There are also trendy techniques that use “threads” or energy-based devices to try to lift or tighten the skin in a minimally invasive fashion. These methods have been around for decades, and there’s a reason why most Board Certified Plastic Surgeons do not offer them—they don’t work! If it sounds too good to be true…it usually is. Most patients present to our office with the complaint of jowls and loss of definition of their jawlines, together with accumulation of fat in their neck and under their chin. Many also describe a “turkey neck” appearance due to downward and forward migration of loose neck skin. Because of this, Dr. Horton focuses on the lower face and neck as the procedure of choice for her patients. Most patients do not require an extensive all-day full facelift that treats all areas of the face, including the brow (forehead), eyelids, midface and cheeks at the same time as their lower face. The MACS lift only addresses the lower face and neck, leaving the forehead and eyes alone. If desired, patients can “add on” additional complimentary procedures such as a [blepharoplasty](https://www.drkarenhorton.com/face/eyelid-lift/) at the same time as facial surgery to also address their eyelids. ### Limited Incision Lower Facelift/Neck Lift – The MACS Lift Also called a short scar or [MACS (minimal access cranial suspension) facelift](https://www.drkarenhorton.com/face/lower-face-neck-macs-lift/), the MACS lift is the most common procedure performed in our practice. A technique that focuses on the lower face and neck, this surgery makes an incision in front of the ear and short zig-zag just below the sideburn. Focused on the superficial musculo-aponeurotic system (SMAS), the MACS lift technique repositions deeper tissues to restore volume and structure to the cheeks, jawline, and neck. It offers significant improvements in midface and lower face rejuvenation. This approach addresses sagging in the lower face, jowls, and neck by combining facelift and [neck lift](https://www.drkarenhorton.com/face/neck-lift/) techniques. It refines the jawline and tightens loose skin beneath the chin but does not treat the upper face or brow. Taking approximately three hours under general anesthesia, the MACS lift lifts the soft tissues of the face, eliminating jowls, and resuspends the lower face and neck skin upward, in a natural direction. It often includes liposuction of the submental region (under the chin, in the neck area) as well for the most aesthetically pleasing results. Learn more about the MACS lift short scar facelift [here](https://www.drkarenhorton.com/face/lower-face-neck-macs-lift/). [Back to Top](https://www.drkarenhorton.com/face/lift#) ## Preparing for Your Facelift The journey to a successful facelift begins with your consultation. During this appointment, your [Board-Certified Plastic Surgeon](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) will take the time to understand your concerns and goals. Your surgeon will review your medical and surgical history, evaluate the areas you wish to address, and determine if you are a good candidate for the procedure. This is also the time to ask any questions and discuss what a facelift can and cannot achieve. Once your surgery is scheduled, you will receive detailed pre-operative instructions tailored to your needs. [Preparing for Plastic Surgery](https://www.drkarenhorton.com/patient-information/preparing-surgery/) ![plastic surgeon drawing contours on mature woman's face during facelift consultation](https://hortonnew.b-cdn.net/wp-content/uploads/2024/12/facelift-consultation.webp) ## What Really Happens During a Facelift? A facelift is an outpatient procedure that is typically performed in a fully equipped operating room under general anesthesia to ensure comfort and safety. Our Quad A-certified [San Francisco Plastic Surgery center](https://www.drkarenhorton.com/surgery-center/) facility was created for procedures such as this! During MACS lift surgery, the skin of the face and neck is gently lifted to access the underlying structures. Using precise techniques, the deep layers of the face and neck known as the superficial musculo-aponeurotic system (SMAS) are repositioned and tightened to restore a youthful contour. A minimal amount of excess skin is trimmed, and the remaining skin is redraped naturally upwards, avoiding any unnatural tension. Dissolving sutures are used. Drains are inserted for twenty four hours, and are removed the day after surgery at the first postoperative visit. [Back to Top](https://www.drkarenhorton.com/face/lift#) After the procedure, soft dressings are applied to protect the area, and a compressive chin strap. Postoperative pain is typically minimal, and prescribed medications can help manage any discomfort. Facelift scars are permanent but are skillfully hidden within natural folds and the hairline. As healing progresses, swelling and bruising subside, and results become increasingly visible over the following weeks. Final results, including fully matured scars, may take several months to a year to develop. To maintain your rejuvenated appearance and protect your results, it’s important to follow your post-operative instructions, including minimizing sun exposure. Over time, your facelift can provide a natural, refreshed, and more youthful look, boosting your confidence and reflecting the vibrant person you are inside. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/ "Contact Us") ## What is the Recovery After Facelift Surgery? Swelling and bruising are normal parts of the healing process after any type of facial surgery. It’s common for the skin to appear uneven or for mild asymmetry to occur due to swelling, but this typically resolves as the healing progresses. Within about two to four weeks, noticeable signs of surgery, such as puffiness or discoloration, should significantly diminish. To help reduce swelling, it’s recommended to sleep with your head elevated using a few extra pillows for several days. We do not recommend heat or ice to the area because of the risk of thermal injury to numb skin, and normal circulation is necessary for uneventful healing. Exercise or any activity that elevates heart rate or blood pressure should be avoided for a full month after surgery. Protecting your skin from the sun is critical during recovery. Use a broad-spectrum sunscreen with at least SPF 30 daily to prevent hyperpigmentation or sunburn, and avoid direct sun exposure. Makeup can be applied over sunscreen about after the first week, and can become part of your regular routine to conceal any residual redness or discoloration. Our office offers medical-grade skincare products specifically designed to protect and enhance your skin during recovery. For patients with short hair, growing it slightly longer before surgery can help conceal incisions as they heal. Avoid chemical hair treatments, such as coloring, for at least a month after surgery. Scheduling a salon visit before your facelift can be a relaxing way to prepare. Following your first postoperative visit the day after surgery, you will see Dr. Horton next one to weeks later for a check of healing, followed by scar therapy education at approximately 6 weeks. Follow up photos are taken at three months and again at one year after surgery. [Postoperative Instructions](https://www.drkarenhorton.com/patient-information/postoperative-instructions/) [Special Instructions for Facial Surgery](https://www.drkarenhorton.com/patient-information/postoperative-instructions/#facial) [Back to Top](https://www.drkarenhorton.com/face/lift#) ## Where Can I See Before and After Photographs of Facelift Surgery? Please [visit our gallery](https://www.drkarenhorton.com/gallery/face-and-neck/neckmacs-lift/) to see before and after facelift results photos. ## FAQs About Facelift Surgery ### How long will facelift results last? A facelift provides long-lasting results, offering a rejuvenated and refreshed appearance that endures for years. While the procedure cannot stop the natural aging process, it ensures you will continue to look younger than you would have without surgery. Importantly, modern facelift techniques are designed to deliver natural results, avoiding the tight or “overdone” look that can appear unnatural. Maintaining healthy skin habits, such as using effective skincare products, protecting your skin from the sun, and considering non-surgical treatments, can help extend the longevity of your facelift results. Over time, as facial aging continues, some patients may notice signs of aging reappear. In such cases, a secondary facelift may be an option to refresh the results. This procedure requires the expertise and careful judgment of a skilled Plastic Surgeon to achieve optimal outcomes. Regular follow-up appointments with your surgeon can ensure your results are monitored and maintained for years to come. ### Can other surgical procedures be done together with a facelift? A facelift by itself facilitates improvements to the jaw line, the cheeks and the “nasolabial area” (from the nose to the corners of the mouth), but does not specifically address the neck, forehead (“brow”) or eyes. A full facial examination at your consultation will elucidate which surgical option(s) will tackle the specific features of aging present and best achieve your goals. A facelift is often complimented and further enhanced by a variety of Complimentary Facial Plastic Surgery Procedures, including a: - [Neck Lift](https://www.drkarenhorton.com/face/neck-lift/) to rejuvenate the neck, lift the “jowls”, remove crepe-like skin and recreate a well-defined jaw line. The [MACS Lift](https://www.drkarenhorton.com/face/lower-face-neck-macs-lift/) achieves rejuvenation of both the lower face and neck at the same time. - [Eyelid Lift](https://www.drkarenhorton.com/face/eyelid-lift/) (Blepharoplasty) to refresh and rejuvenate the eyes and remove excess, baggy eyelid skin. - [Brow Lift](https://www.drkarenhorton.com/face/brow-lift/) (Forehead Lift) to gently lift and refresh the brow, helping to create a more youthful appearance to the eyes. - Neck and Chin [Liposuction](https://www.drkarenhorton.com/body/liposuction/) to remove excess fatty tissue stored in the neck and chin region, helping to better define the jaw line and neck. - [Earlobe Repair](https://www.drkarenhorton.com/face/earlobe-repair/) to help balance the face and rejuvenate or repair aged or stretched-out earlobes. ### Are nonsurgical treatments part of a facelift? Non-Surgical Procedures are commonly added to a facelift to enhance its success. Pre-treatment of the face with minimally invasive procedures or skin care regimens can promote the best aesthetic outcome of facelift surgery, and help prolong its results. Non-surgical procedures that may accompany a facelift include: - Minimally Invasive Procedures such as [BOTOX®](https://www.drkarenhorton.com/non-surgical/botox/), [dermal fillers](https://www.drkarenhorton.com/non-surgical/injectables/), [lip fillers](https://www.drkarenhorton.com/non-surgical/lip-fillers/), lasers like [IPL](https://www.drkarenhorton.com/non-surgical/intense-pulsed-light/) and [Clear + Brilliant™](https://www.drkarenhorton.com/non-surgical/laser-skin-resurfacing/) skin resurfacing and other skin treatments can compliment and enhance facelift surgery results. - [Medical-Grade Skin Care](https://www.drkarenhorton.com/non-surgical/skin-care/) adequately prepares the skin of the face and neck for surgery, assists in the recovery of the skin during the healing period, and in the long term, helps to prolong the results of surgery. - Medi-Spa Services can compliment facial Plastic Surgery and further pamper and rejuvenate the face, neck and décolletage (cleavage area). ### What are the potential risks and complications of facelift surgery? As with any surgical procedure, facelift surgery carries some risks. While serious complications are uncommon, potential risks include bleeding (hematoma), infection, nerve injury resulting in temporary or permanent weakness, fluid accumulation (seroma), skin discoloration, or changes in sensation such as numbness. Additional risks may involve poor wound healing, unfavorable scarring, hair loss near incision sites, or skin irregularities. More serious but rare complications include deep vein thrombosis, cardiac or pulmonary issues, or anesthesia-related risks. Minor issues, such as asymmetry, persistent swelling, or the need for revisional surgery, may also occur in some cases.3 To minimize these risks, it is essential to choose a Board-Certified Plastic Surgeon like Dr. Karen Horton, who has the expertise to reduce complications and ensure a safe, successful outcome. Dr. Horton will discuss all potential risks in detail during your consultation and provide comprehensive post-surgical care instructions to support your recovery. ### Will I have scars after my facelift? Yes, facelift surgery involves incisions, so scars are a natural part of the healing process. However, Dr. Karen Horton takes great care to place incisions in discreet locations, such as along the hairline and natural crease behind or in front of the ear, to make them as inconspicuous as possible. With proper care, scars typically fade over time and become less noticeable. Dr. Horton will provide guidance on scar management, including sun protection and recommended skincare, to promote optimal healing and minimize their appearance. ### How much does a facelift cost near me? The cost of a facelift in San Francisco varies, and is determined by factors such as the surgeon’s experience, the techniques employed, and the patient’s unique treatment plan. Following your consultation with Dr. Horton, you will receive a detailed cost breakdown for your fully customized facelift procedure. ### How do I know if a facelift is right for me? As a Board-Certified Plastic Surgeon, Dr. Karen Horton understands how an individual’s appearance can impact self-image and self-esteem. During a facelift consultation, Dr. Horton takes the time to get to know each patient personally and conducts a thorough medical history review. Dr. Horton carefully evaluates the patient’s facial bone structure, skin composition, thickness, texture, elasticity, and the extent of wrinkles or folds. This comprehensive assessment is used to create a customized surgical plan tailored to address the unique features of aging and meet each patient’s specific aesthetic goals. The surgical technique selected will prioritize achieving the best possible results while minimizing potential risks. Dr. Horton also explores the patient’s reasons for considering a facelift, ensuring they are an appropriate candidate for surgery. All options and procedural details are discussed thoroughly to help patients make informed decisions about their care. [Back to Top](https://www.drkarenhorton.com/face/lift#) ## Schedule a Facelift Consultation If you’re considering a facelift to address signs of aging and achieve a more youthful, refreshed appearance, scheduling a consultation with Board-Certified Plastic Surgeon Dr. Karen Horton is the first step. During your appointment at her San Francisco practice, Dr. Horton will take the time to understand your goals, assess your unique features, and discuss the best options for achieving natural-looking results. To learn more and take the next step toward your facial rejuvenation journey, contact our office today to schedule your consultation. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/ "Contact Us") 1 Mayo Clinic. Face-lift. Available: [https://www.mayoclinic.org/tests-procedures/face-lift/about/pac-20394059](https://www.mayoclinic.org/tests-procedures/face-lift/about/pac-20394059). Accessed December 3, 2024. 2 American Society of Plastic Surgeons. Who is a good candidate for a facelift? Available: [https://www.plasticsurgery.org/cosmetic-procedures/facelift/candidates](https://www.plasticsurgery.org/cosmetic-procedures/facelift/candidates). Accessed December 3, 2024. 3 American Society of Plastic Surgery. What are the risks of facelift surgery? Available: [https://www.plasticsurgery.org/cosmetic-procedures/facelift/safety](https://www.plasticsurgery.org/cosmetic-procedures/facelift/safety). Accessed December 3, 2024. [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/face/lift#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Privacy Policy Overview Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Privacy Policy [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON]()Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") Page Updated: August 30, 2024 ## Introduction This website is operated by San Francisco Plastic Surgery (collectively the “Company”, “We” or “Us”) respect your privacy and the Company is committed to protecting it through our compliance with this policy. This policy describes the types of information we may collect from you or that you may provide when you visit this website (our “Website”) and our practices for collecting, using, maintaining, protecting and disclosing that information. This policy applies to information we collect: - On this Website - In email, text, phone and other electronic messages between you and this Website. - Through mobile and desktop applications you download from this Website, which provide dedicated non-browser-based interaction between you and this Website. It does not apply to information collected by: - Us offline or through any other means, including on any other website operated by Company or any third party (including our affiliates and subsidiaries) that may link to or be accessible from or on the Website. Note that patient health information will be governed by a separate HIPAA Notice of Privacy Practices provided by your healthcare provider at the time of services. Please read this policy carefully to understand our policies and practices regarding your information and how we will treat it. This policy is incorporated into our [Terms of Use](https://www.drkarenhorton.com/terms-of-use/) and creates a contract between the Company and you. If you do not agree with our policies and practices, your sole choice is not to use our Website. By accessing or using this Website, you agree to this privacy policy and the Terms. This policy may change from time to time. All changes are effective immediately when we post them, and apply to all access to and use of the Website thereafter. Your continued use of this Website after we make changes is deemed to be acceptance of those changes, so please check the policy periodically for updates. ## Children Under the Age of 16 Our Website is not intended for children under 16 years of age. No one under age 16 may provide any personal information to or on the Website. We do not knowingly collect personal information from children under 16. If you are under 16, do not use or provide any information on this Website or on or through any of its features/register on the Website, make any purchases through the Website, use any of the interactive or public comment features of this Website or provide any information about yourself to us, including your name, address, telephone number, email address or any screen name or username you may use. If you are aware that we have inadvertently collected personal information from a child under the age of 16, please write to us using the information on our contact page to request deletion of that information. ## Information We Collect About You and How We Collect It We collect several types of Personal Information from and about users of our Website, including information: - By which you may be personally identified, such as name, postal address, email address, and telephone number. - Consumer information, like your preferences or a consumer profile based on your use of the website. - Insurance information. - General health information, like your gender, height, weight or generalized medical conditions that you may be seeking information about. - Social media information, such as social media handles, content and other data shared with us through third-party features that you use on our Site and other services (such as apps, tools, payment services, widgets and plug-ins offered by social media services, like Facebook, Instagram and LinkedIn, that may have referred you to our Site). - Information about your device, your internet connection, the equipment you use to access our Website, and usage details. We collect this information: - Directly from you when you provide it to us. - Automatically as you navigate through the site. Information collected automatically may include usage details, IP addresses and information collected through cookies, pixels, web beacons and other tracking technologies. ## Information You Provide to Us The information we collect on or through our Website may include: - Information that you provide by filling in forms on our Website. This includes information provided at the time of registering to use our Website, subscribing to our service, posting material, or requesting further services. We may also ask you for information when you enter a contest or promotion sponsored by us, and when you report a problem with our Website. - Records and copies of your correspondence (including email addresses), if you contact us. - Your responses to surveys that we might ask you to complete for research purposes. - Details of transactions you carry out through our Website and of the fulfillment of your orders. You may be required to provide financial and personal information before placing an order through our Website. - Your search queries on the Website. ## Mobile Numbers and Text Messaging The user agrees any mobile phone number(s) provided by them to San Francisco Plastic Surgery shall be unique to that user. The user agrees mobile number(s) provided are not shared with, or common to, other users. If a user changes their mobile phone number(s), it is the user’s responsibility to contact us to update their mobile phone number in a timely manner. - Message/data rates may apply per phone plan. - Message frequency varies. - Some carriers may not be supported. ## Information We Collect Through Automatic Data Collection Technologies As you navigate through and interact with our Website, we may use automatic data collection technologies to collect certain information about your equipment, browsing actions and patterns, including: - Details of your visits to our Website, including traffic data, location data, logs and other communication data and the resources that you access and use on the Website. - Information about your computer and internet connection, including your IP address, operating system and browser type. The information we collect automatically may include personal information, or we may maintain it or associate it with personal information we collect in other ways or receive from third parties. It helps us to improve our Website and to deliver a better and more personalized service, including by enabling us to: - Estimate our audience size and usage patterns. - Store information about your preferences, allowing us to customize our Website according to your individual interests. - Speed up your searches. - Recognize you when you return to our Website. The technologies we use for this automatic data collection may include: - Cookies (or browser cookies). A cookie is a small file placed on the hard drive of your computer. You may refuse to accept browser cookies by activating the appropriate setting on your browser. However, if you select this setting you may be unable to access certain parts of our Website. Unless you have adjusted your browser setting so that it will refuse cookies, our system will issue cookies when you direct your browser to our Website. - Flash Cookies. Certain features of our Website may use flash cookies to collect and store information about your preferences and navigation to, from and on our Website. Flash cookies are not managed by the same browser settings as are used for browser cookies. - Web Beacons. Pages of our Website and our emails may contain small electronic files known as web beacons (also referred to as clear gifs. pixel tags and single-pixel gifs) that permit the Company, for example, to count users who have visited those pages or opened an email and for other related website statistics (for example, recording the popularity of certain website content and verifying system and server integrity). - Javascript which uses third-party services to store data about activities and transactions. - Trackable telephone numbers which keep track of phone calls made to some phone numbers on this site. - Offline website data – including both local and remote storage of activities. - Geo-targeting information about your general location at the time of use of the site. We may tie this information to personal information about you that we collect from other sources or you provide to us. By using the Site, you consent to our use of these Tracking Technologies. You can decide if and how your computer will accept a cookie by configuring your preferences or options in your browser. However, if you choose to reject cookies, you may not be able to use certain online products, services or features on the Website. For example, we may not be able to recognize your computer or device, and you may need to log in every time you visit. You can get more information about Cookies and Tracking Technologies, and instructions on how to opt out of these items, you may visit [All About Cookies](http://www.allaboutcookies.org/). You may also learn more at the [Digital Advertising Alliance](https://optout.aboutads.info/?lang=EN&fbclid=IwY2xjawEWiFdleHRuA2FlbQIxMAABHWj6OMs0Y7K5X0H-8ZIE1fJcCG34_vKHLevMs-iM6We-rdaRkK4exZMVkA_aem_r2mHq5c_sCnYeL0MTmm_yQ&c=2) or the [NAI industry opt-out platform](https://optout.networkadvertising.org/?fbclid=IwY2xjawEWiERleHRuA2FlbQIxMAABHfpjF2VRt1YDbwm11cF_EKIb4JuiClER8CWjy6R0Jg0qZy9gB2aUCsgvZg_aem_qZJLOv7DHUw8tfJZnyx6GQ&c=1). ## How We Use Your Information We use information that we collect about you or that you provide to us, including any personal information: - To present our Website and its contents to you. - To provide you with information, products or services that you request from us. - To fulfill any other purpose for which you provide it. - To provide you with notices about your account/subscription, including expiration and renewal notices. - To carry out our obligations and enforce our rights arising from any contracts entered into between you and us, including for billing and collection. - To notify you about changes to our Website or any products or services we offer or provide through it. - To allow you to participate in interactive features on our Website. - In any other way we may describe when you provide the information. - For any other purpose with your consent. ## Your Access to and Control Over Information You may opt out of any future contacts from us at any time. You can do the following at any time by contacting us via the email address or phone number given on our website. The jurisdiction in which you reside may dictate the rights available to you, but they may include the right to: - See what data we have about you, if any. - Change/correct any data we have about you. - Opt-out of our sharing of certain information. - Have us delete any data we have about you. - Express any concern you have about our use of your data. If applicable, you may exercise any of your rights by submitting a verifiable data subject request to us by using the information in the “Contact Us” section below. You may make a request related to your Personal Information or on behalf of someone for which you have authorization. You must include your full name and email address in your request. We may require you to confirm your identity and/or legal standing for the request as well as your residency to obtain the information. Please note that we will ask you to verify your identity before responding to such requests, and we may deny your request if we are unable to verify your identity or authority to make the request. ## Disclosure of Your Information We may disclose aggregated information about our users, and information that does not identify any individual, for any reason without restriction. We may disclose personal information that we collect or you provide as described in this privacy policy: - To fulfill the purpose for which you provide it. - To allow our service providers to complete a service we have contracted with them to provide. - For any other purpose disclosed by us when you provide the information. - With your consent. - To any potential acquirer, successor or assignee as part of any business transaction for the merger, sale, transfer, assignment or reorganization of our business or assets. - To comply with any court order, law or legal process, including to respond to any government or regulatory request. ## Privacy of Collected Data We will never use the statistical analytics tool to track or to collect any names or email addresses of visitors to our site. Google will not associate your IP address or device ID with any other data held by Google. Neither we nor Google will link, or seek to link, an IP address or a device ID with the identity of a computer user. ## Information About Remarketing We specifically share your information with Google (including YouTube, Google Analytics, Google AdSense, Google Business Profiles) and Meta (including Facebook and Instagram). We use Google Analytics to help us understand how our customers use the Site. Read more about how [Google uses your Personal Information](https://policies.google.com/privacy?hl=en) or [opt-out of Google Analytics](https://tools.google.com/dlpage/gaoptout). You have the option to manage Google’s personalized ads by visiting the [Google advertising center](https://myadcenter.google.com/?ref=privacy-policy). You can read more about how [Meta uses your Personal Information](https://www.facebook.com/privacy/policy/?entry_point=data_policy_redirect&entry=0) and how to [manage your Meta ad preferences](https://accountscenter.facebook.com/ads/). You can read [Vimeo’s privacy policy](https://vimeo.com/privacy) and information on [Vimeo’s video privacy settings](https://help.vimeo.com/hc/en-us/articles/12426199699985-Overview-of-video-privacy-settings). Please note that depending on your settings, the next time you access our Services the analytics may be reactivated, so you may have to disable the technology each time. This website uses Google remarketing to advertise online using text or image ads on the Google Display Network. Remarketing is a feature that lets us reach people who have previously visited our site, and show them relevant ads when they visit other sites on the Google Display Network. For websites using remarketing, a third-party DoubleClick cookie is used to enable remarketing for products like AdWords on the Google Display Network. When someone visits our website, a few lines of code will drop an anonymous browser cookie. This cookie is a small file that stores information. The cookie will store the site visit, but does not store any sensitive information, such as visitor name, address or any other piece of information that might personally identify the visitor. The cookie will be enabled for a set period of time, such as 30 or 60 days, at which time, the cookie expires. ### What is the Google Display Network? A group of more than a million websites, videos, and apps where ads can appear. Sites in this network have partnered with Google to show relevant ads. ### Opting out of Remarketing Visitors may opt out of Google’s use of cookies by visiting the [Ads Preferences Manager](https://www.google.com/ads/preferences/). Visitors may opt out of a third-party vendor’s use of cookies by visiting the [Network Advertising Initiative opt-out page](http://www.networkadvertising.org/managing/opt_out.asp). ## Do Not Track Signals Our Site currently does not respond to Do Not Track (“DNT”) signals and operates as described in this Policy, whether or not a DNT signal is received. ## Global Privacy Control Some browsers and browser extensions support the [Global Privacy Control (“GPC”)](https://globalprivacycontrol.org/) that can send a signal to the websites you visit indicating your choice to opt-out from certain types of data processing, including data sales. GPC is a web-browser level setting, maintained by either a browser or a browser extension, that is typically set by the user, not the website. In certain regions, when we detect such a signal, we will make reasonable efforts to respect your choices indicated by a GPC setting as required by applicable law. ## Changes to Our Privacy Policy Our Privacy Policy may change from time to time and all updates will be posted on this page. If you feel that we are not abiding by this privacy policy, you should contact us immediately via the email address or phone number given on our website. ## Contact Information To ask questions or comment about this privacy policy and our privacy practices, please write to or call us using the information provided on the contact page of our website. [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/privacy-policy#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Patient Information Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Patient Information [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") Page Updated: July 29, 2024 It is vitally important for patients to be fully educated, informed and in turn empowered when considering Plastic Surgery. Please read essential details about our practice, your consultation, preparing for surgery and achieving a smooth and easy recovery: [About our Practice](https://www.drkarenhorton.com/about/) – An overview of our office and the services we offer. [Meet Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) – Learn about Dr. Karen Horton’s background, training, CV and experience. [Meet our Staff](https://www.drkarenhorton.com/about/staff/) – The fabulous team members in our office. [New Patient Intake Forms](https://www.drkarenhorton.com/patient-information/consultation/) – Important forms to complete and send to us prior to your first visit. [Breast Reduction Insurance Preauthorization Letter](https://www.drkarenhorton.com/breast/reduction/#insurance) – Important information to know before your breast reduction consultation to best prepare for insurance preauthorization. [Your Plastic Surgery Consultation](https://www.drkarenhorton.com/about/consultation/) – What to expect at your first visit to our office. [Preparing for Surgery](https://www.drkarenhorton.com/patient-information/preparing-surgery/) – Everything you need to know to best prepare for your Plastic Surgical procedure. [Postoperative Instructions](https://www.drkarenhorton.com/patient-information/postoperative-instructions/) – What to expect after surgery, postoperative medications, drain care, scar therapy and postoperative recovery details for each procedure type. [Drain Log](https://www.drkarenhorton.com/patient-information/drain-log/) – An easily printable PDF to record drain output after your surgery. Why is it Called Plastic Surgery, Anyway? \| Karen Horton, MD - YouTube Dr. Karen Horton 871 subscribers [Why is it Called Plastic Surgery, Anyway? \| Karen Horton, MD](https://www.youtube.com/watch?v=qfHicouluO4) Dr. Karen Horton Search Watch later Share Copy link Info Shopping Tap to unmute If playback doesn't begin shortly, try restarting your device. More videos ## More videos You're signed out Videos you watch may be added to the TV's watch history and influence TV recommendations. To avoid this, cancel and sign in to YouTube on your computer. CancelConfirm Share Include playlist An error occurred while retrieving sharing information. Please try again later. [Watch on](https://www.youtube.com/watch?v=qfHicouluO4&embeds_referring_euri=https%3A%2F%2Fwww.drkarenhorton.com%2F) 0:00 0:00 / 1:07•Live • [Watch on YouTube](https://www.youtube.com/watch?v=qfHicouluO4 "Watch on YouTube") “ _Dr. Horton, I cannot thank you enough for... well... saving my life! You detected a melanoma when you were doing a scar revision on me after my liposuction procedures and ensured the melanoma was biopsied and completely removed, sending me to the right Oncologist afterward for additional treatment. Thanks for your amazing care medically and aesthetically. I'm so appreciative of you and the outcome. Thank you!_ „ ## Financing Dr. Horton offers financing for her surgical patients through CareCredit® and PatientFi.\* **CareCredit®** [![](https://www.carecredit.com/adtoolkit/assets/pages/library/buttons/280x100/CareCredit_Button_ApplyNow_280x100_h_v1.jpg)](https://www.carecredit.com/apply/confirm.html?encm=BWQAOQNhAWRSblE1Wm8LYwU3Xj4KbwQ3VDRWYFUxVWI&?cmpid=B3CALAdToolkitANCard) For CareCredit please [visit the website](https://www.carecredit.com/apply/confirm.html?encm=AWADOgNhUDUMMFUxU2YIYAIwXj5UMVFiUTEEMlczADc) or call 1 (800) 677-0718 to apply. **PatientFi** [![Patient Fi Logo](https://hortonnew.b-cdn.net/wp-content/uploads/2019/11/AD-2.jpg)](https://app.patientfi.com/drkarenhorton) PatientFi puts the patient’s best interest at the center of everything. Designed by the nation’s leading plastic surgeons, PatientFi allows you to pay for your treatment through flexible monthly payment plans, customized to fit your budget. **Checking your rate won’t hurt your credit score. Find out your monthly payment today!** For PatientFi flexible monthly payment plans, please [visit the website](https://app.patientfi.com/drkarenhorton) to apply. _\*Financing is available for surgical patients only. Cannot be used for non-surgical treatments._ [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/patient-information#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Tubular Breast Correction Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Tubular Breasts [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") [What is a Tubular Breast?](https://www.drkarenhorton.com/breast/tubular#what) [What is Tubular Breast Correction?](https://www.drkarenhorton.com/breast/tubular#correction) [Who is a Good Candidate for Tubular Breast Correction?](https://www.drkarenhorton.com/breast/tubular#candidate) [Is a Tubular Breast Correction Part of a Mommy Makeover?](https://www.drkarenhorton.com/breast/tubular#makevoer) [What Are the Different Types of Correction for Tubular Breasts?](https://www.drkarenhorton.com/breast/tubular#types) [What Really Happens During Tubular Breast Correction?](https://www.drkarenhorton.com/breast/tubular#happens) [Is Liposuction Part of a Tubular Breast Correction?](https://www.drkarenhorton.com/breast/tubular#liposuction) [What Are Potential Risks and Complications of Tubular Breast Correction Surgery?](https://www.drkarenhorton.com/breast/tubular#risks) [Where Can I See Before and After Photographs of Tubular Breast Correction Procedures?](https://www.drkarenhorton.com/breast/tubular#gallery) [How Do I Know Whether Tubular Breast Correction is Right For Me?](https://www.drkarenhorton.com/breast/tubular#right) ## What is a Tubular Breast? The condition known as [“tubular breasts”](https://www.drkarenhorton.com/gallery/breast/tubular-breast-augmentation/) (also called “tuberous breasts”) is a congenital variation of the normal breast shape.  The term “tuber” means “potato” in Latin; tuberous breasts can be potato-shared or banana-shaped in some cases. Tubular breasts lie along a spectrum from very mild unevenness to extreme breast deformity.  Either one or both breasts may be affected.  Women with tubular breasts often feel self-conscious or embarrassed to show their breasts to others due to their unusual shape. Correction of tubular breasts can help improve body image, self-esteem and self-confidence. Common features of tuberous breasts include a relatively small breast size, with a narrow breast base  or a “constricted breast footprint” at the chest, a wide space between the breasts, a long and tubular breast shape, enlarged, puffy and protruding areolas and moderate droop to the breasts.  Often, the breast is not really droopy; instead, there is “pseudoptosis”, or apparent droop as the breast fold is very high on the chest wall, resulting in the breast tissue hanging below this high fold. Frequently, the fold beneath the affected breast(s) (“inframammary fold”) sits higher than normal, creating further distortion to breast shape and accentuating the apparent breast droop.  Often, there is a wide upside down triangular shape to the cleavage.  See examples of tubular breasts in our [tubular breast augmentation gallery.](https://www.drkarenhorton.com/gallery/breast/tubular-breast-augmentation/) Correction or tubular breasts can involve placing a breast implant behind the breast tissue in the subglandular position to fill out the bottom of the breast and to create a more round and aesthetically pleasing shape to the breast. The areola is also often made smaller by way of a periareolar mastopexy, which involves creation of a circular incision to “push back” puffy areola tissue and eliminate the pointy tubular shape behind the nipple. In other cases, when there is sufficient breast volume, a local tissue rearrangement called a mastopexy (breast lift) will adequately reshape the breast.  An “auto-augmentation” technique helps to move hanging breast tissue higher up on the chest wall.  The final scars are the same as for a breast reduction or lift, and an implant is not required.  [Back to Top](https://www.drkarenhorton.com/breast/tubular#) # Featured Case [View Our Patient Gallery](https://www.drkarenhorton.com/gallery/breast/tubular-breast-augmentation/) Previous ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG0649616032-11192-b/original.jpeg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG0649616079-11192-a/original.jpeg) Drag the slider to see transformation ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG6502180014-10823-b/original.jpeg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG6502180035-10823-a/original.jpeg) Drag the slider to see transformation ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/) ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/) Drag the slider to see transformation Next ## Mammograms with breast implants – Q & A with Dr. Horton Learn more about mammograms after breast surgery in this blog by Dr. Karen Horton. [Read More](https://www.drkarenhorton.com/dr-hortons-blog/mammograms-with-breast-implants/) ![mammogram equipment in office](https://hortonnew.b-cdn.net/wp-content/uploads/2023/09/Mammogram-advancements-HN3132-iStock-1311077677-Sized.jpg) ## What is Tubular Breast Correction? Correction of tubular breasts is particularly challenging and requires surgical experience in reconstructive surgery of the breast, an aesthetic eye, and necessitates additional surgical steps to achieve the very best symmetry with a more natural breast shape. Our goal is always to create a beautiful and natural looking breast result (that looks in most cases like you were born that way!). A [breast implant](https://www.drkarenhorton.com/breast/augmentation/#implants) is often inserted as part of tuberous breast correction. However, breast augmentation alone without addressing the nipple and areola will not always correct a tuberous breast shape, and can actually accentuate tubular breast deformity if done alone. Additional surgical details are required to normalize the breast shape, particularly at the base of the breast and in the areolar region. In addition to breast augmentation, proper surgical correction of tubular breasts commonly includes some degree of breast lift (mastopexy) to lift the breasts and normalize the size and appearance of the nipple and areola.  A “circumareaolar”, “donut” or “periareolar” mastopexy (all referring to the same technique) corrects the location, size and shape of the nipple and areaola. Finally, the inframammary fold is usually lowered to a more anatomic position, and internal “scoring” (internal release of constricting fibers inside the breast, as if you were planning to peel a thick grapefruit) is done to allow the base of the breast to open up and assume a natural teardrop shape. [Back to Top](https://www.drkarenhorton.com/breast/tubular#) ## Who is a Good Candidate for Tubular Breast Correction? Good candidates for correction of tubular breasts include women who are healthy, in good physical shape, at their ideal body weight (or a stable weight following major weight loss), women with relatively small breasts relative to their frame, and women who have mild, moderate or severe tuberous breasts. Women seeking correction of tubular breasts wish to have a more natural breast size and shape, to feel more “balanced” and proportional to the rest of their body, and often desire fuller, perkier and more normal shaped breasts. [Back to Top](https://www.drkarenhorton.com/breast/tubular#) ## Is a Tubular Breast Correction Part of a Mommy Makeover? Many Moms have tubular breasts that become even more droopy and deflated after they have children. tubular breast correction via breast augmentation and/or breast lift is a very frequent component of a Mommy Makeover! Please see our [Mommy Makeover](https://www.drkarenhorton.com/body/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 Makeover! [Back to Top](https://www.drkarenhorton.com/breast/tubular#) ## What Are the Different Types of Correction for Tubular Breasts? ### Breast Augmentation Breast augmentation involves placing a breast implant to enhance the volume of the breast tissue and to create a more balanced appearance to tubular breasts. Even if just one breast is tuberous, both breasts are usually augmented for balance and symmetry. Please see our section on [Breast Augmentation](https://www.drkarenhorton.com/breast/augmentation/) to learn more about breast implants and breast augmentation as a component of tubular breast correction. [Learn About “Breast Implant Illness”](https://www.fda.gov/news-events/press-announcements/fda-updates-analysis-medical-device-reports-breast-implant-illness-and-breast-implant-associated) [Learn About the FDA’s Labeling Requirement for Breast Implants](https://www.fda.gov/media/131885/download) **Learn more about Breast Implant Illness (BII) treatment & the latest recommendations from The Aesthetic Society [on Dr. Horton’s blog](https://www.drkarenhorton.com/dr-hortons-blog/procedural-information/breast-implant-illness-bii-treatment/).** ### Breast Lift (Mastopexy) Mastopexy (breast lift) surgery reshapes the breast by rearranging droopy breast tissue, redraping loose breast skin, and lifting the nipples and areolas to a higher and more aesthetic position on the breast. As part of tubular breast correction, a breast lift is vital to normalize an enlarged and protruding areola. Please see our section on [Breast Lift (Mastopexy)](https://www.drkarenhorton.com/breast/lift/) to learn more about breast lift as a component of tubular breast correction. ### Combined Mastopexy and Augmentation To correct tubular breasts, sometimes a breast augmentation is combined with a breast lift (mastopexy) if there is significant breast droop with a small and tubular breast shape. Please see our section on [Combined Mastopexy and Augmentation](https://www.drkarenhorton.com/breast/lift-with-augmentation/) to learn more about breast implants and breast augmentation as a component of tubular breast correction. [Back to Top](https://www.drkarenhorton.com/breast/tubular#) ## What Really Happens During Tubular Breast Correction? Please see our [Preparing for Surgery](https://www.drkarenhorton.com/patient-information/preparing-surgery/) section to learn about what happens in the operating room on the day of surgery. In addition, please visit our Breast Augmentation, Breast Lift and Combined Mastopexy-Augmentation sections to understand details of each potential step. Tubular breast surgery takes approximately 3-4 hours to complete, and is usually done as an outpatient procedure. [Back to Top](https://www.drkarenhorton.com/breast/tubular#) ## Is Liposuction Part of a Tubular Breast Correction? Liposuction is usually be added to tuberous breast correction surgery to help shape the outer region of the breast, providing the best contour possible and to debulk the “axillary roll” (annoying stubborn armpit fat) and back roll regions. Your surgeon will examine these areas to determine whether liposuction is an appropriate addition to your tubular breast correction. Please see our [Liposuction](https://www.drkarenhorton.com/body/liposuction/) section for more information. [Back to Top](https://www.drkarenhorton.com/breast/tubular#) ## What Are Potential Risks and Complications of Tubular Breast Correction Surgery? When you are considering any type of surgery, you should be fully educated about potential risks and complications. Please see our [Preparing for Surgery](https://www.drkarenhorton.com/patient-information/preparing-surgery/) section to learn about risks and potential complications related to surgery, [Special Considerations for Breast Implant Surgery](https://www.drkarenhorton.com/patient-information/preparing-surgery/#breast) and [Postoperative Instructions for Breast Surgery](https://www.drkarenhorton.com/patient-information/postoperative-instructions/) for additional information pertaining to tubular breast correction. [Back to Top](https://www.drkarenhorton.com/breast/tubular#) ## Where Can I See Before and After Photographs of Tubular Breast Correction Procedures? Please visit our patient gallery to see [before and after tubular breast correction](https://www.drkarenhorton.com/gallery/breast/tubular-breast-augmentation/) results! [Back to Top](https://www.drkarenhorton.com/breast/tubular#) ## How Do I Know Whether Tubular Breast Correction is Right For Me? As women Plastic Surgeons, we intimately understand how a woman’s feelings about her body can influence her self-image, self-esteem and her femininity, and we aim to give you the result you are looking for! At your breast surgery consultation, your surgeon will spend a great deal of time with you to get to know you personally and take a complete medical history. We will explore your reasons for seeking tubular breast correction, examine your breasts and if you are an appropriate candidate for surgery, your options will be described in detail. [Back to Top](https://www.drkarenhorton.com/breast/tubular#) [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). 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We can provide a financial quote for what anticipated surgical fees will be after your consultation. ## Accreditations Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/breast/tubular#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Breast Reduction Overview Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Breast Reduction [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") Page Updated: March 16, 2025 ## Breast Reduction [What is a Breast Reduction (Bilateral Reduction Mammaplasty)?](https://www.drkarenhorton.com/breast/reduction#what) [Who is a Good Candidate for a Breast Reduction?](https://www.drkarenhorton.com/breast/reduction#candidate) [Is a Breast Reduction Part of a Mommy Makeover?](https://www.drkarenhorton.com/breast/reduction#mommy_makeover) [What Are The Different Methods of Breast Reduction?](https://www.drkarenhorton.com/breast/reduction#methods) [What Are Potential Risks and Complications of Breast Reduction?](https://www.drkarenhorton.com/breast/reduction#risks) [Will a Breast Reduction Interfere with Breast Function?](https://www.drkarenhorton.com/breast/reduction#interfere) [What Really Happens During Breast Reduction Surgery?](https://www.drkarenhorton.com/breast/reduction#happens) [Is Liposuction Part of a Breast Reduction?](https://www.drkarenhorton.com/breast/reduction#liposuction) [Where Can I See Before and After Photographs of Breast Reduction Procedures?](https://www.drkarenhorton.com/breast/reduction#gallery) [Is Breast Reduction Surgery Covered by Insurance?](https://www.drkarenhorton.com/breast/reduction#insurance) [Is There Anything Else I Should Know About Breast Reduction Surgery?](https://www.drkarenhorton.com/breast/reduction#more_information) [Will I Need Additional Surgery after a Breast Reduction?](https://www.drkarenhorton.com/breast/reduction#additional) [Is There a Minimum or Maximum Age for Breast Reduction?](https://www.drkarenhorton.com/breast/reduction#age) [How Do I Know Whether a Breast Reduction is Right For Me?](https://www.drkarenhorton.com/breast/reduction#right) “ _Dear Dr. Horton, I can’t thank you enough for the impact you have had on my life! Having a breast reduction was the best thing ever. I can run, bike and dance without any pain. I am healing beautifully and can’t wait to get a bathing suit for the summer! I just graduated from college and could wear a cute red sun dress. Thank you, thank you, thank you!_ „ ## What is a Breast Reduction (Bilateral Reduction Mammaplasty)? A breast reduction, also known as “bilateral reduction mammaplasty”, is designed to relieve symptoms from excessive breast size and weight, known as symptomatic “macromastia”. During a breast reduction, excess skin, breast tissue and fat is removed, the nipple and areola are lifted to a higher position on the breast, and the areola size is usually reduced. A breast lift is always incorporated into a reduction to ensure that you are not only smaller, but perkier-breasted! Dr. Horton performs an “auto-augmentation” technique for all her breast reductions and lifts that reshapes the breasts in addition to making them smaller and moves the breast tissue higher up on the chest wall.  Liposuction is also added to reduce unwanted fat in the armpit region, known as the “axillary roll” and the sides of the breast and upper back (the “bra roll”). Symptoms of macromastia are often relieved immediately upon wakening!  Surgery generally takes three hours and is usually done in an outpatient setting.  After a breast reduction, a woman’s breasts will be more proportional to the rest of her body, clothes will fit better, and many women are able to become more physically active and to achieve their personal fitness or weight-loss goals. Breast reduction has tremendous psychological benefits as well. It truly is a procedure whose outcome improves quality of life of patients! Many studies have shown that reduction mammaplasty is the number one most satisfying procedure that the specialty Plastic Surgery has to offer! Having a breast reduction can be life-changing for many women. [![](https://hortonnew.b-cdn.net/wp-content/uploads/2021/10/Breast-Reduction-Button.svg)](https://www.drkarenhorton.com/practice-news/dr-hortons-patient-featured-in-asps-video/) # Featured Case [View Our Patient Gallery](https://www.drkarenhorton.com/breast/reduction) Previous ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG0566568079-11165-b/original.jpeg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG0566569031-11165-a/original.jpeg) Drag the slider to see transformation ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG6056612067-10150-b/original.jpeg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG6056612098-10150-a/original.jpeg) Drag the slider to see transformation ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG7780599054-10379-b/original.jpeg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG7780599077-10379-a/original.jpeg) Drag the slider to see transformation Next [View More Breast Reduction Cases](https://www.drkarenhorton.com/gallery/breast/breast-reduction/) ## Who is a Good Candidate for a Breast Reduction? Many women feel their breasts are too large for their frame, that their breasts are out of proportion to their body, or they may feel embarrassed about their large breast size. They have heavy, pendulous breasts with nipples and areolas that point downward (known as breast and nipple “ptosis”), or they may have one breast that is much larger than the other. Good candidates for a breast reduction include women who are healthy, in good physical shape, and as close as possible to their ideal body weight (or a stable weight after [major weight loss](https://www.drkarenhorton.com/body/post-weight-loss/)). You should not be obese (body mass index or [BMI](https://www.cdc.gov/bmi/adult-calculator/index.html) above 30), as an increased body mass index raises your risk of complications. Women seeking reduction mammaplasty have typical signs and symptoms of macromastia: - Breast pain - Back pain - Shoulder pain - Shoulder grooving from bra straps - Rashes beneath the breasts (“intertrigo”) - Poor posture - Difficulty doing sports or physical activities - Self-consciousness about breast size - Difficulty fitting into clothing ![](https://hortonnew.b-cdn.net/wp-content/uploads/2021/09/Kym-thumbnail2-1.jpg)[Play Video](https://www.drkarenhorton.com/breast/reduction#) Dr. Horton’s Breast Reduction Patient, Kym, Featured in ASPS Video “ _Dearest Dr Horton -_ _I am in the process of training for my first Ironman. It has been a long 8 months of training and it has been worth every minute. I am so incredibly grateful for the breast reduction you did for me in 2007. It has changed my life beyond belief and seeing these pictures side by side, I am floored. I used to hate my body. Starve it, tape it, beat it up and now I am a strong and fit woman who loves every inch of her body. I feel like my body issues and lack of confidence are conversations of the past and my experience of the world is one where I can show up confidently. Having you perform the surgery all those years ago, gave me a new life that I am proud to live. Thank you from the bottom of my heart for the difference you have made in my life and for so many like me. Blessings, and THANK YOU from the bottom of my heart!!!_ „ ## Is a Breast Reduction Part of a Mommy Makeover? Breast reduction is a common component of Mommy Makeover surgery! Please see our [Mommy Makeover](https://www.drkarenhorton.com/body/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 reduction as a component of a Mommy Makeover. [Back to Top](https://www.drkarenhorton.com/breast/reduction#) ## What Are The Different Methods of Breast Reduction? The enlarged breast has three or four issues: (1) there is an excess of breast tissue and fat which is heavy, droopy and creates the symptoms of hypermastia, (2) an enlarged or stretched-out nipple and areola sits low on the breast, often pointing downwards, (3) there is an excess of breast skin, and often (4) there is an overabundance of fatty tissue in the “axillary” (arm pit) area and around the side of the breast, extending toward the back, creating a “bra roll” of back fat. A breast reduction therefore involves three or four separate but intimately related components: 1. Reducing the overall breast volume and reshaping the breast tissue, 2. Reducing and repositioning the nipple to a more youthful position on the breast, 3. Removing and redraping extra skin and 4. De-fatting the axillary and lateral breast regions to create the best possible contour to the breast. Breast reduction truly is a Three-Dimensional Operation: the underlying breast tissue is reduced and reshaped to create a smaller, more compact and perky breast, while the overlying skin is redraped around the breast to reduce the “skin envelope”. Because a breast reduction includes reducing the breast in the horizontal dimension (lifting upward) and the vertical dimension (narrowing a wide breast), the incisions used are also three-dimensional and include both vertical and horizontal lines in addition to a circular incision around the nipple. Scar length is always minimized as much as possible. ### Superomedial Pedicle Technique The most common procedure we use for breast reduction involves a circular incision around the areola, a vertical incision from the areola down to the inframammary fold (IMF), and a short scar that lies within the IMF. These incisions are shorter than the traditional “anchor scar” that is commonly described for breast reductions. The circular areolar incision allows the nipple to be repositioned on the breast and the areolar diameter to be reduced as necessary. Structures leading to the nipple such as sensory nerves, blood vessels and milk ducts are preserved as much as possible. The various techniques of reduction include additional incisions based on the degree of hypermastia, the shape of the breast, the degree of skin excess and nipple ptosis. The “superomedial pedicle” refers to the direction from which blood supply, nerves and milk ducts to the nipple are preserved. In this technique, breast tissue, skin and fat are removed from the bottom and sides of the breast only. Fullness is preserved in the upper (“superior”) and inner (medial”) parts of the breast, where cleavage is desired. The pedicle that contains structures leading to the nipple is rotated to a higher position on the breast. The inner and outer regions of the breast are reshaped to create a perkier and more compact breast shape, and the skin is redraped to complete the procedure. The superomedial pedicle breast reduction technique creates the perkiest shape possible. The inframammary scar is hidden when viewing the breasts from above or from the front, it is usually concealed in bras and bikini tops, and is generally only visible on careful inspection up close when the breasts are lifted. The vertical incision generally fades to be nearly imperceptible, and the areolar scar lies and the natural junction of the pigmented areola and surrounding breast skin. ### “Lollipop” Scar Technique For breasts with a minimum of skin redundancy and only mild nipple droop, the “lollipop technique” can be used. This method creates the periareolar and vertical incisions only, without the horizontal inframammary scar. The nipple blood supply, nerve supply and ductal supply is maintained, like in the inverted T technique. This technique is not appropriate for extremely droopy breasts or those with a significant amount of extra skin, where a true three-dimensional reduction of the breast envelope is required. [Back to Top](https://www.drkarenhorton.com/breast/reduction#) Reviews from Breast Reduction Patients Ursala R. I am so glad I chose to have a breast reduction consultation with Dr. Horton. I had almost given up on finding a doctor - I actually did give up for a year before resuming my search for a doctor who I felt comfortable with enough to trust with my life and achieving a desirable result. That’s exactly who I found in Dr. Horton. During my consultation, she had such a personal and friendly demeanor that immediately put me at ease; she asked questions indicating she cared about my whole person where I almost forgot what the topic of my consultation was. But I could certainly feel the passion in her eyes for improving the lives of many. The dedication to her craft that surely propelled her into becoming a top ranked surgeon was not lost on me. The elusive feeling of confidence that I could not find in any other surgeons I consulted with had risen to the surface and I knew as I sat with Dr. Horton’s office, listening to her calm my fears as she describe the procedure and everything involved in great detail and viewing her awards of recognition and diplomas showcasing her professional achievements was very reassuring. To say the least, I am very pleased with my results. I am very pleased with my pre and post operative care. As such, I highly recommend Dr. Horton for anyone who is unsure or are fearful about undergoing surgery as a means to improve their lives. You do not have to continue putting off surgery out of fear. I know from experience that one of the most important and anxiety inducing areas of this process is finding a surgeon you trust will perform a job well done. You have found such a surgeon in Dr. Horton. 8.22.19 Sarah W. Dr. Horton is simply the best. I wouldn't trust anyone else to do my breast reduction. From my consultation appointment, pre-op, surgery, and post-op appointments, Dr. Horton has the most amazing bedside manner and willingness to answer every single question. Dr. Horton's staff also has the same willingness to assist with insurance questions & paperwork. I am so pleased with my results. My friends and family are astounded by Dr. Horton's precision: my breasts are symmetrical, perky, and perfectly placed. It's clear that Dr. Horton truly knows how to take a vision and make it a reality. I highly recommend Dr. Horton as an amazing plastic surgeon and confidant! Love, love, love her. 2.28.18 [See Real Patient Reviews](https://www.drkarenhorton.com/about/patient-reviews/) ## What Are Potential Risks and Complications of Breast Reduction? Please see our [Preparing for Surgery](https://www.drkarenhorton.com/patient-information/preparing-surgery/) section to learn about risks and potential complications related to surgery and [Postoperative Instructions for Breast Surgery](https://www.drkarenhorton.com/patient-information/postoperative-instructions/#breast) for additional information pertaining to breast reduction. ## Will a Breast Reduction Interfere with Breast Function? All breast procedures should ideally preserve the two major functions of the breast: (1) **breastfeeding ability** and (2) **erogneous sensation to the nipple**. During a breast reduction, some breast tissue is removed, usually from the bottom and the sides of the breast where it is not as important. Vital anatomic structures of the breast (milk ducts, sensory nerves and blood vessels) are preserved as much as possible. The remaining breast tissue is then rearranged with the goal of reshaping the breast in its smaller and lifted form while maintaining breast function. An “auto-augmentation” involves dissecting a “pocket” or space at the upper pole of the breast and rotating the nipple, areola and upper breast tissue into this space.  This is the space where a breast implant is placed to increase upper pole fullness.  The sides of the breasts are brought together to narrow the breast base, and liposuction debulks unwanted fullness from the armpits and the sides of the breasts (known as the axillary rolls) and the annoying fat roll under the fold of the breast as well. As long as some milk ducts that lead to the nipple are preserved, the possibility of being able to breast feed is promoted. Trying to nurse your baby after [breast surgery](https://www.drkarenhorton.com/breast/) is always encouraged. Unfortunately, some women may be unable to breast feed even without having breast surgery. Keep in mind that supplementation with formula may be required if you do not produce a large volume of breast milk in any situation. After reduction mammaplasty, sensation should slowly return to the nipples, but may never return to normal. Nerve recovery can take from many months up to a year or more to recover. [Back to Top](https://www.drkarenhorton.com/breast/reduction#) “ Breastfeeding was indeed possible after my breast reduction! When I was 18 years old, I trusted Dr. Horton to care for me and perform a breast reduction procedure. Like many women who consider breast reduction, I had significant chronic back pain, and difficulty with physical activities without multiple sports bras. With Dr. Horton’s expertise, my pendulous breasts, and my back pain, were a thing of the past. At 18 years old, I didn’t consider the effects the surgery could have on breastfeeding too strongly, I hadn’t even considered children yet, and while I was appropriately counseled; it didn’t weigh heavily on my decision. Fast forward 10 years, and I was strongly wondering if I had made the right choice... With the assistance of routine skilled care by midwives and a lactation consultant, I WAS able to breastfeed my daughter, THEN my twin girls easily and exclusively! I believe I had the routine supportive care of any other first time mother, then mother of twins. I used a pump for the first 2 weeks or so to help increase my supply, but then I was able to nurse easily for another 2 years and I am still nursing my twins (without formula, surprisingly!). I am glad that this was still an option for me, as it has proved to be a very rewarding experience. Thank you Dr. Horton for your excellent care. I am so happy with my decision to have a breast reduction with Dr. Horton. „ ## What Really Happens During Breast Reduction Surgery? Please see our [Preparing for Surgery](https://www.drkarenhorton.com/patient-information/preparing-surgery/) section to learn about what happens in the operating room on the day of surgery. Dr. Horton performs the “superomedial pedicle” technique for the vast majority of patients.  In this technique, an incision is made around the nipple and areola, and excess skin is removed. The blood supply is perserved coming from the superomedial portion of the breast (the upper and middle quadrant, closest to the sternum). Excess breast tissue is removed from the bottom part of the breast and the sides. The goal is to remove enough breast tissue to make a major difference to a woman’s symptoms of macromastia, but to keep her proportional to the rest of her body.  Breast reduction surgery is really “designer surgery” – we can do almost anything!  We use “wish pictures” (see below) to help plan the very best surgical technique for each patient, individually. Following breast tissue removal (which is sent to Pathology for analysis), the remaining breast tissue is rearranged three-dimensionally to reshape the breast into a perky, more youthful contour via the “auto-augmentation” method described above. The “pedicle” which contains the structures leading to the nipple is rotated to its new location, maintaining attachments to the rest of the breast. The remaining breast skin is redraped around the new breast shape to complete the procedure. Breast tissue removed during surgery is sent to the Pathology Lab for routine examination (where breast tissue is stained and the cells are evaluated under the microscope). Although we expect the results to be normal, it is prudent to have breast tissue evaluated and to receive a formal report. Drains are very rarely used for a breast reduction (unlike a breast augmentation), as there is no foreign body (no breast implant) and the empty space resulting from breast tissue removal is filled via the auto-augmentation. [Back to Top](https://www.drkarenhorton.com/breast/reduction#) ## Is Liposuction Part of a Breast Reduction? [Liposuction](https://www.drkarenhorton.com/body/liposuction/) is always added to a breast reduction to further contour and debulk the outer part of the breast (the “bra roll” area that extends from the side of the breast around to the back) and the “axillary roll” area (arm pit fat). ![](https://hortonnew.b-cdn.net/wp-content/uploads/2011/12/liposuction-axillary-rolls-1024x768.jpg) Fat removed during a standard breast reduction from the axillary rolls and the back fat/bra roll. This accentuates the cosmetic outcome and rids women permanently of the annoying armpit fat that peeks out from your tank tops! While liposuction can reduce the overall volume of the breasts by removing most fat, using this method alone does not reshape the breast or redrape excess skin, nor does it lift the nipples. For this reason, liposuction is used more as an adjunctive procedure to breast reduction, rather than as the primary method of reducing the breasts. While the main objective of breast reduction is to alleviate symptoms of macromastia, the final result should LOOK as beautiful as possible, with the very best aesthetic result! The use of liposuction helps to minimize scar length and provide an aesthetic contour to the breast, avoiding long scars and/or a residual back fat roll. ## Where Can I See Before and After Photographs of Breast Reduction Procedures? Visit our photo gallery to see [before and after breast reduction](https://www.drkarenhorton.com/gallery/breast/breast-reduction/) results! ## Is Breast Reduction Surgery Covered by Insurance? A breast reduction is often considered cosmetic, particularly if it is being done solely to improve the appearance of the breasts. However, if signs of symptoms of macromastia are present, it may be covered in part or completely by insurance.  Dr. Horton is no longer a participating provider for any insurance plans.  However, our office may be able to assist with out-of-network billing.  Mary Pasache can answer additional questions about this. ## How Do I Best Plan for my Breast Reduction? In preparation for a breast reduction (or any type of breast surgery including a breast augmentation, lift or revision surgery), we recommend that patients find some “wish pictures”.  A good place to start might be our website [before and after gallery](https://www.drkarenhorton.com/gallery/).  Wish pictures should be in two categories:  YES images and NO images. YES pictures should reflect a woman’s body type, proportions and curves, and should show us how they would like their breasts to look.  If images are found from another surgeon’s website, pay no attention to what cup size is listed – we focus more on shape, aesthetics, proportion and projection than a letter (B, C, D, DD etc).   A Google image search may also help find images of breasts that a woman likes. NO pictures are usually obvious – we would never create a breast that was out of proportion to a woman’s body or were aesthetically unappealing.  The NO images are more for our patients than for us! (so they know what they are not going for with their surgery).  However, they are useful to help educate about what surgery will achieve and what it cannot. ## Is There Anything Else I Should Know About Breast Reduction Surgery? A breast reduction is a wonderful procedure, and most women wake up to immediate relief of their symptoms and remark “why did I wait so long?”! However, it is important to know that your body image will undergo adjustment. Body image adjustment is a very common and normal experience that many women go through after breast reduction surgery. You may have been thinking about having a breast reduction for a long time, in many cases, several decades! Once you finally undergo surgery, you wake up and your body has changed significantly in the blink of an eye. Although the change is entirely positive and your symptoms of macromastia are alleviated, it can take some time for your brain to adjust to the “new normal”. Remember that breast reduction surgery has the highest satisfaction of all procedures offered in Plastic Surgery. Rest assured that any feelings of being “out of sorts” or feeling emotional will pass as you recuperate and get used to the new you! ## Will I Need Additional Surgery after a Breast Reduction? The results of a breast reduction are permanent, and your breasts will remain perky with their new smaller size and attractive shape for many years. However, your breasts will age with you over time, as appropriate. Your surgeon will follow up with you and ensure that your breasts still look fabulous for many years after your surgery. There is no reason to undergo any additional surgery unless you are experiencing a problem or unless you wish to do so. [Back to Top](https://www.drkarenhorton.com/breast/reduction#) ## Is There a Minimum or Maximum Age for Breast Reduction? Breast reduction is a procedure which is done to improve a woman’s quality of life, and therefore can be done at any time, with no age limits. All potential breast reduction patients should fit into the parameters of an appropriate candidate for surgery in general. For teenagers, a breast reduction can be done to enable a young woman to more easily participate in physical activities, to feel more comfortable about her body and can often improve self-confidence and self-esteem. A breast development history will be taken at her consultation to determine whether her breasts have completed their growth. It is possible that following a breast reduction in a very young woman, further breast development may occur and the breasts could grow larger than their post-surgical size over time. If this were to occur, a repeat breast reduction could be done if needed. The timing of breast reduction surgery requires judgment about current quality of life, the risks and benefits of surgery and other details that will be discussed fully at your breast reduction consultation. Likewise, for older women, a breast reduction can significantly improve quality of life and enable many more physical activities, in addition to alleviating physical symptoms of macromastia. “Age is just a number”, and many women in their 60s, 70s and beyond are healthy, active and physically fit, enjoying life as it was meant to be! It is reasonable for an older woman to consider having surgery as long as she is healthy enough to undergo a lengthy procedure under general anesthesia. Your Primary Care Physician may be called upon to clear her medically for surgery, together with any other specialists who are supervising your medical care. [Back to Top](https://www.drkarenhorton.com/breast/reduction#) ## How Do I Know Whether a Breast Reduction is Right For Me? At your initial breast reduction consultation, Dr. Horton will spend a great deal of time getting to know you personally and taking a complete medical history. As women Plastic Surgeons, we intimately understand how a woman’s feelings about her breasts can influence her self-image and her femininity, and we aim to help you feel better, move better, and give you the result you are looking for! We will explore your reasons for seeking breast reduction, examine your breasts, and if you are an appropriate candidate for surgery, your options will be described in detail. [Back to Top](https://www.drkarenhorton.com/breast/reduction#) ## Planning Your Breast Reduction Procedure - **Average Cost:** $20,000-$30,000 - **Average Procedure Time:** 3-4 hours - **Average Recovery Time:** 3-6 weeks _Please note that pricing will vary and all information provided represents an average of typical costs and time and does not guarantee pricing or availability. Your individual treatment plan will be personalized to meet your needs and we recommend scheduling a consultation to receive a more accurate breakdown of pricing and recovery expectations._ ![Planning Your Procedure](https://hortonnew.b-cdn.net/wp-content/uploads/2019/08/Horton-Plan-Your-Procedure.jpg) [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/breast/reduction#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Cosmetic Treatment Specials Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Specials [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") Page Updated: March 6, 2025 ![](https://hortonnew.b-cdn.net/wp-content/uploads/2022/03/Horton-Q2-EC-2022-Spring-Nonsurgical-FB-Cover.png) ## $65 Off Your First Botox Treatment! ![](https://hortonnew.b-cdn.net/wp-content/uploads/2025/03/BOTOX-Cosmetic-Syringe-and-Vial-65-off-in-feed-social-post-.png) Looking to try BOTOX Cosmetic? **Save $65** on your first treatment! [**Click here**](https://alle.com/offer/botox-65offer-2025) to claim your discount. _\*While supplies last. Valid for 90 days after added to Wallet._ ## $75 Off Juvéderm Treatment & Complimentary SkinMedica Kit ![](https://hortonnew.b-cdn.net/wp-content/uploads/2024/12/Juvederm-Special-2025.jpg) Receive **$75 off** AND get a **complimentary SkinMedica skincare kit** ($120 value) when you purchase two or more syringes of Juvéderm.\* _\*While supplies last._ [I Want This!](https://www.drkarenhorton.com/about/specials#specialsform) ## Allē Double Points + Refer a Friend ![](https://hortonnew.b-cdn.net/wp-content/uploads/2025/02/BOTOX-Cosmetic-and-JUVEDERM-Double-Points-copy.png) **DOUBLE POINTS:** Patients can earn up to **$100 in Allē points** from 02‍/‍04‍/‍25–03‍/‍31‍/‍25 when they get treated with BOTOX Cosmetic and the JUVÉDERM Collection of Fillers at the same visit.\* **REFER A FRIEND:** From 02‍/‍04‍/‍25–03‍/‍31‍/‍25, patients can refer a friend to Allē and **they’ll both get $50 off!\*** [JOIN ALLĒ TODAY](https://alle.com/registration) _\*Restrictions, terms and conditions apply. Please visit the Allē website for details._ ## Free IPL Hand Treatment with Purchase ![](https://hortonnew.b-cdn.net/wp-content/uploads/2024/12/IPL-Hand-Treatment-2025.jpg) **Complimentary IPL hand treatment** with the purchase of a face, neck, and chest treatment. _Erase the visible signs of sun damage! [IPL](https://www.drkarenhorton.com/non-surgical/intense-pulsed-light/) targets sun spots, hyperpigmentation, redness, and broken capillaries with minimal downtime._ [I Want This!](https://www.drkarenhorton.com/about/specials#specialsform) ## Free HA Intensifier with Purchase ![](https://hortonnew.b-cdn.net/wp-content/uploads/2024/01/Restylane-Filler-Special-Jan-2024.jpg) Get a **FREE SkinCeuticals HA Intensifier** with the purchase of any laser or microneedling package. _SkinCeuticals HA Intensifier is a hydrating serum that is great for skin during the dry winter months!_ [I Want This!](https://www.drkarenhorton.com/about/specials#specialsform) ## Introducing Allē Flash ![](https://hortonnew.b-cdn.net/wp-content/uploads/2023/01/AlleFlash-e1673403765290.png) **We now participate in Allē Flash!** Download the Allē Rewards app and scan the QR code when you check in for your appointment for a chance to receive an additional promotion you can apply toward your treatment! do or do not , there is no try First Name Last Name Phone Number Email What special are you interested in? Sign Up for Our Email Newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. _\*All promotions expire 3/31/25, unless otherwise specified._ ## $65 Off Your First Botox Treatment! ![](https://hortonnew.b-cdn.net/wp-content/uploads/2025/03/BOTOX-Cosmetic-Syringe-and-Vial-65-off-in-feed-social-post-.png) Looking to try BOTOX Cosmetic? **Save $65** on your first treatment! [**Click here**](https://alle.com/offer/botox-65offer-2025) to claim your discount. _\*While supplies last. Valid for 90 days after added to Wallet._ ## $75 Off Juvéderm Treatment & Complimentary SkinMedica Kit ![](https://hortonnew.b-cdn.net/wp-content/uploads/2024/12/Juvederm-Special-2025.jpg) Receive **$75 off** AND get a **complimentary SkinMedica skincare kit** ($120 value) when you purchase two or more syringes of Juvéderm.\* _\*While supplies last._ [I Want This!](https://www.drkarenhorton.com/about/specials#specialsform) ## Allē Double Points + Refer a Friend ![](https://hortonnew.b-cdn.net/wp-content/uploads/2025/02/BOTOX-Cosmetic-and-JUVEDERM-Double-Points-copy.png) **DOUBLE POINTS:** Patients can earn up to **$100 in Allē points** from 02‍/‍04‍/‍25–03‍/‍31‍/‍25 when they get treated with BOTOX Cosmetic and the JUVÉDERM Collection of Fillers at the same visit.\* **REFER A FRIEND:** From 02‍/‍04‍/‍25–03‍/‍31‍/‍25, patients can refer a friend to Allē and **they’ll both get $50 off!\*** [JOIN ALLĒ TODAY](https://alle.com/registration) _\*Restrictions, terms and conditions apply. Please visit the Allē website for details._ ## Free IPL Hand Treatment with Purchase ![](https://hortonnew.b-cdn.net/wp-content/uploads/2024/12/IPL-Hand-Treatment-2025.jpg) **Complimentary IPL hand treatment** with the purchase of a face, neck, and chest treatment. _Erase the visible signs of sun damage! [IPL](https://www.drkarenhorton.com/non-surgical/intense-pulsed-light/) targets sun spots, hyperpigmentation, redness, and broken capillaries with minimal downtime._ [I Want This!](https://www.drkarenhorton.com/about/specials#specialsform) ## Free HA Intensifier with Purchase ![](https://hortonnew.b-cdn.net/wp-content/uploads/2024/01/Restylane-Filler-Special-Jan-2024.jpg) Get a **FREE SkinCeuticals HA Intensifier** with the purchase of any laser or microneedling package. _SkinCeuticals HA Intensifier is a hydrating serum that is great for skin during the dry winter months!_ [I Want This!](https://www.drkarenhorton.com/about/specials#specialsform) ## Introducing Allē Flash ![](https://hortonnew.b-cdn.net/wp-content/uploads/2023/01/AlleFlash-e1673403765290.png) **We now participate in Allē Flash!** Download the Allē Rewards app and scan the QR code when you check in for your appointment for a chance to receive an additional promotion you can apply toward your treatment! do or do not , there is no try First Name Last Name Phone Number Email What special are you interested in? Sign Up for Our Email Newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. _\*All promotions expire 3/31/25, unless otherwise specified._ [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/about/specials#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") X do or do not , there is no try Sign Up To Receive Our Specials And Events Sign Up for Our Newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. ## Liposuction Overview Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Liposuction [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") Page Updated: December 31, 2024 ## Liposuction [What is Liposuction?](https://www.drkarenhorton.com/body/liposuction#what) [Who is a Good Candidate for Liposuction?](https://www.drkarenhorton.com/body/liposuction#candidate) [Is a Liposuction Part of a Mommy Makeover?](https://www.drkarenhorton.com/body/liposuction#mommy_makeover) [What Really Happens During Liposuction?](https://www.drkarenhorton.com/body/liposuction#happens) [What Are the Different Types of Liposuction?](https://www.drkarenhorton.com/body/liposuction#types) [What is the Recovery After Liposuction?](https://www.drkarenhorton.com/body/liposuction#recovery) [Will Liposuction Remove Cellulite?](https://www.drkarenhorton.com/body/liposuction#cellulite) [What Are Potential Risks and Complications of Liposuction Surgery?](https://www.drkarenhorton.com/body/liposuction#risks) [Where Can I See Before and After Photographs of Liposuction Procedures?](https://www.drkarenhorton.com/body/liposuction#gallery) [How Do I Know Whether Liposuction is Right For Me?](https://www.drkarenhorton.com/body/liposuction#right) ## What is Liposuction? Liposuction is a surgical technique that removes excess “adipose tissue” (fat) from specific stubborn fat deposits on the body. The purpose of liposuction is to improve body contour and reduce overall body size. Liposuction enables individuals who feel out of proportion due to their body shape or persistent fatty deposits despite achieving an optimal weight to become more proportional and look as fit, athletic and toned as they usually are! During liposuction, localized deposits of fat cells that are resistant to diet and exercise are removed using a thin wand (known as a surgical “cannula”) and a vacuum to improve body contour. Common areas amenable to liposuction have amusing nicknames in popular culture: the hips, thighs (“saddle bags”), abdomen (“pooch”), flanks (“muffin-top” or “love handles”), buttocks (“banana roll”), arms (“bat wings”), and neck (“turkey waddle”). Accumulation of stubborn fat in these areas is called “Lipodystrophy” in the medical literature. Liposuction is a simple and effective procedure to contour the body with less downtime than other more invasive surgeries. Liposuction can be performed on multiple areas of the body at one time, and can also be added as a complimentary procedure to [breast surgery](https://www.drkarenhorton.com/breast/), [tummy tuck](https://www.drkarenhorton.com/body/tummy-tuck/) surgery, [body contouring](https://www.drkarenhorton.com/body/) or [facial surgery](https://www.drkarenhorton.com/face/). [Back to Top](https://www.drkarenhorton.com/body/liposuction#) ## Enter Your Information Here to Download Our FREE Liposuction Guide do or do not , there is no try I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. ![Breast Augmentation Decision Aid Brochure Graphic](https://hortonnew.b-cdn.net/wp-content/uploads/2023/04/lipo-optin-new.webp) ## Who is a Good Candidate for Liposuction? Good candidates for liposuction include healthy individuals of normal weight with good skin tone and elasticity, both men and women who have concentrated pockets of fat resistant to weight loss, and people who have achieved the maximum possible results with regular exercise and healthy, balanced diet. Liposuction is not an alternative to weight loss and should be postponed if additional weight loss or pregnancy is planned in the near future for the best possible results. Please see our [Preparing for Surgery](https://www.drkarenhorton.com/patient-information/preparing-surgery/) section to learn more about optimizing your results from liposuction by becoming the best possible candidate for surgery. ### Watch as Dr. Horton weighs in on the stigma surrounding Plastic Surgery for men in this ASPS Roundtable discussion. ASPS Roundtable: Plastic Surgery for Men from PlasticSurgeryASPS on Vimeo ![video thumbnail](https://i.vimeocdn.com/video/1683584726-cc04ad047a489cf617bb3ba95ad8c0d4f89e7aae35d872c22037115ae063d5ab-d?mw=80&q=85) Playing in picture-in-picture Like Add to Watch Later Share Play 00:00 26:01 CC/Subtitles Off English CC Customize TranscriptSettings QualityAuto SpeedNormal Picture-in-PictureFullscreen [Watch on Vimeo](https://vimeo.com/733287017) [Back to Top](https://www.drkarenhorton.com/body/liposuction#) “ _Hi Dr. Horton, just want to reiterate how much I loved having you as my doctor. Looking at those past pictures of myself then looking in the mirror I was speechless! I adore my new fit and healthy body! Thank you again so much for all you do!!_ „ ## What Are the Different Types of Liposuction? ### Standard Liposuction (SAL) Most liposuction cases are done using standard liposuction, also known as “suction-assisted lipectomy” (SAL). During this traditional liposuction technique, concentrated areas of fat to be removed are marked on the skin preoperatively while standing up. Injection of tumescent solution as described above is done for all cases of liposuction. This is known as the “Tumescent Technique” and is most safe way to remove fat while decreasing bruising and promoting postoperative comfort. Liposuction can be performed in the office, but for optimal safety and patient comfort we usually recommend having surgery under general anesthesia in the main operating room as an outpatient (same-day) procedure. Most routine cases of liposuction remove up to a few liters of fat (3-5 pounds, up to 10 pounds of fat). “Large volume liposuction” refers to surgery where more than 5 liters of fat are removed (over 10 pounds). For safety, an overnight stay is usually recommended if many areas at once are being treated or if a large volume of fat removal is planned. ### Ultrasonic Liposuction (UAL) Ultrasonic liposuction is a two-stage procedure that first treats the fat with a wand that delivers ultrasound energy inside the body to help “melt” the fat before its removal. Regular liposuction is then used to remove the fat in the same operation. Other names for this technique are “ultrasound-assisted lipectomy” (UAL) or “Vaser” (a brand name of one type of machine). Ultrasonic liposuction is usually recommended for very stubborn fat deposits such as redo liposuction and other difficult-to-treat areas such male breast tissue (“ [gynecomastia](https://www.drkarenhorton.com/breast/male-reduction/)“) or lipodystrophy associated with medications used to treat HIV. ### Power-Assisted Liposuction (PAL) Another machine that is infrequently used has a vibrating wand that purports to decrease surgeon fatigue. Known as “power-assisted liposuction” (PAL), this technique is not commonly performed by most Plastic Surgeons. ### Other Brand Name Procedures New machines and technologies emerge on the market every year. Many of these have brand names that are heavily promoted in the media and on large billboards to the general public. While these procedures often have familiar brand name recognition, there is no guarantee that they are appropriate for every patient in every situation. In our practice, we only offer procedures and treatments that are FDA-approved, clinically proven and recommended by our professional societies, which are limited to Board-Certified Plastic Surgeons. For safety and to find the very best fit of procedure to match your specific body contouring goals, a formal in-person consultation including a complete history and full physical examination is essential. [Back to Top](https://www.drkarenhorton.com/body/liposuction#) # Featured Case [View Our Patient Gallery](https://www.drkarenhorton.com/gallery/body/liposuction/) Previous ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG8634809027-10487-b/original.jpeg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG8634809067-10487-a/original.jpeg) Drag the slider to see transformation ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG5367735054-2723-b/original.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG5367735071-2723-a/original.jpg) Drag the slider to see transformation Next ## Is a Liposuction Part of a Mommy Makeover? Liposuction is very often part of a Mommy Makeover! Common areas addressed by liposuction in Moms include the abdomen, flanks, pubic region, hips, inner and outer thighs, buttocks, arms and neck or chin. Please see our Mommy Makeover section to learn about changes that commonly occur in the body after pregnancy and about liposuction as a component of a Mommy Makeover! [Back to Top](https://www.drkarenhorton.com/body/liposuction#) ## What Really Happens During Liposuction? Please see our Preparing for Surgery section to learn about what happens in the operating room on the day of surgery. During liposuction, tiny incisions are hidden in natural body creases such as the groin, belly button, armpit or buttock crease. Through these incisions, a special fluid mixture called “Tumescent Solution” is infiltrated into the fat. Tumescent solution contains normal saline (sterile salt water) which helps to “plump up” the fat cells for removal, adrenaline (epinephrine) which acts as a “vasoconstrictor” to decrease bruising and prevent bleeding, and a local anesthetic (lidocaine) which makes the area numb for many hours up to a few days after surgery and promotes postoperative comfort. Next, a blunt-ended, thin-diameter wand known as a “Cannula” is introduced through the tiny incisions to gently suction out excess fat using a Vacuum. Fat cells are removed permanently! The treated areas are “feathered out” at their edges to blend naturally with the surrounding areas. At the end of the procedure, dissolving sutures are placed and a [Compression Garment](https://www.drkarenhorton.com/patient-information/postoperative-instructions/#compression) is applied. Surgery can take an hour and a half up to several hours if multiple areas are treated. [Back to Top](https://www.drkarenhorton.com/body/liposuction#) ## What is the Recovery After Liposuction? After liposuction, mild discomfort requiring oral pain medication and swelling is expected for a few days. You will be given oral prescription pain medication and can switch to regular Tylenol when you feel ready. Medications such as aspirin, ibuprofen and other NSAIDs (Excedrin, Motrin, and Aleve) must be discontinued two weeks before and after surgery to limit bruising. Bruising is expected after liposuction for 2-3 weeks. You will awake wearing a compression garment. It is recommended you wear your garment continuously for the first 3-5 days after surgery before removing it to shower, as your swelling will peak during this early postoperative period. You can return to work within a few days, and resume exercise in a few weeks, or when you feel ready. You should continue to wear your compression garment for up to six weeks after liposuction to promote the flattest and firmest body contour possible. Numbness and overall tiredness is common for a few weeks after surgery. It can take 3 months up to a year for all surgical swelling to subside and for the final results of liposuction to be apparent. Please see our [Postoperative Instructions](https://www.drkarenhorton.com/patient-information/postoperative-instructions/) section for additional information pertaining to recovering from liposuction. [Back to Top](https://www.drkarenhorton.com/body/liposuction#) _Dear Dr. Horton, Thank you very much for my results from surgery. I feel like I look fantastic and balanced. All my clothes have a whole new meaning and I love getting dressed everyday now._ ## Will Liposuction Remove Cellulite? There are two Distinct Layers of Fat in the body: the Deep Layer (where excess fat is stored) and the Superficial Layer of fat (for instance in the face, at the ankles or over the sternum). Pinch your own sternum for an example of your superficial layer of fat. There is a structural anatomic boundary between these fatty layers known as “connective tissue” which is made up of collagen and elastin. The makeup of connective tissue is primarily genetic and differs between men and women. Cellulite is a specific structural condition that occurs primarily in women but can also exist in men. As fat is stored and accumulates in the deep layer of fat, it bulges upward and is visible through the skin surface as dimpling, creating the “cottage cheese” contour of cellulite. Cellulite is a natural anatomic phenomenon that cannot be prevented or removed. In most men, the connective tissue boundary between the deep and superficial fat layers is naturally strong and cross-linked, which prevents excess fat to be seen even if very thick (think of a big, smooth beer belly!) Unfortunately for most women, their connective tissue layer is naturally less cross-linked and weaker, becoming prone to further weakening with age. It is for this reason that women develop cellulite in dependent areas where fat is stored after a certain age (buttocks, back of the thighs), and why cellulite often persists despite being physically fit or obtaining a normal weight. Liposuction specifically treats localized fat deposits (“lipodystrophy”) that persist despite a healthy diet, optimal weight and regular physical activity. Liposuction therefore only removes fat from the deep layer and stays out of the superficial layer. This ensures that only true surpluses of fat are removed and that the skin maintains its smooth and natural contour without creating ugly “ripples” or “waves” (irregularities) in its surface. While liposuction does not specifically remove cellulite (nothing can), it can potentially improve the appearance of cellulite by debulking the deep layer of fat and lessening the tension on the skin from below. Wearing a postoperative compression garment facilitates a smooth skin contour and contraction of skin evenly after liposuction. [Back to Top](https://www.drkarenhorton.com/body/liposuction#) ## What Are Potential Risks and Complications of Liposuction Surgery? When you are considering any type of surgery, you should be fully educated about potential risks and complications. Please see our [Preparing for Surgery](https://www.drkarenhorton.com/patient-information/preparing-surgery/) section to learn about risks and potential complications related to surgery and [Postoperative Instructions](https://www.drkarenhorton.com/patient-information/postoperative-instructions/) for additional information pertaining specifically to liposuction. [Back to Top](https://www.drkarenhorton.com/body/liposuction#) ## Where Can I See Before and After Photographs of Liposuction Procedures? Visit our patient gallery to see [before and after liposuction](https://www.drkarenhorton.com/gallery/body/liposuction/) results! [Back to Top](https://www.drkarenhorton.com/body/liposuction#) ## How Do I Know Whether Liposuction is Right For Me? As women Plastic Surgeons, we intimately understand how a woman’s feelings about her body can influence her body image and self-esteem, and we aim to give you the results you are looking for! At your liposuction consultation, your surgeon will spend a great deal of time with you to get to know you personally and take a complete medical history. We will explore your reasons for seeking body contouring, examine you, and if you are an appropriate candidate for surgery, your options will be described in detail. [Back to Top](https://www.drkarenhorton.com/body/liposuction#) ## Planning Your Liposuction Procedure - **Average Cost:** $8,000-$15,000 per area _(surgical fee)_ - **Average Procedure Time:** 2-4 hours - **Average Recovery Time:** 3-6 weeks _Please note that pricing will vary and all information provided represents an average of typical costs and time and does not guarantee pricing or availability. Your individual treatment plan will be personalized to meet your needs and we recommend scheduling a consultation to receive a more accurate breakdown of pricing and recovery expectations._ ![Planning Your Procedure](https://hortonnew.b-cdn.net/wp-content/uploads/2019/08/Horton-Plan-Your-Procedure.jpg) [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/body/liposuction#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Gift Certificates Available Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Gift Certificates [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") # Gift Certificates Give the gift of gorgeous! We offer gift certificates that can be used toward any [non-surgical service](https://www.drkarenhorton.com/non-surgical/) or [medical-grade skincare product](https://www.drkarenhorton.com/non-surgical/skin-care/). [Call the office](tel:+14155707352) or [shop online](https://shop.drkarenhorton.com/products/gift-cards) to purchase! ![Gift certificates for non-surgical procedures](https://hortonnew.b-cdn.net/wp-content/uploads/2020/02/karen-horton-plastic-surgery-gift-gorgeous-logo.jpg)_Gift certificates have no expiration and are valid for **non-surgical procedures or skincare products only**. Value of certificate cannot be returned or exchanged for cash or credit. Recipient must be deemed a good candidate for treatment by our office._ [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/gift-certificates#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Non-Surgical Aesthetic Treatments Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) [Plastic Surgery](https://www.drkarenhorton.com/)/[Non-Surgical Procedures](https://www.drkarenhorton.com/non-surgical/) # Non-Surgical Procedures ![]() [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [Plastic Surgery](https://www.drkarenhorton.com/)/[Non-Surgical Procedures](https://www.drkarenhorton.com/non-surgical/) ![](https://www.drkarenhorton.com/non-surgical) # Non-Surgical Procedures Chronic sun exposure and natural aging creates permanent changes in the skin, including wrinkles, abnormal pigmentation, and loss of youthful facial volume around the eyes and in the cheek and mid-face regions. Some individuals may not yet want or need an extensive surgical procedure to feel rejuvenated at this point in their life. However, they may wish to treat skin changes from aging or sun damage, or to rejuvenate the face, neck or chest in a more simple way, with less downtime and less cost than major surgery. For patients who are not quite ready for surgery, non-surgical aesthetic treatments can be an effective, reasonable and realistic way to achieve their goals. The aim of any non-surgical rejuvenation procedure is to treat the noticeable features of aging to produce a _brighter and refreshed_ look to the eyes, face, brow area, neck, chest and skin overall. However, no treatment should ever change your appearance or make you look unusual! The best minimally invasive rejuvenating procedures create beautiful, subtle and natural results, without looking “done”, “surprised”, “frozen” or different. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) Some facial, breast, or body plastic surgery patients complement their surgical procedure with non-surgical cosmetic treatments to get the full effect of surgery and to truly pamper themselves! Minimally invasive procedures can also accompany a “ [Mommy Makeover](https://www.drkarenhorton.com/body/mommy-makeover/)”, as pregnancy and breastfeeding can take a toll on the skin and the face as well as the breasts and tummy. To complement minimally invasive cosmetic procedures, medical grade skin care is vital and always recommended to fully prepare the skin to receive nonsurgical treatments, to speed up recovery from nonsurgical procedures, and to promote the best aesthetic results in the long run. Please read on to learn more about our exciting new non-surgical rejuvenation procedures! **Follow Emily Sespaniak, NP:** - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") “ _For over two years Emily has been my stellar professional for aesthetic procedures. She knows her stuff and patiently answers my many questions. I feel comfortable with sometimes scary procedures because she takes extreme care with her work._ „ ## Botox, Dysport & Jeuveau With age, sun damage and years of overactive muscle contraction, fine and deep wrinkles can form in the face, contributing to an aged, tired or angry appearance. [Botox](https://www.drkarenhorton.com/non-surgical/botox/) ® Cosmetic and alternative “neuromodulators” are prescription medicines that are injected to the appearance of moderate-to-severe frown lines between the eyebrows. With real, noticeable and natural-looking results usually within days, no surgery and no recovery time, this treatment has been chosen by millions of individuals, both men and women, as their rejuvenation procedure of choice! Results typically last 3-4 months, and the treatment needs to be repeated as it wears off to maintain the benefit. [Learn more about BOTOX® Cosmetic and Alternative Neuromodulators here.](https://www.drkarenhorton.com/non-surgical/botox/) ## Injectable Fillers Dermal ‘fillers’ are natural, soft gel-like products that are used to fill in facial lines and creases, to correct contour defects or depressions, to restore volume loss from aging, or to plump the lips or cheeks. From specific lines to unwanted wrinkles or depressions, injection of [dermal fillers](https://www.drkarenhorton.com/non-surgical/injectables/) can instantly restore natural contours and smooth away deep wrinkles with just one treatment. Our goal is always a natural appearance that can last up to a year or more. Although the results are not permanent, fillers have significantly less downtime and cost when compared to surgery. We offer a number of different options for fillers, including Juvederm, Restylane and Voluma. [Learn more about Injectable Fillers here.](https://www.drkarenhorton.com/non-surgical/injectables/) ## Lip Fillers Using hyaluronic acid dermal fillers, we can help our patients achieve a more voluptuous pout. Not only can lip fillers increase lip volume, but they can also be used to diminish fine lines and wrinkles and improve lip definition for a more youthful, refreshed appearance. [Learn more about Lip Fillers here.](https://www.drkarenhorton.com/non-surgical/lip-fillers/) ## Laser Treatments “Laser” office treatments include Intense Pulsed Light therapy (“ [IPL](https://www.drkarenhorton.com/non-surgical/laser-treatments/)”) and other laser technologies to improve skin appearance. IPL technology is a safe, non-surgical, non-invasive and versatile treatment that uses light energy to rejuvenate the skin. IPL is used for “photorejuvenation” of the skin, correction of sun damage, treatment of abnormal pigmentation and redness. Post-surgical scars may be optimized using IPL to target redness or hyperpigmentation, even years after a surgical procedure. We counsel all our patients about scar therapy, including the option to include IPL or other laser treatments as part of their comprehensive scar management protocol. We also offer the [Clear + Brilliant](https://www.drkarenhorton.com/non-surgical/laser-skin-resurfacing/) ™ laser treatment which is designed to not only reduce the appearance of early signs of aging but also to help protect the skin against future damage. This laser is suited for all skin types and is great for those who seek smoother, more even-toned skin. [Learn more about “Laser” Treatments and Optimization of Scars here.](https://www.drkarenhorton.com/non-surgical/laser-skin-resurfacing/) ## Medical-Grade Skin Care Preparing, protecting and maintaining beautiful skin is vital to men and women of all ages. In our office, we believe in science and safety first and only offer products and services that are FDA-approved, scientifically based and clinically proven to actually work. “Medical-grade” [skin care](https://www.drkarenhorton.com/non-surgical/skin-care/) refers to professional skin care products and lines that contain the highest possible concentration of the active ingredients, and are only available through your physician’s office. Our skin care lines will help to rejuvenate your face, neck and chest, help to correct visible signs of aging and years of sun damage, and fully prepare you for non-surgical rejuvenation and for cosmetic surgical procedures alike. [Learn more about Medical-Grade Skin Care here.](https://www.drkarenhorton.com/non-surgical/skin-care/) ## LATISSE® Eyelash Lengthening Treatment [LATISSE](https://www.drkarenhorton.com/non-surgical/latisse/) ® is the only FDA-approved, prescription eyelash-lengthening treatment that is used to grow eyelashes longer, thicker and darker. Latisse is a wonderful way to enhance and bring out your eyes simply, effectively and safely. It is easy to add this treatment to your overnight beauty regimen for eye-popping and long-lasting results. [Learn more about Latisse® here.](https://www.drkarenhorton.com/non-surgical/latisse/) ## Scar Therapy Although scar formation following a surgical procedure is generally inevitable, there are effective methods that can be used to significantly decrease the long-term appearance of scarring. We offer [scar therapy](https://www.drkarenhorton.com/non-surgical/scar-therapy/) after your cosmetic or reconstructive procedure to help diminish the signs of surgery. Through the combination of topical treatments, massage therapy, and laser techniques, scar therapy can help you reduce visibility of your scar and fully achieve your cosmetic goals. [Learn more about Scar Therapy here.](https://www.drkarenhorton.com/non-surgical/scar-therapy/) [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/non-surgical#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Breast Lift Overview Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Breast Lift (Mastopexy) [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") ## Breast Lift (Mastopexy) [What is a Mastopexy (Breast Lift)?](https://www.drkarenhorton.com/breast/lift#what) [Who is a Good Candidate for a Breast Lift?](https://www.drkarenhorton.com/breast/lift#candidate) [Is a Breast Lift Part of a Mommy Makeover?](https://www.drkarenhorton.com/breast/lift#mommy_makeover) [What Are The Different Types of Breast Lifts?](https://www.drkarenhorton.com/breast/lift#types) [Will Mastopexy Interfere with Breast Function?](https://www.drkarenhorton.com/breast/lift#interfere) [What Are Potential Risks and Complications of Mastopexy Surgery?](https://www.drkarenhorton.com/breast/lift#risks) [What Really Happens During Breast Lift Surgery?](https://www.drkarenhorton.com/breast/lift#happens) [Is Liposuction Part of a Breast Lift?](https://www.drkarenhorton.com/breast/lift#liposuction) [Where Can I See Before and After Photographs of Breast Lift Procedures?](https://www.drkarenhorton.com/breast/lift#gallery) [Will I Need Additional Surgery after a Mastopexy?](https://www.drkarenhorton.com/breast/lift#additional_surgery) [How Do I Know Whether a Breast Lift is Right For Me?](https://www.drkarenhorton.com/breast/lift#right) “ _Dr. Horton - I just wanted to thank you for seeing me the other day for my breast lift consult.  Your approach in getting to know me so well and understanding my goals meant so much.  I cannot wait to schedule my surgery!_ „ # What is a Mastopexy (Breast Lift)? “Ptosis” of the breasts, also known as breast droop, and “deflation” of the breasts can occur after pregnancy, after significant weight loss or with age. A mastopexy reshapes the breast by rearranging the breast tissue, redraping loose breast skin, and lifting the nipples and areolas to a higher and more aesthetic position on the breast. The goal of “mastopexy” (breast lift) is to create a perkier, lifted, more youthful breast shape. Your mastopexy result should look natural, like you were just born that way! Mastopexy surgery can help to improve a woman’s body image, and in many instances can help “lift” her self-esteem and self-confidence! A breast lift rejuvenates sagging breasts to an elevated and more aesthetic position, but does not increase the overall breast volume.  We perform an “auto-augmentation” technique where the upper pole of the breast is filled with breast tissue (in the same location that a breast implant is placed to increase upper pole fullness).  On occasion, a [breast implant](https://www.drkarenhorton.com/breast/lift-with-augmentation/) will also be placed at the same time as mastopexy to achieve a fuller, enhanced breast with more upper pole fullness and projection (as if wearing a push-up bra) in addition to a breast lift alone. # Who is a Good Candidate for a Breast Lift? Good candidates for mastopexy include women who are healthy, in good physical shape, and at their ideal body weight (or a stable weight following major weight loss). Typical breast lift patients include women who have satisfactory volume but sagging breasts that lack substance or firmness (breast “deflation”), and/or with nipples and areolas pointing downward (breast “ptosis”). Many women with droopy breasts state they are “happy in a bra” and they just wish to have that effect with a breast lift. [Moms](https://www.drkarenhorton.com/body/mommy-makeover/note-to-mothers/) may find they miss the shape and fullness of their breasts from the time before they had children, or possibly the fullness of while they were nursing their babies. Other women are seeking better symmetry of their breasts if one is a significantly different size or shape than the other, or if their breasts have a “ [tubular](https://www.drkarenhorton.com/breast/tubular/) shape”. # Featured Case [View Our Patient Gallery](https://www.drkarenhorton.com/breast/lift) Previous ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG0859753088-9912-b/original.jpeg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG0859819034-9912-a/original.jpeg) Drag the slider to see transformation ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3459585008-2836-b/original.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3459585018-2836-a/original.jpg) Drag the slider to see transformation ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG5973123048-10806-b/original.jpeg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG5973103093-10806-a/original.jpeg) Drag the slider to see transformation Next [View More Breast Lift Cases](https://www.drkarenhorton.com/gallery/breast/breast-lift/) ## What Are The Different Types of Breast Lifts? The droopy, saggy or “ptotic” breast has three main issues: (1) the breast tissue has lost its shape, it has deflated and hangs low on the chest with loss of upper pole volume, (2) the nipples and areolas droop on the breast, often pointing downward, and (3) there is an excess of empty breast skin. Mastopexy therefore entails three separate but intimately related components: (1) reshaping the breast tissue and relocating it higher up on the chest wall, (2) repositioning the nipple to a more youthful position on the breast and reducing an enlarged areola diameter, and (3) removing and redraping extra breast skin. Each breast lift technique creates an incision around the nipple and areola in a circular pattern. This allows the nipple to be repositioned on the breast and the areolar diameter to be reduced as necessary. Structures leading to the nipple including nerves, blood vessels and milk ducts are preserved in a breast lift. The various techniques of mastopexy may include additional incisions based on the shape of the breast, the degree of skin excess and nipple ptosis. Each breast lift and reduction performed by Dr. Horton involves an “auto-augmentation”.  This involves creating an upper pole pocket where normally a breast implant would be placed.   This is where the nipple and areola are rotated up into, to create a more compact and shapely breast that sits higher up on the chest wall. ### Inverted T Technique The most common procedure for a breast lift involves an incision around the nipple and areola, a vertical incision from the bottom of the areola down to the inframammary fold (IMF), and a short scar that lies within the IMF. These incisions are shorter than the traditional “anchor scar” that is commonly described.  Our patients often refer to their IMF scar more as a “cat’s smile” than an anchor, as it should be hidden in the fold of the breast rather than extending to each side like an anchor. The inverted T technique creates the most perky breast shape, and truly creates a three-dimensional reshaping of the breast. The nipple and areola are left attached to their blood vessels, nerve supply and ductal supply. By maintaining these vital connections, the return of nipple function (sensation and the ability to nurse) is promoted after surgery. The inframammary scar is hidden when viewing the breasts from above or from the front, is concealed in bras and even triangle-top string bikinis, and is generally only visible on careful inspection up close when the breasts are lifted. The vertical incision generally fades to be nearly imperceptible, and the areolar scar lies at the natural junction of the pigmented areola and surrounding breast skin. ### “Lollipop” Scar Technique For breasts with a minimum of skin redundancy and only mild nipple droop, the “lollipop technique” can be used. This method creates the periareolar and vertical incisions only, without the horizontal IMF scar. The nipple blood supply, nerve supply and ductal supply is maintained, like in the inverted T technique. This technique is not appropriate for extremely droopy breasts or those with a significant amount of extra skin, where a true three-dimensional reduction of the breast envelope is required. ### Periareolar Technique Occasionally, a very subtle lift of the nipple and areola is desirable for one or both breasts. The “periareolar” technique creates an incision in the area around the areola (the pigmented circle that surrounds the nipple), at its junction with the breast skin. This technique does not address excess skin or enable major reshaping to the breast. A small periareolar lift can be added to a breast augmentation when the nipple requires minor repositioning but major reshaping of the rest of the breast is not required.  This is the technique most often used in [tubular breast correction](https://www.drkarenhorton.com/breast/tubular/#what) where there is minimal droop of the breast but there is an enlarged areola with a puffy shape that is to be corrected. ### Mastopexy and Breast Augmentation To restore breast volume after having children or after major weight loss, a breast implant can be placed at the same time as a breast lift. Occasionally, breast augmentation alone will help to lift the nipples very subtly. However, a combined mastopexy and augmentation procedure is indicated if there is significant ptosis of the breasts and the goal is to have the effect of a push-up and padded bra to enhance breast volume and projection. Please see our section on combined mastopexy-augmentation for more information about combined [breast lift with implants](https://www.drkarenhorton.com/breast/lift-with-augmentation/). [Back to Top](https://www.drkarenhorton.com/breast/lift#) ## Is a Breast Lift Part of a Mommy Makeover? Breast lift is a very frequent component of Mommy Makeover surgery! Please see our [Mommy Makeover](https://www.drkarenhorton.com/body/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 mastopexy as a component of a Mommy Makeover! ## Will Mastopexy Interfere with Breast Function? All breast procedures should ideally preserve the two major functions of the breast: (1) breastfeeding and (2) erogenous sensation to the nipples.  During a mastopexy, only skin (no breast tissue) is typically removed; the breast tissue is then rearranged with the goal of reshaping the breast but maintaining breast function. Vital anatomic structures of the breast (milk ducts, nerves and blood vessels) are preserved. The ability to breast feed is best promoted by using this method. Unfortunately, some women may be unable to breast feed even without having breast surgery. Keep in mind that supplementation with formula may be required if you do not produce a large volume of breast milk in any situation. After a mastopexy, sensation should slowly return to the nipple; however this can take from many months up to a year or more to fully recover. It is recommended that you wait at least six months after any breast surgery for your next mammogram, as your breasts may have some residual swelling or tenderness. [Back to Top](https://www.drkarenhorton.com/breast/lift#) ## What Are Potential Risks and Complications of Mastopexy Surgery? Please see our [Preparing for Surgery](https://www.drkarenhorton.com/patient-information/preparing-surgery/) section to learn about risks and potential complications related to surgery and [Postoperative Instructions for Breast Surgery](https://www.drkarenhorton.com/patient-information/postoperative-instructions/#breast) for additional information pertaining to breast lift. ## What Really Happens During Breast Lift Surgery? Please see our Preparing for Surgery section to learn about what happens in the operating room on the day of surgery. During a breast lift, an incision is made around the nipple and areola, and excess skin is removed. The remaining breast tissue is itself rearranged three-dimensionally to reshape the breast. The nipple and areola are relocated to a higher and more aesthetic location, while maintaining their connections to the rest of the breast. The remaining breast skin is then redraped to complete the procedure. Mastopexy generally takes 3-4 hours to complete. [Back to Top](https://www.drkarenhorton.com/breast/lift#) ## Is Liposuction Part of a Breast Lift? Liposuction can be added to a mastopexy to help shape the outer region of the breast, providing the best contour, and to debulk the “axillary roll” (armpit fat) and back roll regions. Your surgeon will examine these areas to determine whether liposuction is an appropriate addition to your breast lift. Please see our [Liposuction](https://www.drkarenhorton.com/body/liposuction/) section for more information. [Back to Top](https://www.drkarenhorton.com/breast/lift#) ## Where Can I See Before and After Photographs of Breast Lift Procedures? Please visit our photo gallery to see [before and after mastopexy](https://www.drkarenhorton.com/gallery/breast/breast-lift/) (breast lift) results! ## Will I Need Additional Surgery after a Mastopexy? The results of a breast lift are permanent, and your breasts will remain perky with their new shape and natural-looking for many years. However, your breasts will age with you over time, as appropriate. Your surgeon will follow up with you and ensure that your breasts still look fabulous for many years after your surgery. There is no reason to undergo any additional surgery unless you are experiencing a problem or unless you wish to do so. ## How Do I Know Whether a Breast Lift is Right For Me? At your initial mastopexy consultation, your surgeon will spend a great deal of time with you to get to know you personally and take a complete medical history. As women Plastic Surgeons, we intimately understand how a woman’s feelings about her breasts can influence her self-image and her femininity, and we aim to give you the result you are looking for! We will explore your reasons for seeking a breast lift, examine your breasts, and if you are an appropriate candidate for surgery, your options will be described in detail. [Back to Top](https://www.drkarenhorton.com/breast/lift#) [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/breast/lift#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Dr. Horton's Patient Reviews Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Patient Reviews ### Average Rating 358 reviews 5 STARS ★★★★★ ### Google 105 reviews 4.9 STARS, AVERAGE RATING ★★★★★ ### Realself 63 reviews 4.4 STARS, AVERAGE RATING ★★★★★ ### Facebook 27 reviews 4.8 STARS, AVERAGE RATING ★★★★★ ### RateMDs 34 reviews 4.8 STARS, AVERAGE RATING ★★★★★ ALLGoogle 105Realself 63Facebook 27 * * * RateMDs 34 * * * ## Karen M. Horton, MD (5 out of 358 Reviews) - ★★★★★5 out of 5 Stars **jeninoakland** Mar 15, 2025 Had a Great Experience I had the MACS lift in December. Dr Horton and her team did a great job of walking me through all of it. I am 63 and was afraid that the results might be too subtle, but I am very pleased. (I required liposuction as well.) - ★★★★★5 out of 5 Stars **Megan Lappe** Feb 24, 2025 I chose Dr. Horton because she was easy going, answered my questions, and preferred a minimally invasive approach. My recovery has been smooth, and I’m excited to see the finished results! I know they’ll be great! She promptly responded to any of my questions post procedure, even on the weekends. Her staff is so kind and her office is beautiful! - ★★★★★5 out of 5 Stars **Sam Driks** Feb 04, 2025 Dr. Horton and her staff are exceptional. Throughout the entire process, they were attentive, kind, experienced, and completely professional. The consultation process with Dr. Horton was holistic and personalized. It’s clear that Dr. Horton is an expert in what she does, and I could not have been more confident in her skill and judgment. First and foremost, Dr. Horton is a doctor. She truly cares about my health beyond my procedure. For that, I am forever grateful! The whole experience couldn’t have been more seamless for myself or my partner. We knew exactly what was happening every step of the way and the Horton team was always available any time I had a question (even answering texts). You really do feel so cared for as soon as you step into the office. And above all, I could not be happier with the results. I can’t say enough good things about this practice and am so glad I found them! - ★★★★★5 out of 5 Stars **Natalia A** Feb 02, 2025 I had a great experience with Dr. Horton twice. The first time she did breast implants and did an amazing job. Dr. Horton is an artist. I got great results of exactly what I wanted, as the looks were very natural for me and I had smooth healing experience. The second time (in ten years) Dr. Horton did the breast implant replacement, which had to be done due to after-Covid effects of misconfiguring one of the implants, and again I had a great experience. Smooth procedure, quick recover, great guidance by the doctor (she is on cell phone dial for me! and is very responsive). Dr. Horton listens, takes your input, gives you informative advice, and makes the best of the procedure. I highly recommend Dr. Horton. - ★★★★★5 out of 5 Stars **Giving352031** Jan 31, 2025 I can already tell I'm going to be extremely pleased with the results Dr Horton and her caring team were incredible. I saw them for an abdominal liposuction (I'd never done anything like this before!) . I was originally going to see several Plastic Surgeons as a consult but after meeting Dr Horton just once I decided I didn't need to interview anyone else. Although I am still early in my recovery, everything went wonderfully and I can already tell I'm going to be extremely pleased with the results. What stood out to me most is the day of surgery I naturally had some anxiety and her caring team made me feel like a princess before and after the procedure. Dr Horton is obviously in a sensitive role helping women care for their bodies...I felt very natural with her when she was making recommendations, she was very warm and caring and fact based when talking about my body. She also really took the time to get to know the "whole me" which also stood out as I'm sure she is a very busy lady! She really took my entire life and lifestyle into regard when making recommendations. - ★★★★★5 out of 5 Stars **Nancy Lewis** Jan 22, 2025 I asked someone for a recommendation, and later learned that she'd only seen Dr Horton's name on a list someplace! Dr Horton and her entire office staff are all wonderful, caring, and very understanding. I'm so glad that I found her! I'll recommend her to anyone who asks. - ★★★★★5 out of 5 Stars **Karen McDonald** Jan 10, 2025 She is the best- talented, informed and very caring, follows up post surgery. The office staff are wonderful too. Highly recommended. - ★★★★★5 out of 5 Stars **Calli** Jan 08, 2025 I am officially two months post-op and figured now would be a great time to write a review for my journey with Dr. Horton. I’m a researcher. I spent hours and days looking for the perfect surgeon and after gathering all my notes, I had it narrowed down to a few. From the moment I requested a consultation, I knew Dr. Horton’s expertise and professionalism was what I desired most in a surgeon. I didn’t care that her practice was 1,500 miles from my home. She was worth it. I don’t need to tell you her qualifications, but believe me, she blew her competition out of the water. The others didn't stand a chance. What sold me hook, line, and sinker was not only her, but her office staff as well. From the first phone call to the last one, every single person (every one!) in her office has been positive, efficient, and gives me the space to ask questions. At the consultation and pre-op, Dr. Horton took so much time with me to make sure I understood all the details, potential side effects, and expectations for recovery and beyond. She didn’t care how much time we spent talking about it. I wasn’t a number in an assembly line, I felt more like we were two friends having a conversation. She made sure I knew that this wasn’t just a simple procedure but one that needs to be taken seriously. She eased my fears and discussed that results were individual-based but generally, she anticipated great results for me. On surgery day, her staff eased my anxiety and I remember laughing pretty much the whole time in the surgery suite. Dr. Horton’s hands made quick work and left my body in a more beautiful state than before. I knew initially the first look is not the long-term result, but I was already ecstatic at what I saw and the results get better and better each day as she had said it would. Recovery was quicker than I expected and the entire time I had 24 hour access to Dr. Horton, should I need it. Even after my last post-op appointment, she reminded me that I could reach out anytime, no matter what, even though I lived quite a few states away. If you’re looking for a surgeon and team that will prioritize your care AND comfort, you could do no better than Dr. Horton and her practice. I will whole-heartedly recommend her to any and every person that I come across. Should I ever need another procedure, she will be the only surgeon I will trust. - ★★★★★4 out of 5 Stars **D R** Jan 06, 2025 No comment given - ★★★★★5 out of 5 Stars **Rachel Fohrman** Dec 24, 2024 I chose to work with Dr. Horton after my initial consultation, where she spent over an hour walking me through the procedure, empowering me to make a decision to go through with a surgery I had wanted for years. I really appreciated how frank she was about what to expect and the recovery time, as well as the emotional component that accompanies recovery for many patients. I had had a negative experience with another surgeon when I had a non-elective surgery 5 years prior, so I knew how important it was for me to understand what to expect during recovery and have a mechanism to ask questions and advocate for myself. Karen put me at ease during the initial consult, and the overall experience of surgery and post-op care could not have been better. If you are looking for excellent results but don’t want to compromise on your overall experience, I can’t recommend Karen and her team enough. - ★★★★★5 out of 5 Stars **Rita Bosnich** Sep 13, 2024 Thank you Dr Horton for helping me feel better about myself. And being honest with me. I trust you. - ★★★★★5 out of 5 Stars **Regan Tewksbury** Aug 30, 2024 Dr. Horton is absolutely incredible! Her entire office staff is so kind and welcoming, and they create a space to make you feel comfortable and empowered. Dr. Horton takes time in the initial consultation to ask questions, go through your history, and answer any questions you may have. She never makes you feel rushed in any appointment. From the surgery to after care, Dr. Horton and her staff always make you feel heard and so well taken care of. I would absolutely recommend Dr. Horton to anyone! - ★★★★★5 out of 5 Stars **Heidi Wyatt** Jul 17, 2024 From the moment I heard rave reviews of this doctor, to the initial appointment call receptionist, the zoom call & the scheduling were all top tier communication & kindness! - ★★★★★5 out of 5 Stars **Bethany Moore** Jul 09, 2024 Goes without saying that Dr. Horton is one of the best! I had a procedure in an intimate area and she handled it with care and compassion. The surgery gave me confidence in my body again, and about 3 years post-op, the results still hold up! Thank you so much, Dr. Horton, for positively changing my life! - ★★★★★5 out of 5 Stars **Linda Bukata Aiello** Apr 29, 2024 After much research I chose Dr. Horton for my mastoplasty. I had met with and reference checked several Doctors, and not only did she come out on top, but the experience with her and her team was so warm and comforting right from the start and has continued through my post op. I am now 3 weeks post op, healing beautifully and delighted with my results. I could not recommend her more highly! - ★★★★★5 out of 5 Stars **phuong nguyen** Apr 18, 2024 good - ★★★★★5 out of 5 Stars **Alexandria Rinella** Apr 16, 2024 Dr.Horton was the only doctor I had a consultation with who really listened to what I wanted to achieve and didn’t try to upsell me with more procedures or a complex surgery. She was warm and caring like talking with a friend. She was clear on what was possible with what routes we chose together. Dr. Horton is a great surgeon and her practice is a boutique experience so she is more expensive than others but I found that her and her staff made it worth it. She was also able to fix a big scar from my previous surgery which was the cherry on top of the whole experience. It’s been a year and I am so happy with the results. - ★★★★★5 out of 5 Stars **Win Z** Apr 12, 2024 Dr Horton is one of the kindest , talented, beautiful surgeons I have ever met in my entire life . I discovered her in 2019 with the intention of correcting my inverted nipples , I was only 19 at the time . Having this body function visually you know how insecure you are as a women and everyday showering changing and seeing them and how embarrassing it is to have them I thought there would never be a solution until I found her . I discovered after watching many procedures in India and doctors all around the world she was in the same city as me. I booked a consultation and when approaching the office being greeted by the two ladies at the front desk the pink chairs the offering of tea and water I knew I was at the right place. Dr Horton brought me to the back and took a look and what I thought was my life’s worst nightmare. she kindly calmed me in a way I’ve never experienced . She assured me that she was able to resolve it in a way that it would satisfy me . Since that day I’ve stopped crying and experiencing the horrible anxiety I was facing . My surgery was in October 11 2023 and I was very nervous . Her team is phenomenal there are no words to describe how well and comforting this women is . The pink robes , my bed was heated , I felt like a women for the first time in my life . The surgery itself was not nearly as painful as I expected and the aftercare was very minimal compared to what I thought it would be . Dr Horton and the team was very attentive making sure to always ask me of my needs before during and at every follow up appointment. She is better than every doctor than every surgeon and every medical provider that I have encountered . She allowed me to be annoying and particular gave me a direct contact to voice my issues and concerns and NEVER ONCE TOLD ME NO. Never once shut down my desires like the doctors I’ve previously visited some even being stationed at Kaiser. Even my doctors at Kaiser never told me there was a surgery to solve this. Following up after was very smooth I would come in be kindly greeted drink tea get food at the cafe the staff of the whole building now know me and I greet them when I enter I feel included in the process . This experience changed my life forever and I cannot thank her or her team enough for everything they have done for me. I feel more at home here than my actual house because they are accommodating and very responsive. 5/5 and I would come here in the future for other procedures because of how smooth this process was . Dr Horton is a very talented surgeons who deserve accolades in the work produced - ★★★★★5 out of 5 Stars **Johnathan K** Mar 31, 2024 Very friendly and inviting. As soon as I walk through the door my comfort was priority for the staff. Dr Horton was amazing, very warm and relatable, more importantly her honesty is what stood out. The procedure I was seeking was more complex than I imagined, Dr Horton did a great job in explaining the different options and potential outcomes, I appreciated her candidness and left the office with an informative state of min. Highly recommend her for your surgical endeavors. - ★★★★★5 out of 5 Stars **WW79** Mar 18, 2024 Gave me the confidence I haven't had in decades Dr. Horton and the entire staff are AMAZING! A friend made the recommendation to me based on the rave reviews on Facebook Mommy groups. I went to the consultation and felt right at home. I felt seen and unjudged. She understood my point of view and did not downplay any of my concerns. She gave me her professional opinion on what can be done to address my asks and provided realistic solutions. I never felt like I was being up sold. It felt like a real conversation with a friend. After a quick decision to move forward, I worked with her awesome staff on scheduling. They were able to accommodate my calendar and found me an earlier slot that had become available. Everyone walked me through every step and worry. They prepared me for the surgery and recovery process. The big day went off without a hitch. I was pretty out of it post opp but my husband told me that they were all sweet, supportive, and super helpful. That continued through all of the post opp appointments. They answered all my questions and kept me informed on everything that was happening ("yes, this is normal", "you should see results in \_\_\_", "the swelling will come down \_\_\_", etc.). I've heard some horror stories of poor post opp care, or lack there of, where once the treatment is done and the office got their money, there was no more care. That is 100% NOT the case in this office! They are quick to respond to all inquiries (almost a year later). They listen to all of my thoughts, answer all of my questions and they never rush me out of the office. We've chatted about life and they always made me feel welcomed. Be prepared for some real hugs because they do genuinely care, from Niloo at the front desk, to Mary from billing, and to Doctor Horton and Nurse Emily. I love love love them all! I had waited to write this review so I could post photos, but the before/afters are not quite ready and I didn't want to wait any longer. Dr. Horton is a miracle worker! Before the mommy makeover I avoided looking in the mirror. I hated shopping for swimsuits, dresses, or even jeans. I finally love the body I'm in now. She gave me the confidence I haven't had in decades to wear whatever I want. Without all of that extra belly weight, it's easier to exercise too. I just wish I did this sooner. Thank you Dr. Horton! - ★★★★★5 out of 5 Stars **janere** Mar 15, 2024 Never felt more heard & positive about seeing a doctor & having a procedure From the initial appointment through follow up care I have never felt more heard and positive about seeing a doctor and having a procedure done. I knew what to expect each step of the way. The surgery went well and I'm so glad I did it. - ★★★★★5 out of 5 Stars **Blythe Smith** Feb 01, 2024 I don't even know where to begin. Dr. Horton is a magician! I have been wanting my implants out and reduction/lift for years. I struggled with an identity crisis, feeling like these breast where not me, did not fit me. Dr. Horton understood my wishes and desires, the outcome is even better than I imagined it. From the first consultation, I knew she was different from any other doctor I interviewed. She did not rush through the consultation; took her time to get to know me, my lifestyle, my family, who I am and what I want out of the procedure. From that moment on I knew Dr. Horton was my doctor. The procedure was flawless, and my recovery has been amazing. When I look in the mirror I finally resonate with my reflection, I finally feel like me. With tears in my eyes I write this, she truly changed my life!! Plus the whole staff is amazing, you feel like part of the family. Can not say enough good things. Best experience, best doctor! - ★★★★★5 out of 5 Stars **Sarah Peterson** Jan 10, 2024 I had been wanting a breast reduction for 5+ years but was also wildly picky because I didn’t want them to just look like they’d been cut off. I did my research and went to consultations with who I had narrowed down and believed to be the top 3 surgeons in CA that could give me the results I wanted. I knew almost immediately that Dr Horton is who I was going to choose. She explained everything start to finish, even pairing you with past patients similar to yourself that you can talk to before ever deciding to book it! Her before and after pictures speak for themselves, but it was so much more than that. Karen is not only super smart and knowledgeable in her profession but generally cares for your well being and what YOU want. The rest of her team was amazing too! Meilu and Mary guided me through the whole process. Nurse Emily explained everything and then some pre-opp, I never felt so confident going into a surgery in my life! I love these ladies and would recommend anyone and everyone go here for top notch care that looks amazing. - ★★★★★5 out of 5 Stars **cswenson1085** Nov 27, 2023 What a Great Experience Loved every moment of this process. I had 10 year old implants that were too big for me from the very beginning. I have been exploring having them removed for years now, and finally found the doctor I wanted for this last surgery I was going to do. Not only was Dr. Horton friendly, and inviting, the whole staff is what sold me. - ★★★★★5 out of 5 Stars **Mel** Nov 14, 2023 I chose Dr. Karen Horton for my procedure because after many consultations over years, with so many surgeons I just could never bring myself to go through with it as I did not have this innate trust from within just never felt right.. Fast forward many years...I heard from various word of mouth clients/ stories of Karen Horton and how amazing she is, I decided to go check it out. What was most impressive was one of the stories that a patient shared who actually had a complication and insisted that I must see Dr. Horton due to how she handled every step of the complication. This story actually made me trust Karen even more, when we allow our bodies to go under such complex surgeries we need those surgeons who are not only great and amazing but what if something goes wrong who would we trust to get us out of it... This is more important to me. I have placed my trust in Karen and the staff she surrounds herself with from Emily RN, front desk staff, Mary, Pre-op and post-op RNs, Anesthesia Dr. Gordon etc... It takes a team but more importantly how the team performs under an amazing leader. My experience was the following I felt completely informed all the way through every aspect, I was given past patients to call and gain more references, It was very clear to me and my husband what we would expect day before, day of surgery, after and the subsequent weeks to follow. I am over a week post op and can already see, feel and tell how amazing the work Dr. Horton performed and although it's a major surgery I feel confident that as time progresses I will be even more happier with results, outcomes and service. Thank you Dr. Horton and team! - ★★★★★5 out of 5 Stars **Vicki Romaguera** Oct 24, 2023 First Class is the best description for Dr Horton. She treats you like her best friend, she is very professional and is an artist. She gave me a procedure that changed my life forever! I feel like a new person and would not have wanted anyone different to have done the surgery. Highly recommend!!! - ★★★★★5 out of 5 Stars **Nurturing982783** Oct 05, 2023 I have been custom fit with the best size implants for my particular anatomy I m a returning patient of Dr. Horton's. My first surgery was in 2012. I had my saline implants exchanged for silicon, as well as a lift because I was droopy after breastfeeding. My scars quickly faded and I was most happy that my nipple sensation returned to normal. In June I expressed to Dr . Horton that I would like to downsize my current implants. She suggested another lift for best results, and because of my past positive experience, I didn't hesitate or worry, I had complete faith and confidence that I would have the best possible outcome. It's 4 months later, My scars are fading fast, my sensation has completely returned, and aesthetically I feel I have been custom fit with the best size implants for my particular anatomy. I am convinced no one could have given me better results! - ★★★★★5 out of 5 Stars **James Fotherby** Sep 12, 2023 I went to Karen for an earlobe repair procedure, she and her staff was extremely professional and friendly. After the procedure a follow up was warranted and she was kind enough to perform it gratis just to ensure everything came out perfectly. I really can't recommend her enough. - ★★★★★5 out of 5 Stars **Rebecca Fedorko** Jul 18, 2023 Making major medical decisions can be utterly and completely overwhelming, terrifying, and challenging, but getting a breast reduction from Dr. Horton was the easiest decision I have ever made in my life. I was recommended by my fabulous esthetician, and the intial consultation was so incredibly validating. I thought I was being vain and selfish wanting this for myself but Dr. Horton made me feel heard and seen. I felt so cared for and my procedure was handled beautifully. I cried the first time I went to try on clothes post procedure; I finally felt like me. ♥️ The entire office, from it's beauty, to the office staff, makes you feel so truly comfortable. It's been almost two years since my reduction and Dr. Horton is going to do a few aesthetic revisions for me and I trust her so totally and completely. If you're reading this and curious, just do it, hun, go get a consultation! Going to that appointment was the best decision of my life and has improved it beyond measure. I will be forever grateful to Karen and the women in her office. ♥️♥️♥️ - ★★★★★5 out of 5 Stars **Adventurous13860** May 17, 2023 The Best Surgeon! My scars are hardly noticeable now and I love my results! Way over due review alert! Dr. Horton and her staff are astounding in many ways. I came to Dr. Horton back in 2020 due to my breasts not being the same after nursing two kids and a fat grafting procedure that I had (after my first kid back in 2015) that left several hard fat necrosis deposits in my breasts. Fat grafting is not a procedure I would recommend based off my experience and due to the fat necrosis at one point I had quite the breast cancer scare(turns out fat necrosis can be mistaken for breast cancer so I had to have several biopsy's and mammograms). I am 5'3 and fluctuate between 135- 140 lbs. I first met Dr. Horton at age 36. I workout 4-5 days per week and eat clean. I have a lot of muscle but after two kiddos with the latest being born in 2018, there were some goals I needed a little help reaching. I decided after consulting with Dr. Horton to a breast lift with removal of the fat necrosis and I decided on a mini Tummy tuck due to extra skin on my tummy that no amount of exercise was tightening up after years of trying. In addition, Dr. Horton seeks the most aesthetically pleasing results and did some liposuction of areas on tummy and around breasts that held some pesky fat deposits. Dr. Horton is not only my surgeon she is someone I now call a friend. She went above and beyond to get to know me. After my procedures, Dr. Horton and her staff followed up with me several times. I loved that I was able to text Dr. Horton directly any questions and concerns I had. Dr. Horton was always prompt to reply and eased any concerns I had. In 2021 during a follow up Dr. Horton could tell something was wrong with me. I unfortunately just weeks before had suffered the tragic loss of my brother who was only 38. I told Dr. Horton what happened and she started crying and gave me the biggest hug. She talked to me about what happened and offered up a lot of wisdom, support and compassion. Her staff was also incredibly caring and uplifting to me during this time. This was a hard time in my life and Dr. Horton truly touched my heart and soul. The procedures went well but I turned out to be someone who did not heal as hoped for. This was of no fault to Dr. Horton but she could tell I was unhappy. I remember her telling me my happiness and satisfaction was her main goal, so we came up with a plan to do revision surgery. Revision surgery corrected my poor scar healing and some bottoming out of breasts as result of this poor scar healing. My scars are hardly noticeable now and I love my results! I want to stress here that I did everything the right way and was so careful but my body rejected the sutures which is extremely rare and caused me not to heal the right way. However, the revision surgery was super quick, easy, painless and actually a really fascinating and decompressing experience. I came in for another followup I believe one of the first few days Dr. Horton opened her new office and received a tour and was able to celebrate having a glass of wine with Dr. Horton and her staff! The new office is truly a gem and her new operating room there is the cleanest most relaxing space. I have shared hugs, laughs, tears, wine and life changing moments with Dr. Horton, Mary Pasache and all the staff! Dr. Horton is an incredible surgeon who truly wants to help you achieve your goals, make you smile and makes sure you are making the best decisions possible for your mind and body based on what is going on in your life. So if you want a skilled surgeon who goes above and beyond, has a heart of gold, who's goal is to make you happy, love your body and genuinely connects with you to make sure she understands you inside and out... well Dr. Horton is the surgeon for you! I ADORE HER and promise you will to! - ★★★★★5 out of 5 Stars **Rachel McCabe** May 16, 2023 Dr.Hortons work is immaculate and her staff is incredible. STRONGLY recommend - ★★★★★5 out of 5 Stars **Rebekka Moore** Apr 27, 2023 I highly recommend Dr. Horton. She and her staff make you feel comfortable and confident. Dr. Horton takes her time to listen to you and she delivers excellent results. - ★★★★★5 out of 5 Stars **Jona Ayers** Apr 07, 2023 I believe in doing my research and I had read everything I could find about Dr Horton before calling to get a consultation appointment. All of the information, including ALL of the reviews, indicated that I would be in very good hands for my explant (removal of my breast implants) procedure. However, I also knew that an in person meet would help to fill in the other questions I had that maybe weren't addressed via social media, internet searches and online reviews. I am not generally taken in by bells and whistles so I was prepared to discount the location (stunning views of the San Francisco skyline from the top of Webster St), the front office aesthetics (tastefully decorated waiting area with very comfortable seating) and the bright warmth of each examining/consultation room. But you can't fake caring, and that is what got me. From Niloo at the front desk, Emily as the pre-op nurse, Mary as patient coordinator and finally, Karen (Dr Horton) as the amazing person who formed this practice, I can honestly say that from each one of them I felt a genuine and heartfelt concern and caring...they were going to exceed my expectations. It was so palpably believable that I KNEW I was in very good hands. It has now been 8 days since my procedure and I am thrilled! The procedure (local anesthesia) was as described, the recovery was better than expected, the results make me so happy and everything Dr Horton counseled me on was true and accurate. I recommend her without reservation and with the highest degree of confidence that you will not be better served. Thank you Dr Horton for your wonderful talent in plastic surgery and your dedication to hiring an exemplary staff to complement your practice. Warm Regards, Joan - ★★★★★5 out of 5 Stars **shareen O'Valle** Mar 22, 2023 I chose Dr. Karen Horton for my Tummy Tuck because of her warm, kindness, experience and obvious consideration of a positive a happy office environment. I was treated with the utmost care, all questions answered and I felt like part of the team. I would do it all over again. I highly recommend her and her team of amazing women! - ★★★★★5 out of 5 Stars **Jacqueline Pasquali** Mar 19, 2023 I chose Dr. Karen Horton for a breast reduction and a lift because of her credentials and the many positive reviews. My experience has been delightful. Dr. Horton is welcoming and supportive. The staff is friendly and accommodating. Multiple resources were available to answer any questions. I would not change one thing. - ★★★★★5 out of 5 Stars **Ellen Beldner** Jan 26, 2023 No comment given - ★★★★★5 out of 5 Stars **Jessica Meunier** Jan 24, 2023 I have loved everything about the experience with Dr. Horton and her whole team. They are all so supportive, friendly and professional. The office and OR are gorgeous and top of the line. I felt very taken care of and educated and prepared for my procedure. - ★★★★★5 out of 5 Stars **Sarah Wheeler** Dec 24, 2022 My breasts were never "normal." Even when I was a teenager, when breasts should be as perky as they are ever gonna be, my nipples pointed at the ground. I just tried to pretend it didn't bother me because my breasts were not gonna be improved by simply adding implants. One day I had had enough and I started researching surgeons online. I came across Dr. Horton's gallery of before and after pictures and I was struck by two things: 1) she tackles hard cases and 2) she makes beautiful breasts. My surgery was a year ago, healing was a slow process, but I am so glad I found her and got brave enough to schedule a consultation. I am very happy with my outcome. DR. Horton is talented, down to earth, and supportive. - ★★★★★5 out of 5 Stars **Joy Ajlouny** Dec 18, 2022 I have seen 5 plastic surgeons in order to correct a botched breast reduction. I cant say enough about this Doctor. Others could care less and rushed me out. I was a number to them. Karen took the time to ask me what I wanted and what was important to me. This women is not just an incredibly talented surgeon she is a human being who genuinely wants what is best for her patients. I have never been treated this way from any Plastic Surgeons I have seen. She is a breath of fresh air. I waited 3 months to see her and i can tell you she is worth it. - ★★★★★5 out of 5 Stars **Engeue Cinraua (pr3d4t0r)** Nov 13, 2022 Fantastic experience working with Dr. Horton and her team. All our questions had objective answers, no BS approach to dealing with patients with skin damage and the best options to address it. Kudos¡ - ★★★★★5 out of 5 Stars **Maria** Oct 26, 2022 Very kind, professional, and assuring at every step of the process + fantastic results! - ★★★★★5 out of 5 Stars **Britney Hayes** Oct 21, 2022 Dr. Horton and her team are quite simply amazing! I wouldn't trust anyone else with my body. They are all very friendly and accomodating. I love the results of my BR surgery!!! - ★★★★★5 out of 5 Stars **Linda Victory** Sep 30, 2022 I had corrective surgery in 2008 by Dr Horton. She is authentic, talented, truthful and her experience shines through. I am very happy with my results I have referred so many friends because she delivers. Absolutely the best Surg in the San Fransisco /Bay Area. Highly recommend. - ★★★★★5 out of 5 Stars **Whitney Jaeger** Sep 14, 2022 I saw Dr. Horton for a tummy tuck and from consult to 1 year post op she has been a supportive and comforting surgeon throughout the entire process. She truly cares about her patients and took as much as time as needed to address my concerns and offered genuine advice. I couldn’t be happier with the results, the procedure has done wonders for my confidence and as a personal trainer I have also seen improvements in my core functionality after surgery. I cannot recommend Dr. Horton enough! She is a world-class surgeon who puts her patients first. - ★★★★★5 out of 5 Stars **Claire** Aug 12, 2022 I had an amazing experience with Dr. Horton. I had a bilateral breast reduction with liposuction. I first reached out to her when I was 17 and got a list of her previous patients in with similar procedures to contact and speak with. She also gave me her personal number prior to the surgery so I could ask any questions I had and send pictures or concerns afterwards. I had to reschedule multiple times due to an illness and resulting colectomy surgeries and they were very gracious and patient. Dr. Horton required approval from my colorectal surgeon to proceed with the reduction. Having had two (medically necessary) surgeries recently I was able to tell them what to expect in terms of anxiety and symptoms such as nausea and they prescribed all the meds I would need ahead of time. They also had no problem with my having an ostomy. Dr. Horton and all of the nurses were so lovely and friendly and it's always fun to visit the clinic for follow up appts. I never felt pressured into any purchases or procedures and my vision was taken very much into consideration by Dr. Horton. I feel and look amazing! - ★★★★★5 out of 5 Stars **Veronica Dang** Jul 27, 2022 Dr. Horton and her team are absolutely AMAZING!! From the consultation, Dr. Horton and her team were so warm and welcoming. They immediately put me at ease. I was nervous and had a lot of questions about liposuction, Dr. Horton gave me the full and most detailed run down. She explained how the procedure would work, how long the recovery time would be, any possible complications and what to expect. She was super through and did not spare any detail, in the best way possible. I felt throughly informed and felt very well taken care of with the team. Even with my nerves on the day of the surgery, Dr. Horton and her team ensured I was comfortable and had all the support needed. My one and only regret was not doing this procedure with Dr. Horton’s clinic earlier. I would 100 thousand percent recommend Dr. Horton and her incredible, amazing, superstar team! - ★★★★★5 out of 5 Stars **Ashley Dowling** Jul 10, 2022 Dr. Horton and her team have been nothing short of exceptional! I am so grateful to have found such a skilled surgeon. My post-op results are even better that my initial expectations. I honestly didn't think I would ever get to a place where I would be comfortable in my own skin, but Dr. Horton was able to get me there not only through her amazing surgical expertise, but also through her kindness and patience with me as I navigated this process. @Dr. Horton - THANK YOU so much for all of your efforts and for helping me get my life back!! ...and also, thanks for always giving the best hugs! :) You're such a wonderful person! - ★★★★★5 out of 5 Stars **Brittany Bruce** May 26, 2022 Dr. Horton was absolutely amazing! She performed my DIEP Flap microsurgery right before Christmas in 2009. She was so kind to accommodate my school schedule and do the intricate surgery over the holidays. The surgery was very successful. Dr. Horton was very open and informative before the surgery. Even though it was a complicated and intricate surgery, I felt totally comfortable with her ability and experience since she performed that type of surgery often. Dr. Horton exudes confidence (I mean that in the best way possible) and is able to back that up with her work. She has awesome bedside manner, and she came to see me everyday that I was in the hospital for post-op. I would absolutely recommend Dr. Horton, she is one of my favorite doctors! - ★★★★★5 out of 5 Stars **Emily Mooney** May 25, 2022 5 stars so for Dr. Horton and staff. I had breast implants removed 3 years ago and was left with not a pretty picture. to say the least. I needed help to get back to a normal comfort level with my body. I did my research and chose Dr. Horton. Honest review? I waited for over an hour for my consult a year ago. She was running late. I don't like waiting ,but good things come to those who are patient patients! She was late because she was spending time with another patient who needed a bit more of her time, and I appreciated this so much. She will give you the time to address every one of your concerns, no matter the time. She is truly devoted to every patient and it shows. As for the entire surgery, she and her staff were no less than amazing. Follow up for over a year--several check in visits to monitor healing and progress--she is there for the whole process and she is there with true dedication. Just had a final small "fix" surgery in her new on site surgery suite and will be back in 3 months for "after" pics. Totally thrilled with the results and Dr. Horton's skills as a surgeon and her staff. All stellar. All on point and all patient focused. Grateful. - ★★★★★5 out of 5 Stars **Tough400489** May 25, 2022 Awesome result - so happy to have found such a masterful surgeon Dr. Karen Horton and team are consummate professionals that quickly inspired ease and confidence. I had to have a lipoma removed from my upper thigh. Before my first appointment, I was nervous both about the procedure and the scar it would leave behind. After the appointment, my fears were allayed as Dr. Horton carefully walked me through what to expect. The procedure itself felt like a visit with friends - it was that easy. I'm now 3 months post procedure and the incision has healed beautifully and is fading at the pace Dr. Horton said it would. I'm so happy to have found such a masterful and down to earth plastic surgery practice! - ★★★★★5 out of 5 Stars **Jessie.sinai** May 03, 2022 I went in today for a scar revision for a breast reduction I got done with dr.Horton a few years ago, both experiences were nothing but warm, kind, and comforting. As nervous as I was,I knew I was in good hands and the outcome is as great as she and her team were:) - ★★★★★5 out of 5 Stars **ro745** Feb 19, 2022 They really do have a pulse on women's healthcare needs. I chose Dr. Karen Horton for a breast augmentation revision because of her detailed and reasonable approach to the issue. I appreciated her candidness and demeanor. Throughout the whole process everyone at Dr. Karen Horton's office was very kind and professional, I appreciated all of them. They really do have a pulse on women's healthcare needs. Thank you Dr. - ★★★★★5 out of 5 Stars **Easygoing428062** Jan 31, 2022 Beautiful shape and size - feeling more comfortable in my body Dr. Horton is incredibly personable, skillful, and knowledgeable. My breasts are about 1/4 of their original size. My body responded to the surgery with some stich spitting and wound separation which made for a longer healing process. Nurse MaeLou (sp?) held my hand while I had my stitches removed. They let me cry when I found that my healing wasnt going as planned. Under their instruction I healed back up within about 8 weeks. As soon as I was able to shower I saw there was a response to temperature change. I have sensation and I am 3 months post op. My scar are already fading! My breasts have a beautiful shape and size. I feel more comfortable in my body. I would recommend Dr. Horton to anyone considering plastic surgery! - ★★★★★5 out of 5 Stars **Marina Ghobrial** Jan 26, 2022 I truly can’t say enough incredible things about Dr. Horton. I recently underwent a breast reduction surgery with her and to say it changed my life would be an understatement. I feel better and more confident, my clothes fit better, working out is easier, my back doesn’t hurt as much. It’s hard to put into words the impact this surgery and Dr. Horton especially had on my life. Dr. Horton is so kind, compassionate, and easy to work with - as is her entire staff. I had a lot of anxiety going into the surgery, and Dr. Horton listened to all my concerns and addressed each and every one. She is honest and doesn’t sugar coat the difficult aspects of the surgery. After the surgery, Dr. Horton made herself available almost 24/7, providing me (and all her patients) with her cell phone number so I could text her directly any time questions came up. There were numerous times I took her up on that offer as my scars healed post-surgery, and I sent her photos along the way to make sure she felt like things were progressing as expected. It’s five months post-op for me now and Dr. Horton continues to show care, compassion, and genuine interest in making sure I’m happy with the results of the surgery. I had been contemplating getting this surgery done for at least six or seven years before I met Dr. Horton, and not one person made me feel nearly as comfortable as she did. Dr. Horton, thank you thank you thank you!! I honestly can’t thank you enough. - ★★★★★5 out of 5 Stars **Peggy Dadamo** Jan 25, 2022 EPIC Surgeon and Team! Having a history of family breast cancer for many years, I’ve had my share and experiences with doctors and surgeons. Six surgeries and 4 surgeons later, I was exhausted, ready to give up and accept the botched results following a bilateral mastectomy and reconstruction. Faith have it, I was referred from a friend of a friend to Dr. Horton after moving to the Bay Area. From the minute I met Dr. Karen Horton, I immediately felt the connection. Her knowledge as a surgeon really was impressive and her compassion was heartwarming. She has helped many hundreds of women feel beautiful and her portfolio and gallery showcase a glimpse of her talent. Lucky for me, I chose Dr. Karen Horton for my breast reconstruction DIEP Flap procedure journey. WoW! Just WoW! I could write a book, but I’ll try and summarize this. . . Dr. Horton is blessed with “Golden Hands”. Preop, we met several times, she strategically put a plan in place, post op she visited every day in the hospital making sure I had everything I needed and answered any questions, we communicated via text messages and phone calls (over the holidays at that) and she made sure I felt supported every step, every day & every minute. Partner and mentor, Microsurgeon Dr. Rudolf Buntic assisted with the DIEP Flap procedure. He too is a superior surgeon with great off menu smoothie recommendations during my hospital stay. 😊 In my opinion, these two surgeons as a team are truly the top elite list of surgeons for breast reconstruction in the country. I literally hit the lotto with the Horton team, not limited to, Nurse Mari for pre-op, post op care, taking hours to make sure I was well informed. Office Director, Mary Pasache ensured all the administrative work, scheduling, hospital admin, post care, insurance protocols were seamless and never had one issue or discrepancy. Front desk team always answer the phone with a direct number which is huge these days. Receptionist Niloo, always a breath of fresh air, welcoming, familiar your case, offering water, tea, cookies while in waiting and seeing me off to my favorite Gaga tunes making me feel like a million $$ on my worst days. It’s been a two-year journey and one of the most impactful relationship of my life. I am forever grateful. If you have a vision and want to make it a reality, I highly recommend you see Dr. Horton. - ★★★★★5 out of 5 Stars **Stephanie** Jan 18, 2022 I had a breast augmentation with Dr. Karen Horton. I chose her because of her reputation as an excellent surgeon. She and her team were professional and efficient at every step of the process and prepared me well for surgery. During my healing I texted Dr. Horton personally whenever I had any questions. I happened to have many just because I'm a very careful person, and she always responded with clear answers almost immediately. It's been almost five years since the procedure, and I am happy as ever about the results. Deciding to do this procedure and choosing Dr. Horton as my surgeon was one of the best decisions I have ever made. - ★★★★★5 out of 5 Stars **Kathy Van Patten** Jan 08, 2022 I chose Dr. Horton for several procedures and she is excellent in every way!!!!! I highly recommend her as an extremely talented surgeon. What separates her from all the rest is that she LISTENS to you and always has a solution. I trust her absolutely and know that she doesn’t perform any procedures unless they are right for me. - ★★★★★5 out of 5 Stars **Cali Girl** Dec 17, 2021 I chose Dr Horton for my Mommy Makeover because she had all the accolades that told me she absolutely knew what she was doing and was great at her job. However, what really sold me was who she is. She made me feel very comfortable and like she really cared. My results are amazing I am completly happy with my decision. Doc Horton, was with me every step of the way. My post care was just as amazing. - ★★★★★5 out of 5 Stars **Andrea Swetland** Dec 17, 2021 I recently had a breast reduction/lift with Dr. Horton. To say that she is calming, low-key, compassionate and does excellent work is an understatement. With all the experience she has with Breast Reconstruction Surgery and the amazing work she does for her cancer patients I knew that putting my body into her hands was a fabulous decision and I was right! 4 weeks post-op and I am feeling good, gaining my strength and all looks fabulous. I HIGHLY recommend anyone looking for a doctor who will do what is best for your body and make you look and feel glamorous. - ★★★★★5 out of 5 Stars **Dr. Jennifer Mathis** Dec 02, 2021 Dr. Karen Horton is amazing. She was my reconstructive plastic surgeon and worked in conjunction with my breast surgeon during my mastectomy. I feel whole again! It was such a blessing to wake up from surgery with a beautiful breast rather than an empty space. I was petrified of being disfigured and feeling lopsided when I learned about my cancer and that I would have to lose my right breast. Dr. Horton helped me feel beautiful and complete! I highly recommend her, she is well worth the wait!!!!! - ★★★★★5 out of 5 Stars **Hunny Powell** Sep 29, 2021 No comment given - ★★★★★5 out of 5 Stars **Denise Sweeney** Sep 17, 2021 Review by a physician: I had a wonderful experience with Dr Horton and her staff. I had a mastectomy and reconstruction due to breast cancer. I wish I had known about Dr Horton then! My reconstruction was terribly done, disfiguring and uncomfortable. I was getting numbness in my fingers. None of the plastic surgeons in my area felt competent to repair it, so I lived with it for far too long. I found Dr Horton, and she “gets it.” I actually cried at my first visit because she told me what was wrong without me even having to tell her. She understands the aesthetics and the function. Not only that, but she has the surgical skill to repair it. The front office is great with appointments and check-in. Mary helps you with prices, payments, and figuring out surgery schedules. Mari did an amazing job with pre-op teaching so that I knew what to expect. Hope I didn’t leave anyone out. I am now 5 months after surgery, and thrilled with my results! There are 2 stages to cancer. First, you just want to survive. Second is survivorship- wanting quality to your life. Dr Horton and her staff fully cater to this second half. After seeing what she was able to do for me, imagine what she can do for someone who did not have a botched first surgery. As an Ob-Gyn, I encourage people to come to her first! - ★★★★★5 out of 5 Stars **Mandy Waite** Sep 03, 2021 Dr. Horton is such an extraordinary surgeon and I am so happy with my results! . She is kind and really cares about her patients. I highly recommend her! She and her entire team are amazing. - ★★★★★5 out of 5 Stars **Sonae Delahanty** Aug 27, 2021 I had liposuction of the abdomen with Dr. Horton, this is my very first surgery, so I was quite nervous! Dr. Horton helped ease my anxiety, made me feel comfortable, and was very transparent with me. Her whole Team was incredible, from the front desk \[Niloo\] - to Mary & the people at the Hayes surgery center. Extremely knowledgeable, friendly, and accommodating. Welcomed all questions, at various hours \[She provides you with her number to text\]. Beyond that, I am two weeks post OP and very happy with my results so far! I Still have some time until I am fully recovered, but am happy, as she walked me through the healing process and what to expect. Would recommend her to anyone looking for a fantastic surgeon who does their job with compassion. - ★★★★★5 out of 5 Stars **Maggie Bernat** Jul 16, 2021 After extensive research in the bay area for liposuction specialists I had finally decided on Dr. Karen Horton. She was the most detailed, informative, passionate Dr. I had interviewed. Although more expensive than the others, I felt that it was worth the extra money when having this type of procedure so I was happy to pay the premium. I'm 2 weeks post op and I cannot believe the results I got. She went way above and beyond not just a "suck out of this area and that area" but a completely comprehensive contour that gave me an entirely new body that I couldn't be happier with. The before and after is dramatic. Not only that, but her attentiveness is shocking! She gives you her personal phone number so you can text with any questions or concerns. The after care is extraordinary and am confident that she has to be one of the top specialists in the area. I cannot recommend her more highly. - ★★★★★5 out of 5 Stars **eva nebeling** Apr 20, 2021 If I could give Dr. Karen Horton 100 stars I would. I recently got liposuction to the neck and wasn't sure what to expect. The communication her team has with their patients is amazing, and the kindness in the office is so enlightening. When I was getting the procedure done, the nurse held my hand and calmed me down so much. Her and the Doctor were nothing but kind, patient, and understanding when it came to me getting nervous or asking questions. I am very nervous about needles and the idea of surgery definitely makes me anxious, but with Dr. Horton, and her nurse, my stress immediately left the room. Even when sitting in the waiting room before surgery and overhearing the receptionists answering the phone, it was so nice to listen to them having real conversations and laughing. A good reminder that it costs nothing to be nice! Besides all of this, I wouldn't recommend a surgeon higher than doctor Horton and her team. - ★★★★★5 out of 5 Stars **sonia M** Mar 30, 2021 Dr. Horton and her staff are incredible. I knew at our first meeting that I had found the right doctor. My Abdominoplasty Surgery was about a month ago and went extremely well. It was an excellent experience. Dr. Horton is one of the most compassionate, caring and interesting people I have met in recent years. I am so truly thankful for the work Dr. Horton was able to do for me. She is a talented surgeon that I would highly recommend. - ★★★★★5 out of 5 Stars **Rebecca Henley** Mar 20, 2021 If I could give Dr. Horton 10 stars I would!! I went to see her after a poor result with another surgeon. Dr. Horton made me instantly comfortable and at ease. This was important as my previous results were so terrible. Immediately after surgery I knew I would look better and almost one year later I am beyond thrilled with how I look. Even more importantly, her care post-surgery and responsiveness is amazing and so appreciated!! - ★★★★★5 out of 5 Stars **Emma Woods** Dec 19, 2020 No comment given - ★★★★★5 out of 5 Stars **Shelly Valerio** Nov 13, 2020 Dr. Horton is a very caring and skilled surgeon. What else can I say I recommend her to anyone that needs her expertise . She is a ray of sunshine and her staff is too. I am only 7 days post -op, and can't believe how happy I am with her work. She is honest, and truly cares about her patients. She gives you her cell #, and encourages you to text her anytime with any questions or concerns. I've had plastic surgery years ago, but decided to go with Dr. Horton this time and I couldn't be happier. My friends are taking her # and getting in line! - ★★★★★5 out of 5 Stars **Caligirl2323** Oct 30, 2020 No comment given - ★★★★★5 out of 5 Stars **Peaceful6828** Oct 30, 2020 I had saline breast implants placed under the muscle, and a lift due to tubular shaped breasts, 10 years ago, As time went on, they'd become increasingly more tender-especially during menstrual cycle-to the point where I couldn't be hugged. I reviewed and met with 12 doctors. Dr. Horton was the ONLY doctor, who cared about my health enough to say-"First lets find out whats going on with these... - ★★★★★5 out of 5 Stars **ginertonic** Oct 30, 2020 I have the best experience having my surgery with Dr. Horton; I felt very listened to and very secure in her hands. She was extremely personable and understood me and what I wanted. She put me in touch with women who had had similar operations and made herself available to answer any questions or concerns I had. Moreover, I am extremely happy with all the results of my surgery, it is exactly... - ★★★★★5 out of 5 Stars **Anonymous1245323** Oct 30, 2020 I would recommend Dr. Horton in a heart beat. If you have high expectations and need a caring hand to get you there, Dr. Horton is your person! I came to Dr. Horton about two years ago, after being the unfortunate victim of paradoxical hyperplasia from CoolSculpting (from another doctor). Dr. Horton was approachable, and took time to understand my concerns. I felt heard and she took great... - ★★★★★5 out of 5 Stars **Caligirl2323** Oct 30, 2020 From the moment I met Karen and her team, I knew instantly I was in professional, kind hands! Karen made me and my husband feel comfortable immediately from the first visit. I did a lot of research on choosing the right plastic surgeon to perform my labiaplasty, and I found no one comes close to Karen M. Holton, she is someone who I completely trust and like me, a perfectionist. The procedure... - ★★★★★5 out of 5 Stars **Caligirl2323** Oct 28, 2020 No comment given - ★★★★★5 out of 5 Stars **Caligirl2323** Oct 26, 2020 No comment given - ★★★★★5 out of 5 Stars **Caligirl2323** Oct 24, 2020 No comment given - ★★★★★5 out of 5 Stars **Caligirl2323** Oct 22, 2020 No comment given - ★★★★★5 out of 5 Stars **Caligirl2323** Oct 22, 2020 From the moment I met Karen and her team, I knew instantly I was in professional, kind hands! Karen made me and my husband feel comfortable immediately from the first visit. I did a lot of research on choosing the right plastic surgeon to perform my labiaplasty, and I found no one comes close to Karen M. Holton, she is someone who I completely trust and like me, a perfectionist. The procedure couldn't have gone more smoothly along with the recovery and they answered every question and worry I had prior to it, I also found it incredibly helpful for them to give a couple of references of people who had already gone through with this type of procedure, and talking with them was lovely to get other insights about the labiaplasty surgery. If you have been thinking about going ahead with Labiaplasty for months or even years, 100% go get it done and 150% have Karen do the surgery you won't regret it, I promise. - ★★★★★5 out of 5 Stars **Michelle Martin** Jul 01, 2020 Dr. Horton is amazing. I have seen her twice now, and she is not only knowledgeable and talented, but her bedside manner and compassion are the real reasons anyone would be remiss not to see her. Her staff is incredible, friendly and reassuring (waving at you Nurse Mary!), and Dr. Horton is a true artist. Thank you. - ★★★★★5 out of 5 Stars **Anonymous** Jul 01, 2020 Dr. Horton is amazing. I have seen her twice now, and she is not only knowledgeable and talented, but her bedside manner and compassion are the real reasons anyone would be remiss not to see her. Her staff is incredible, friendly and reassuring (waving at you Nurse Mary!), and Dr. Horton is a true artist. Thank you. - ★★★★★5 out of 5 Stars **Alyssa Yell** Jun 27, 2020 Dr. Horton is a dream come true. Not only was she able to work within the confines of insurance requirements, she performed a beautiful surgery that truly is a work of art. Dr. Horton answered every single question I had, followed up with me when I needed it, and gave me all of the information and tools I needed to feel confident in my procedure. I felt entirely supported and cared for by her and her staff every step of the way. Not only has Dr. Horton changed my life with her craft, she's changed my perception on how extraordinary a doctor-patient relationship can be. - ★★★★★5 out of 5 Stars **ginertonic** May 21, 2020 I have the best experience having my surgery with Dr. Horton; I felt very listened to and very secure in her hands. She was extremely personable and understood me and what I wanted. She put me in touch with women who had had similar operations and made herself available to answer any questions or concerns I had. Moreover, I am extremely happy with all the results of my surgery, it is exactly what I have dreamed of and am so grateful she has given me this huge gift. Dr. Horton is skilled, personable, and accommodating, and is definitely someone I would recommend to any of my closest relatives. She has my 100% recommendation and if I need any surgery in the future, I would make the trip back to see her - ★★★★★5 out of 5 Stars **Anonymous1245323** May 16, 2020 I would recommend Dr. Horton in a heart beat. If you have high expectations and need a caring hand to get you there, Dr. Horton is your person! I came to Dr. Horton about two years ago, after being the unfortunate victim of paradoxical hyperplasia from CoolSculpting (from another doctor). Dr. Horton was approachable, and took time to understand my concerns. I felt heard and she took great care of me, not only prior to my corrective procedure but also after. We had several follow-ups and it was easy to reach out to her whenever I had questions or simply needed some reassurance. After my corrective procedure, there were still some contour irregularities (CoolSculpting made the fat really stubborn and hard to work with) and Dr. Horton was kind enough to perform a touch-up free of cost! I am happy with my results now and how everything turned out, especially given the misfortunate of having CoolSculpting gone bad. I feel lucky to have found her! - ★★★★★5 out of 5 Stars **Anonymous** May 15, 2020 I would recommend Dr. Horton in a heart beat. If you have high expectations and need a caring hand to get you there, Dr. Horton is your person! I came to Dr. Horton about two years ago, after being the unfortunate victim of paradoxical hyperplasia from CoolSculpting (from another doctor). Dr. Horton was approachable, and took time to understand my concerns. I felt heard and she took great care of me, not only prior to my corrective procedure but also after. We had several follow-ups and it was easy to reach out to her whenever I had questions or simply needed some reassurance. After my corrective procedure, there were still some contour irregularities (CoolSculpting made the fat really stubborn and hard to work with) and Dr. Horton was kind enough to perform a touch-up free of cost! I am happy with my results now and how everything turned out, especially given the misfortunate of having CoolSculpting gone bad. I feel lucky to have found her! - ★★★★★5 out of 5 Stars **CZrunner** Apr 25, 2020 I visited Dr. Horton after meeting with 5 different cosmetic surgeons across the West Coast. She was recommended by two cosmetic surgeons in the Sacramento area that told me my case was extremely difficult, and she would be my best bet. Two years prior to meeting Dr. Horton, I had a very negative experience with a surgeon who left my breasts hard, uneven, unnatural looking and painful. I knew I had to have my issues corrected, but I was extremely nervous to go under the knife again. As soon as I met with Dr. Horton, I knew she would be my surgeon. She was so kind and knowledgeable, and could sense my unease and nervousness. She immediately put both my husband and I at ease. She was so confident that she could fix my extreme animation deformity, double bubble, and ruptured pocket, and ensure I was no longer in pain. She was absolutely confident that she was the surgeon for me, and honestly, she did not disappoint.My results are amazing. She removed my implants from under the muscle and placed them over the muscle, repaired my pectoral muscle, and even lipo'd out that pesky armpit fat that no amount of gym time could fix. Four months later, my results are AMAZING! I have zero pain, my breasts look, feel and move like natural breasts, and my pectoral muscle has healed and finally has no pain.The entire process with Dr. Horton was easy and reassuring. She even gives you her personal cell phone number so you can contact her at any time with questions and concerns. I can not recommend her enough to anyone considering an augmentation or augmentation revision. - ★★★★★5 out of 5 Stars **Anonymous** Mar 25, 2020 Dr. Horton, how do I simply say 'thank you" for all that you have done for me? After going through breast cancer and undergoing a bilateral mastectomy, I feared as a woman, I would never feel "complete' again. With many surgeries behind me I honestly had accepted I had to just live with the results other doctors left me with. Then I met you! You reassured me, you eased my anxieties and assured me more could be done and in no way did I need to settle for mediocrity. With your artistry and talent, your incredible knowledge, and your uplifting personality, I knew I could trust you with my life. You certainly did not disappoint on any level. There are just not enough words of praise or gratitude to convey to you how you've changed me inside and out. I now feel stronger, more confident and for the first time in many years, whole again as a woman. So while I thank you for everything, I'm so humbled to be a patient of yours. My hope is to let anyone know, who has ever walked in shoes similar to mine, that you're amazing surgeon that always puts the patient first and they never have to settle - ★★★★★5 out of 5 Stars **Affectionate456771** Feb 22, 2020 Dr Horton is an amazing surgeon! She made me feel very comfortable from the first day I walked in her office! Answered all my concerns and even gave me contacts of her previous patients... who does that? Dr Horton’s staff is also very friendly and personable! I highly recommend her! - ★★★★★5 out of 5 Stars **badangz** Feb 06, 2020 I am beyond proud to say Dr. Horton is my doctor as she is just an A++ doctor. She truly cares about her patients and puts in the time & effort for them. The level of quality she put in my after-care is remarkable and I’m so happy that I went with her. - ★★★★★5 out of 5 Stars **Tim and Joanna Moore** Feb 05, 2020 My Husband and I met with Dr. Karen Horton on 1-27-20 for a consultation in regard to a Breast Flap Revision caused by breast cancer. I have had 13 surgeries with other Plastic Surgeons with unsatisfactory results. It has been very disheartening thinking this is the surgery that will be the one.... to be disappointed once again. I searched and found Dr. Horton's website and was extremely impressed by her photo gallery. I have been reluctant to have more surgery but after coming this far it is hard to quit now. Dr. Horton was very kind, gracious, understanding, positive and understood the results I am hoping for. Dr. Horton had suggestions on what to do to help me achieve my goal. She is intelligent sure of herself and listened to my story. I really appreciated that she was so informative on what she would do and what to expect. Dr. Horton is a beautiful and vibrant woman on the outside and my Husband and I could see right away that she has integrity and class. I scheduled surgery with Dr. Horton for 3-26-20 and I am very appreciative and excited for her to perform it. Dr. Horton's office staff are very polite, friendly and very efficient in regard to scheduling and taking care of the necessary paper work. Sincerely, Joanna Moore - ★★★★★5 out of 5 Stars **Nina Falls** Jan 13, 2020 Dr. Horton and her staff are amazing! From start to finish everything was smooth and easy. All of my questions were answered, and then some. I felt armed with all of the information I needed and felt confident I would get the results I wanted. I never had any doubt that I chose the right doctor. I absolutely love the end result of my procedure and tell everyone to go see Dr. Horton! - ★★★★★5 out of 5 Stars **Diana Vastardis** Dec 13, 2019 Dr Horton performed breast reduction for me, and I couldn’t be happier with the results! Dr Horton is so sweet and caring, offering her personal cell phone number for any questions after surgery. I am so excited to start my new life with perfect, perky breasts! - ★★★★★5 out of 5 Stars **Peaceful6828** Nov 08, 2019 I had saline breast implants placed under the muscle, and a lift due to tubular shaped breasts, 10 years ago, As time went on, they'd become increasingly more tender-especially during menstrual cycle-to the point where I couldn't be hugged. I reviewed and met with 12 doctors. Dr. Horton was the ONLY doctor, who cared about my health enough to say-"First lets find out whats going on with these old implants first.'. She suggested I see a specialist and encouraged a mammogram- before proceeding. This solidified her as my choice. Dr Horton cares about health first. Dr. Horton, gave me many choices and options and information about how to proceed and what my desired outcome would be. There was never, a "Hard Sell" After reviewing my options, I chose to have my old implants taken out -sub muscular, and new implants, sub-glandular. Surgery day, went smoothly, and when Dr Horton arrived pre -surgery, it was as though your sister just arrived to give comfort and support. On the table the last thing I remember was her, reassuring me, and holding my hand while the meds did their job. Dr Horton, gave us her phone number said we could call anytime we wanted, the recovery was very smooth, and my beasts turned out far better than anything I could've hoped for. Take-aways about Dr Horton 1\. Dr. Horton authentically cares about you as a whole, your health 2\. She will be very realistic with you-give you all your choices and options 3\. She WILL listen and never push you-it feels like a partnership from start to finish 4\. Neither her or her staff ever make you feel pressured 5\. The support you receive (Both before and after) outstanding, from everyone at Dr Hortons office is outstanding \*also, I must say her nurse Mari, is wonderful, she really took time to explain the post care, drains, and what to expect. Mari, is fun and you always feel at ease with her - ★★★★★5 out of 5 Stars **Sharon Beckley** Nov 06, 2019 Dr. Horton is professional and a thorough surgeon. She actually listens to you and is honest with her answers. She explains step by step what she feels is best for your situation. After my bi-lateral mastectomy, I had implants placed. However, my body rejected one of the implants. My next option was to see if I was a candidate for a "flap". My husband and I saw two different surgeons and Dr. Horton was the surgeon we chose. I am thankful we met her, as she did an amazing job on the flap and touch up one year later. She quickly answers your texts or phone calls. Not only is she an amazing surgeon, she is personable too. You are in great hands with Dr. Karen Horton. - ★★★★★5 out of 5 Stars **TSamantha** Aug 02, 2019 Today I am 6 weeks post op. Today I am ready to share my story. Hi, I am a 38year old mother of 2. I had 2 gigantic babies via C-section, that turned my stomach into a very sad place. I work out, I eat well, but no matter what I did there it was. The crumpled-up skin and shelf I knew as my body. I hid it well. REAL well. Nobody knew, but I was dying inside. Finally, in Jan I scheduled my surgery. Dr. Horton was first on my list. Why? Because she gets it. She is a mom, a businesswoman and a person that I knew when I spoke of my struggles, she got it. We spent hours chatting about expectations, what was going to happen and the recovery. June 20th I went in. 6 am I arrived... checked in, get in a robe, lay down, IV in, pass out - wake up 4.5 hours later.. to a new BOD… that’s when the FUN STARTED. Did it hurt? Not at first. I stayed overnight and was pretty drugged up the first 48 hours. After about 72 hours you start coming back to life and it feels a little weird. You can’t stand up straight and things like moving are a challenge. I was lucky enough to have my mother here to take care of me for a week. Mostly the first 10 days I slept, and rested. Pain scale overall harder than a C-section, but not something you can’t handle. It is about 10 days of difficult then just sore. Week 2-3 were healing time lots of naps and resting. By week 4 you round the corner and now 6 weeks out I feel like a million bucks. The feeling of difference is immediate. The results are exactly as Dr. Horton described. She told me what would hurt where and how long this would take to heal etc. Dr. Horton as a woman is amazing. As a surgeon she is brilliant. I went to sleep with her holding my hand, I woke up with her smiling at me. I went to sleep night one with her coming to visit and when I awoke the next day, she was there checking in on me. Would I do it again. YES. Would I recommend Dr. Horton 1000x YES!!! She is a real woman who understands our bodies and sets real expectations. My journey has been a long and hard one. I am so proud to say I am on the other side now. If you are thinking about this surgery, my only advice is to really select the right doctor that actually hears what you want, and take a month off.. you will need it! - ★★★★★5 out of 5 Stars **Sparkle Foundation Inc.** Aug 02, 2019 Today I am 6 weeks post op from a Tummy Tuck. Today I am ready to share my story. Hi, I am a 38year old mother of 2. I had 2 gigantic babies via C-section, that turned my stomach into a very sad place. I work out, I eat well, but no matter what I did there it was. The crumpled-up skin and shelf I knew as my body. I hid it well. REAL well. Nobody knew, but I was dying inside. Finally, in Jan I scheduled my surgery. Dr. Horton was first on my list. Why? Because she gets it. She is a mom, a businesswoman and a person that I knew when I spoke of my struggles, she got it. We spent hours chatting about expectations, what was going to happen and the recovery. June 20th I went in. 6 am I arrived... checked in, get in a robe, lay down, IV in, pass out - wake up 4.5 hours later.. to a new BOD… that’s when the FUN STARTED. Did it hurt? Not at first. I stayed overnight and was pretty drugged up the first 48 hours. After about 72 hours you start coming back to life and it feels a little weird. You can’t stand up straight and things like moving are a challenge. I was lucky enough to have my mother here to take care of me for a week. Mostly the first 10 days I slept, and rested. Pain scale overall harder than a C-section, but not something you can’t handle. It is about 10 days of difficult then just sore. Week 2-3 were healing time lots of naps and resting. By week 4 you round the corner and now 6 weeks out I feel like a million bucks. The feeling of difference is immediate. The results are exactly as Dr. Horton described. She told me what would hurt where and how long this would take to heal etc. Dr. Horton as a woman is amazing. As a surgeon she is brilliant. I went to sleep with her holding my hand, I woke up with her smiling at me. I went to sleep night one with her coming to visit and when I awoke the next day, she was there checking in on me. Would I do it again. YES. Would I recommend Dr. Horton 1000x YES!!! She is a real woman who understands our bodies and sets real expectations. My journey has been a long and hard one. I am so proud to say I am on the other side now. If you are thinking about this surgery, my only advice is to really select the right doctor that actually hears what you want, and take a month off.. you will need it! - ★★★★★5 out of 5 Stars **Leonard Pogo** Jul 26, 2019 My wife is a breast cancer survivor and had a nipple and skin sparing mastectomy about 11 years ago. Over the last 3-4 years her implants have really been causing a lot of pain, discomfort and possibly even some health issues. We had our initial consult with Dr. Horton about 2-3 months ago and she was so professional and positive that it almost did not seem real. Prior to visiting Dr. Horton, we had seen a number of other plastic surgeons (in our home town) that were insensitive and down right arrogant. Dr. Horton is the complete opposite. She is confident but not cocky! My wife just completed her DIEP Flap Reconstructive surgery and even though it has only been a week since her surgery we are very, very please with the results. It is absolutely incredible what Dr. Horton was able to do to create new breast for my wife and all out of her existing belly fat. Truly AMAZING procedure and Dr.! We are hopeful that by removing the implants she will also start to see some significant health improvements over the next 12 months as many other women have reported. Thank you Dr. Horton - ★★★★★5 out of 5 Stars **Rosemary** Jul 17, 2019 Dr Horton is amazing caring and incredibly knowledgeable physician. She’s is methodical and able to understand the issue, and mine was complicated, and give you the her best recommendations for correction, which is exactly what she did for me. She was able to correct a medical problem that no other dr was able to do. Throughout the entire process she kept me well informed, which is so good because I’m not a doctor and I didn’t want another physician glossing over my problem. She actually pointed out what was really wrong and she actually fixed it. I’ve been needing this for more than two decades and she was the one to do it. I cannot thank her enough for giving me the confidence that I needed/wanted. Here’s a tip, I interviewed multiple physicians first and after our one conversation I knew she would be the smartest doctor around. Kudos Dr. Horton, you don’t just put a bunch of fluff in your brochures- you delivered! - ★★★★★5 out of 5 Stars **Toni Lajoie** Jun 26, 2019 I've had a mastectomy, reconstruction, and the loss of the other breast as a result of infection and complications from a surgery to replace implants. I came to Karen Horton broken and discouraged. Words are insufficient to express my gratitude to her for her compassion, talent and expertise in reconstruction that is, in my case, natural and, I think, beautiful. I lived for 30 years with breasts and disfigurement that caused me to avoid intimacy. That has all changed thanks to the work of Karen Horton. - ★★★★★5 out of 5 Stars **tinyisterrific** Apr 19, 2019 I had breast implants placed 20 years ago after my second child. My breasts were sadly deflated, I went to my previous surgeon and requested a breast lift, I had never considered augmentation. The surgeon felt I would be unhappy with the scarring at 35 years and and recommended subglandular implants to improve the appearance of my breasts with minimal scarring. I went through with the procedure, it went well and my breasts looked pretty good, I had no complaints. I was fortunate to never experience and health issues related to the surgery or implants. I had saline implants and there was a little rippling but it wasn’t obvious. I was never completely comfortable with the implants, they were large for my 100 pound frame. Post menopause my breasts became more saggy, hot, heavy and uncomfortable. I did some research and realized breast lift scars aren’t really too bad and many women look great after the surgery. I decided to proceed with removal and breast lift. I am pleased with my choice of Dr Karen Horton for my surgeon, she understood my goals and never tried to steer me into replacing the implants or upsell me on other procedures. She set realistic expectations and achieved them. She did run way behind a couple of appointments but she does run a solo practice and I’m sure urgent situations do arise. Her staff is awesome and all female which was well appreciated due to the intimate nature of breast surgery. Mari was super accommodating and scheduled my surgery the day the Winter Olympics started because I told her I loved to watch them, made for good tv during my time off work. Nurse Mari was informative, reassuring and helpful (and funny) with pre and post op procedures. My surgery went well, it was done under general at a local hospital in outpatient surgery unit, my surgery was 7:30 am and I was home before noon. I only required pain meds for a day or two post surgery. Way more important than the pain medication was the anti anxiety meds, she provided a prescription for a few Ativan and it really helped before surgery and a few times during the healing process when my boobs had not progressed to the attractive stage. I think the anesthesia can really throw you into a state of depression. It resolves but I didn’t quite realize the impact it would have on me. I did have an office procedure post surgery to improve my scars which was successful. Didn’t require any further time off work. My breasts feel warm, natural and soft, so much better than the implants. I look better in clothing and undressed too, my husband liked the implants I think but he’s enjoying them back in their original state. I was a 30 B before kids, was 32DD with implants and now I’m 30A orB now. No one noticed the change in my breasts at work or friends, I didn’t tell anyone, I never told people I had implants. They don’t sag, I can go braless, I look leaner, I can run again without a heavy duty bra; I am so pleased. When I catch a glimpse of them in a mirror I smile, haven’t loved my breasts this much since before my first child. The scars from a lift are not too noticeable and mine are continuing to fade. Implant removal and lift improved my quality of life and I am very happy with my results! If you are considering either or both procedures you will be very pleased! - ★★★★★5 out of 5 Stars **noodledog** Apr 02, 2019 I am 24f and underwent a breast reduction by liposuction. I thought I’d write a review as I found little information online. I’m 5’6 and 135 pounds and was a 28F bra size for years. I always considered a breast reduction but was squeamish about surgery and drains and recovery time. I met an awesome surgeon and the procedure was a breeze. She conducted it under general anesthesia and removed ~1200 ccs of fat. I’m 3 weeks post op and around a 28D and my scars are healing beautifully. I have one in each armpit and two under each breast. They aren’t visible just looking at me head on. Recovery was a little uncomfortable but I felt almost normal within a week. - ★★★★★5 out of 5 Stars **lovingmomof2** Feb 11, 2019 My experience with Dr. Horton has been nothing short but great and she is everything you would want from a doctor. I had a tummy tuck and liposuction and 5 months post surgery I am seeing phenomenal results. Just from the initial consultations with her and her staff I knew it was a great fit. Dr. Horton certainly cared for my well being and not her pocketbook, was straightforward with me as to what to expect and was always just a text or phone call away if I had any concerns post op. That in itself gave me so much peace of mind and I felt like she always had my back even if something were to go wrong. I would not hesitate to refer her to anyone and I don’t think you will find anyone better in my opinion. - ★★★★★5 out of 5 Stars **diamondxgirl** Feb 05, 2019 Dr. Horton and her team are caring, knowledgeable, and invested in your outcome. From the start to now (2+ months post-surgery), I have felt a sense of calm through the process, which was important to me. I went into surgery knowing exactly what would be expected of me and my recovery. Dr. Horton’s blog posts (especially the one about the stages of recovery - I KNEW I would go through ups and downs and yet it still hit me) were helpful, as were her galleries. I have been pleased with how responsive Dr. Horton and Mary (patient coordinator) were through the process. When I had questions or concerns, there was an answer in a short period of time. My appointments were timely and informative. I am pleased with my outcome and the recovery. I am in scar therapy now and felt well prepared after my appointment with Emily (NFP). If you want someone who is invested in your goals, I highly recommend Dr. Horton and her team! - **Anonymous** Jan 24, 2019 The short: Dr Horton and her team of professions have heart, have amazing skill , and I would not hesitate to recommend them to anyone.The longer version: I met Dr Horton and her staff in late summer of 2018 when I decided to go in for an initial consultation. The longer version: I met Dr Horton and her staff in late summer of 2018 when I decided to go in for an initial consultation.I was a very young mom, and after my daughter was born I had issues right away that resulted in several surgeries in my 20s with a final hysterectomy in my mid 20s. No matter how fit I was, I had a blob of stretched out skin on my lower stomach, and problems with my belly button that would never get resolved with other Dr’s.I was nervous for my first appointment. However, the office was professional, but warm and inviting. All the staff were friendly and helpful.What struck me when I first met Dr Horton is how sincere she is about your health and your goals. She does an honest assessment and is straight with you about what will help you achieve them. She doesn’t try to oversell you, or push you in any direction. She is warm, kind and thoughtful. I had met other Dr’s before deciding, and none of the others had that same factor.Once I decided to move forward with my surgery, the office was sure I had all the information I needed. The pre-op appointment was very helpful to both me and my husband who would take care of me the next few weeks. They were very honest and straight about the recovery time - note: I thought for sure I could heal faster, but if you are really considering major surgery - listen to your Dr.At this point Dr Horton gives her patients her private cell number to call or text if you have any questions or concerns. We did use it 2 times, and both times she answered addressing our concerns and letting us know what to do next. I have felt cared for, understood and empowered through this entire processes, and I am SO HAPPY with my results!I had read the reviews that say sometimes the office runs late, so I was prepared for that. And I can say honestly, the office was often a little behind schedule when I had appointments, but no longer than you might wait anywhere else.Overall I am pleased with my results, all the staff, and Dr Horton. She and her staff are some of the best. I almost never leave reviews, but I highly recommend her and her team. - ★★★★★5 out of 5 Stars **Enjoysmin** Jan 24, 2019 The short: Dr Horton and her team of professions have heart, have amazing skill , and I would not hesitate to recommend them to anyone. The longer version: I met Dr Horton and her staff in late summer of 2018 when I decided to go in for an initial consultation. The longer version: I met Dr Horton and her staff in late summer of 2018 when I decided to go in for an initial consultation. I was a very young mom, and after my daughter was born I had issues right away that resulted in several surgeries in my 20s with a final hysterectomy in my mid 20s. No matter how fit I was, I had a blob of stretched out skin on my lower stomach, and problems with my belly button that would never get resolved with other Dr’s. I was nervous for my first appointment. However, the office was professional, but warm and inviting. All the staff were friendly and helpful. What struck me when I first met Dr Horton is how sincere she is about your health and your goals. She does an honest assessment and is straight with you about what will help you achieve them. She doesn’t try to oversell you, or push you in any direction. She is warm, kind and thoughtful. I had met other Dr’s before deciding, and none of the others had that same factor. Once I decided to move forward with my surgery (a full tummy tuck with liposuction) the office was sure I had all the information I needed. The pre-op appointment was very helpful to both me and my husband who would take care of me the next few weeks. They were very honest and straight about the recovery time - note: I thought for sure I could heal faster, but if you are really considering major surgery - listen to your Dr. At this point Dr Horton gives her patients her private cell number to call or text if you have any questions or concerns. We did use it 2 times, and both times she answered addressing our concerns and letting us know what to do next. I have felt cared for, understood and empowered through this entire processes, and I am SO HAPPY with my results! I had read the reviews that say sometimes the office runs late, so I was prepared for that. And I can say honestly, the office was often a little behind schedule when I had appointments, but no longer than you might wait anywhere else. Overall I am pleased with my results, all the staff, and Dr Horton. She and her staff are some of the best. I almost never leave reviews, but I highly recommend her and her team. - ★★★★★5 out of 5 Stars **Joy Kummer** Jan 24, 2019 The short: Dr Horton and her team of professions are amazing and I would not hesitate to recommend them to anyone. The longer version: I met Dr Horton and her staff in late summer of 2018 when I decided to go in for an initial consultation. The office was professional, but warm and inviting. All the staff were friendly and helpful. What struck me when I first met Dr Horton is how sincere she is about your health and your goals. She does an honest assessment and is straight with you about what will help you achieve them. She doesn’t try to oversell you, or push you in any direction. She is warm, kind and thoughtful. I had met other Dr’s before deciding, and none of the others had that same factor. Once I decided to move forward with my surgery, the office was sure I had all the information I needed. The pre-op appointment with Nurse Mary (who is also amazing) was very helpful to both me and my husband who would take care of me the next few weeks. And, at this point Dr Horton gives her patients her private cell number to call or text if you have any questions or concerns. We did use it 2 times, and both times she answered addressing our concerns and letting us know what to do next. I have felt cared for, understood and empowered through this entire processes, and I am SO HAPPY with my results. I had read the reviews that say sometimes the office runs late, so I was prepared for that. And I can say honestly, the office was often a little behind schedule when I had appointments, but no longer than you might wait anywhere else. Overall I am pleased with my results, all the staff, and Dr Horton. She and her staff are some of the best. I almost never leave reviews, but I highly recommend her and her team. - ★★★★★5 out of 5 Stars **Hugoisnice1** Jan 23, 2019 After meeting with multiple surgeons for my extensive surgery, I felt most comfortable with Dr. Horton, and I know I made the right choice!! I still have some recovery time to go, but my results are looking amazing so far, and I've been very well taken care of by Dr. Horton and her staff throughout the whole process. Dr. Horton stayed in the operating room much longer than planned in order to give me the best possible results. Not many doctors would go above and beyond like that -- she is truly caring about giving her patients the transformation they desire. She even gave me her personal cell phone number to contact her with any questions, which I have been doing a lot (it's in my nature, I always have a ton of questions), and she always responds super promptly. The extra attention makes me feel very supported, and I am so happy I chose to go ahead with this extensive procedure in the capable and skilled hands of Dr. Horton. - ★★★★★5 out of 5 Stars **Anonymous** Jan 23, 2019 The absolute best experience!! I thought long and hard about whether or not I wanted to go through with the extensive procedure that I got. I interviewed numerous other surgeons, and still felt like I was on the fence. After speaking with Dr. Horton I finally felt like I was in skilled enough hands to go through with it, and I am so very happy that I did!! I still have a few weeks to go to see my final results, but so far things are looking great, and I owe it all to Dr. Horton. I've felt well taken care of from the very beginning, and any time I have a question, I text Dr. Horton on her personal cell phone and she answers right away. Talk about 5 star treatment!! We spent a long time talking about what I was hoping to achieve, and Dr. Horton stayed in the surgery room well beyond my scheduled time in order to make sure I got maximum results. It showed she truly cares about her patients and such good will is rare in this day in age. I would recommend Dr. Horton without hesitation. - ★★★★★5 out of 5 Stars **Danielle Sorrenti** Jan 15, 2019 Best doctor patient care you will get! Dr. Horton and her staff are by your side from the moment you walk in through out your entire procedure. She is very detail oriented and cares deeply about her patients and her work. Her support staff are wonderful. Nurse Mary is pratical, down to earth with a fantastic beside manner. Mary will go above and beyond to take care of billing and insurance. I just wish there were more doctors out there with Dr. Horton's care for her clients. Highly recommend. - **Anonymous** Jan 15, 2019 Best doctor patient care you will get! Dr. Horton and her staff are by your side from the moment you walk in through out your entire procedure. She is very detail oriented and cares deeply about her patients and her work. Her support staff are wonderful. Nurse Mary is pratical, down to earth with a fantastic beside manner. Mary will go above and beyond to take care of billing and insurance. I just wish there were more doctors out there with Dr. Horton's care for her clients. Highly recommend. - **Gabrielle Wood** Nov 11, 2018 Dr. Horton is the sweetest woman on Earth. She not only cares about your results and you as a patient, she also takes the time to get to know who you are as an individual. When you consider how many patients she has, it is pretty incredible of her to take that extra time. I just had breast reduction surgery and am still recovering, but she has been informative, comforting and genuinely caring throughout the entire experience so far. I could not be more grateful to her for everything. This is something I’ve wanted to do since I was a teenager and she is literally making my dreams come true. It still doesn’t feel real. 💕 - ★★★★★5 out of 5 Stars **xotent** Oct 19, 2018 The Best. My bf and I scheduled in-office consultations at three different "Cool Sculpting, cosmetic surgery" services in San Francisco after I'd inquired with at least eight others. I wanted to get a sense of the whole spectrum of $$ and procedures. After consultations at the Berman Skin Institute (very commercial), Miguel Delgado M.D. (fabulous), and a Palo Alto-based clinic, we unanimously felt most confident and comfortable with Dr. Karen Horton's patient-based office practices in Sutter Health (formerly CA Pacific Medical Center, Pacific Heights) Hospital. I found, everyone in the skin game looks their best, and I tell you Dr. Horton is a movie star Amazon right out of Wonder Woman! Of course I'm a tiny 112 lb. scientific artist, media producer and my bf is a solid 180 lbs of good-looking(!), successful alt-energy developer and we were both impressed with Dr. Horton -- she can crack my bones anytime! And cool-sculpting guru Emily Sespaniak NP, is seriously all about what's right for you. They both thoroughly explained options and timing and precautions. The pricing is very straightforward too; I found their costs to be square in the middle of my comparisons ... and they are MEDICAL professionals. We got in the Cool-sculpting Summer Deal -- buy 2 get one free -- and plan to have a nip & tuck and liposuction in early 2019. This lady, Karen Horton MD, does full Mommy-makeovers (men, too); the whole shebang and she's On It. Her work is beautiful, critical, with thoroughly professional and up-to-date latest technique considerations. I predict their practice will grow exponentially, and I you'll love it. - ★★★★★5 out of 5 Stars **Anil Prasad** Sep 27, 2018 Dr. Horton made what I felt would be a very complex and difficult procedure into the most straightforward and perfectly-executed experience imaginable. I am incredibly grateful and recommend her and her staff highly. Fantastic all around. - ★★★★★5 out of 5 Stars **Diane G** Sep 27, 2018 Dr. Horton and her staff were fantastic! I had my bilateral mastectomy reconstruction redone after 10 years as I was embarrassed at how I looked and she gave me my breasts back, tattoos during surgery and all! I gave her 5 stars out of 5, she really earned 10 stars out of 5. Amazing compassion, professionalism, artistry and medical expertise! The pre-surgery education and post surgery education kept you informed making the process easier. Thank you Dr. Horton for helping me and caring for me. The 4 hour drive to SF for appointments was so worth it! - ★★★★★5 out of 5 Stars **osenton** Sep 14, 2018 Dr. Karen Horton is an absolutely amazing micro surgeon. She sat down with me, took the time to get to know me and what was behind my thoughts about the surgery I wanted. After a thorough exam and detailed information about expectations, she gave a list of people to call who had shared my same surgery to "get the good, bad and ugly" from another patients experience. Not one of them had one bad thing to say and all were extremely happy with the results! Day of surgery, I immediately felt comfortable, and well taken care of. I was worried about anesthesia, the outcome and many other things. She answered all my questions and quickly put me at ease. I saw her next in the operating room where she had music on that I chose, pictures up of what I was hoping results would be, and the friendliest staff. I woke up and was quickly attended to, made comfortable, and I've never been happier with a surgical experience. Don't hesitate!!! Karen is the best! - ★★★★★5 out of 5 Stars **Anonymous** Sep 14, 2018 Dr. Karen Horton is an absolutely amazing micro surgeon. She sat down with me, took the time to get to know me and what was behind my thoughts about the surgery I wanted. After a thorough exam and detailed information about expectations, she gave a list of people to call who had shared my same surgery to "get the good, bad and ugly" from another patients experience. Not one of them had one bad thing to say and all were extremely happy with the results! Day of surgery, I immediately felt comfortable, and well taken care of. I was worried about anesthesia, the outcome and many other things. She answered all my questions and quickly put me at ease. I saw her next in the operating room where she had music on that I chose, pictures up of what I was hoping results would be, and the friendliest staff. I woke up and was quickly attended to, made comfortable, and I've never been happier with a surgical experience. Don't hesitate!!! Karen is the best! - ★★★★★5 out of 5 Stars **Liz Acosta** Sep 10, 2018 If you're just THINKING about scheduling a consultation with Karen, don't wait! DO IT NOW! I was a young and desperate breast cancer patient when I found Karen. All the plastic surgeons I had seen for my breast reconstruction didn't seem to understand the particular needs of a young cancer patient. From the moment I spoke with Mary -- Karen's right hand lady -- I knew this would be the team for me. Mary was so compassionate and able to schedule me right away. When I met Karen, I KNEW she was the one, and suddenly there seemed to be some hope in my cancer treatment. Karen claims she is not a fairy godmother, but don't believe her! Almost by magic, she helped me put my life back together post cancer. What I love most about Karen is her mastery of her craft, and the skills she brings to her work. So don't hesitate -- call her now and schedule an appointment! - ★★★★★5 out of 5 Stars **femmFerocious** Aug 15, 2018 If you're even just \_thinking\_ of making a consultation with Karen, don't wait any longer! Do it! I met Karen in the throes of breast cancer. I was diagnosed at thirty-one, and none of the plastic surgeons I met with seemed to understand the particular needs of a young breast cancer patient. I was supposed to get at least five more years out of my breasts before they started drooping! Now I was going to lose them at \_just thirty-one\_. I started to grow desperate and despairing, and that's when I got in touch with Karen's office. Mary -- Karen's amazing right hand lady -- soothed me over the phone while I cried and told her my story, and was able to make an appointment right away. The moment Karen walked into the room, I knew I had found THE ONE AND ONLY DOCTOR I could trust with my breast reconstruction. She was truly a silver lining to the tragedy and trauma of breast cancer. Karen says she is not a fairy godmother, but don't believe her! She helped me put back the pieces, she gave me back my life after cancer. What I love most about Karen is how much she enjoys her craft. She is an artist with a vision, and she has the skills to achieve those visions. She gives you her cell phone number, and makes a priority of responding. No question or concern is too small or too silly. She is advocate for breast cancer patients, and I am so glad I found her. You will be too. And PS I LOVE MY BOOBS! - ★★★★★5 out of 5 Stars **Juliana King** Aug 11, 2018 Dr Horton is skilled, professional, and great with her patients. I felt that I was in great hands the whole time. The compliments extend to her entire staff as well. I love my results! - ★★★★★5 out of 5 Stars **Kitkat** Aug 03, 2018 After extensive research I chose Dr. Horton to be my daughters surgeon. The entire staff was knowledgeable and friendly and so respectful of my daughter and her needs. The procedure is done in a hospital ,we chose to have her stay overnight to be absolutely safe on pain control and it being her first surgery. The hospital staff was equally amazing, I personally have never seen a kinder night staff in a hospital . She is thrilled with the result ,as am I. Dr. Horton is such a skilled surgeon the scarring is healing beautifully and minimally . I trusted her with my child and she did an amazing job keeping her safe and healthy. She changed my child's life! - ★★★★★5 out of 5 Stars **Anonymous** Jul 19, 2018 She's the best of the best. I had a liposuction procedure done. Karen listened to what I wanted and made me feel confident and reassured throughout the process. Even after the procedure, I had trouble with how my scars healed and struggled with some unevenness. But Dr. Horton is honest, reliable and stays true to her word. She helped guide me through the revision process and made sure that the final result was the best it can be. I couldn't have asked for more from a surgeon. - ★★★★★5 out of 5 Stars **Llattinna Gonzu** Jul 08, 2018 � - ★★★★★5 out of 5 Stars **Anne Corbin** Jun 29, 2018 Karen Horton is absolutely the best surgeon ever! Highly recommend - ★★★★★5 out of 5 Stars **Tina McGovern** Jun 11, 2018 Dr Horton is a talented doctor. She deeply cares for her patients, and calmly explains procedures thoroughly. She gave me a new lease on life. Forever grateful. Great staff treat you like family. Thank you Dr Horton. - ★★★★★5 out of 5 Stars **Anonymous** Jun 08, 2018 I interviewed 3 male doctors before consulting with Dr. Horton. From a woman's perspective, she gets it. We discussed my goals and expectations, which were to have a successful surgery without infection, and a good reconstructive cosmetic outcome. She was skillful, supportive, knowledgeable, caring, reassuring, and available whenever I needed her. Her positive attitude is uplifting. Her practice sees the whole patient, emotional and physical. The staff is warm, sensitive and extremely helpful. I had 2 surgeries and a long recovery. Along the way, there were some insuance issues with which Mary Pasache guided me through. As an educator, Mari RN, is another indispensable part of the team, and a fantastic baker. The front desk ladies were very caring and helpful. Dr. Horton continues to guide me through my recovery. I'm confident that after the swelling resolves, the outcome will be as she has predicted. Dr. Horton is everything you want in a surgeon. - ★★★★★5 out of 5 Stars **Anne Corbin** May 26, 2018 I had a breast lift on my right side only and augmentation with Dr. Karen Horton 6 weeks ago. 10 years total of nursing left me with very deflated uneven breasts. My confident and self esteem suffered a lot because of this to the point where I couldn’t wear a tight shirt without an insert on one side to even them out. I Initiallu chose Karen because she has amazing before and after and because I appreciated her views on implants and being placed over the muscle. I was looking for a natural look and something that wouldn’t interfere with fitness. I live in lodi which is an hour and a half away, usually two or more because of traffic. Her prices were more but.. I wanted the very best surgeon! Travel, inconvenience and money did not matter to me because Karen is that good. She is responsive very friendly and seems to genuinely care. She puts her heart into her work, and I believe being passionate about a job like this is essential. During my pre op her nurse spent over an hour with me making sure I was comfortable and all my questions had been answered. Karen went over my “wish pics” in detail taking note of every aspect of each that I wanted to achieve and making me explain why I wanted certain attributes. She was tuned in with me and understanding of everything I desired. Made me feel very comfortable with something that can be embarrassing and intimate. On the day of my surgery she came and talked to me and was alert and friendly and smiling. Surgery day was one of the best days of my life! Go to sleep wake up and felt amazing! Minimal pain, her staff cared if I was prone to nausea or anxiety and addressed all my needs. Karen gives you her personal cell number and you can text or call her anytime and she always answers! Even small seemingly silly questions she answers quickly! So comforting to have that and I know lots of ladies who do not have that relationship with their surgeon. She had warned me I might look a little strange on my one side that had a lift compared to my other for the first 6 weeks or so and I was so pleasantly surprised that I loved them from day 1. Absolutely gorgoes cleavage right away! I look thinner and feel much more confident. It’s honestly amazing what having beautiful breasts can do for you! Also.. Karen did free lipo on my armpits! Love them now! My sister wants to travel all the the way from Seattle to see Karen because they are that beautiful! From the bottom of my heart karen thank you for giving me back my body! 💗 - ★★★★★5 out of 5 Stars **jenafer410** Mar 22, 2018 I couldn't have had a better experience than I had with Dr. Horton and her team. I had met with a few surgeons regarding Breast Explantation, and once I met Dr. Horton- I knew she was the one. Whereas other surgeons had tried to talk me into swapping implants, Dr. Horton was honest and confirmed that explantation was my best route. After years and years of various surgeons, and revision after revision, I'm happy to finally be implant free- and I love my (very small) natural breasts! Dr. Horton is also a master with scars. The incision was so clean and so straight, I've got minimal scarring. Explantation was one of the best decisions I've ever made. I'm grateful to Dr. Horton for getting me to this place. Thank you to Dr. Horton and her entire team! I'm a very happy patient. - ★★★★★5 out of 5 Stars **Kara Gutierrez** Mar 12, 2018 I am so thankful to have found Dr. Karen Horton and her team. An excellent surgeon, her compassion along with her lovely and lively spirit, shine as soon as she walks in. She immediately puts you at ease, answering all questions and explaining everything in great detail. Dr. Horton is a beautiful soul inside and out and she gave me hope when I thought I had none. I am beyond pleased with her work! My breasts are beautiful and my experience was awesome! - ★★★★★5 out of 5 Stars **swheels** Feb 28, 2018 Dr. Horton is the only person I would ever trust to do my breast reduction. She answered every single question I had with full confidence and honesty. After my surgery, Dr. Horton was available via text 24/7 for any assistance - she even adjusted my medication prescription on a Saturday morning. Dr. Horton and her entire staff put their patients first and it really shows. I am so happy with my results and cannot thank Dr. Horton enough. - ★★★★★5 out of 5 Stars **Sarah Wheeler** Feb 25, 2018 Dr. Horton is simply the best. I wouldn't trust anyone else to do my breast reduction. From my consultation appointment, pre-op, surgery, and post-op appointments, Dr. Horton has the most amazing bedside manner and willingness to answer every single question. Dr. Horton's staff also has the same willingness to assist with insurance questions & paperwork. I am so pleased with my results. My friends and family are astounded by Dr. Horton's precision: my breasts are symmetrical, perky, and perfectly placed. It's clear that Dr. Horton truly knows how to take a vision and make it a reality. I highly recommend Dr. Horton as an amazing plastic surgeon and confidant! Love, love, love her. - ★★★★★5 out of 5 Stars **Maggie Glickfeld Sedar** Jan 18, 2018 Love Emily Sespaniak for all of my 'non-surgical' beauty treatments! On time appointments, knowledgeable, professional,precise, all topped off with a very pleasant demeanor. Go to her!!! - ★★★★★5 out of 5 Stars **Anonymous** Jan 05, 2018 I just had the second reconstruction surgery required to fix what was done previously by another surgeon after a Bilateral Mastectomy and four reconstruction/revision surgeries. When I went to Dr. Horton I was not feeling very confident or hopeful. She immediately put me at ease and gave me hope to believe I would be pleased with the outcome following a Diep Flap surgery. It was just as intense as she said it would be. Recovery was long and painful. There were times I felt depressed and overwhelmed but Dr. Horton reassured me that was to be expected. She gave us her cell phone number so we could contact her at anytime if we had questions and or concerns. After almost a year Dr. Horton just completed the final surgery, which required some corrections and revisions. Although I am still in the recovery process I am confident the end results will be positive. Any areas that are concerning, like the scarring, are not a reflection of what Dr. Horton accomplished. She was given a huge undertaking due to the previous surgeries and two failed implant attempts. Dr. Horton is professional, thorough and cares deeply about her patients. I appreciate her compassion and empathy. - ★★★★★5 out of 5 Stars **jmlozada** Dec 27, 2017 Dr. Horton is one of the most passionate people I have met in my life. She is all about her work and her patients. The support and care she gives, is more than anyone can expect and ask for. She is not just some family practice doctor that you walk in to see and wait forever to talk to, for 2 minutes. The reason why her wait time can be long, is because she takes her time with her patients. Which is exactly what I want in a doctor. She spends the needed amount of time with you to ensure you are doing well. You can't ask for anything more. So that's why I understand when she runs behind. We all want our doctor's to spend time with us and not make us feel rushed. If you are looking for that type of doctor, then do your consultation with her. I promise you will feel welcome as soon as your meet her. For everyone else in the office, Nurse Mari is amazing and just get loving and caring. She ensures you are well informed before and after surgery. She is always there to answer crazy questions and concerns because she too, has seen it all. I would recommend Dr. Horton and her team to everyone. I am extremely satisfied and happy. There is nothing more I can ask for! Thank you Dr. Horton and thank you to her OR Team and Office Team! - ★★★★★5 out of 5 Stars **amymiriamsf** Dec 11, 2017 I found Dr. Horton after carefully doing my homework. She is very professional and after talking to her other patients I felt this was the right decision. She made me feel comfortable, explained everything honestly, and gave me tome to think about it. I love my results. I look great but also natural. Everyone who has seen me tells me how fantastic I look and how it looks so natural. She is a star. - ★★★★★5 out of 5 Stars **Anonymous** Dec 11, 2017 I feel so lucky that I found Dr Horton. I love the results and she made me feel so comfortable the whole time. This is a person who know their stuff and wants to do what is best for her patients. . - ★★★★★5 out of 5 Stars **Amy** Dec 11, 2017 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. - ★★★★★5 out of 5 Stars **Brechy** Dec 02, 2017 I just love Dr. Karen Horton and her office of lovely professional staff. Yes, there can sometimes be a long wait, however this is probably due to a bird brain like me forgetting my appointment time and coming in late. Also, Dr. Karen Horton and her staff are so sweet and professional so it is honestly worth the wait. I have come to expect that I will be spending some good me time at Dr. Horton's office so I clear the whole day just in case. It is really no problem if you have good expectations. Other than that, I think Dr. Horton did an amazing job on my breast reduction surgery. They came out way better than I imagined and I think she had a lot of challenges with mine because they were so big and saggy :( But she worked some serious magic and I have to trust the process, but they have been coming long nicely. I have felt confident with Dr. Horton's work that in just two weeks I will be going back in with her for the rest of my mommy make over surgery. After experiencing her care and professionalism with my breast reduction and am more than happy to entrust her with the next big step in my journey to uncover my best physical self. Dr. Karen Horton is a lovely person, trustworthy, smart, ethical, and genuinely has an interest in helping women be their best selves. I highly recommend Dr. Horton and her amazing staff. I love them all! - ★★★★★5 out of 5 Stars **jinju0708** Oct 22, 2017 I’m a 30 yo female, 125lbs, 5’7’’ and with breast augmentation I went from an A cup to a C/D cup. Dr. Horton is a great surgeon: -She is kind, confident, experienced and knowledgable. -At the consultation she explained that I would be her patient for life, and that she will monitor me at the times when my body is expected to change. -Her surgical methods retain nipple sensation and ability to breastfeed. -She uses unconventional methods to prevent and treat capsular contracture. -I have some unusual underlying anatomy that we were unaware of until I was in surgery. She noticed the abnormality and intervened appropriately. -I text her questions frequently, and she always responds within an hour or two. The practice is run well: -Everybody is polite, helpful and responds to emails or phone calls almost immediately. -Mary P took complete care of the logistics regarding time off work. -Nurse Mari consoled and helped me navigate a difficult situation that coincidently happened days before surgery. -Emily NP provided me the tools and education to ensure optimal scar healing. Results: -My breasts look natural, and now my body is perfectly proportioned. -The healing period was brief and unremarkable. -My exercise routine and athletic abilities have not been affected. -I have a new interest in shopping and fashion since I look better in clothes. Old pieces from my wardrobe have been revived, and I now wear styles that I have not worn before. Dr. Horton is an experienced, knowledgeable, and thinks outside the box. I am thrilled with my results, and I will go to her for any future cosmetic work. I would readily refer her to friends and family. - ★★★★★5 out of 5 Stars **Victoria Zemrak** Oct 19, 2017 Dr. Horton is an amazing, caring, thorough doctor...I was extremely happy with how she explained everything and took great care of me before, during, and after my reconstruction!! - ★★★★★5 out of 5 Stars **Kimberly Campbell** Oct 19, 2017 No comment given - ★★★★★5 out of 5 Stars **Jane S** Oct 11, 2017 Dr. Karen Horton is a talented surgeon with an excellent bedside manner to match. She performed a breast implant exchange to downsize my old implants that were too large for my petite frame. I was anxious going into this procedure because I'd had a bad experience with my previous surgeon who didn't listen to my desires and left me with awkwardly large breasts that looked and felt disproportionate. Dr. Horton performed a thorough review of my case, patiently answered all of my questions, and worked together with me to choose the perfect size. When I removed my surgical bandages for the first time, I actually cried I was so happy. She nailed it. My results far exceed any expectations I had going into this. My new breasts are soft, look very natural and are perfectly proportioned. I seriously couldn't be happier and would recommend this surgeon to anyone seeking a natural-looking breast augmentation. Dr. Horton is a true artist! - ★★★★★5 out of 5 Stars **valerie gardner** Oct 11, 2017 I can only say Dr Horton completely changed my life. I had numerous unsuccessful surgeries before finally meeting Dr Horton. I was a 2 time cancer survivor and the radiation from my initial diagnosis had caused substantial damage and made reconstruction very difficult. I had unsuccessful breast reconstruction after my bilateral mastectomy at UCSF. She patiently talked to me about options and gave me the bad news that my body would need to heal for a year from the ongoing infection I had from my surgeries with my prior doctor. She told me what I needed to hear, not what I wanted to hear. I had numerous stages to my reconstruction. Dr Horton and I talked about how there would be a number of steps needed, for my initial surgery with her I underwent a free flap surgery. She was with me every step of the way. She gave me her cell phone number and called me immediately if I texted or left a message. She was always there to assure me when I was concerned. I am sad to see the negative comments. I am confident that Dr Horton never told anyone that all they would need is one surgery. No doctor can guarantee results nor outcomes. Every person is different and their bodies respond differently. I had to have additional surgeries due to healing issues which had nothing to do with Dr Horton, it was my body responding and it was still struggling with the radiation after effects. I also had implants put in under the flaps in a secondary surgery due to issues with my breast bone. ( again my body issue, not Dr Horton) She gave me a "makeover" and I am so happy with the outcome. I look and feel better than I have in 20 years! I sent one of my best friends to Dr Horton when she was diagnosed with Breast Cancer. She loved Dr Horton and had the same amazing experience that I did. The preponderance of comments are positive and reflect who Dr Horton really is. I have, and will continue, to recommend her. She is truly the best. - ★★★★★5 out of 5 Stars **leah.perrien** Oct 04, 2017 After having two babies in two years and suffering with a wide diastasis recti I began an exhaustive search for a solution. I spent 3 years trying everything from physical therapy, to a personal trainer, to a forum specifically for DR sufferers (Fit2B.us) Although I was eventually able to get my DR from 4 fingers to a small 1 finger, I still looked several months pregnant and was unable to wear pants with a waistband. Fed up, I decided to schedule a plastic surgery consultation, but I also wanted to consider CoolSculpting, so I found a practitioner that offered both. Dr. Horton's office had great reviews and was pleasant to deal with on the phone. My husband joined me at the consultation and we both agreed that Dr. Horton seemed like a great combination of friendly/caring, but also professional/knowledgable. Her and her staff we great to work with pre and post surgery. She is busy and her time is precious, so my after-care visits have been very short, but I never feel rushed or unheard. My only con in the entire experience is that during post-op physical exams she can be kind of rough. When removing and replacing my compression garment just a few weeks after surgery it didn't feel like she took into consideration the pain I was in, instead she just did the job as quickly as possible. I would have rather she let me do it myself. She acted similarly when trimming/removing stitches. She was quick, but rough. I'm only 3 months post-surgery, so I don't know what my final results are going to be, but Dr. Horton has been very reassuring that I am on track for an amazing transformation, but she has also made it clear that post-op touch-ups are always a possibility. I appreciate her honestly and understanding when my expectations waver. If plastic surgery is the best option for you then I would recommend you schedule a consultation with Dr. Horton! - ★★★★★5 out of 5 Stars **Emily J** Sep 25, 2017 Dr. Karen M. Horton is a talented surgeon with an excellent bedside manner to match. She did a phenomenal job on my breast augmentation revision. She helped me decide on the perfect size implants to fit my petite frame. I cried when I removed my bandages for the first time because I couldn't believe how incredible I looked. The results completely exceeded my expectations. My new breasts are perfectly fitted to my small frame, soft, and very natural looking. After my first experience with the other surgeon years ago, I wasn't convinced that breast implants could look like natural breasts. I've learned that who you choose to be your surgeon matters, and Dr. Horton is an artist! - ★★★★★5 out of 5 Stars **Keke Vasquez** Sep 15, 2017 Dr. Horton is such a personable and kind person. She's very thoughtful and so polite! Love her! - ★★★★★5 out of 5 Stars **Anonymous** Aug 18, 2017 Dr. Horton is personable and professional. Her kind and knowledgeable demeanor shows in her work. She was pleaseant in communicating with my wife and I throughout the entire process regarding my wife's breast surgery, and her surgical procedure was great (the results are beautiful). My wife is very happy, and I am very happy that she is happy. - **Anonymous** Jul 02, 2017 I love Dr. Horton. Her surgery is impeccable; she really cares about her patients, she fought with my insurance company for me. I get compliments every time I go for a checkup and people can't believe it was a mastectomy! I'm grateful for her. - ★★★★★5 out of 5 Stars **AboveandBeyond12** Jun 27, 2017 The second I met Dr. Horton I felt an instant connection with her, I trusted her right away. She is incredibly caring, intelligent, kind and extremely talented in her work. I'm only 3 weeks Post-Op and I LOVE my new breasts so much! I loved them right away! They're healing SO well and look JUST like I wanted them to. Dr. Horton is the most amazing doctor I've EVER had and her staff are incredible too. I am SO happy with my decision to come to her for this surgery. She's truly changed my life and I'm so grateful for that. - ★★★★★5 out of 5 Stars **Monica Galindo** Jun 25, 2017 No comment given - ★★★★★5 out of 5 Stars **Bonnie Romero** May 05, 2017 No comment given - ★★★★★5 out of 5 Stars **Claudine Cabaron** Mar 31, 2017 Dr. Horton and her staff are wonderful. They are great and very professional. Before Dr. Horton did my procedure, she informed me of what to expect and how she was going to do the surgery. She made me feel comfortable and I felt taken care of. She truly cares for her patients and I highly recommend her as my plastic surgeon. - ★★★★★5 out of 5 Stars **Chari Jopes** Mar 29, 2017 I love Karen!! I completely trust her for any procedure and her work is flawless! She is so nice and comforting throughout the entire experience. After my recent surgery Karen kept in touch to check on me, and I really appreciated her consistency. I highly recommend her!! - ★★★★★5 out of 5 Stars **Anonymous** Mar 09, 2017 Dr, Horton and her team are outstanding. Collectively, they are compassionate, warm, knowledgeable and caring. I was seeking a bit of a "retirement makeover" (why not?) and while I was a little embarrassed about it, Dr. Horton immediately put me at ease. She has that rare combination of knowledge, skill and artistry. It has been a year since my procedure, and I am very happy with the result, and with the ongoing relationship I feel that I have with Dr. Horton and her team. Dr. Horton is simply the best in her field. - **Anonymous** Jan 09, 2017 She is an amazing artist. I have not met a more open, compassionate and skillful Doctor. She helped make my journey through Breast Cancer a less fearful and scary one. I LOVE her! - ★★★★★5 out of 5 Stars **Jamie Dinsmore** Oct 22, 2016 No comment given - ★★★★★5 out of 5 Stars **Thomas Mautner** Oct 11, 2016 Both my wife, Cheryl, and my daughter, Victoria, are currently patients of Doctor Horton. She is a perfectionist and an AMAZING doctor, as well as a very special person! I have complete faith in her abilities as a surgeon and know that she will take care of my family's medical needs. - ★★★★★5 out of 5 Stars **Alyson Miller** Oct 11, 2016 I'm 10 days post-op and feel and look better than I ever could imagine! What surgery? Dr. Horton and her team are great and extremely supportive. They let me contact them any time of day post surgery to get any worries handled. I was also referred by them to Nurse Hope to pick me up and take me to my hotel room and care for me the day of surgery, and she was so kind and fantastic! All in all I would do it again. And would go to them for any other surgeries or needs!! - ★★★★★5 out of 5 Stars **Mirza Husnain** Aug 10, 2016 No comment given - ★★★★★5 out of 5 Stars **Pasache Family** Jul 08, 2016 No comment given - ★★★★★5 out of 5 Stars **Adeline O** Feb 18, 2016 Dr. Horton and her staff are compassionate, understanding and are the epitome of reconstructive care. I came to her after having seen 4 other reconstructive surgeons to fix my post-mastectomy reconstruction issues. I am now over a month out from my surgery with her and wish I had found her a year ago. I recommend her to anyone looking for answers and solutions. - ★★★★★5 out of 5 Stars **Anonymous** Feb 08, 2016 Great listener, knowledgeable, put me at ease. More docs should be like her. - ★★★★★5 out of 5 Stars **Jeanette Fields** Jan 29, 2016 No comment given - **Anonymous** Jan 04, 2016 I don't go online to post reviews- but I just knew that I had to say something about Dr. Horton and her amazing team. I felt truly heard, and supported throughout my entire process. I love my results- and i would recommend in a heartbeat for anyone to put their trust in Dr. Horton. Thank you, Thank you, Thank you!!! - ★★★★★5 out of 5 Stars **Patricia Luzi** Oct 12, 2015 Dr. Horton is the best. I found here because of previous problems suffered from another surgeon that needed correction. She was compassionate and understanding and truly wanted to do the best for me. Which she did. I would highly recommend her and her spa to anyone knowing only best services will be received. FYI - in my experience every woman needs a female plastic surgeon - they know the body, contours and can produce the best aesthetic results. Thank you so much!! - ★★★★★5 out of 5 Stars **Tara Farbstein** Oct 12, 2015 I love Dr.Horton and her staff. From the moment I met her, she put me at ease and made my breast cancer journey a little easier. My surgeries went great and I'm so happy with the results. She is fantastic! - ★★★★★5 out of 5 Stars **Jill Alter** Oct 12, 2015 Dr. Horton is a very caring and skilled surgeon. She has held my hand and given me plenty of hugs. She is always ahead in the latest procedures available and explains each with the pro's and con's and always let's the patient make the decision. What else can I say I recommend her to anyone that needs her expertise . She is a ray of sunshine and her staff is to. - ★★★★★5 out of 5 Stars **Sandy Bradley** Oct 12, 2015 As an older woman who is still dealing with the aftermath of a reconstructed breast after a mastectomy 12 years ago, it was so very, very comforting and empowering to meet a female doctor who is so totally pro- patient. I had a terrific experience with Dr. Horton and would not hesitate to recommend her to anyone for any reason that is related to cosmetic or reconstructive surgery. Her team is amazing. The entire experience of meeting her, discussing my wish list and then experiencing it and it coming to fruition is beyond my expectations. This was a great experience and I am very thankful and grateful to have met such a supportive, creative, happy, team of professional medical providers. If you have any doubts, don't think twice. Just go for it!! You will be elated! - ★★★★★5 out of 5 Stars **Marsha Peterson** Oct 12, 2015 I believe Dr. Horton has created a masterpiece from the ruins of my breast post 2 lumpectomies, chemotherapy and radiation therapy. The pain from the surgical operations was intense and I'm just in my 4th week post operation recovery, but realistically I am looking forward to the finished product and full recovery by next year this time. Dr. Horton is a classy lady and has a disarming bedside manner. She can be yanking out drains or stitches and speaking in a very chipper voice about what to look forward to next week; therefore, I wasn't as anxious while she was doing these things. I fought hard to get approval for Dr. Horton to do my surgery since she was out-of-network. I am glad that I did and feel I was in the very best hands for this very complicated surgery. - ★★★★★5 out of 5 Stars **Morgan Young** Oct 12, 2015 I went in to see Dr.Horton regarding my axillary area due to a long time insecurity regarding my "baby fat" in the crease of my arm pit. After having a child it only got worse. First meeting with Karen, she really took the time and energy into getting to know me and my body image issue. She was so genuine and showed legitimate interest in empowering me to love my body and having the freedom to elect modern ways to help reach my goals. I am almost 1 month healed from having liposuction on my axillary area and wow what a difference! I shop for clothes differently, I feel more confident in the things I wear and I really do feel different. I feel beautiful. I knew I was before going in for the procedure but now I feel unstoppable. Thank you Dr. Horton. For helping me change my life. - ★★★★★5 out of 5 Stars **Anonymous** Sep 22, 2015 Dr. Horton gave me the confidence to have reconstruction surgery. My situation called for something a little different and she and my surgeon Dr. Grissom were willing to make it happen.I interviewed 4 reconstruction surgeons in the Bay Area and I can honestly say that until I met Dr. Horton I was unimpressed and scared. She was friendly and forthcoming with information. She and her staff are there for you every step of the way.Her website alone is a fountain of information. A quick reference on anything you might have forgotten.The office is like mini spa... warm, friendly and relaxing. The staff is a reflection of Dr. Horton. The is a kind woman as well as a brilliant surgeon.Thank you so very much! - ★★★★★5 out of 5 Stars **Allison Efird Bunch** Sep 16, 2015 I received a call from a patient today only to tell me she was absolutely thrilled with the "beautiful job" Dr. Horton did on her breast reconstruction. Even after multiple prior surgeries and radiation, Dr. Horton was able to give the patient exactly what she wanted. She called Dr. Horton "an artist". I have never heard this patient happier, thank you Dr. Horton! - ★★★★★5 out of 5 Stars **Anonymous** Aug 10, 2015 Fantastic - the best in the country!!!!!! This is a doctor that really, really listens to her patients. You get the results you want and her knowledge, professionalism and kindness are extraordinary. Her staff is top notch too. - ★★★★★4 out of 5 Stars **Cheryl Ann Martinez** Apr 11, 2015 No comment given - **Anonymous** Jan 30, 2015 Thanks to Dr. Horton's careful listening and practical, compassionate advice, my lipo turned out to be one of the kindest things I've ever done for myself. She spends a lot of time in the operating room, which is exactly what we want her doing, even if it means being a little late for appointments in the office. Everyone in the office is incredibly helpful and always knows what's going on. I always leave the office (and OR) knowing I'm in the best possible hands. - ★★★★★5 out of 5 Stars **Anonymous** Jan 23, 2015 I went to Dr. Horton for inverted nipple correction. I've had inverted nipples since I stopped breastfeeding my second child. She is amazing. Very friendly, very approachable. She explained why this happened and how it can be fixed. I had an in office procedure. Dr. Horton and Nurse Mary were wonderful the entire time. I am now 2 weeks post op and very please with my results. Just an fyi, Dr. Horton offered me patient references without my asking, gave her cell number for any problems or issues, and provided me with several supplies just in case I needed them post op. One of my best experiences with a doctor ever. - ★★★★★5 out of 5 Stars **Norcalmommy** Nov 22, 2014 Well this was one of the best decsions of my life. I was super nervous about having surgery, especially one that would alter my appearance permantly. Dr Horton was amazing and answered ally husband and my questions before we even asked. Post op she even gave us her cell # to text her questions and even pictures when needed. It was like having a friend do my surgery! The best part. I look amazing. Just exactly how I wanted to and exactly how she and I had talked about me looking. - ★★★★★5 out of 5 Stars **Paula Murray** Oct 12, 2014 I experienced severe complications from treatments from my 2006 breast cancer. By 2013, my mammogram showed changes from the year prior. In working with a different medical center, there were four surgeries over the course of 2013-2014 . The damaged tissue resulted in squamous cell carcinoma on my chest wall which was removed, but the damaged tissue was still in place. I decided it was time for a second opinion. A friend told me about California Pacific Medical Center and I was fortunate to meet with Dr. Horton. From that first meeting I knew I'd found the right doctor. Dr. Horton is extraordinary, caring, compassionate, and an extremely skilled surgeon. Dr. Horton and her team performed had a chest wall excision and reconstruction with a diep flap in June 2014. Dr. Horton was there for me in many ways at a very difficult time in my life. I feel like a new person and can't thank Dr. Horton enough. - ★★★★★5 out of 5 Stars **Dianne Nakanishi** Oct 12, 2014 Dr. Karen Horten is a great surgeon. She performed breast reconstruction DIEP flap. When I was recovering from surgery, the nurses all said that I had an amazing dream team and if they were ever in need of the same surgery they would definitely be using the same team. She is always cheerful and patient and tells you exactly what you need to know in order for you to make the most educated decision. - ★★★★★5 out of 5 Stars **Mary R Scott** Oct 12, 2014 From the very first visit, I felt reassured and confident that Dr. Karen Horton was a true and gifted clinician and surgeon. Her manner is so gracious and reassuring, her plans were explicit which she clearly explained in layman's terminology. The staff that supports the office are all wonderful and do a great job to make you feel welcome and cared for. The morning of my surgery, she came to see me as I was getting prepped and made me feel safe and in an caring, excellent hands. The outcome was beyond my expections and I have already referred several friends to her practice. It is always a bit scary to have surgery, but when there is someone like Dr. Horton, it removes all fears. Thank you Dr. Horton, I will forever be indebted for the your amazing ability and compassion. Sincerely, Mary R. Scott - ★★★★★5 out of 5 Stars **Gayle Niehaus** Oct 10, 2014 Dr. Karen did a "mommy makeover" for me at the age of 51. It changed my life for the better. The follow up after surgery was phenomenal and everything was explained well. The office staff was superb and genuinely made my husband and me feel at home. - **Anonymous** Sep 09, 2014 I went to Dr. Horton for removal of my breast implants. I've had 3 sets and a lift previously from other docs. Basically I went to Dr Horton to have her fix other peoples mistakes and remove the capsule and all the scar tissue in the capsule. She was caring and compassionate and is also very down to earth and totally makes you feel comfortable. I had a great experience with her. She's available by text or cell after hours. She also did a great job. I would never go to anyone else. - ★★★★★5 out of 5 Stars **Anonymous** Sep 06, 2014 Thank you Dr. Horton for being my SUNSHINE along this journey. As a breast cancer survivor, I feel blessed to have found you. My breasts finally are back to feeling proportioned and it is due to your talent as a surgeon. A big thank you to your entire office staff who handled my appointments and insurance claims.....you are a wonderful group of women. Nurse Mary, you made me feel so at ease and I truly appreciated your reassuring voice about my "new look"! What else can I say......you are all FAMILY now. Breast cancer survivor of 8 years. - ★★★★★5 out of 5 Stars **Gsjules** Aug 30, 2014 Absolutely wonderful. Would never go to anyone else. - ★★★★★5 out of 5 Stars **Robyn Youngswick Christo** Jul 09, 2014 No comment given - ★★★★★5 out of 5 Stars **Tasha Sylsberry** Jun 10, 2014 No comment given - ★★★★★5 out of 5 Stars **Kathy Risk-Sego** Jun 08, 2014 No comment given - ★★★★★5 out of 5 Stars **Shannon Piro** Apr 05, 2014 No comment given - ★★★★★5 out of 5 Stars **Anonymous** Feb 13, 2014 Karen is an absolutely fantastic person and physician. Her work excels anything I've seen in terms of breast reconstruction surgery. Besides being extremely efficient and skillful, she has a wonderful, beautiful personality. She is kind sensitive and empathetic. It's been painful but rewarding and the final product has completely changed my life. My husband tells me constantly I'm beautiful not because I've been "fixed" but because I radiate confidence. I FEEL beautiful! - ★★★★★5 out of 5 Stars **robroc** Jan 30, 2014 Dr. Horton and her staff are all wonderful and supportive. Dr. Horton even provides you with her cell number so you can reach her at any time with pre- or post-surgical questions or concerns. I've known other women who have had this procedure with other physicians and, although they've been mostly happy with the results, they were less than thrilled with the bedside care and support provided by the doctor. Dr. Horton is a true expert and artist who will shepherd you through the process is a caring and loving manner. The decision to have plastic surgery is an important one. Choosing the right doctor is key. In a word, Dr. Horton is amazing. - ★★★★★5 out of 5 Stars **Salvatore Taglialatela Scafati** Dec 16, 2013 No comment given - ★★★★★4 out of 5 Stars **Ediz Akçay** Dec 10, 2013 No comment given - ★★★★★5 out of 5 Stars **Donna Perkins** Nov 25, 2013 No comment given - ★★★★★5 out of 5 Stars **Anonymous** Nov 13, 2013 Dr. Karen Horton is an angel. She is so caring, supportive, and informative. Her staff's customer service is top notch. Each of them are very helpful and responsive. - ★★★★★5 out of 5 Stars **Barbara Christian** Oct 12, 2013 Dr. Horton is very reassuring and does excellent work. I feel fortunate to have been cared for by such a talented micro surgeon! - ★★★★★5 out of 5 Stars **shannon grubert** Oct 12, 2013 Dr. Karen Horton is absolutely amazing. She was able repair and fix a very painful and unsightly breast reconstruction preformed by another surgeon using a DIEP Flap. My results are amazing and her and her office staff have been available every step of the way, including a cell phone number I was able to use if needed during off hours. Her bedside manner has to be the best I have encountered and she always makes you feel wonderful. I can not say enough about her surgical abilities, her office staff. The wait has always been very minimal. If you are in need of an amazing surgeon to preform a breast reconstruction, I personally have met and visited with dozens along the way. My recommendation is to use Dr. Karen Horton. A refreshing change from the typical surgeon! Thank you Dr. Horton. I love my results! - ★★★★★5 out of 5 Stars **Pamela Fondacabe** Oct 12, 2013 I am happy to recommend Dr. Karen Horton. I have found her to be a great listener and a talented surgeon. - ★★★★★5 out of 5 Stars **Christine Buell** Oct 12, 2013 No comment given - ★★★★★5 out of 5 Stars **Anonymous** Sep 30, 2013 Dr. Horton is a phenomenal surgeon with a caring and friendly demeanor. She truly cares about her patients, which is evident from the initial consultation to the post-op appointment. For every visit, I felt like I was reuniting with family, rather than entering a sterile, doctor's office. And, to say that the results are amazing is an understatement. She is incredibly talented. I highly recommend Dr. Horton for any surgical procedure. - ★★★★★5 out of 5 Stars **Overjoyedwithresults** Sep 30, 2013 Dr. Horton is a fantastic surgeon. She performed a breast reconstruction and replaced implants. Through the pre-op process, some questionable cells were discovered. Dr. Horton was reassuring and helped me through that difficult time. I am happy to report that I am incredibly pleased with the results. Thank you for doing such a wonderful job in fixing things up! - **Anonymous** Aug 14, 2013 Karen Horton is not only an artist at her craft -- but is also the most caring doctor I have ever dealt with. She expresses that care in every interaction and has changed the way I look at her field and how I look at myself. You should know that you will likely wait to see her longer than you might like -- but it's worth it when your turn comes. If you don't like the wait you can always choose one of the MANY others in her profession who don't spend the time to show that level of care to their patients. - ★★★★★5 out of 5 Stars **Janice Dunn** Oct 12, 2012 Dr Horton is Amazing! A true professional who mixes her passion with incredible expertise! I knew within minutes that I had found the absolute best surgeon to perform my breast cancer reconstruction and give me back my self! I often wonder why I waited 11 years to make this decision - now I know! Dr Horton has made this journey a life-changing experience! Her staff is wonderful - a true TEAM! - ★★★★★5 out of 5 Stars **Mel Macleod** Oct 12, 2012 Dr. Horton is so fantastic, as well as her whole office staff! I interviewed several surgeons and she was by far the best in her field! Dr.Horton has always made this experience a positive one and I appreciate that after a long year of breast cancer. She recently performed the DIEP flap surgery on me after I finished chemo, so this was the end for me. So many people keep telling me how amazing my breasts look. Dr. Horton is a gifted surgeon with such a warm-heart and fantastic bedside manner. I strongly recommend her to anyone! - ★★★★★5 out of 5 Stars **Anonymous** Jul 06, 2012 Dr. Horton is so fantastic, as well as her whole office staff! I interviewed several surgeons and she was by far the best in her field! Dr.Horton has always made this experience a positive one and I appreciate that after a long year of breast cancer. She recently performed the DIEP flap surgery (6/12) on me after I finished chemo, so this was the end for me. So many people keep telling me how amazing my breasts look. Dr. Horton is a gifted surgeon with such a warm-heart and fantastic bedside manner. I strongly recommend her to anyone! - **Anonymous** Mar 18, 2012 Dr. Horton took on my case when no other doctor would. Apparently a horseshoe scar is very hard to correct. Especially on one's face. She fixed my lower lip in an extremely painless and quick procedure. It healed quickly and now no-one can even tell that there used to be a scar there. Also, in an unrelated event, when I got hit by a motorscooter. Dr. Horton immediately referred me to the best doctor who could help fix my leg. Thank you Doctor Horton! - ★★★★★5 out of 5 Stars **Anonymous** Mar 13, 2012 There are not enough positive superlative words to describe Dr. Horton. She is skilled, artistic, and empathetic. My bilateral mastectomy was the best. Her talent in rebuilding my poor body was superb. Unlike many doctors, she has time for her patients and makes a very difficult procedure "simple." I would go through it again in a heartbeat--but only under her skilled leadership. She obviously got into med school on talent and intelligence rather than the growing route of "special" quota programs. - **Anonymous** Mar 12, 2012 Dr.Horton and Dr. Buntic are fantastic surgeons. I call them the "Dream Team" for breast reconstruction! Dr. Horton is a very compassionate and supportive listener. I thought I was too old, and too late, for a TUG breast reconstruction surgery--after bilateral masectomies 7 years earlier. Dr. Horton assured me that it was not only possible--but did the best reconstruction surgery you could ever imagine. Thank you so much for helping me regain my confidence as a woman--and the beautiful breast reconstruction job! Sharon - ★★★★★5 out of 5 Stars **Anonymous** Mar 07, 2012 It was 15 years after my breast cancer that I found Dr. Horton, but it was worth the wait! She is a remarkably gifted surgeon and compassionate person. She is genuinely interested in her patients and takes time to explain everything. She is warm, sensitive, supportive and protective. Her staff reflects her compassion and has been exceptionally flexible in scheduling for a patient with a 6 hour rt commute. Dr. Horton created a new "natural" breast for me and gave me back my feminine dignity. A truly amazing surgeon and experience. - **Anonymous** Mar 03, 2012 Dr. Horton was such a wonderful surgeon; she reconstructed my breast simultaneously with Dr. Grissom for the one-step mastectomy/reconstruction. My results are very natural looking; she preserved my skin and nipple; although my breasts are C-D cup she was able to preserve and maintain a very good shape. She doesn't believe in cutting pectoral muscles to insert the implant; unlike all of the other surgeons I saw. This preserved my range of motion, did not cause back pain, was very low intensity. Mary, Mari and Bridget are so so kind and wonderful. I am grateful to have found them. Dr. Horton is an excellent doctor, and her co-surgeon Dr. Grissom is a wondeful and excellent surgical oncologist. - ★★★★★4 out of 5 Stars **MissLane27** Mar 03, 2012 Recovery time can be lengthy. Dr. Horton, was meticulous to my breast reconstruction procedure. The sensation to my nipples was kept and my healing process and look afterward was excellent. I feel beyond confident with my new breasts that look natural and yet firm as if I were a teenager and incredibly fit. This Dr. Goes by what YOU the patient wants! You get to bring in "wish" pictures so that she knows what you desire rather than a sack of grain placed in a bra which leaves not much for your immag. Or wants. I love my look!! [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Breast Reconstruction Awareness Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # National Breast Cancer Reconstruction Awareness in San Francisco [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") ## BRA Day 2022 Dr. Horton and her team share their thoughts on what Breast Reconstruction means to them, how they have been personally touched by breast cancer and what they would say to any women out there who are facing a breast cancer diagnosis in this new video created to honor Breast Reconstruction Awareness Day in 2022. Breast Reconstruction Awareness (BRA) Day 2022 - Dr. Karen Horton & team celebrate reconstruction - YouTube Dr. Karen Horton 871 subscribers [Breast Reconstruction Awareness (BRA) Day 2022 - Dr. Karen Horton & team celebrate reconstruction](https://www.youtube.com/watch?v=1DidhbLR1d8) Dr. Karen Horton Search Watch later Share Copy link Info Shopping Tap to unmute If playback doesn't begin shortly, try restarting your device. More videos ## More videos You're signed out Videos you watch may be added to the TV's watch history and influence TV recommendations. To avoid this, cancel and sign in to YouTube on your computer. CancelConfirm Share Include playlist An error occurred while retrieving sharing information. Please try again later. [Watch on](https://www.youtube.com/watch?v=1DidhbLR1d8&embeds_referring_euri=https%3A%2F%2Fwww.drkarenhorton.com%2F) 0:00 0:00 / 9:48•Live • [Watch on YouTube](https://www.youtube.com/watch?v=1DidhbLR1d8 "Watch on YouTube") ## BRA Day 2021 Due to the ongoing pandemic, this year’s BRA Day was celebrated virtually via an On-Demand Breast Reconstruction Awareness (BRA) Benefit put together by The Plastic Surgery Foundation (PSF). Dr. Horton was honored to Chair this exciting fundraising event which sought to raise awareness and funds to benefit patients in California who are undergoing breast reconstruction. ## BRA Day 2020 Due to the pandemic, BRA Day was celebrated virtually in 2020. Dr. Horton, a specialist in cosmetic and reconstructive surgery of the breast, and Everviolet founder Keira Kotler held a special Facebook Live Chat on Monday, October 12th. Their conversation covered various surgery options, patient practices and medical challenges during a pandemic, as well as each of their personal experiences with breast surgery. ## BRA Day 2019 Dr. Karen Horton is honored to participate in her 8th annual San Francisco Breast Reconstruction Awareness Day on October 16th, 2019. This year, she is dedicating her new Before & After Instagram account to breast reconstruction patients in honor of BRA Day. For the month of October, Dr. Horton will feature at least one new breast reconstruction patient journey with before and afters and a full description of their reconstructive journey every day in October. See [Dr. Horton’s Before & After Instagram](https://www.instagram.com/drkarenhortonbeforeandafters/) and [learn more about BRA Day 2019](https://www.drkarenhorton.com/breast-cancer-awareness/bra-day-2019/). ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/10/horton-breast-cancer-reconstruction.png) ## BRA Day 2018 [![Bra Day Dr. Karen Horton 2018](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/bra-day-2018-.jpeg)](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/bra-day-2018-.jpeg) BRA Day 2018 San Francisco, the 7th annual Bay Area Breast Reconstruction Awareness event hosted by Dr. Karen Horton, featured a brand new format that outdid itself! ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-7-300x201.jpg)2018’s BRA Day event featured wine tasting by Mood Swing Wines and vendors including local women-owned businesses including gourmet mini cupcakes, jewelry, skin care, and businesses supporting breast cancer care.   A revolving slide show featured [before & after breast reconstruction](https://www.drkarenhorton.com/gallery/breast/immediate-implant-reconstruction/) images and explanations of the most common breast reconstruction procedures available to women. Dr. Horton acted as MC, attendees hit the dance floor to live DJ’d music, and dozens of items were raffled off to attendees.  Each attendee took home a personalized BRA Day 2018 stemless wine glass keepsake and swag bags. ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-200-300x201.jpg)Most special was a live fashion show featuring the inaugural debut of [Everviolet](https://everviolet.com/pages/about), a beautiful lingerie and loungewear collection that nurtures the changes in a woman’s body following treatment for breast cancer.  Models, trained by professional model coach Charleston Pierce, were breast cancer survivors (many of whom were patients of Dr. Horton) or active breast cancer patients strutting their stuff on the runway. See the slide show below for highlights of this incredible event!  What will 2019 have in store? Be sure to sign up for our newsletter to receive advance notice of October 2019 events! [View Our Flyer](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/KH_BraDayFlyer_8.5x11-1.pdf) [![Bra Day Flyer 2019](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/bra-day-2019.jpg)](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/KH_BraDayFlyer_8.5x11-1.pdf) ## 2018 Bra Day Gallery Previous ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-312.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/2.BRA_.Day-116.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-7.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-13.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-17.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-20.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-21.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-23.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-27.jpg) 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![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-164.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-165.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-170.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-174.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-175.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-183.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-186.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-191.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-200.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-203.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-208.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-214.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-218.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-223.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-228.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-230.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-234.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-245.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-265.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-269.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-282.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-288.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-303.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-306.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-310.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-312.jpg) Next ## Breast Reconstruction QUICK FACTS: Many women eligible for breast reconstruction following cancer surgery are not being informed of their options. All women should know their options. It’s time to close the loop on breast cancer. Studies have revealed: - 89% of women want to see breast reconstruction surgery results before undergoing cancer treatment. - Less than ¼ (23%) of women know the wide range of breast reconstruction options available. - Only 22% of women are familiar with the quality of outcomes that can be expected. - Only 19% of women understand that the timing of their treatment for breast cancer and the timing of their decision to undergo reconstruction greatly impacts their options and results. - See before and after results of breast reconstruction using the [DIEP flap](https://www.drkarenhorton.com/gallery/breast/diep-siea-flap-reconstruction/) or [implants on top of the muscle](https://www.drkarenhorton.com/gallery/breast/immediate-implant-reconstruction/). Breast reconstruction results can also be [revised](https://www.drkarenhorton.com/gallery/breast/revision-breast-surgery/) to achieve improved symmetry or balance, even years later. ## Why BRA Day? ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-282-186x300.jpg)[Breast reconstruction](https://www.drkarenhorton.com/breast/reconstruction/) is IMPORTANT. Breast reconstruction is a LEGAL RIGHT. And many women don’t know about their options for breast reconstruction, particularly procedures that spare major muscles of the body, procedures that save nipples, use implants in a single stage and that use state-of-the-art microsurgical techniques to create a new breast. Dr. Horton strives to help women facing breast cancer never experience the loss of their breast, to achieve symmetry, to reach their individual goals for their body and to help them move forward after a breast cancer diagnosis or a BRCA diagnosis/prophylactic risk-reducing surgery. Breast reconstruction following a mastectomy or lumpectomy is not for every woman, but every woman should be informed of the options to which she is legally entitled. In this spirit, the [American Society of Plastic Surgeons (ASPS)](https://www.plasticsurgery.org/reconstructive-procedures) and [The Plastic Surgery Foundation](https://www.thepsf.org/programs/breast-reconstruction-awareness-campaign) (The PSF) lead the Breast Reconstruction Awareness USA Campaign, one of the few breast cancer campaigns dedicated to building awareness around breast reconstruction options. - All women who are candidates for breast reconstruction should be made aware of the options available to them. - All women who are candidates for breast reconstruction should be offered treatment in a safe and timely manner. - Federal law mandates coverage of breast reconstruction for all breast cancer patients, even if such reconstruction is delayed until after other treatments. [![](https://hortonnew.b-cdn.net/wp-content/uploads/2012/09/JewePSA14-300x240.jpg)](https://www.youtube.com/watch?v=P0l5GxWmKQs&t=1s%3Frel%3D0) Breast Reconstruction Awareness Day, or BRA Day USA, is an initiative designed to promote education, awareness and access regarding post-mastectomy breast reconstruction with singer/songwriter Jewel as the national spokesperson. BRA Day was first launched in 2011 in Canada and now will occur annually on the third Wednesday of October. The first-ever National Breast Cancer Reconstruction Awareness (BRA Day) in the United States took place in San Francisco, CA on October 17th, 2012. It was a great day and we thank everyone who came and made it such a success! Below are some photos of the event for anyone who missed it. Please contact our office with any questions or for more information on the event. ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/01/BRA.Day-105-201x300.jpg)BRA Day emphasizes the [“Team Approach” to breast cancer care](https://www.thepsf.org/programs/breast-reconstruction-awareness-campaign) from diagnosis through reconstruction. The BRA Day campaign combines a mix of new and old media, including public service announcements for commercial TV, social media campaigns, advertising, aggressive outreach to the media, clinical research, international collaboration and grassroots events. [**See images from past BRA Day events in our BRA Day blog posts!**](https://www.drkarenhorton.com/category/breast-cancer-awareness/) **For additional information:** Visit [http://www.bradayusa.org](http://www.bradayusa.org/) for more information, or learn more on Facebook at [https://www.facebook.com/BreastReconAwareness](https://www.facebook.com/BreastReconAwareness) [![Download a copy of our Breast Reconstruction Pamphlet](https://hortonnew.b-cdn.net/wp-content/uploads/2018/10/KH_pamphlet_button.png)](https://hortonnew.b-cdn.net/wp-content/uploads/2011/12/Brochure.pdf) #### View Before and After Breast Reconstruction Galleries [DIEP-SIEA Flap Gallery](https://www.drkarenhorton.com/gallery/breast/diep-siea-flap-reconstruction/) [TUG Flap Reconstruction](https://www.drkarenhorton.com/gallery/breast/tug-flap-reconstruction/) [Delayed Implant Reconstruction](https://www.drkarenhorton.com/gallery/breast/delayed-implant-reconstruction/) [Immediate Implant Reconstruction](https://www.drkarenhorton.com/gallery/breast/immediate-implant-reconstruction/) [Revision Breast Surgery](https://www.drkarenhorton.com/gallery/breast/revision-breast-surgery/) [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). 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We can provide a financial quote for what anticipated surgical fees will be after your consultation. ## Accreditations Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/bra-day#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Breast Reconstruction Overview Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Breast Reconstruction [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") Page Updated: February 5, 2025 Breast reconstruction surgery is a restorative and empowering spectrum of procedures for breast cancer patients or women seeking prophylactic risk-reducing surgery. San Francisco Plastic Surgeon Dr. Karen Horton is a leader in breast reconstruction surgery, breast revision procedures, as well as an advocate for breast cancer patients. **_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._** [What is Breast Reconstruction?](https://www.drkarenhorton.com/breast/reconstruction#what) [Why Have Breast Reconstruction?](https://www.drkarenhorton.com/breast/reconstruction#why) [Understanding Your Breast Reconstruction Options](https://www.drkarenhorton.com/breast/reconstruction#options) [Types of Breast Reconstruction](https://www.drkarenhorton.com/breast/reconstruction#types) [Implant Reconstruction Vs. Flap Reconstruction](https://www.drkarenhorton.com/breast/reconstruction#implant-vs-flap) [Immediate Breast Reconstruction vs Delayed Breast Reconstruction](https://www.drkarenhorton.com/breast/reconstruction#immediate-vs-delayed) [Preparing for Breast Reconstruction](https://www.drkarenhorton.com/breast/reconstruction#preparing) [Recovery After Breast Reconstruction](https://www.drkarenhorton.com/breast/reconstruction#recovery) [Frequently Asked Questions About Breast Reconstruction Surgery](https://www.drkarenhorton.com/breast/reconstruction#faq) ## What is Breast Reconstruction? Reconstruction of the breast is a surgical procedure that is performed after a mastectomy or lumpectomy. The goal of breast reconstruction is to restore a natural-looking breast shape—which may be achieved with breast implants, autologous tissue techniques, or a combination of both. Breast reconstruction can help women regain a sense of wholeness and restore their self-confidence after undergoing breast cancer treatment. Breast Reconstruction Awareness (BRA) Day 2022 - Dr. Karen Horton & team celebrate reconstruction - YouTube Dr. Karen Horton 871 subscribers [Breast Reconstruction Awareness (BRA) Day 2022 - Dr. Karen Horton & team celebrate reconstruction](https://www.youtube.com/watch?v=1DidhbLR1d8) Dr. Karen Horton Search Watch later Share Copy link Info Shopping Tap to unmute If playback doesn't begin shortly, try restarting your device. More videos ## More videos You're signed out Videos you watch may be added to the TV's watch history and influence TV recommendations. To avoid this, cancel and sign in to YouTube on your computer. CancelConfirm Share Include playlist An error occurred while retrieving sharing information. Please try again later. [Watch on](https://www.youtube.com/watch?v=1DidhbLR1d8&embeds_referring_euri=https%3A%2F%2Fwww.drkarenhorton.com%2F) 0:00 0:00 / 9:48•Live • [Watch on YouTube](https://www.youtube.com/watch?v=1DidhbLR1d8 "Watch on YouTube") ## Why Have Breast Reconstruction? We know that a cancer diagnosis or being a carrier for the BRCA gene is a life-changing challenge. We are honored to help women through this difficult time with restorative options to help preserve or restore their body image and a sense of femininity and feeling complete. Studies show that breast reconstruction has a significant positive effect on the psychological well-being of breast cancer patients. ## Understanding Your Breast Reconstruction Options There are several different types of breast reconstruction and a variety of surgical techniques. The best treatment plan for each patient will depend on their overall health, the details of their cancer treatment, and their personal preferences. Dr. Horton works closely with each of her patients to ensure they are well-educated about their surgical options and confident in their chosen treatment plan. “ "Dear Dr. Horton, Way back in April 2011 you reconstructed my right breast after I had lived with wearing a breast insert for over fifteen years. I can't tell you what a difference you made in my life, and I'm sorry for not writing this sooner! The hospital experience was so great, even though the recovery was rather a lot. But it was all so worth it and your meticulous work left me feeling complete and back to "normal" in a way I couldn't have anticipated. Wearing a bathing suit, "normal" clothes and moving freely are all so great and I still feel grateful to you every time I see myself naked in the mirror. The symmetry is truly a work of art! With so much gratitude, L." „ ## Types of Breast Reconstruction This is a brief overview of different breast reconstruction options. At your consultation visit, Dr. Horton gets to know you personally and discusses your cancer treatment(s) to date, learns about your lifestyle, preferences for your surgery and your personal goals for your aesthetic results. She will review your options and answer any and all questions you have during your initial appointment before determining which type(s) of breast reconstruction procedure is most appropriate for you. ### Implant Reconstruction Silicone or saline breast implants may be used in breast reconstruction. Traditional reconstruction is a delayed process that involves the use of tissue expanders that are gradually expanded over several procedures. Dr. Horton has helped pioneer a single-stage implant based reconstruction method. Known as subcutaneous implant reconstruction or prepectoral reconstruction, this procedure involves placing a smooth, round, permanent but postoperatively adjustable saline-filled breast implant to replace lost breast tissue in the same surgery as a mastectomy or lumpectomy. The implant can be adjusted as needed after surgery, with a minor secondary procedure several months later to remove the implant port and/or change the implants to silicone if appropriate. [Learn more about single-stage breast implant reconstruction.](https://www.drkarenhorton.com/breast/reconstruction/implants/) Alternatively, full-sized silicone gel breast implants can be placed at the same time as a mastectomy or lumpectomy, or years after breast cancer treatment. Only smooth round devices are used in our practice. To learn more, visit our [blog posts](https://www.drkarenhorton.com/category/breast-procedures/reconstruction/) on breast implants and view our [before and after galleries](https://www.drkarenhorton.com/gallery/)! ### Autologous (Flap) Reconstruction Flap reconstruction uses a patient’s own tissue to reconstruct the breasts. An advantage of flap reconstruction is a natural look and feel, as part of your own body is used to construct your new breast. Successful flap reconstruction requires Microsurgical expertise, a specialty in which Dr. Horton has extensive training, skill and experience. - **DIEP Flap**: In a Deep Inferior Epigastric Artery Perforator (DIEP) Flap procedure, skin and fat are taken from the lower abdomen, using a technique that is similar to a tummy tuck. - **SIEA Flap**: The Superficial Inferior Epigastric Artery (SIEA) Flap is similar to a DIEP flap, but uses a different blood vessel system. Dr. Horton assesses which blood vessel system, DIEP or SIEA, to determine the best technique for each patient. - **TUG Flap**: In a Transverse Upper Gracilis (TUG) procedure, tissue, skin, and a small amount of non-essential muscle is removed from the inner thigh. - **TRAM Flap**: This historical procedure uses the transverse rectus abdominal muscle (TRAM) for reconstruction. Seen as a more traditional approach, it has largely been replaced by DIEP and SIEA methods because these newer techniques do not risk weakening abdominal muscles. [Learn more about flap reconstruction](https://www.drkarenhorton.com/breast/reconstruction/flap/) ### Nipple Reconstruction Some mastectomy patients have a nipple-sparing procedure, but nipple reconstruction is an option for those who do not. NAC (nipple and areolar complex) reconstruction is typically performed several months after breast reconstruction and helps to complete a natural-looking appearance. [Learn more about nipple reconstruction](https://www.drkarenhorton.com/breast/reconstruction/nipple-surgery/) ### Implant Reconstruction Vs. Flap Reconstruction There is no “best breast reconstruction method”—there is only what is best for your unique body, history, needs and goals. Single stage implant reconstruction can be a good choice for patients who have small tumors, as well as those who have preventative mastectomies. Patients who are not candidates for single-stage reconstruction may still be able to have reconstruction with implants if that meets their goals. Flap reconstruction is often better suited to women who have naturally large breasts, as well as those who would prefer to use their own tissue. Working together with her patients and using shared-decision making, Dr. Horton helps her patients individually determine what type of reconstruction is best for them. ### Immediate Breast Reconstruction vs Delayed Breast Reconstruction An immediate reconstruction is a single surgery that includes both mastectomy and reconstruction done at the same surgery. Our practice refers to local Breast Surgeons who are experts in nipple-sparing mastectomy and who also consider the aesthetic results to be paramount as a surgical goal. Many patients are candidates for immediate reconstruction, which offers the benefit of a single surgery date and natural-looking results without a waiting period for tissue expansion before their final reconstruction. In most cases, immediate reconstruction is combined with a nipple-sparing mastectomy. Delayed reconstruction involves a waiting period between mastectomy and reconstruction. Delayed reconstruction may be recommended in cases where there are complex medical concerns, such as rapidly growing tumors, as well cases in which the patient prefers to delay reconstruction for personal reasons. It is recommended that at least 6 months passes after the end of radiation before breast reconstruction, and at least 6 weeks after chemotherapy ends before having surgery. “ _As a breast cancer survivor, Dr. Horton helped ease my transition to the 'new normal' with a beautiful new breast. She is a caring woman and skilled artist. I am whole again._ „ # Allison's Breast Reconstruction Story In this video, Dr. Horton’s patient, Allison, discusses her choice to undergo reconstructive surgery after breast cancer treatment. She touches upon life before and after the surgery, and how she is able to do everything now that she could do before having the procedure with a renewed feeling of confidence. Allison's Breast Reconstruction Story - YouTube Dr. Karen Horton 871 subscribers [Allison's Breast Reconstruction Story](https://www.youtube.com/watch?v=G5EYyUUiE0k) Dr. Karen Horton Search Watch later Share Copy link Info Shopping Tap to unmute If playback doesn't begin shortly, try restarting your device. More videos ## More videos You're signed out Videos you watch may be added to the TV's watch history and influence TV recommendations. To avoid this, cancel and sign in to YouTube on your computer. CancelConfirm Share Include playlist An error occurred while retrieving sharing information. Please try again later. [Watch on](https://www.youtube.com/watch?v=G5EYyUUiE0k&embeds_referring_euri=https%3A%2F%2Fwww.drkarenhorton.com%2F) 0:00 0:00 / 1:53•Live • [Watch on YouTube](https://www.youtube.com/watch?v=G5EYyUUiE0k "Watch on YouTube") ## Preparing for Breast Reconstruction Breast reconstruction can be viewed as an opportunity, and we aim to make the reconstructive process a rewarding and positive experience for each of our patients facing breast cancer. Evaluate what your personal goals are for breast reconstruction. Collect photographs of “wish pictures” of how you would like your breasts to look after surgery – this may not always be possible, but bringing photos will help facilitate discussions about your goals and ensure you are on the same page with your surgeon! Make a wish list for your goals and jot down questions to bring with you to your consultation and preoperative visit so that we can best answer your questions, address your concerns and together determine which procedure(s) will best achieve your goals. Also, please bring a loved one with you to your consultation as well! ## Recovery After Breast Reconstruction The recovery process can take several weeks to several months up to a full year, depending on the type of surgery you have and other factors. In general, you should plan to have a friend or loved one ready to drive you to and from surgical appointments and help you during your initial recovery at home. We recommend the Breast Reconstruction Recovery Planner from the American Society of Plastic Surgeons for patients planning their breast reconstruction. Of all of the doctors who assisted during my breast cancer journey, Dr. Horton was one of the best. Valerie G., San Francisco I can only say Dr Horton completely changed my life. I had numerous unsuccessful surgeries before finally meeting Dr Horton. I was a 2 time cancer survivor and the radiation from my initial diagnosis had caused substantial damage and made reconstruction very difficult. I had unsuccessful breast reconstruction after my bilateral mastectomy at UCSF. She patiently talked to me about options and gave me the bad news that my body would need to heal for a year from the ongoing infection I had from my surgeries with my prior doctor. She told me what I needed to hear, not what I wanted to hear. I had numerous stages to my reconstruction. Dr Horton and I talked about how there would be a number of steps needed, for my initial surgery with her I underwent a free flap surgery. She was with me every step of the way. She gave me her cell phone number and called me immediately if I texted or left a message. She was always there to assure me when I was concerned. I am sad to see the negative comments. I am confident that Dr Horton never told anyone that all they would need is one surgery. No doctor can guarantee results nor outcomes. Every person is different and their bodies respond differently. I had to have additional surgeries due to healing issues which had nothing to do with Dr Horton, it was my body responding and it was still struggling with the radiation after effects. I also had implants put in under the flaps in a secondary surgery due to issues with my breast bone. ( again my body issue, not Dr Horton) She gave me a “makeover” and I am so happy with the outcome. I look and feel better than I have in 20 years! I sent one of my best friends to Dr Horton when she was diagnosed with Breast Cancer. She loved Dr Horton and had the same amazing experience that I did. The preponderance of comments are positive and reflect who Dr Horton really is. I have, and will continue, to recommend her. She is truly the best. 6/27/2017 Beth K., San Francisco At the age of 35, I was diagnosed with HER-2 positive breast cancer. It was both frightening and devastating. Although I received treatment at UCSF, I wanted a private surgeon for my bi-lateral mastectomy. The decision to have a mastectomy over a lumpectomy was a fairly easy one for me as my mother had breast cancer and I'm aware the younger you are, the longer you have to go without recurrence. I had my work cut out for me when looking into which plastic surgeon to go with. I work for a data and security company and research is one of my main strengths. I went to 6 plastic surgeons in San Francisco, Marin County and in the Stanford/Palo Alto area. I cross examined them and came to the conclusion that Dr. Horton would be my plastic surgeon. I preferred the implant to be over the muscle as I'm very athletic and didn't want to lose any upper body strength. I also didn't want the flex seen when the implant is put under the muscle.The first part of the mastectomy was done in Feb 2017 when the tissue expanders were put into place. I then saw Dr. Horton 6-7 more times before the second surgery for the final implants in August 2017. The whole procedure could not have gone better. The results are beautiful. Dr. Karen Horton was amazing to work with and I would highly recommend her to anyone who wants great results while going through the (unfortunate) process of a bi-lateral mastectomy and reconstruction.Of all of the doctors who assisted during my breast cancer journey, Dr. Horton was one of the best. She was a true advocate and I can say that the breast cancer did not get the final say on how I feel about myself as a woman and as a survivor. I feel great today about my breasts and I hope other women are given the same opportunity I was in finding the right providers. 1/27/2018 [See Real Patient Reviews](https://www.drkarenhorton.com/about/patient-reviews/) # Breast Reconstruction Patient Experience\* Video Player [https://www.drkarenhorton.com/wp-content/uploads/2018/10/Breastcancer.mp4](https://hortonnew.b-cdn.net/wp-content/uploads/2018/10/Breastcancer.mp4) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2018/10/Breastcancer.jpg) ![Download File](https://hortonnew.b-cdn.net/wp-content/uploads/2018/10/Breastcancer.jpg) Media error: Format(s) not supported or source(s) not found [Download File: https://hortonnew.b-cdn.net/wp-content/uploads/2018/10/Breastcancer.mp4?\_=2](https://hortonnew.b-cdn.net/wp-content/uploads/2018/10/Breastcancer.mp4?_=2) 00:00 00:00 00:00 Use Up/Down Arrow keys to increase or decrease volume. \*Individual Results May Vary Watch this video of a breast reconstruction patient’s experience over a full year of treatment. She underwent bilateral nipple-sparing mastectomies, immediate single-stage [implant reconstructions](https://www.drkarenhorton.com/breast/reconstruction/implants/), followed by chemotherapy and radiation therapy. This strong, brave woman and her supportive husband created this video on their own to share with others, and to demonstrate how she remains an empowered, bold, beautiful breast cancer survivor! Click on the box on the lower right of the video to make the slideshow larger to and to be able to read the text that accompanies her slides. ## Frequently Asked Questions About Breast Reconstruction Surgery # Procedure FAQs Does insurance cover breast reconstruction surgery? Yes, there are laws in place that protect a patient's right to mastectomy or lumpectomy as well as breast reconstruction. Your insurance plan should offer coverage for your choice of breast reconstruction procedure. If you have a mastectomy or lumpectomy only on a single breast, you are also entitled to have an aesthetic procedure on the other breast if it is necessary for symmetry. 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. How much does breast reconstruction cost? Your personal financial responsibility for surgery depends on the specifics of your insurance plan and whether your surgeon is a Provider for your particular plan. Our Patient Coordinator will go over this with you in detail as we plan your surgery and will assist you in using your insurance to your greatest advantage. What if I already had breast reconstruction but I’m unhappy with my results? You deserve to feel comfortable and beautiful in your skin. If you are dissatisfied with the results of your previous reconstruction or your breasts are lacking symmetry, you may be a candidate for a breast revision procedure. Dr. Horton is skilled and experienced in complex [Revision Breast Surgery](https://www.drkarenhorton.com/breast/augmentation-revision/) to help create more symmetric, beautiful, and natural-looking results. Are there any risks associated with breast reconstruction surgery? Any surgical procedure carries some risk of complications or side effects, but patients find that the benefits of breast reconstruction outweigh potential risks. Possible complications include infection, bleeding and poor healing with unsightly scars; flap procedures carry a risk of tissue loss and implant procedures carry a risk of capsular contracture and implant-related illnesses.2 Dr. Horton prioritizes patient safety, she educates her patients fully about their potential risks and complications at each visit, and takes every precaution necessary to help minimize the chance of complications. Can I have Breast Reconstruction before or after Chemotherapy or Radiation? - **Chemotherapy before Breast Reconstruction:** If your care team recommends chemotherapy before mastectomy, you will likely be advised to wait at least at least 6 weeks after your last chemotherapy appointment before scheduling surgery. However, you can begin the consultation process and learn more about your reconstruction options at any point. Since chemotherapy negatively impacts your immune system, it is extra important to maintain health-promoting habits and excellent nutrition both before and after surgery. - **Chemotherapy after Breast Reconstruction:** Post-operative chemotherapy will typically be delayed at least six weeks after your reconstruction in order to give your body time to heal. - **Radiation Before Breast Reconstruction:** Radiation causes early swelling and redness and long-term changes to the breast including firm swelling, darkened skin and lack of circulation, so it is usually advisable to wait at least six months after radiation is complete before having breast reconstruction surgery. Permanent radiation effects, such as changes in skin texture and color, will have an impact on reconstructive options. If possible, implant based reconstruction can be performed before radiation starts in order for optimal reconstruction recovery. After radiation, a flap procedure is sometimes a better option than an implant. - **Radiation after Breast Reconstruction:** Patients who will require post-surgical radiation can have an immediate reconstruction with an implant or flap reconstruction techniques. As long as implants are fully inflated, radiation will not have an effect on the shape of the breast. Implants are not specifically harmed by radiotherapy, but radiation will cause some shrinkage of the breast tissue with a higher eventual position of the nipple on the radiated side, so patients planning post-reconstruction radiation may have larger breasts reconstructed to plan for this. It can take up to a year after radiation to see its permanent effects, at which point any asymmetry or unwanted aesthetic changes can be corrected in a minor office revision surgery. How do I choose a surgeon for breast reconstruction surgery? Breast reconstruction is a highly personal decision. You deserve a Surgeon who is not only qualified, but also respects your journey. [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) is Board Certified, highly experienced in breast reconstruction and known for personalized treatment and beautiful, natural-looking results. She is also an advocate for breast cancer patients and an active participant in [Breast Reconstruction Awareness Day](https://www.drkarenhorton.com/bra-day/). ## Contact Us We are here to help. [Contact us](https://www.drkarenhorton.com/contact-us/) with any questions or to schedule a no-obligation consultation appointment. “ _Thank you so much for the support and care you have provided me. All of you are wonderful angels in the darkness that is BRCA/breast cancer._ „ 1 Chen W, Lv X, Xu X, Gao X, Wang B. Meta-analysis for psychological impact of breast reconstruction in patients with breast cancer. Breast Cancer. 2018 Jul;25(4):464-469. doi: 10.1007/s12282-018-0846-8. Epub 2018 Feb 13. PubMed PMID: 29442215. 2 American Society of Plastic Surgeons. Breast reconstruction. Available: [https://www.plasticsurgery.org/reconstructive-procedures/breast-reconstruction/safety](https://www.plasticsurgery.org/reconstructive-procedures/breast-reconstruction/safety) Accessed May 8, 2023. [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/breast/reconstruction#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Botox Cosmetic Treatments Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # BOTOX® Cosmetic [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") Page Updated: June 6, 2024 Facial lines and wrinkles arise from various factors including aging, genetics, lifestyle, sun exposure, and repeated facial expressions. When we express emotions, the underlying facial muscles contract, causing the skin to move along with them. Over time, frequent contractions can lead to persistent wrinkles that remain even when the face is at rest, often forming the first signs of aging in an otherwise youthful appearance. With continuous muscle activity, the skin may eventually form permanent creases that persist even in a relaxed state. [Nurse Practitioner Emily Sespaniak](https://www.drkarenhorton.com/about/emily-sespaniak-nurse-practitioner-san-francisco-ca/) is proud to offer expert Botox injections and other injectable wrinkle reducer treatments (neuromodulator injection) for patients looking to smooth fine lines and wrinkles in . [What is Botox?](https://www.drkarenhorton.com/non-surgical/botox#what) [How Botox Works](https://www.drkarenhorton.com/non-surgical/botox#how) [Benefits of Botox](https://www.drkarenhorton.com/non-surgical/botox#benefits) [Preparing For Botox](https://www.drkarenhorton.com/non-surgical/botox#preparing) [The Botox Treatment](https://www.drkarenhorton.com/non-surgical/botox#treatment) [Botox Aftercare](https://www.drkarenhorton.com/non-surgical/botox#after) [FAQs About Botox](https://www.drkarenhorton.com/non-surgical/botox#faq) ## What is Botox®? Botox Cosmetic is an FDA-approved prescription injectable medicine that can smooth moderate to severe lines and wrinkles on the face.1 With visible results within just days and no recovery time, this minimally invasive injectable treatment is ideal for those looking for a quick and easy anti-aging treatment. Botox is so effective that it’s one of the most common and popular cosmetic procedures in the history of Plastic Surgery! Botox and its alternatives (such as Dysport®) are known as neuromodulators. They work by relaxing muscles temporarily to prevent them from contracting, resulting in smoother and younger looking skin that typically lasts between 3 and 4 months. Botox is indicated for the frown lines between the eyebrows, known as the “glabella”, as well as the horizontal lines on the forehead and the “crow’s feet” around the eyes. Botox can also be administered safely to other facial and body areas, though such uses are considered “off-label.” Some of these areas that are frequently treated “off-label” include the “bunny lines” around the nose, the platysmal bands in the neck, and the downturned corners of the mouth. It can even be used to soften a square-shaped jawline! ![](https://hortonnew.b-cdn.net/wp-content/uploads/2024/06/beautiful-results-from-botox-treatment.webp) ## How Botox Works ![](https://hortonnew.b-cdn.net/wp-content/uploads/2018/11/Karen.Horton.Products-Botox-300x266.jpg)Botox works by temporarily blocking nerve signals to muscles, preventing them from contracting, which smooths out wrinkles and prevents the formation of new ones. The active ingredient in Botox, botulinum toxin type A, is a purified neurotoxin that, when injected in small, controlled doses into specific facial muscles, relaxes them and reduces the appearance of lines and wrinkles. This effect typically lasts about three to four months, after which the muscles gradually regain movement, and the wrinkles may reappear, necessitating further treatment to maintain results. * * * ## Benefits of Botox Botox offers several aesthetic and therapeutic benefits (and we specialize in both): - **Reduction of Facial Wrinkles:** Botox is most commonly used to reduce the appearance of facial wrinkles and fine lines, including forehead lines, crow’s feet around the eyes, and frown lines between the eyebrows. Botox can also treat lines of the lower face, including upper lip lines (“smokers’ lines”), and a wrinkly chin. - **Preventative Aging:** Regular use of Botox can prevent the deepening of wrinkles over time, as it limits the muscle movements that contribute to wrinkle formation. - **Treatment for Medical Conditions:** Botox is also used to treat several medical conditions, such as chronic migraines, excessive sweating ( [hyperhidrosis](https://www.drkarenhorton.com/non-surgical/treatment-for-severe-underarm-sweating-hyperhidrosis/)), muscle spasms in the neck and eyes, and [bruxism](https://www.drkarenhorton.com/non-surgical/botox-for-teeth-grinding/) (teeth grinding and/or clenching) which can lead to temporomandibular joint (TMJ) pain and other jaw dysfunction. - **Minimally Invasive:** The procedure is non-surgical and involves minimal discomfort and no required downtime, making it a convenient option for many people. - **Quick Procedure and Results:** Treatments are quick, often completed within minutes, and visible results can be seen within a few days. These benefits make Botox a versatile and popular choice for those looking to manage the signs of aging or treat specific medical issues. ## Preparing For Botox To prepare for a Botox treatment, schedule a consultation to discuss your goals and medical history, and avoid blood-thinning medications, herbal supplements, and alcohol for one week prior to treatment to minimize bruising. On the day of your appointment, arrive with clean skin, free of makeup or irritating skin care products. Inform our [Nurse Practitioner Emily Sespaniak](https://www.drkarenhorton.com/about/emily-sespaniak-nurse-practitioner-san-francisco-ca/) about any previous Botox injections and relevant health conditions. [![](https://hortonnew.b-cdn.net/wp-content/uploads/2021/10/First-Time-Botox-Button.svg)](https://www.drkarenhorton.com/emily-sespaniak-nps-blog/first-time-botox/) ![handsom man getting botox treatment](https://hortonnew.b-cdn.net/wp-content/uploads/2024/06/handsom-man-getting-botox-treatment-e1717532956614.webp) ## The Botox Procedure ![Emily injecting Dr. Horton](https://hortonnew.b-cdn.net/wp-content/uploads/2024/06/VIN-3491-2.webp)Injection of Botox takes approximately 15 minutes and any discomfort is usually minimal and brief. We have every patient apply a cold compress to the treatment sites prior to injection to minimize discomfort. Possible temporary side effects associated with the injection include localized pain, inflammation, tenderness, swelling, redness, bleeding, or bruising. Most people will notice that Botox starts to work in about a week, while Dysport tends to produce results even sooner (two to three days on average). We recommend that all our patients return to our office two weeks after their first treatment for a “perfection check” to ensure you are pleased with the results and to make adjustments as needed. The results will continue to improve over the next 30 days and should last between 3-4 months for most people (results may vary). Our practice utilizes a conservative approach to Botox treatment that prioritizes preserving natural facial movement while relaxing the muscles enough to treat and prevent lines and wrinkles. Despite popular myth, you do not need to be “frozen” to reap the benefits of Botox! * * * ![](https://hortonnew.b-cdn.net/wp-content/uploads/2018/10/BotoxResults1.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2018/10/BotoxResults2.jpg) **[View More Botox Patient Results in Our Gallery](https://www.drkarenhorton.com/gallery/non-surgical-procedures/botox/ "Botox® / Dysport")** ![](https://hortonnew.b-cdn.net/wp-content/uploads/2021/11/Karen-Horton-Botox-Units-Graphic.jpg) * * * ## Botox Aftercare ![](https://hortonnew.b-cdn.net/wp-content/uploads/2018/10/Dr.Horton.Office-29-300x214.jpg) After a Botox treatment, it’s important to follow specific aftercare instructions to maximize the effectiveness of the procedure and minimize side effects. Avoid touching or massaging the treated areas for 24 hours to prevent the toxin from spreading to unintended muscles. We recommend you refrain from strenuous activities for the remainder of the day and avoid lying down flat for 4 hours post-treatment. Minimal side effects like mild bruising or swelling can occur but typically resolve quickly. Staying upright and applying ice to the affected areas can help alleviate these symptoms. Normal activities can be resumed the following day, with full results visible within two weeks. At this point, we like to see patients back for a brief “perfection check” to assess results. Our primary aim with any treatment is to achieve a natural-looking outcome. [Botox injections will provide noticeable results](https://www.drkarenhorton.com/gallery/non-surgical-procedures/botox/) without drastically altering your facial appearance or giving you an “overdone” look. While muscle activity will be diminished in the treatment area, you will still be able to express yourself naturally. During your consultation, we’ll focus on the areas that concern you most and discuss your treatment goals in detail. * * * “ _I highly recommend Emily for Botox and fillers. She is absolutely brilliant! She is very knowledgeable and does a thorough service. I love how well she explains everything and puts me at ease. I have had both Botox and Juvederm by Emily and she does such a natural job. The results are just perfect._ „ # Procedure FAQs What medical conditions can Botox treat? Beyond enhancing the appearance of fine lines and wrinkles, Botox and similar neuromodulators offer therapeutic benefits for several medical conditions. These treatments are effective in managing migraine headaches, persistent muscle spasms, and [teeth grinding and clenching (also known as bruxism)](https://www.drkarenhorton.com/non-surgical/botox-for-teeth-grinding/). They are also used to address specific eye muscle disorders and treat severe underarm sweating, known as axillary [hyperhidrosis](https://www.drkarenhorton.com/non-surgical/treatment-for-severe-underarm-sweating-hyperhidrosis/), providing significant relief from these symptoms.2 How long do Botox treatments last? Botox treatments typically last between three to four months. The duration can vary depending on factors such as the individual's muscle activity, metabolism, and the area treated. Some patients may experience effects lasting up to six months, while others might see a reduction in results after just two months. Regular treatments can help maintain the desired results over time. During your consultation, [Emily Sespaniak, NP](https://www.drkarenhorton.com/about/emily-sespaniak-nurse-practitioner-san-francisco-ca/), will determine the best treatment plan for your specific needs. Does Botox have any side effects? Botox can cause several side effects, primarily related to the injection site. These may include pain, swelling, bruising, and redness at the injection points.3 In some cases, patients might experience headaches, temporary eyelid drooping, or flu-like symptoms. Rarely, the toxin can spread from the injection site, leading to more serious effects such as muscle weakness, vision problems, or difficulty swallowing and breathing. These side effects are generally mild and resolve on their own, but any severe or persistent symptoms should be discussed with a healthcare provider. Can I combine any other treatments with Botox injections? Botox injections can be effectively combined with other [non-surgical](https://www.drkarenhorton.com/non-surgical/) cosmetic treatments for enhanced facial rejuvenation. Our Nurse Practitioner [Emily Sespaniak, NP](https://www.drkarenhorton.com/about/emily-sespaniak-nurse-practitioner-san-francisco-ca/) often includes Botox as part of a comprehensive treatment plan that might also incorporate [dermal fillers](https://www.drkarenhorton.com/non-surgical/injectables/) for volume restoration and contouring, [microneedling](https://www.drkarenhorton.com/non-surgical/microneedling/) for collagen stimulation and skin texture improvement, and laser treatments for skin tone and texture improvement. Combining these treatments can maximize the results of Botox, offering a more complete rejuvenation effect. It's important to discuss your goals with a qualified injector like [Emily Sespaniak, N](https://www.drkarenhorton.com/about/emily-sespaniak-nurse-practitioner-san-francisco-ca/) P who can recommend the best combination of treatments to achieve desired outcomes while ensuring safety and effectiveness. 1ASPS. Botulinum Toxin. Available: [https://www.plasticsurgery.org/cosmetic-procedures/botulinum-toxin](https://www.plasticsurgery.org/cosmetic-procedures/botulinum-toxin). Accessed May 9, 2024. 2Cleveland Clinic. Botox (Botulinum Toxin). Available: [https://my.clevelandclinic.org/health/treatments/8312-botulinum-toxin-injections](https://my.clevelandclinic.org/health/treatments/8312-botulinum-toxin-injections). Accessed May 9, 2024. 3Mayo Clinic. Botox. Available: [https://www.mayoclinic.org/tests-procedures/botox/about/pac-20384658](https://www.mayoclinic.org/tests-procedures/botox/about/pac-20384658). Accessed May 9, 2024. [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/non-surgical/botox#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Labiaplasty Gallery Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Labiaplasty Gallery ### Patient 1 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG9920808088-31114-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-1) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG9920808101-31114-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-1) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-1) ### Patient 2 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG1734588105-31323-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-2) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG1734589018-31323-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-2) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-2) ### Patient 3 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG7522333042-32117-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-3) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG7522333055-32117-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-3) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-3) ### Patient 4 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG9496533069-32764-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-4) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG9496533083-32764-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-4) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-4) ### Patient 5 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG1032237009-29411-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-5) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG1032237022-29411-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-5) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-5) ### Patient 6 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG2296787058-20878-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-6) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG2296787091-20878-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-6) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-6) ### Patient 7 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG6250810054-20288-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-7) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG6250810081-20288-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-7) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-7) ### Patient 8 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG6378131076-25684-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-8) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG6378131091-25684-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-8) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-8) ### Patient 9 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG6433995046-25691-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-9) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG6433995062-25691-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-9) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-9) ### Patient 10 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG0373293010-31184-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-10) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG0373293024-31184-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-10) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-10) ### Patient 11 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG6378750012-25686-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-11) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG6378750030-25686-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-11) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-11) ### Patient 12 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG4038374077-30627-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-12) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG4038374091-30627-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-12) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-12) ### Patient 13 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG5775914015-17615-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-13) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG5775914049-17615-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-13) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-13) ### Patient 14 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG8481650088-10479-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-14) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG8481651031-10479-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-14) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-14) ### Patient 15 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG5146800021-11544-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-15) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG5146800039-11544-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-15) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-15) ### Patient 16 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG2642076073-11419-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-16) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG2642076103-11419-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-16) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-16) ### Patient 17 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3350492079-9582-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-17) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3350492094-9582-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-17) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-17) ### Patient 18 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3554700067-7342-b/medium.jpg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-18) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3554700089-7342-a/medium.jpg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-18) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-18) ### Patient 19 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG7317634055-28935-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-19) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG7317634067-28935-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-19) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-19) ### Patient 20 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3554812013-7346-b/medium.jpg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-20) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3554812030-7346-a/medium.jpg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-20) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-20) ### Patient 21 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3555129096-7347-b/medium.jpg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-21) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3555130014-7347-a/medium.jpg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-21) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-21) ### Patient 22 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3555168045-7348-b/medium.jpg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-22) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3555168067-7348-a/medium.jpg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-22) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-22) ### Patient 23 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3555230064-7349-b/medium.jpg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-23) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3555230084-7349-a/medium.jpg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-23) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-23) ### Patient 24 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3555303067-7350-b/medium.jpg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-24) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3555303083-7350-a/medium.jpg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-24) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-24) ### Patient 25 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3555347096-7351-b/medium.jpg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-25) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3555348013-7351-a/medium.jpg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-25) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-25) ### Patient 26 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3555408030-7352-b/medium.jpg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-26) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3555408047-7352-a/medium.jpg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-26) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-26) ### Patient 27 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3555455049-7353-b/medium.jpg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-27) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3555455068-7353-a/medium.jpg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-27) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-27) ### Patient 28 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3557933094-7354-b/medium.jpg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-28) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3557934016-7354-a/medium.jpg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-28) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-28) ### Patient 29 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3557984022-7358-b/medium.jpg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-29) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3557984039-7358-a/medium.jpg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-29) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-29) ### Patient 30 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3558015071-7359-b/medium.jpg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-30) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3558015090-7359-a/medium.jpg)](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-30) [Click To View Details](https://www.drkarenhorton.com/gallery/body/labiaplasty/patient-30) #### View More Cases - [1](https://www.drkarenhorton.com/gallery/body/labiaplasty/page/1/) - [2](https://www.drkarenhorton.com/gallery/body/labiaplasty/page/2/) - [3](https://www.drkarenhorton.com/gallery/body/labiaplasty/page/3/) - [4](https://www.drkarenhorton.com/gallery/body/labiaplasty/page/4/) - [5](https://www.drkarenhorton.com/gallery/body/labiaplasty/page/5/) - [6](https://www.drkarenhorton.com/gallery/body/labiaplasty/page/6/) - [7](https://www.drkarenhorton.com/gallery/body/labiaplasty/page/7/) - [»](https://www.drkarenhorton.com/gallery/body/labiaplasty/page/7) - [Next](https://www.drkarenhorton.com/gallery/body/labiaplasty/page/2) [Schedule a Consultation](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St #506 San Francisco, CA 94115 Phone: [415.570.7352](tel:+14155707352) ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## Hours **Monday-Friday:** 8am - 5pm **Saturday-Sunday:** Closed Monday: 8 AM to 5 PM Tuesday: 8 AM to 5 PM Wednesday: 8 AM to 5 PM Thursday: 8 AM to 5 PM Friday: 8 AM to 5 PM Saturday: 8 AM to 5 PM Sunday: 8 AM to 5 PM ## Address Dr. Karen M. Horton 2100 Webster St #506 San Francisco, CA 94115 Phone: [415.570.7352](tel:) ## Accreditations Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/gallery/body/labiaplasty) [Back To Top](https://www.drkarenhorton.com/gallery/body/labiaplasty#) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Microneedling Treatment Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Microneedling [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") Microneedling is a minimally invasive skin rejuvenation treatment that can smooth away fine lines and wrinkles, diminish the appearance of acne scars, and improve hyperpigmentation—for a youthful, even-toned, and glowing complexion. At San Francisco Plastic Surgery, Emily Sespaniak, NP offers a range of non-surgical procedures, including microneedling with the revolutionary SkinPen®, the first FDA-cleared microneedling device. [What is Microneedling?](https://www.drkarenhorton.com/non-surgical/microneedling#what) [Benefits of SkinPen Microneedling](https://www.drkarenhorton.com/non-surgical/microneedling#benefits) [How Does Microneedling with the SkinPen Work?](https://www.drkarenhorton.com/non-surgical/microneedling#how) [Preparing for Microneedling](https://www.drkarenhorton.com/non-surgical/microneedling#preparing) [Recovery After Microneedling](https://www.drkarenhorton.com/non-surgical/microneedling#recovery) [SkinPen Microneedling Before and After Results](https://www.drkarenhorton.com/non-surgical/microneedling#results) [Frequently Asked Questions About SkinPen Microneedling](https://www.drkarenhorton.com/non-surgical/microneedling#faq) ## What is the SkinPen? ![SkinPen is the award winner of 2023 NewBeauty](https://hortonnew.b-cdn.net/wp-content/uploads/2023/05/skinpen-award.webp)The SkinPen is a handheld device that contains a number of tiny, sterile needles that move up and down at high speed, creating “micro punctures” or channels in the skin. These tiny punctures stimulate the body’s natural healing process and promote the production of collagen and elastin, two proteins that are essential for healthy, youthful-looking skin. Collagen and elastin help to plump up the skin, reduce the appearance of fine lines and wrinkles, and improve the overall texture and tone of the skin. ## Benefits of SkinPen Microneedling Microneedling offers many potential benefits, including:1 - **Improved skin texture**: Microneedling can help to stimulate collagen and elastin production, which can improve the texture and firmness of the skin. - **Reduced fine lines and wrinkles**: The increased collagen and elastin production can also help to reduce the appearance of fine lines and wrinkles. - **Diminished acne scars**: Microneedling can help to break up scar tissue and stimulate the production of new skin cells, which can improve the appearance of acne scars. - **Reduced hyperpigmentation**: Microneedling can help improve areas of hyperpigmentation, such as dark spots and age spots, by stimulating the production of new skin cells. - **Increased product absorption**: The tiny punctures created during microneedling can help to increase the absorption of skincare products, allowing them to penetrate deeper into the skin. - **Safe for all skin types**: Microneedling is a recommended procedure for all skin types, including sensitive skin. ![](https://hortonnew.b-cdn.net/wp-content/uploads/2023/05/skinpen-bna.webp) ![Patient receiving SkinPen Microneedling treatment](https://hortonnew.b-cdn.net/wp-content/uploads/2023/05/skinpen-model.webp) ## How Does Microneedling with the SkinPen Work? ### Preparing for Microneedling There is minimal prep needed before microneedling with the SkinPen, but you do need to ensure that your skin is in a calm state. This means you should avoid exfoliating the area, including chemical exfoliants, scrubs, retinoids and hair removal. Emily Sespaniak, NP can advise you on which products to avoid in the days before your appointment. ### During Microneedling During the microneedling procedure, the SkinPen is passed over the skin in a series of overlapping passes. A numbing cream is usually applied beforehand to minimize any discomfort. The depth of the needles can be adjusted to accommodate different skin types and areas of the face or body. ### Recovery After Microneedling After the procedure, the skin may appear red or slightly swollen, but this typically subsides within a day or two. Following aftercare instructions is important for best results. Emily Sespaniak, NP will review aftercare with you, which includes: - No exfoliation for one week - Good sun protection, including broad-spectrum sunscreen and a hat outdoors ### SkinPen Microneedling Before and After Results ![](https://hortonnew.b-cdn.net/wp-content/uploads/2023/05/skinpen-bna-2.webp) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2023/05/skinpen-bna-3.webp) ## Frequently Asked Questions About SkinPen Microneedling # Procedure FAQs Is microneedling right for me? Microneedling is safe and effective for all skin types. If you are looking for a non-surgical skin rejuvenation treatment that is clinically proven to work, it could be right for you. You should not have microneedling if you have a bleeding disorder, if you are pregnant or nursing, if you have a skin infection, or if you are taking Accutane. Where can microneedling be performed? Microneedling with the SkinPen is most commonly performed on the face, neck, and chest. How many microneedling treatments will I need? Your treatment plan will depend on your individual concerns and goals, but in general best results are seen with a series of 3 to 6 treatments spaced one month apart. Will microneedling hurt? A topical numbing product will be applied beforehand to ensure your comfort during treatment. ## Contact us for Microneedling in San Francisco At San Francisco Plastic Surgery, [Emily Sespaniak, NP](https://www.drkarenhorton.com/about/emily-sespaniak-nurse-practitioner-san-francisco-ca/) is dedicated to helping you improve the health and appearance of your skin. [Contact us](https://www.drkarenhorton.com/contact-us/) to learn more about microneedling or to schedule your appointment. 1 Iriarte C, Awosika O, Rengifo-Pardo M, Ehrlich A. Review of applications of microneedling in dermatology. Clin Cosmet Investig Dermatol. 2017;10:289-298. doi:10.2147/CCID.S142450 [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/non-surgical/microneedling#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Breast Reconstruction Options Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Prepectoral Single-Stage Implant Reconstruction [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") **_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._** ## Prepectoral Single-Stage Implant Reconstruction [What is Prepectoral Single-Stage Breast Implant Reconstruction?](https://www.drkarenhorton.com/breast/reconstruction/implants#what) [Who is a Good Candidate for Prepectoral Immediate Single-Stage Implant Reconstruction?](https://www.drkarenhorton.com/breast/reconstruction/implants#immediate_candidate) [What is Nipple-Sparing Mastectomy?](https://www.drkarenhorton.com/breast/reconstruction/implants#sparing) [Who is a Candidate for Nipple-Sparing Mastectomy?](https://www.drkarenhorton.com/breast/reconstruction/implants#sparing_candidate) [Which Incision is Used For Nipple-Sparing Mastectomy?](https://www.drkarenhorton.com/breast/reconstruction/implants#incision) [Can the Nipple Still be Preserved if I Have Very Large or Droopy Breasts?](https://www.drkarenhorton.com/breast/reconstruction/implants#droopy) [What Are The Advantages of Prepectoral Immediate Single-Stage Breast Implant Reconstruction?](https://www.drkarenhorton.com/breast/reconstruction/implants#advantages) [What are the Disadvantages of Implant Reconstruction?](https://www.drkarenhorton.com/breast/reconstruction/implants#disadvantages) [What Type of Breast Implant Will Be Used For My Reconstruction?](https://www.drkarenhorton.com/breast/reconstruction/implants#implant_type) [What Really Happens During Prepectoral Immediate Single-Stage Implant Reconstruction?](https://www.drkarenhorton.com/breast/reconstruction/implants#happens) [What is the Recovery after Prepectoral Implant Reconstruction?](https://www.drkarenhorton.com/breast/reconstruction/implants#recovery) [How is the Implant Adjusted after Surgery?](https://www.drkarenhorton.com/breast/reconstruction/implants#adjusted) [Will the Breast Implant Reconstruction Be Placed Under or Over the Muscle?](https://www.drkarenhorton.com/breast/reconstruction/implants#placement) [How Will My Breast Implant Size be Determined?](https://www.drkarenhorton.com/breast/reconstruction/implants#size) [Will My Other Breast Have a "Balancing Augmentation" For Symmetry?](https://www.drkarenhorton.com/breast/reconstruction/implants#symmetry) [Can I Have a Prepectoral Implant Reconstruction after a Lumpectomy and Radiation?](https://www.drkarenhorton.com/breast/reconstruction/implants#radiation) [What Are Drains and Why Are They Used?](https://www.drkarenhorton.com/breast/reconstruction/implants#drains) [Where Can I See Before and After Photographs of Nipple-Sparing Mastectomy and Prepectoral Single-Stage Breast Implant Reconstructions?](https://www.drkarenhorton.com/breast/reconstruction/implants#gallery) [Can I Still Have a Prepectoral Implant Reconstruction if I Have Already Had a Mastectomy?](https://www.drkarenhorton.com/breast/reconstruction/implants#mastectomy) [Will I Need Additional Surgery after Prepectoral Implant Reconstruction?](https://www.drkarenhorton.com/breast/reconstruction/implants#additional_surgery) [How Do I Know Whether Prepectoral Single-Stage Breast Implant Reconstruction is Right For Me?](https://www.drkarenhorton.com/breast/reconstruction/implants#right) ## What is Prepectoral Single-Stage Breast Implant Reconstruction? Traditional implant reconstruction involves two stages in which shapeless skin remaining after a mastectomy is slowly expanded over many months using a tissue expander placed beneath the pectoralis major muscle.  Tissue expansion is a lengthy, painful process where small amounts of sterile salt water (saline) are injected into the tissue expander to slowly inflate the expander and gradually stretch out the muscle (not fun at all!).  Later, a permanent silicone gel breast implant is placed in a second operation, and the [nipple and areola reconstruction](https://www.drkarenhorton.com/breast/reconstruction/nipple-surgery/#cancer) are performed in a third or fourth procedure. This process is associated with a great deal of physical discomfort from stretching the flat muscle out over an implant and multiple inflation steps using a needle in the office. However, our office offers a state-of-the-art technique that is not really new, but has been getting a lot of press in the scientific literature.  Subcutaneous implant reconstruction (under the breast skin and subcutaneous fat but on top of the muscle) has been rebranded “prepectoral reconstruction”.  We have been performing this technique in our office since 2006 and have performed well over 300 cases. Single-stage prepectoral implant reconstruction does not require placement of tissue expanders under the muscle as a preliminary step, it spares the nipple and areola in 99% of cases, it provides the most natural looking results and enables immediate reconstruction often in a single operation. Single-stage prepectoral implant reconstruction involves placing a permanent but postoperatively adjustable breast implant to replace the breast tissue during the same operation as the mastectomy. The implant is placed right where the breast tissue was previously located, on top of the pectoralis major muscle.  The implant reconstructs the breast form and can be tailored as needed after surgery to suit a woman’s body, her curves, lifestyle and individual aesthetic goals. Reconstruction is usually done immediately (at the time of the mastectomy) but can also be done in a “delayed” fashion (from months to many years after the cancer surgery). An implant can also be used for reconstruction following a large “lumpectomy” (removal of a large lump from the breast) to balance out the breast if there is a defect or contour deformity following cancer treatment. [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/implants#) ## Who is a Good Candidate for Prepectoral Immediate Single-Stage Implant Reconstruction? Good candidates for immediate breast implant reconstruction in the subcutaneous or prepectoral position include women who have small tumors, those with non-invasive cancer that is not directly beneath the nipple and areola, and women who are considering “prophylactic” (preventative) mastectomy if they carry the BRCA gene or a strong family history of breast or ovarian cancer. Most women have [nipple-sparing mastectomy](https://www.drkarenhorton.com/breast/reconstruction/implants/#sparing) unless there is a specific cancer-related indication to remove the nipple and areola. You may not be an appropriate candidate for prepectoral immediate single-stage implant reconstruction if you are a smoker, if you have poorly-controlled diabetes or an inadequately treated major medical problem. Immediate single-stage implant reconstruction in the prepectoral location may also not be appropriate for women with advanced or rapidly growing tumors where surgical margins may be involved, those with multiple serious medical problems, and those who are psychologically unprepared for reconstruction. Your past medical history and current medical status will be evaluated at your consultation. You may be asked to see your Primary Care Physician for a full physical examination and appropriate laboratory tests prior to being medically cleared for surgery. [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/implants#) ## What is Nipple-Sparing Mastectomy? Nipple sparing mastectomy (NSM) is a state-of-the-art technique for mastectomy that preserves all of the breast skin in addition to the nipple and areolar complex. NSM removes the entire contents of the breast through an incision in the inframammary fold (the natural crease beneath the breast). Preservation of the nipple and areola obviates the need for a second reconstructive procedure to create a new nipple-areolar complex. We developed our NSM technique jointly with our Breast Surgeons (who do the mastectomy), incorporating Plastic Surgery principles, gentle tissue-handling technique and preservation of blood supply to the nipple. Nipple-sparing mastectomy has become the standard of care in our practice. During the NSM procedure, the nipple is cored out from the inside and a separate specimen is sent by the Breast Surgeon to “Pathology” for analysis under the microscope. If there is any concern about abnormal cells extending into the nipple, the nipple can be removed in the office but the remainder of the breast skin is preserved (in less than 1% of cases). [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/implants#) ## Who is a Candidate for Nipple-Sparing Mastectomy? NSM is safe and “oncologically sound” (safe from a cancer point-of-view) in selected patients such as those seeking prophylactic mastectomy (prevention because of a strong family history or carriers of the BRCA gene), in women with DCIS (non-invasive cancer), or small tumors that do not lie directly beneath the nipple. Breasts are relatively small to medium-sized (A cups to C cups) without significant excess skin or droop.  Combining a nipple sparing mastectomy with a prepectoral breast reconstruction provides the very best aesthetic results, similar to a natural breast or a subtly augmented result – depending on what our patient is going for! [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/implants#) ## Which Incision is Used For Nipple-Sparing Mastectomy? The most common incision used for NSM is in the inframammary fold (IMF), the natural fold beneath the breast. This incision preserves the entire breast “envelope” and is generally invisible unless the breasts are lifted. The IMF scar lies in a natural crease and does not tend to stretch or become raised, as can happen in other areas. See our Before and After Photo Gallery for images of NSM incisions. Inframammary scars are hidden when viewing the breasts from above or from the front, are concealed in bras and even triangle-top string bikinis, and are generally only visible on careful inspection up close when the breasts are lifted. Most other incisions used for [breast reconstruction](https://www.drkarenhorton.com/breast/reconstruction/) are a “one-time option” only, with an IMF incision required in the future. Following breast implant reconstruction, there is the potential that another surgery may be required at some point during your lifetime. The inframammary incision is most commonly used for future [breast surgery](https://www.drkarenhorton.com/breast/) procedures such as [implant exchange](https://www.drkarenhorton.com/breast/augmentation-revision/) or breast revision, if required. [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/implants#) ## Can the Nipple Still be Preserved if I Have Very Large or Droopy Breasts? Women with very large breasts (D cups or larger) or very pendulous (droopy) breasts who wish to have a prepectoral breast implant reconstruction can still have preservation of the nipple and areola. As long as a slightly smaller and perkier breast reconstruction is planned, rather than keeping the nipple and areola attached to the skin envelope, the nipple and areola is removed as a “free graft”. The mastectomy is done by way of incisions used commonly for a [breast reconstruction by reduction or lift](https://www.drkarenhorton.com/breast/reconstruction/reduction-lift/), sometimes known as the “Wise pattern”. Planning is essential before surgery by your Plastic Surgeon and Breast Surgeon. After the breast tissue is removed, the implant is placed and the skin is “reduced” or redraped around the prepectoral implant. The nipple and areola graft is then placed in the appropriate position on the reconstruction. Preserving the nipple-areolar complex by way of a free graft eliminates any concern about blood supply to the nipple and facilitates the most reliable healing. Please see our Before and After [Photo Gallery](https://www.drkarenhorton.com/gallery/) for pictures of immediate breast reconstruction with free nipple-areolar graft and a reduction/lift. [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/implants#) ## What Are The Advantages of Prepectoral Immediate Single-Stage Breast Implant Reconstruction? Advantages of immediate prepectoral implant-based breast reconstruction include a shorter operation time (1-2 hours including the mastectomy) compared to [flap reconstruction](https://www.drkarenhorton.com/breast/reconstruction/flap/#what) (3-5 hours), a somewhat slightly shorter recovery time (approximately 4 weeks), and usually a single scar under the breast that lies in the natural breast fold.  Placing the implant on top of the muscle is much less painful, with most patients going home from surgery on plain Tylenol only. Regardless of whether the implant is placed on top of or below the muscle, breast reconstruction operations require two surgeons: the Breast Surgeon (who performs the mastectomy) and the Plastic Surgeon (who performs the reconstruction). Usually, your Plastic Surgeon will assist with the mastectomy and she will be there for your entire procedure. The type of reconstruction you select should ultimately take into account your body type, the details of your cancer and its treatments, your lifestyle, profession, family situation and your personal goals for reconstruction. For women who wish to take the least amount of time off work or to have the shortest recovery, implants may be a reasonable option. One additional advantage of implants is that they are technically “reversible”: that is, if a woman’s situation changes, or should implant complications occur, the implants can be changed, altered or removed or the type of reconstruction converted to a flap in the future, if desired. Having a prepectoral breast implant reconstruction does not take away the potential to have flap breast reconstruction in the future. In contrast, whereas once a flap is done, the effect is permanent. [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/implants#) ## What are the Disadvantages of Implant Reconstruction? Breast implants are not infallible, and like all medical devices, have some potential disadvantages. Because an implant is a foreign body, it can become infected, excess scar tissue can form around it and create hardening of the reconstruction (“capsular contracture”), or the device can fail (leak). These risks may be increased if radiation is involved.  Studies have shown that the complication rate is equal between prepectoral reconstructions and those for implants under the muscle. In our experience, submuscular reconstructions have increased complications such as animation deformity, chronic pain or tightness and a displeasing aesthetic result.  It is possible to convert a submuscular implant to a prepectoral reconstruction even after radiation therapy or years after the mastectomy.  Please see our sections on [Breast Implants](https://www.drkarenhorton.com/breast/augmentation/#types), [Special Considerations for Breast Surgery](https://www.drkarenhorton.com/patient-information/preparing-surgery/#breast) and [Postoperative Instructions for Breast Surgery](https://www.drkarenhorton.com/patient-information/postoperative-instructions/#breast) for additional information and further education about breast implants. [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/implants#) ## What Type of Breast Implant Will Be Used For My Prepectoral Reconstruction? A permanent, postoperatively adjustable breast implant is precisely matched to the dimensions of your breast, your chest and your aesthetic goals in immediate single-stage prepectoral breast reconstruction. All breast implants contain a shell that is made of silicone. Because the implant is adjustable, by definition it contains saline (sterile salt water) that can be added or subtracted as needed to adjust implant size after surgery. In contrast, silicone gel implants contain a full-sized, fixed volume that cannot be adjusted. Silicone implants therefore are not normally used immediately at the time of mastectomy. Please see our section that discusses breast implants further for additional information about the science and safety of all implants. [Learn About “Breast Implant Illness”](https://www.fda.gov/news-events/press-announcements/fda-updates-analysis-medical-device-reports-breast-implant-illness-and-breast-implant-associated) [Learn About the FDA’s Labeling Requirement for Breast Implants](https://www.fda.gov/media/131885/download) **Learn more about Breast Implant Illness (BII) treatment & the latest recommendations from The Aesthetic Society [on Dr. Horton’s blog](https://www.drkarenhorton.com/dr-hortons-blog/procedural-information/breast-implant-illness-bii-treatment/).** Saline to Silicone Implant Difference - Dr. Karen M. Horton - San Francisco Plastic Surgeon - YouTube Dr. Karen Horton 871 subscribers [Saline to Silicone Implant Difference - Dr. Karen M. Horton - San Francisco Plastic Surgeon](https://www.youtube.com/watch?v=9ONeWdBzi6M) Dr. Karen Horton Search Watch later Share Copy link Info Shopping Tap to unmute If playback doesn't begin shortly, try restarting your device. More videos ## More videos You're signed out Videos you watch may be added to the TV's watch history and influence TV recommendations. To avoid this, cancel and sign in to YouTube on your computer. CancelConfirm Share Include playlist An error occurred while retrieving sharing information. Please try again later. [Watch on](https://www.youtube.com/watch?v=9ONeWdBzi6M&embeds_referring_euri=https%3A%2F%2Fwww.drkarenhorton.com%2F) 0:00 0:00 / 0:52•Live • [Watch on YouTube](https://www.youtube.com/watch?v=9ONeWdBzi6M "Watch on YouTube") [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/implants#) ## What Really Happens During Prepectoral Immediate Single-Stage Implant Reconstruction? Please see our [Preparing for Surgery](https://www.drkarenhorton.com/patient-information/preparing-surgery/) section to learn about what actually happens in the operating room on the day of surgery. After the mastectomy is complete, your reconstruction will be performed right away as part of the procedure. Measurements are taken and your breast tissue is weighed as a reference point for your reconstruction. The permanent, postoperatively adjustable implant is placed in the space where the breast tissue was, on top of the pectoralis major muscle, in the prepectoral position. There are many advantages to having the implant on top of the muscle as opposed to beneath the pectoralis major muscle, including less postoperative pain and less discomfort than traditional techniques, no animation deformity (wrinkling and contraction of the skin with chest muscle flexion) and a much more natural-looking and symmetric outcome. The implant is inflated with sterile saline (salt water) approximately 60% to 80% of the way full while you are still asleep. This partially fills out the breast space but avoids any tension on the breast skin, facilitating smooth healing without complications. The implant is connected to a “port”, an injection dome that enables additional filling of the implant as desired after the surgery in the office. The port is placed beneath the skin under the breast fold. More saline can be added to the implant after surgery to suit your aesthetic goals. Usually only one or two inflations are all that are needed until your reconstruction is complete. [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/implants#) ## What is the Recovery after Prepectoral Implant Reconstruction? Please print out and read the comprehensive [Preparing for Breast Reconstruction Surgery handout](https://hortonnew.b-cdn.net/wp-content/uploads/2011/12/BreastReconstructionHandout1.pdf). Written by Nurses and Doctors at the hospital, this pamphlet describes in detail how to prepare for breast reconstruction surgery, educates you what to expect in the hospital and explains postoperative recommendations specific to your type of breast reconstruction. [![Breast Reconstruction Handout](https://hortonnew.b-cdn.net/wp-content/uploads/2018/10/KH_BR_Surgery_Handout_button.png)](https://hortonnew.b-cdn.net/wp-content/uploads/2011/12/BreastReconstructionHandout1.pdf) You will spend approximately two nights in the hospital after a mastectomy and immediate implant reconstruction. We will see you back in the office a few days after you go home and weekly thereafter for approximately the first month. It is recommended that you do not exercise, lift more than 5 pounds, or do any activities that raise your heart rate and blood pressure for approximately 4 weeks after surgery. At 4-6 weeks after surgery you can return to your usual activities, without restriction. However, “listen to your body” is the general rule, and if it feels like you are straining even after you are allowed to resume exercise, please continue to avoid activities or movements that still create discomfort. Remember that is takes many months up to a full year for your body to fully recover after any type of surgery. Prepectoral breast reconstruction is no exception. [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/implants#) ## How is the Implant Adjusted after Surgery? At one to two weeks after surgery, when healing is underway and swelling has decreased, additional saline is added to the implant though injections into the port. The implant is fully inflated within a few weeks. The port will remain in place for approximately three months after surgery to enable fine-tuning of your reconstruction. The port can be later removed under local anesthesia in the office, or in the operating room if combined with other surgical steps (such as implant exchange to silicone). The permanent saline implant remains in place, and the reconstruction is complete in a single stage. The implant port enables saline to be added or removed from the implant to carefully “titrate” (adjust) the volume to your precise goals during your recovery. Some women find that they are pleased with a slightly fuller volume than the one they had before their mastectomy – particularly [Moms](https://www.drkarenhorton.com/body/mommy-makeover/note-to-mothers/) who may have some post-partum breast deflation. You will not know what it feels like to have a different breast size until you experience it and get used to your reconstruction. We usually recommend waiting a period of three months before the port is removed to allow for swelling to go away and to ensure you are satisfied with the size (volume) of your reconstruction before the implants are no longer adjustable. During this time, you will resume all your normal activities without any restrictions. You will continue to be seen in the office for regular follow up visits throughout your recovery. Adjustment of implant volume is possible at any time until the ports are removed. Some women use this period to “test out” a new size of their breasts before committing to a final volume. Remember, breast reconstruction is supposed to be fun! Once your implant has been fully inflated and your reconstruction is complete, you have the option of keeping your permanent saline implant (and having the implant “ports” removed as an outpatient procedure) or switching out the saline implant to a silicone gel implant. By this time, the exact volume and dimensions that suit your preference are determined. Please see our section on [silicone gel breast implants](https://www.drkarenhorton.com/breast/augmentation/#advantages) to learn more about silicone implants. [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/implants#) ## Will the Breast Implant Reconstruction Be Placed Under or Over the Muscle? Breast implants can be placed either on top of the pectoralis major muscle or beneath the pectoralis major muscle (the “submuscular position”). In the medical literature, sometimes a partial submuscular position is described (the “subpectoral” or “dual plane”). There are proponents for each technique, based on opinion, surgical training and professional experience. In most instances, breast implant reconstructions are placed on top of the pectoralis muscle in our practice, known recently as prepectoral reconstruction. The reason for this is multifactorial, and is based on the belief that a breast reconstruction should never interfere with muscle motion or function, and should create a natural result that remains constant in the long term and with changes in age and in the body over time. Implants placed on top of the muscle move as expected with changes in body position, without the “motion deformity” or “animation deformity” of submuscular implants (described below), creating a more natural breast shape that is consistent over time, without affecting long-term pectoralis muscle function. During reconstruction of the breast, it makes the most sense to replace volume to the breast where it is missing: in the breast space, rather than under a flat muscle! The pectoralis major (“pec”) muscle is activated and engaged in nearly all activities of the upper body and the “core” (the trunk). It has a straight vector of pull upwards and outwards, and it was certainly not designed to be stretched out over a breast implant! Contraction of this muscle causes displacement of the implants upwards and outwards, along the vector of muscle flexion. This deformity is known as the animation deformity of submuscular implants, and is a common reason why women seek revision surgery after breast reconstruction or cosmetic augmentation. For some women, chronic contraction of the pectoralis muscle around the implant can create strain, tension or physical discomfort in the neck, upper back or shoulder area. In addition, because part of the pectoralis muscle is permanently detached from the sternum and ribs in submuscular procedures, implants in this location can sometimes negatively affect muscle strength and function. Implants placed on top of the muscle do not flex or become distorted with pectoralis major motion. For all these reasons, women who are athletic, who become fully educated about their options for implant reconstruction and who wish to maintain full function of their pectoralis muscles choose the prepectoral reconstruction technique. As women surgeons, we only recommend to our patients what we would do to our own bodies and what makes most sense functionally, aesthetically and when using common sense. [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/implants#) ## How Will My Breast Implant Size be Determined? The most appropriate size for breast implant reconstruction is individualized to each woman on a case-by-case personalized basis. The precise implant choice suits a woman’s height, weight and lifestyle, and fits her frame, remaining proportional to her body curvature. Breast implant reconstruction is a dynamic process that involves individualized planning and multiple discussions with your surgeon. Your Plastic Surgeon has an aesthetic eye for what “looks right” in your body and fits your frame and will exercise sound judgment in the operating room. When we use a permanent, postoperatively adjustable implant, You choose the final size of your reconstruction. The implant volume can be modified (increased or decreased) after surgery as your swelling decreases, allowing you actively participate and to “test out” different sizes in your own body! At a stressful time when you may feel like you have little control over your cancer situation, we give you Control over your final reconstructive outcome. Please visit our Breast Augmentation section for ideas on how women choose their breast implant size for cosmetic augmentations; some of these ideas may be of interest to you while you are planning your breast reconstruction surgery. [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/implants#) ## Will My Other Breast Have a “Balancing Augmentation” For Symmetry? Implant reconstructions tend to create a fuller but potentially slightly less natural breast shape (as in when wearing a push-up bra) when compared to a completely natural, flat or droopy breast. For this reason, we often suggest a performing balancing augmentation of the other breast for symmetry at the time of reconstruction. Any “balancing” procedure to the other breast is considered part of the reconstruction and is also covered by insurance. Your surgeon will discuss this option with you at your breast reconstruction consultation. [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/implants#) ## Can I Have a Prepectoral Implant Reconstruction after a Lumpectomy and Radiation? Implant reconstruction can also occur after a lumpectomy (with or without radiation) if the treated breast is smaller or misshapen when compared to the other breast. An implant will help to fill out missing volume, normalize the breast shape and achieve better symmetry of the breasts. Either a permanent, postoperatively adjustable implant (saline-filled) or a silicone gel implant can be used for reconstruction after lumpectomy. The details of the cancer treatment, radiation dosage and reconstructive goals are all taken into account. Prior radiation slightly increases the risk of complications related to the implant such as infection and capsular contracture. Like reconstruction after mastectomy, if an implant is used for reconstruction after lumpectomy and radiation, a balancing breast augmentation is usually recommended for the non-cancer side to achieve the best possible symmetry. Both breasts are normally operated on at the same time. YouTube Search Watch later Share Copy link Info Shopping Tap to unmute If playback doesn't begin shortly, try restarting your device. More videos ## More videos This video is age-restricted and only available on YouTube. [Learn more](https://support.google.com/youtube/answer/2802167?hl=en) [Watch on YouTube](http://www.youtube.com/watch?v=x4xPX7U8-vs) [Visit YouTube to search for more videos](https://www.youtube.com/) ## More videos on YouTube Share Include playlist An error occurred while retrieving sharing information. Please try again later. [Watch on](https://www.youtube.com/watch?v=x4xPX7U8-vs&embeds_referring_euri=https%3A%2F%2Fwww.drkarenhorton.com%2F) 0:00 0:00 / 0:00•Live • [Watch on YouTube](https://www.youtube.com/watch?v=x4xPX7U8-vs "Watch on YouTube") Breast reconstruction with implants certainly IS possible after radiation, with good results! This woman had implants placed on top of the muscle (prepectoral reconstruction) without any ADM. She is soft and natural, despite radiation on the left side! [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/implants#) # What Are Drains and Why Are They Used? After mastectomy and breast implant reconstruction, you will have drains in place for approximately 10-14 days. Drains are vital to remove wound fluid from around the implant while you are healing and to decrease the risk of complications. We urge you to read [Dr. Horton’s blog post on surgical drains](https://www.drkarenhorton.com/dr-hortons-blog/dr-hortons-breast-augmentation-journey-part-vii/ "Dr. Horton’s Breast Augmentation Journey Part VII – BYOD: Bring Your Own Drains") and watch all of the accompanying videos so that you are well prepared to care for your drains after surgery. Drain colors go through a natural evolution from dark to light. - YouTube Dr. Karen Horton 871 subscribers [Drain colors go through a natural evolution from dark to light.](https://www.youtube.com/watch?v=MLDi_9tFxOM) Dr. Karen Horton Search Watch later Share Copy link Info Shopping Tap to unmute If playback doesn't begin shortly, try restarting your device. More videos ## More videos You're signed out Videos you watch may be added to the TV's watch history and influence TV recommendations. To avoid this, cancel and sign in to YouTube on your computer. CancelConfirm Share Include playlist An error occurred while retrieving sharing information. Please try again later. [Watch on](https://www.youtube.com/watch?v=MLDi_9tFxOM&embeds_referring_euri=https%3A%2F%2Fwww.drkarenhorton.com%2F) 0:00 0:00 / 0:43•Live • [Watch on YouTube](https://www.youtube.com/watch?v=MLDi_9tFxOM "Watch on YouTube") [Read the Entire Blog to See All Drain Videos](https://www.drkarenhorton.com/dr-hortons-blog/dr-hortons-breast-augmentation-journey-part-vii/) [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/implants#) ## Where Can I See Before and After Photographs of Nipple-Sparing Mastectomy and Single-Stage Breast Implant Reconstructions? Please [click here](https://www.drkarenhorton.com/gallery/breast/immediate-implant-reconstruction/) to see before and after NSM and implant reconstruction results! [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/implants#) ## Can I Still Have a Prepectoral Implant Reconstruction if I Have Already Had a Mastectomy? A delayed breast implant reconstruction is still possible as long the skin does not have significant radiation damage, even in the prepectoral position. For non-radiated patients, the adjustable implant may require a few more inflations than for an immediate reconstruction until the implant is full size. It can take some time for the contracted breast skin to fill out and assume its final shape when compared to an immediate implant reconstruction. See our [Before and After Photo Gallery for examples of delayed breast reconstruction using implants](https://www.drkarenhorton.com/gallery/breast/delayed-implant-reconstruction/). [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/implants#) ## Will I Need Additional Surgery after Prepectoral Implant Reconstruction? During your lifetime, you may require at least one additional procedure related to your implants. This may consist of implant removal, replacement, or adjustment of size, based on changes in your wants, needs or personal situation. However, breast implants are not like tires and do not need to be changed “every 10,000 miles”! Your surgeon will follow up with you in the long term and ensure that you are still looking good and feeling good many years after your surgery. There is no reason to undergo any additional surgery unless you are experiencing a problem or you wish to have another procedure in the future. [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/implants#) ## How Do I Know Whether Prepectoral Single-Stage Breast Implant Reconstruction is Right For Me? At your initial breast reconstruction consultation, a complete medical history will be taken. Your surgeon will spend a great deal of time getting to know you personally. She will explore your goals for breast reconstruction and examine you. A great deal of time will be taken going over all the available options for breast reconstruction, including implants. If you are an appropriate candidate for prepectoral single-stage breast implant reconstruction, this option will be described to you in detail. [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/implants#) [Download the Breast Reconstruction Planner provided by ASPS](https://hortonnew.b-cdn.net/wp-content/uploads/2013/10/breast-reconstruction-recovery-guide-planner.pdf) [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). 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We can provide a financial quote for what anticipated surgical fees will be after your consultation. ## Accreditations Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/breast/reconstruction/implants#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Poland Syndrome Overview Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Poland Syndrome [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") Page Updated: February 21, 2025 ## Poland Syndrome [What Is Poland Syndrome?](https://www.drkarenhorton.com/breast/poland-syndrome#what) [Candidates for Poland Syndrome Correction](https://www.drkarenhorton.com/breast/poland-syndrome#candidate) [Surgical Procedures to Correct Poland Syndrome](https://www.drkarenhorton.com/breast/poland-syndrome#surgical) [Preparing for Poland Syndrome Surgery](https://www.drkarenhorton.com/breast/poland-syndrome#preparing) [What to Expect During Poland Syndrome Surgery](https://www.drkarenhorton.com/breast/poland-syndrome#expect) [Recovery After Poland Syndrome Correction](https://www.drkarenhorton.com/breast/poland-syndrome#recovery) [FAQs About Poland Syndrome Correction](https://www.drkarenhorton.com/breast/poland-syndrome#faq) ## What Is Poland Syndrome? Poland Syndrome is a rare congenital condition affecting the breast, chest, and, occasionally the upper extremities on one side of the body.1 It was named after the anatomist who described the condition in 1841. Classically, the pectoralis major muscle is absent or underdeveloped in patients experiencing Poland Syndrome, and the overlying breast is small, misshapen, or absent with a small or malformed nipple and areola. This condition is actually most common in men, with males being three times more commonly affected than females, and the right side is affected twice as often as the left.2 It is not inherited, meaning it is not passed on from a parent to their child, but is believed to be due to in utero spasm of the subclavian artery on one side during a critical time in development of the chest wall, resulting in atrophy or aplasia of the soft tissues and/or ribs on one side of the chest and breast. As breast asymmetry develops during puberty in females with Poland Syndrome, young women often seek cosmetic correction of their breasts and chest wall. In fully developed women, there may be a smaller breast on the affected side or an absence of the breast altogether. The nipple and areola are often smaller and sit higher than the other side, or they may be absent. The underlying chest wall is often depressed or misshapen, and the normal contour of the pectoralis major muscle is missing. Each of these features can be corrected or improved by Plastic Surgery. Most women seeking Poland syndrome reconstruction are looking to reconstruct their breast and/or chest wall. Correction of Poland syndrome can include [breast implant reconstruction](https://www.drkarenhorton.com/breast/reconstruction/implants/), insertion of specialized pectoral implants, [free flap reconstruction](https://www.drkarenhorton.com/breast/reconstruction/flap/), [nipple and areola reconstruction](https://www.drkarenhorton.com/breast/reconstruction/nipple-surgery/#cancer), and other complementary procedures to improve the appearance of the breast. In men, free [fat grafting](https://www.drkarenhorton.com/breast/reconstruction/fat-grafting/) is often planned for the affected side, with ultrasonic liposuction of the other side of the chest to create improved symmetry. Seeking correction for Poland Syndrome is a deeply personal decision driven by the desire to restore balance, improve symmetry, and enhance overall well-being. At her San Francisco practice, Board-Certified Plastic Surgeon [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) specializes in customized Plastic and Reconstructive Surgery procedures to address Poland Syndrome defects, helping patients achieve natural-looking, harmonious results tailored to their unique needs. # Featured Case [View Our Patient Gallery](https://www.drkarenhorton.com/breast/poland-syndrome) ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG9864039067-10557-b/original.jpeg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG9864039092-10557-a/original.jpeg) Drag the slider to see transformation ## Who is a Good Candidate for Poland Syndrome Correction? Correction of Poland syndrome is appropriate for both men and women. Good candidates for reconstruction related to Poland syndrome include individuals who are healthy, physically fit, and of a normal body weight. Younger women should have finished puberty and have had stable breast size for at least a year before surgery. Smokers, patients with diabetes, multiple medical problems, or blood-clotting disorders are often not good candidates for reconstruction. Morbidly obese patients have a much higher rate of complications and are advised to achieve a healthy BMI before reconstructive surgery. Your medical history and current medical status will be evaluated at your consultation. You may be asked to see your Primary Care Physician for a full physical examination and appropriate laboratory tests prior to being medically cleared for surgery. ## Surgical Procedures to Correct of Poland Syndrome ### Single-Stage Breast Implant Reconstruction A breast implant is usually inserted to replace missing breast volume on the affected side. Traditional [implant reconstruction](https://www.drkarenhorton.com/breast/reconstruction/implants/) involves two stages: a tissue expander is placed in one operation, and a permanent implant is placed in a second procedure. However, a new technique that does not require tissue expanders as a preliminary step provides the most natural-looking results and enables [breast reconstruction](https://www.drkarenhorton.com/breast/reconstruction/) in a single operation is available as an exciting option for Poland syndrome patients in our practice. A permanent, postoperatively adjustable breast implant is used to augment or create a natural breast form. It can be adjusted as needed after surgery to suit a woman’s body, curves, lifestyle, and individual aesthetic goals. Many of the steps of surgery are the same as for breast cancer reconstruction. Learn more here. ### Pectoral Implants Custom-shaped implants specifically designed to correct chest wall asymmetry in Poland Syndrome are an option for many men seeking reconstruction.3 These pectoral implants, made of silicone gel, are custom-ordered following a thorough consultation, physical examination, and precise measurements taken in our office. The procedure involves implant placement through an incision, typically located beneath the breast or in the armpit. However, due to the absence of subcutaneous fat in the chest area, implants may create visible edges and appear less natural than reconstruction using the body’s own tissue. ### Free Flap Breast and Chest Wall Reconstruction The use of the body’s own tissue for reconstruction is called a “Flap.” A “Free Flap” is a specialized reconstructive procedure that transplants tissue from a donor area to reconstruct the breast, chest wall depressions, and any additional abnormalities or hollows in Poland syndrome. Advancements in [Microsurgery](https://www.drkarenhorton.com/breast/reconstruction/flap/#microsurgery) offer exciting new options for Poland syndrome reconstruction using the body’s own tissue and avoiding sacrificing major muscles. During this procedure, fatty tissue is taken from the abdomen or the inner thigh area and Microsurgically transplanted to the chest region as a Free Flap. While traditional flaps from the abdomen permanently sacrifice another major body muscle, such as the TRAM flap, we do not recommend this procedure for our patients; instead, we offer muscle-sparing surgical options. Innovative, state-of-the-art reconstruction methods for Poland syndrome include “Perforator Flaps,” known as the [DIEP](https://www.drkarenhorton.com/breast/reconstruction/flap/#diep) flap, [SIEA](https://www.drkarenhorton.com/breast/reconstruction/flap/#siea) flap, and [TUG](https://www.drkarenhorton.com/breast/reconstruction/flap/#tug) (inner thigh) free flap. These surgeries are only performed by specially-trained Reconstructive Microsurgeons with a great deal of experience in breast reconstruction. ### Free Fat Grafting (“Lipofilling”) In some cases, free fat grafting (“lipofilling”) can help improve contour irregularities in the upper chest where the pectoralis major muscle is absent. This technique involves harvesting fat from another part of the body using [liposuction](https://www.drkarenhorton.com/body/liposuction/) and transferring it to areas that traditional reconstructive methods may not entirely correct, such as above a breast implant near the clavicle. Fat grafting is typically reserved for specific reconstructive needs rather than routine cosmetic enhancements. Because not all transferred fat cells survive, some may be reabsorbed by the body, and calcifications can develop in areas where fat does not successfully integrate. These calcifications can sometimes appear as irregularities on a mammogram. As a result, fat grafting is generally recommended only for cases like Poland Syndrome or post-mastectomy breast reconstruction. While some patients achieve their desired results in one session, multiple fat grafting procedures—spaced 3 to 6 months apart as serial procedures—may be recommended. Fat grafting is performed as an outpatient surgery and may or may not be covered by insurance. ### Nipple and Areola Reconstruction If the nipple and areola is absent or malformed, a new nipple prominence and an areolar circle can be reconstructed. Nipple reconstruction can be done at the same time as breast correction or occasionally is performed as a second outpatient procedure 3-6 months later. Please see our section on [Nipple Surgery](https://www.drkarenhorton.com/breast/reconstruction/nipple-surgery/) for additional details about nipple-areolar reconstruction. ### Latissimus Dorsi Flap Reconstruction The Latissimus dorsi (LAT) flap is a traditional method for correction of the Poland syndrome chest wall. The Latissimus is the largest muscle in the body and is used in almost all activities of daily living. In Poland syndrome, because the major chest muscles on the front (Pectoralis major and occasionally Pectoralis minor) are already missing, to additionally sacrifice another major muscle from the back can increase potential weakness and deformity of the trunk, and makes little sense! For this reason, the LAT flap is not usually recommended. ## Preparing for Poland Syndrome Surgery In addition to our website and educational materials given to you at your preoperative office visit, please print out and read the comprehensive [Preparing for Breast Reconstruction Surgery handout](https://hortonnew.b-cdn.net/wp-content/uploads/2011/12/BreastReconstructionHandout1.pdf). This pamphlet, written by Nurses and Doctors at the hospital where your surgery will take place, describes in detail your hospital experience and helps to educate you on what to expect in the hospital and during your recovery. Please also visit our [Testimonials](https://www.drkarenhorton.com/about/testimonials/) section to hear our patients’ experiences in their own words. ## What to Expect During Poland Syndrome Surgery Please see our [Preparing for Surgery](https://www.drkarenhorton.com/patient-information/preparing-surgery/) section to learn about what happens in the operating room on the day of surgery. Please also visit the sections that describe the various reconstructive methods in Poland syndrome for details of each surgery option. Our Preparing for Surgery will teach you about preparing for your Poland syndrome correction. ## Recovery After Poland Syndrome Correction Please see our [Postoperative Instructions](https://www.drkarenhorton.com/patient-information/postoperative-instructions/) section, [Special Instructions for Breast Implant Surgery](https://www.drkarenhorton.com/patient-information/postoperative-instructions/#breast) and [Recovering from Microsurgery](https://www.drkarenhorton.com/breast/reconstruction/flap/#recovery) for additional information about Poland syndrome recovery. ![](https://hortonnew.b-cdn.net/wp-content/uploads/2025/02/poland-syndrome-horton-v2.webp) ## Schedule a Consultation Poland Syndrome reconstruction is a highly personal procedure customized to each patient’s unique needs. There is no one-size-fits-all approach—each reconstruction plan is tailored based on an individual’s anatomy, body shape, lifestyle, and aesthetic goals. If you are in the San Francisco Bay Area and considering Poland Syndrome correction, our goal is to provide a natural, long-lasting result that enhances both function and appearance. [Contact us](https://www.drkarenhorton.com/contact-us/) today to schedule a consultation with Dr. Horton, MD, FACS, and explore your options. # Procedure FAQs Will My Other Breast Be Balanced to Match the Poland Reconstruction? A balancing procedure is often recommended for the opposite breast to match the reconstructed breast for all types of reconstruction. Balancing procedures may include a [breast reduction](https://www.drkarenhorton.com/breast/reduction/), [breast lift](https://www.drkarenhorton.com/breast/lift/), or breast augmentation based on the details of your body, your Poland syndrome, and your method of reconstruction. Your surgeon will examine both sides of your chest and will recommend the procedure(s) that best meet your goals and that provide the best aesthetic results with the greatest balance and symmetry. What Are Potential Risks and Complications of Poland Syndrome Correction Surgery? When you are considering any type of surgery, you should be fully educated about potential risks and complications. Please see our [Preparing for Surgery](https://www.drkarenhorton.com/patient-information/postoperative-instructions/) section to learn about risks and potential complications related to surgery and [Postoperative Instructions](https://www.drkarenhorton.com/patient-information/postoperative-instructions/) for additional information pertaining specifically to Poland syndrome correction. Where Can I See Before and After Photographs of Poland Syndrome Correction Procedures? Please visit our gallery to see [before and after Poland syndrome surgery](https://www.drkarenhorton.com/gallery/breast/poland-syndrome/) results! Will My Poland Reconstruction Be Covered by Insurance? Corrective surgery for Poland syndrome may or may not be covered by insurance. Your personal financial responsibility for surgery depends on the specifics of your insurance plan and whether your surgeon is a participating provider for your particular plan. Our [Patient Coordinator Mary](https://www.drkarenhorton.com/about/staff/#mary) will go over this with you in detail as we plan your surgery and will assist you in using your insurance to your greatest advantage. How Do I Know Whether Poland Correction Option is Right For Me? As women Plastic Surgeons, we intimately understand how a person’s feelings about their chest and breasts can influence their confidence, self-image and self-esteem. At your Poland syndrome consultation, your surgeon will spend a great deal of time with you to get to know you personally and take a complete medical history. We will explore your reasons for seeking Poland syndrome correction, examine your chest, and if you are an appropriate candidate for surgery, your options will be described in detail. Where can I find Poland Syndrome correction surgery near me? If you’re looking for Poland Syndrome correction surgery in the San Francisco Bay Area, Dr. Karen Horton is a Board-Certified Plastic Surgeon with extensive experience in reconstructive and cosmetic surgery. She specializes in procedures that restore symmetry and improve chest contour, including correction of tuberous breasts, gynecomastia, and other breast and chest rejuvenation techniques. Dr. Horton is dedicated to creating natural, long-lasting results tailored to each patient’s unique needs. [Contact us](https://www.drkarenhorton.com/contact-us/) today to learn more about your options for Poland Syndrome correction. 1 The Annals of Thoracic Surgery. Poland’s syndrome revisited. [https://www.annalsthoracicsurgery.org/article/S0003-4975(02)04161-9/fulltext](https://www.annalsthoracicsurgery.org/article/S0003-4975(02)04161-9/fulltext). Accessed Janaury 27, 2025. 2 Genetic and Rare Diseases Information Center. Poland Syndrome. [https://rarediseases.info.nih.gov/diseases/7412/poland-syndrome](https://rarediseases.info.nih.gov/diseases/7412/poland-syndrome). Accessed January 27, 2025. 3 American Society of Plastic Surgeons. Implants Made by Computer-Aided Design Provide Good Results in Patients with Rare Chest Muscle Deformity. [https://www.plasticsurgery.org/news/press-releases/implants-made-by-computer-aided-design-provide-good-results-in-patients-with-rare-chest-muscle-deformity](https://www.plasticsurgery.org/news/press-releases/implants-made-by-computer-aided-design-provide-good-results-in-patients-with-rare-chest-muscle-deformity). Accessed January 27, 2025. [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). 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We can provide a financial quote for what anticipated surgical fees will be after your consultation. ## Accreditations Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/breast/poland-syndrome#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Patient Reviews for Dr. Horton Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Patient Reviews When seeking surgical or non-surgical cosmetic treatments, finding the right [plastic surgeon](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) is a very important step. Dr. Karen Horton encourages anyone considering plastic surgery to conduct thorough research in order to find a skilled and experienced surgeon they are comfortable with. To assist you with gathering the necessary information, as well as enable you to get a better idea of what to expect from Dr. Horton and our practice, we encourage you to read through the reviews and ratings from our actual patients below. If you have any questions, or would like to schedule a consultation with Dr. Horton, please do not hesitate to [contact us](https://www.drkarenhorton.com/contact-us/) today. ### Average Rating 358 reviews 5 STARS ★★★★★ ### Google 105 reviews 4.9 STARS, AVERAGE RATING ★★★★★ ### Realself 63 reviews 4.4 STARS, AVERAGE RATING ★★★★★ ### Facebook 27 reviews 4.8 STARS, AVERAGE RATING ★★★★★ ### RateMDs 34 reviews 4.8 STARS, AVERAGE RATING ★★★★★ ALLGoogle 105Realself 63Facebook 27 * * * RateMDs 34 * * * ## Karen M. Horton, MD (5 out of 358 Reviews) - ★★★★★5 out of 5 Stars **jeninoakland** Mar 15, 2025 Had a Great Experience I had the MACS lift in December. Dr Horton and her team did a great job of walking me through all of it. I am 63 and was afraid that the results might be too subtle, but I am very pleased. (I required liposuction as well.) - ★★★★★5 out of 5 Stars **Megan Lappe** Feb 24, 2025 I chose Dr. Horton because she was easy going, answered my questions, and preferred a minimally invasive approach. My recovery has been smooth, and I’m excited to see the finished results! I know they’ll be great! She promptly responded to any of my questions post procedure, even on the weekends. Her staff is so kind and her office is beautiful! - ★★★★★5 out of 5 Stars **Sam Driks** Feb 04, 2025 Dr. Horton and her staff are exceptional. Throughout the entire process, they were attentive, kind, experienced, and completely professional. The consultation process with Dr. Horton was holistic and personalized. It’s clear that Dr. Horton is an expert in what she does, and I could not have been more confident in her skill and judgment. First and foremost, Dr. Horton is a doctor. She truly cares about my health beyond my procedure. For that, I am forever grateful! The whole experience couldn’t have been more seamless for myself or my partner. We knew exactly what was happening every step of the way and the Horton team was always available any time I had a question (even answering texts). You really do feel so cared for as soon as you step into the office. And above all, I could not be happier with the results. I can’t say enough good things about this practice and am so glad I found them! - ★★★★★5 out of 5 Stars **Natalia A** Feb 02, 2025 I had a great experience with Dr. Horton twice. The first time she did breast implants and did an amazing job. Dr. Horton is an artist. I got great results of exactly what I wanted, as the looks were very natural for me and I had smooth healing experience. The second time (in ten years) Dr. Horton did the breast implant replacement, which had to be done due to after-Covid effects of misconfiguring one of the implants, and again I had a great experience. Smooth procedure, quick recover, great guidance by the doctor (she is on cell phone dial for me! and is very responsive). Dr. Horton listens, takes your input, gives you informative advice, and makes the best of the procedure. I highly recommend Dr. Horton. - ★★★★★5 out of 5 Stars **Giving352031** Jan 31, 2025 I can already tell I'm going to be extremely pleased with the results Dr Horton and her caring team were incredible. I saw them for an abdominal liposuction (I'd never done anything like this before!) . I was originally going to see several Plastic Surgeons as a consult but after meeting Dr Horton just once I decided I didn't need to interview anyone else. Although I am still early in my recovery, everything went wonderfully and I can already tell I'm going to be extremely pleased with the results. What stood out to me most is the day of surgery I naturally had some anxiety and her caring team made me feel like a princess before and after the procedure. Dr Horton is obviously in a sensitive role helping women care for their bodies...I felt very natural with her when she was making recommendations, she was very warm and caring and fact based when talking about my body. She also really took the time to get to know the "whole me" which also stood out as I'm sure she is a very busy lady! She really took my entire life and lifestyle into regard when making recommendations. - ★★★★★5 out of 5 Stars **Nancy Lewis** Jan 22, 2025 I asked someone for a recommendation, and later learned that she'd only seen Dr Horton's name on a list someplace! Dr Horton and her entire office staff are all wonderful, caring, and very understanding. I'm so glad that I found her! I'll recommend her to anyone who asks. - ★★★★★5 out of 5 Stars **Karen McDonald** Jan 10, 2025 She is the best- talented, informed and very caring, follows up post surgery. The office staff are wonderful too. Highly recommended. - ★★★★★5 out of 5 Stars **Calli** Jan 08, 2025 I am officially two months post-op and figured now would be a great time to write a review for my journey with Dr. Horton. I’m a researcher. I spent hours and days looking for the perfect surgeon and after gathering all my notes, I had it narrowed down to a few. From the moment I requested a consultation, I knew Dr. Horton’s expertise and professionalism was what I desired most in a surgeon. I didn’t care that her practice was 1,500 miles from my home. She was worth it. I don’t need to tell you her qualifications, but believe me, she blew her competition out of the water. The others didn't stand a chance. What sold me hook, line, and sinker was not only her, but her office staff as well. From the first phone call to the last one, every single person (every one!) in her office has been positive, efficient, and gives me the space to ask questions. At the consultation and pre-op, Dr. Horton took so much time with me to make sure I understood all the details, potential side effects, and expectations for recovery and beyond. She didn’t care how much time we spent talking about it. I wasn’t a number in an assembly line, I felt more like we were two friends having a conversation. She made sure I knew that this wasn’t just a simple procedure but one that needs to be taken seriously. She eased my fears and discussed that results were individual-based but generally, she anticipated great results for me. On surgery day, her staff eased my anxiety and I remember laughing pretty much the whole time in the surgery suite. Dr. Horton’s hands made quick work and left my body in a more beautiful state than before. I knew initially the first look is not the long-term result, but I was already ecstatic at what I saw and the results get better and better each day as she had said it would. Recovery was quicker than I expected and the entire time I had 24 hour access to Dr. Horton, should I need it. Even after my last post-op appointment, she reminded me that I could reach out anytime, no matter what, even though I lived quite a few states away. If you’re looking for a surgeon and team that will prioritize your care AND comfort, you could do no better than Dr. Horton and her practice. I will whole-heartedly recommend her to any and every person that I come across. Should I ever need another procedure, she will be the only surgeon I will trust. - ★★★★★4 out of 5 Stars **D R** Jan 06, 2025 No comment given - ★★★★★5 out of 5 Stars **Rachel Fohrman** Dec 24, 2024 I chose to work with Dr. Horton after my initial consultation, where she spent over an hour walking me through the procedure, empowering me to make a decision to go through with a surgery I had wanted for years. I really appreciated how frank she was about what to expect and the recovery time, as well as the emotional component that accompanies recovery for many patients. I had had a negative experience with another surgeon when I had a non-elective surgery 5 years prior, so I knew how important it was for me to understand what to expect during recovery and have a mechanism to ask questions and advocate for myself. Karen put me at ease during the initial consult, and the overall experience of surgery and post-op care could not have been better. If you are looking for excellent results but don’t want to compromise on your overall experience, I can’t recommend Karen and her team enough. - ★★★★★5 out of 5 Stars **Rita Bosnich** Sep 13, 2024 Thank you Dr Horton for helping me feel better about myself. And being honest with me. I trust you. - ★★★★★5 out of 5 Stars **Regan Tewksbury** Aug 30, 2024 Dr. Horton is absolutely incredible! Her entire office staff is so kind and welcoming, and they create a space to make you feel comfortable and empowered. Dr. Horton takes time in the initial consultation to ask questions, go through your history, and answer any questions you may have. She never makes you feel rushed in any appointment. From the surgery to after care, Dr. Horton and her staff always make you feel heard and so well taken care of. I would absolutely recommend Dr. Horton to anyone! - ★★★★★5 out of 5 Stars **Heidi Wyatt** Jul 17, 2024 From the moment I heard rave reviews of this doctor, to the initial appointment call receptionist, the zoom call & the scheduling were all top tier communication & kindness! - ★★★★★5 out of 5 Stars **Bethany Moore** Jul 09, 2024 Goes without saying that Dr. Horton is one of the best! I had a procedure in an intimate area and she handled it with care and compassion. The surgery gave me confidence in my body again, and about 3 years post-op, the results still hold up! Thank you so much, Dr. Horton, for positively changing my life! - ★★★★★5 out of 5 Stars **Linda Bukata Aiello** Apr 29, 2024 After much research I chose Dr. Horton for my mastoplasty. I had met with and reference checked several Doctors, and not only did she come out on top, but the experience with her and her team was so warm and comforting right from the start and has continued through my post op. I am now 3 weeks post op, healing beautifully and delighted with my results. I could not recommend her more highly! - ★★★★★5 out of 5 Stars **phuong nguyen** Apr 18, 2024 good - ★★★★★5 out of 5 Stars **Alexandria Rinella** Apr 16, 2024 Dr.Horton was the only doctor I had a consultation with who really listened to what I wanted to achieve and didn’t try to upsell me with more procedures or a complex surgery. She was warm and caring like talking with a friend. She was clear on what was possible with what routes we chose together. Dr. Horton is a great surgeon and her practice is a boutique experience so she is more expensive than others but I found that her and her staff made it worth it. She was also able to fix a big scar from my previous surgery which was the cherry on top of the whole experience. It’s been a year and I am so happy with the results. - ★★★★★5 out of 5 Stars **Win Z** Apr 12, 2024 Dr Horton is one of the kindest , talented, beautiful surgeons I have ever met in my entire life . I discovered her in 2019 with the intention of correcting my inverted nipples , I was only 19 at the time . Having this body function visually you know how insecure you are as a women and everyday showering changing and seeing them and how embarrassing it is to have them I thought there would never be a solution until I found her . I discovered after watching many procedures in India and doctors all around the world she was in the same city as me. I booked a consultation and when approaching the office being greeted by the two ladies at the front desk the pink chairs the offering of tea and water I knew I was at the right place. Dr Horton brought me to the back and took a look and what I thought was my life’s worst nightmare. she kindly calmed me in a way I’ve never experienced . She assured me that she was able to resolve it in a way that it would satisfy me . Since that day I’ve stopped crying and experiencing the horrible anxiety I was facing . My surgery was in October 11 2023 and I was very nervous . Her team is phenomenal there are no words to describe how well and comforting this women is . The pink robes , my bed was heated , I felt like a women for the first time in my life . The surgery itself was not nearly as painful as I expected and the aftercare was very minimal compared to what I thought it would be . Dr Horton and the team was very attentive making sure to always ask me of my needs before during and at every follow up appointment. She is better than every doctor than every surgeon and every medical provider that I have encountered . She allowed me to be annoying and particular gave me a direct contact to voice my issues and concerns and NEVER ONCE TOLD ME NO. Never once shut down my desires like the doctors I’ve previously visited some even being stationed at Kaiser. Even my doctors at Kaiser never told me there was a surgery to solve this. Following up after was very smooth I would come in be kindly greeted drink tea get food at the cafe the staff of the whole building now know me and I greet them when I enter I feel included in the process . This experience changed my life forever and I cannot thank her or her team enough for everything they have done for me. I feel more at home here than my actual house because they are accommodating and very responsive. 5/5 and I would come here in the future for other procedures because of how smooth this process was . Dr Horton is a very talented surgeons who deserve accolades in the work produced - ★★★★★5 out of 5 Stars **Johnathan K** Mar 31, 2024 Very friendly and inviting. As soon as I walk through the door my comfort was priority for the staff. Dr Horton was amazing, very warm and relatable, more importantly her honesty is what stood out. The procedure I was seeking was more complex than I imagined, Dr Horton did a great job in explaining the different options and potential outcomes, I appreciated her candidness and left the office with an informative state of min. Highly recommend her for your surgical endeavors. - ★★★★★5 out of 5 Stars **WW79** Mar 18, 2024 Gave me the confidence I haven't had in decades Dr. Horton and the entire staff are AMAZING! A friend made the recommendation to me based on the rave reviews on Facebook Mommy groups. I went to the consultation and felt right at home. I felt seen and unjudged. She understood my point of view and did not downplay any of my concerns. She gave me her professional opinion on what can be done to address my asks and provided realistic solutions. I never felt like I was being up sold. It felt like a real conversation with a friend. After a quick decision to move forward, I worked with her awesome staff on scheduling. They were able to accommodate my calendar and found me an earlier slot that had become available. Everyone walked me through every step and worry. They prepared me for the surgery and recovery process. The big day went off without a hitch. I was pretty out of it post opp but my husband told me that they were all sweet, supportive, and super helpful. That continued through all of the post opp appointments. They answered all my questions and kept me informed on everything that was happening ("yes, this is normal", "you should see results in \_\_\_", "the swelling will come down \_\_\_", etc.). I've heard some horror stories of poor post opp care, or lack there of, where once the treatment is done and the office got their money, there was no more care. That is 100% NOT the case in this office! They are quick to respond to all inquiries (almost a year later). They listen to all of my thoughts, answer all of my questions and they never rush me out of the office. We've chatted about life and they always made me feel welcomed. Be prepared for some real hugs because they do genuinely care, from Niloo at the front desk, to Mary from billing, and to Doctor Horton and Nurse Emily. I love love love them all! I had waited to write this review so I could post photos, but the before/afters are not quite ready and I didn't want to wait any longer. Dr. Horton is a miracle worker! Before the mommy makeover I avoided looking in the mirror. I hated shopping for swimsuits, dresses, or even jeans. I finally love the body I'm in now. She gave me the confidence I haven't had in decades to wear whatever I want. Without all of that extra belly weight, it's easier to exercise too. I just wish I did this sooner. Thank you Dr. Horton! - ★★★★★5 out of 5 Stars **janere** Mar 15, 2024 Never felt more heard & positive about seeing a doctor & having a procedure From the initial appointment through follow up care I have never felt more heard and positive about seeing a doctor and having a procedure done. I knew what to expect each step of the way. The surgery went well and I'm so glad I did it. - ★★★★★5 out of 5 Stars **Blythe Smith** Feb 01, 2024 I don't even know where to begin. Dr. Horton is a magician! I have been wanting my implants out and reduction/lift for years. I struggled with an identity crisis, feeling like these breast where not me, did not fit me. Dr. Horton understood my wishes and desires, the outcome is even better than I imagined it. From the first consultation, I knew she was different from any other doctor I interviewed. She did not rush through the consultation; took her time to get to know me, my lifestyle, my family, who I am and what I want out of the procedure. From that moment on I knew Dr. Horton was my doctor. The procedure was flawless, and my recovery has been amazing. When I look in the mirror I finally resonate with my reflection, I finally feel like me. With tears in my eyes I write this, she truly changed my life!! Plus the whole staff is amazing, you feel like part of the family. Can not say enough good things. Best experience, best doctor! - ★★★★★5 out of 5 Stars **Sarah Peterson** Jan 10, 2024 I had been wanting a breast reduction for 5+ years but was also wildly picky because I didn’t want them to just look like they’d been cut off. I did my research and went to consultations with who I had narrowed down and believed to be the top 3 surgeons in CA that could give me the results I wanted. I knew almost immediately that Dr Horton is who I was going to choose. She explained everything start to finish, even pairing you with past patients similar to yourself that you can talk to before ever deciding to book it! Her before and after pictures speak for themselves, but it was so much more than that. Karen is not only super smart and knowledgeable in her profession but generally cares for your well being and what YOU want. The rest of her team was amazing too! Meilu and Mary guided me through the whole process. Nurse Emily explained everything and then some pre-opp, I never felt so confident going into a surgery in my life! I love these ladies and would recommend anyone and everyone go here for top notch care that looks amazing. - ★★★★★5 out of 5 Stars **cswenson1085** Nov 27, 2023 What a Great Experience Loved every moment of this process. I had 10 year old implants that were too big for me from the very beginning. I have been exploring having them removed for years now, and finally found the doctor I wanted for this last surgery I was going to do. Not only was Dr. Horton friendly, and inviting, the whole staff is what sold me. - ★★★★★5 out of 5 Stars **Mel** Nov 14, 2023 I chose Dr. Karen Horton for my procedure because after many consultations over years, with so many surgeons I just could never bring myself to go through with it as I did not have this innate trust from within just never felt right.. Fast forward many years...I heard from various word of mouth clients/ stories of Karen Horton and how amazing she is, I decided to go check it out. What was most impressive was one of the stories that a patient shared who actually had a complication and insisted that I must see Dr. Horton due to how she handled every step of the complication. This story actually made me trust Karen even more, when we allow our bodies to go under such complex surgeries we need those surgeons who are not only great and amazing but what if something goes wrong who would we trust to get us out of it... This is more important to me. I have placed my trust in Karen and the staff she surrounds herself with from Emily RN, front desk staff, Mary, Pre-op and post-op RNs, Anesthesia Dr. Gordon etc... It takes a team but more importantly how the team performs under an amazing leader. My experience was the following I felt completely informed all the way through every aspect, I was given past patients to call and gain more references, It was very clear to me and my husband what we would expect day before, day of surgery, after and the subsequent weeks to follow. I am over a week post op and can already see, feel and tell how amazing the work Dr. Horton performed and although it's a major surgery I feel confident that as time progresses I will be even more happier with results, outcomes and service. Thank you Dr. Horton and team! - ★★★★★5 out of 5 Stars **Vicki Romaguera** Oct 24, 2023 First Class is the best description for Dr Horton. She treats you like her best friend, she is very professional and is an artist. She gave me a procedure that changed my life forever! I feel like a new person and would not have wanted anyone different to have done the surgery. Highly recommend!!! - ★★★★★5 out of 5 Stars **Nurturing982783** Oct 05, 2023 I have been custom fit with the best size implants for my particular anatomy I m a returning patient of Dr. Horton's. My first surgery was in 2012. I had my saline implants exchanged for silicon, as well as a lift because I was droopy after breastfeeding. My scars quickly faded and I was most happy that my nipple sensation returned to normal. In June I expressed to Dr . Horton that I would like to downsize my current implants. She suggested another lift for best results, and because of my past positive experience, I didn't hesitate or worry, I had complete faith and confidence that I would have the best possible outcome. It's 4 months later, My scars are fading fast, my sensation has completely returned, and aesthetically I feel I have been custom fit with the best size implants for my particular anatomy. I am convinced no one could have given me better results! - ★★★★★5 out of 5 Stars **James Fotherby** Sep 12, 2023 I went to Karen for an earlobe repair procedure, she and her staff was extremely professional and friendly. After the procedure a follow up was warranted and she was kind enough to perform it gratis just to ensure everything came out perfectly. I really can't recommend her enough. - ★★★★★5 out of 5 Stars **Rebecca Fedorko** Jul 18, 2023 Making major medical decisions can be utterly and completely overwhelming, terrifying, and challenging, but getting a breast reduction from Dr. Horton was the easiest decision I have ever made in my life. I was recommended by my fabulous esthetician, and the intial consultation was so incredibly validating. I thought I was being vain and selfish wanting this for myself but Dr. Horton made me feel heard and seen. I felt so cared for and my procedure was handled beautifully. I cried the first time I went to try on clothes post procedure; I finally felt like me. ♥️ The entire office, from it's beauty, to the office staff, makes you feel so truly comfortable. It's been almost two years since my reduction and Dr. Horton is going to do a few aesthetic revisions for me and I trust her so totally and completely. If you're reading this and curious, just do it, hun, go get a consultation! Going to that appointment was the best decision of my life and has improved it beyond measure. I will be forever grateful to Karen and the women in her office. ♥️♥️♥️ - ★★★★★5 out of 5 Stars **Adventurous13860** May 17, 2023 The Best Surgeon! My scars are hardly noticeable now and I love my results! Way over due review alert! Dr. Horton and her staff are astounding in many ways. I came to Dr. Horton back in 2020 due to my breasts not being the same after nursing two kids and a fat grafting procedure that I had (after my first kid back in 2015) that left several hard fat necrosis deposits in my breasts. Fat grafting is not a procedure I would recommend based off my experience and due to the fat necrosis at one point I had quite the breast cancer scare(turns out fat necrosis can be mistaken for breast cancer so I had to have several biopsy's and mammograms). I am 5'3 and fluctuate between 135- 140 lbs. I first met Dr. Horton at age 36. I workout 4-5 days per week and eat clean. I have a lot of muscle but after two kiddos with the latest being born in 2018, there were some goals I needed a little help reaching. I decided after consulting with Dr. Horton to a breast lift with removal of the fat necrosis and I decided on a mini Tummy tuck due to extra skin on my tummy that no amount of exercise was tightening up after years of trying. In addition, Dr. Horton seeks the most aesthetically pleasing results and did some liposuction of areas on tummy and around breasts that held some pesky fat deposits. Dr. Horton is not only my surgeon she is someone I now call a friend. She went above and beyond to get to know me. After my procedures, Dr. Horton and her staff followed up with me several times. I loved that I was able to text Dr. Horton directly any questions and concerns I had. Dr. Horton was always prompt to reply and eased any concerns I had. In 2021 during a follow up Dr. Horton could tell something was wrong with me. I unfortunately just weeks before had suffered the tragic loss of my brother who was only 38. I told Dr. Horton what happened and she started crying and gave me the biggest hug. She talked to me about what happened and offered up a lot of wisdom, support and compassion. Her staff was also incredibly caring and uplifting to me during this time. This was a hard time in my life and Dr. Horton truly touched my heart and soul. The procedures went well but I turned out to be someone who did not heal as hoped for. This was of no fault to Dr. Horton but she could tell I was unhappy. I remember her telling me my happiness and satisfaction was her main goal, so we came up with a plan to do revision surgery. Revision surgery corrected my poor scar healing and some bottoming out of breasts as result of this poor scar healing. My scars are hardly noticeable now and I love my results! I want to stress here that I did everything the right way and was so careful but my body rejected the sutures which is extremely rare and caused me not to heal the right way. However, the revision surgery was super quick, easy, painless and actually a really fascinating and decompressing experience. I came in for another followup I believe one of the first few days Dr. Horton opened her new office and received a tour and was able to celebrate having a glass of wine with Dr. Horton and her staff! The new office is truly a gem and her new operating room there is the cleanest most relaxing space. I have shared hugs, laughs, tears, wine and life changing moments with Dr. Horton, Mary Pasache and all the staff! Dr. Horton is an incredible surgeon who truly wants to help you achieve your goals, make you smile and makes sure you are making the best decisions possible for your mind and body based on what is going on in your life. So if you want a skilled surgeon who goes above and beyond, has a heart of gold, who's goal is to make you happy, love your body and genuinely connects with you to make sure she understands you inside and out... well Dr. Horton is the surgeon for you! I ADORE HER and promise you will to! - ★★★★★5 out of 5 Stars **Rachel McCabe** May 16, 2023 Dr.Hortons work is immaculate and her staff is incredible. STRONGLY recommend - ★★★★★5 out of 5 Stars **Rebekka Moore** Apr 27, 2023 I highly recommend Dr. Horton. She and her staff make you feel comfortable and confident. Dr. Horton takes her time to listen to you and she delivers excellent results. - ★★★★★5 out of 5 Stars **Jona Ayers** Apr 07, 2023 I believe in doing my research and I had read everything I could find about Dr Horton before calling to get a consultation appointment. All of the information, including ALL of the reviews, indicated that I would be in very good hands for my explant (removal of my breast implants) procedure. However, I also knew that an in person meet would help to fill in the other questions I had that maybe weren't addressed via social media, internet searches and online reviews. I am not generally taken in by bells and whistles so I was prepared to discount the location (stunning views of the San Francisco skyline from the top of Webster St), the front office aesthetics (tastefully decorated waiting area with very comfortable seating) and the bright warmth of each examining/consultation room. But you can't fake caring, and that is what got me. From Niloo at the front desk, Emily as the pre-op nurse, Mary as patient coordinator and finally, Karen (Dr Horton) as the amazing person who formed this practice, I can honestly say that from each one of them I felt a genuine and heartfelt concern and caring...they were going to exceed my expectations. It was so palpably believable that I KNEW I was in very good hands. It has now been 8 days since my procedure and I am thrilled! The procedure (local anesthesia) was as described, the recovery was better than expected, the results make me so happy and everything Dr Horton counseled me on was true and accurate. I recommend her without reservation and with the highest degree of confidence that you will not be better served. Thank you Dr Horton for your wonderful talent in plastic surgery and your dedication to hiring an exemplary staff to complement your practice. Warm Regards, Joan - ★★★★★5 out of 5 Stars **shareen O'Valle** Mar 22, 2023 I chose Dr. Karen Horton for my Tummy Tuck because of her warm, kindness, experience and obvious consideration of a positive a happy office environment. I was treated with the utmost care, all questions answered and I felt like part of the team. I would do it all over again. I highly recommend her and her team of amazing women! - ★★★★★5 out of 5 Stars **Jacqueline Pasquali** Mar 19, 2023 I chose Dr. Karen Horton for a breast reduction and a lift because of her credentials and the many positive reviews. My experience has been delightful. Dr. Horton is welcoming and supportive. The staff is friendly and accommodating. Multiple resources were available to answer any questions. I would not change one thing. - ★★★★★5 out of 5 Stars **Ellen Beldner** Jan 26, 2023 No comment given - ★★★★★5 out of 5 Stars **Jessica Meunier** Jan 24, 2023 I have loved everything about the experience with Dr. Horton and her whole team. They are all so supportive, friendly and professional. The office and OR are gorgeous and top of the line. I felt very taken care of and educated and prepared for my procedure. - ★★★★★5 out of 5 Stars **Sarah Wheeler** Dec 24, 2022 My breasts were never "normal." Even when I was a teenager, when breasts should be as perky as they are ever gonna be, my nipples pointed at the ground. I just tried to pretend it didn't bother me because my breasts were not gonna be improved by simply adding implants. One day I had had enough and I started researching surgeons online. I came across Dr. Horton's gallery of before and after pictures and I was struck by two things: 1) she tackles hard cases and 2) she makes beautiful breasts. My surgery was a year ago, healing was a slow process, but I am so glad I found her and got brave enough to schedule a consultation. I am very happy with my outcome. DR. Horton is talented, down to earth, and supportive. - ★★★★★5 out of 5 Stars **Joy Ajlouny** Dec 18, 2022 I have seen 5 plastic surgeons in order to correct a botched breast reduction. I cant say enough about this Doctor. Others could care less and rushed me out. I was a number to them. Karen took the time to ask me what I wanted and what was important to me. This women is not just an incredibly talented surgeon she is a human being who genuinely wants what is best for her patients. I have never been treated this way from any Plastic Surgeons I have seen. She is a breath of fresh air. I waited 3 months to see her and i can tell you she is worth it. - ★★★★★5 out of 5 Stars **Engeue Cinraua (pr3d4t0r)** Nov 13, 2022 Fantastic experience working with Dr. Horton and her team. All our questions had objective answers, no BS approach to dealing with patients with skin damage and the best options to address it. Kudos¡ - ★★★★★5 out of 5 Stars **Maria** Oct 26, 2022 Very kind, professional, and assuring at every step of the process + fantastic results! - ★★★★★5 out of 5 Stars **Britney Hayes** Oct 21, 2022 Dr. Horton and her team are quite simply amazing! I wouldn't trust anyone else with my body. They are all very friendly and accomodating. I love the results of my BR surgery!!! - ★★★★★5 out of 5 Stars **Linda Victory** Sep 30, 2022 I had corrective surgery in 2008 by Dr Horton. She is authentic, talented, truthful and her experience shines through. I am very happy with my results I have referred so many friends because she delivers. Absolutely the best Surg in the San Fransisco /Bay Area. Highly recommend. - ★★★★★5 out of 5 Stars **Whitney Jaeger** Sep 14, 2022 I saw Dr. Horton for a tummy tuck and from consult to 1 year post op she has been a supportive and comforting surgeon throughout the entire process. She truly cares about her patients and took as much as time as needed to address my concerns and offered genuine advice. I couldn’t be happier with the results, the procedure has done wonders for my confidence and as a personal trainer I have also seen improvements in my core functionality after surgery. I cannot recommend Dr. Horton enough! She is a world-class surgeon who puts her patients first. - ★★★★★5 out of 5 Stars **Claire** Aug 12, 2022 I had an amazing experience with Dr. Horton. I had a bilateral breast reduction with liposuction. I first reached out to her when I was 17 and got a list of her previous patients in with similar procedures to contact and speak with. She also gave me her personal number prior to the surgery so I could ask any questions I had and send pictures or concerns afterwards. I had to reschedule multiple times due to an illness and resulting colectomy surgeries and they were very gracious and patient. Dr. Horton required approval from my colorectal surgeon to proceed with the reduction. Having had two (medically necessary) surgeries recently I was able to tell them what to expect in terms of anxiety and symptoms such as nausea and they prescribed all the meds I would need ahead of time. They also had no problem with my having an ostomy. Dr. Horton and all of the nurses were so lovely and friendly and it's always fun to visit the clinic for follow up appts. I never felt pressured into any purchases or procedures and my vision was taken very much into consideration by Dr. Horton. I feel and look amazing! - ★★★★★5 out of 5 Stars **Veronica Dang** Jul 27, 2022 Dr. Horton and her team are absolutely AMAZING!! From the consultation, Dr. Horton and her team were so warm and welcoming. They immediately put me at ease. I was nervous and had a lot of questions about liposuction, Dr. Horton gave me the full and most detailed run down. She explained how the procedure would work, how long the recovery time would be, any possible complications and what to expect. She was super through and did not spare any detail, in the best way possible. I felt throughly informed and felt very well taken care of with the team. Even with my nerves on the day of the surgery, Dr. Horton and her team ensured I was comfortable and had all the support needed. My one and only regret was not doing this procedure with Dr. Horton’s clinic earlier. I would 100 thousand percent recommend Dr. Horton and her incredible, amazing, superstar team! - ★★★★★5 out of 5 Stars **Ashley Dowling** Jul 10, 2022 Dr. Horton and her team have been nothing short of exceptional! I am so grateful to have found such a skilled surgeon. My post-op results are even better that my initial expectations. I honestly didn't think I would ever get to a place where I would be comfortable in my own skin, but Dr. Horton was able to get me there not only through her amazing surgical expertise, but also through her kindness and patience with me as I navigated this process. @Dr. Horton - THANK YOU so much for all of your efforts and for helping me get my life back!! ...and also, thanks for always giving the best hugs! :) You're such a wonderful person! - ★★★★★5 out of 5 Stars **Brittany Bruce** May 26, 2022 Dr. Horton was absolutely amazing! She performed my DIEP Flap microsurgery right before Christmas in 2009. She was so kind to accommodate my school schedule and do the intricate surgery over the holidays. The surgery was very successful. Dr. Horton was very open and informative before the surgery. Even though it was a complicated and intricate surgery, I felt totally comfortable with her ability and experience since she performed that type of surgery often. Dr. Horton exudes confidence (I mean that in the best way possible) and is able to back that up with her work. She has awesome bedside manner, and she came to see me everyday that I was in the hospital for post-op. I would absolutely recommend Dr. Horton, she is one of my favorite doctors! - ★★★★★5 out of 5 Stars **Emily Mooney** May 25, 2022 5 stars so for Dr. Horton and staff. I had breast implants removed 3 years ago and was left with not a pretty picture. to say the least. I needed help to get back to a normal comfort level with my body. I did my research and chose Dr. Horton. Honest review? I waited for over an hour for my consult a year ago. She was running late. I don't like waiting ,but good things come to those who are patient patients! She was late because she was spending time with another patient who needed a bit more of her time, and I appreciated this so much. She will give you the time to address every one of your concerns, no matter the time. She is truly devoted to every patient and it shows. As for the entire surgery, she and her staff were no less than amazing. Follow up for over a year--several check in visits to monitor healing and progress--she is there for the whole process and she is there with true dedication. Just had a final small "fix" surgery in her new on site surgery suite and will be back in 3 months for "after" pics. Totally thrilled with the results and Dr. Horton's skills as a surgeon and her staff. All stellar. All on point and all patient focused. Grateful. - ★★★★★5 out of 5 Stars **Tough400489** May 25, 2022 Awesome result - so happy to have found such a masterful surgeon Dr. Karen Horton and team are consummate professionals that quickly inspired ease and confidence. I had to have a lipoma removed from my upper thigh. Before my first appointment, I was nervous both about the procedure and the scar it would leave behind. After the appointment, my fears were allayed as Dr. Horton carefully walked me through what to expect. The procedure itself felt like a visit with friends - it was that easy. I'm now 3 months post procedure and the incision has healed beautifully and is fading at the pace Dr. Horton said it would. I'm so happy to have found such a masterful and down to earth plastic surgery practice! - ★★★★★5 out of 5 Stars **Jessie.sinai** May 03, 2022 I went in today for a scar revision for a breast reduction I got done with dr.Horton a few years ago, both experiences were nothing but warm, kind, and comforting. As nervous as I was,I knew I was in good hands and the outcome is as great as she and her team were:) - ★★★★★5 out of 5 Stars **ro745** Feb 19, 2022 They really do have a pulse on women's healthcare needs. I chose Dr. Karen Horton for a breast augmentation revision because of her detailed and reasonable approach to the issue. I appreciated her candidness and demeanor. Throughout the whole process everyone at Dr. Karen Horton's office was very kind and professional, I appreciated all of them. They really do have a pulse on women's healthcare needs. Thank you Dr. - ★★★★★5 out of 5 Stars **Easygoing428062** Jan 31, 2022 Beautiful shape and size - feeling more comfortable in my body Dr. Horton is incredibly personable, skillful, and knowledgeable. My breasts are about 1/4 of their original size. My body responded to the surgery with some stich spitting and wound separation which made for a longer healing process. Nurse MaeLou (sp?) held my hand while I had my stitches removed. They let me cry when I found that my healing wasnt going as planned. Under their instruction I healed back up within about 8 weeks. As soon as I was able to shower I saw there was a response to temperature change. I have sensation and I am 3 months post op. My scar are already fading! My breasts have a beautiful shape and size. I feel more comfortable in my body. I would recommend Dr. Horton to anyone considering plastic surgery! - ★★★★★5 out of 5 Stars **Marina Ghobrial** Jan 26, 2022 I truly can’t say enough incredible things about Dr. Horton. I recently underwent a breast reduction surgery with her and to say it changed my life would be an understatement. I feel better and more confident, my clothes fit better, working out is easier, my back doesn’t hurt as much. It’s hard to put into words the impact this surgery and Dr. Horton especially had on my life. Dr. Horton is so kind, compassionate, and easy to work with - as is her entire staff. I had a lot of anxiety going into the surgery, and Dr. Horton listened to all my concerns and addressed each and every one. She is honest and doesn’t sugar coat the difficult aspects of the surgery. After the surgery, Dr. Horton made herself available almost 24/7, providing me (and all her patients) with her cell phone number so I could text her directly any time questions came up. There were numerous times I took her up on that offer as my scars healed post-surgery, and I sent her photos along the way to make sure she felt like things were progressing as expected. It’s five months post-op for me now and Dr. Horton continues to show care, compassion, and genuine interest in making sure I’m happy with the results of the surgery. I had been contemplating getting this surgery done for at least six or seven years before I met Dr. Horton, and not one person made me feel nearly as comfortable as she did. Dr. Horton, thank you thank you thank you!! I honestly can’t thank you enough. - ★★★★★5 out of 5 Stars **Peggy Dadamo** Jan 25, 2022 EPIC Surgeon and Team! Having a history of family breast cancer for many years, I’ve had my share and experiences with doctors and surgeons. Six surgeries and 4 surgeons later, I was exhausted, ready to give up and accept the botched results following a bilateral mastectomy and reconstruction. Faith have it, I was referred from a friend of a friend to Dr. Horton after moving to the Bay Area. From the minute I met Dr. Karen Horton, I immediately felt the connection. Her knowledge as a surgeon really was impressive and her compassion was heartwarming. She has helped many hundreds of women feel beautiful and her portfolio and gallery showcase a glimpse of her talent. Lucky for me, I chose Dr. Karen Horton for my breast reconstruction DIEP Flap procedure journey. WoW! Just WoW! I could write a book, but I’ll try and summarize this. . . Dr. Horton is blessed with “Golden Hands”. Preop, we met several times, she strategically put a plan in place, post op she visited every day in the hospital making sure I had everything I needed and answered any questions, we communicated via text messages and phone calls (over the holidays at that) and she made sure I felt supported every step, every day & every minute. Partner and mentor, Microsurgeon Dr. Rudolf Buntic assisted with the DIEP Flap procedure. He too is a superior surgeon with great off menu smoothie recommendations during my hospital stay. 😊 In my opinion, these two surgeons as a team are truly the top elite list of surgeons for breast reconstruction in the country. I literally hit the lotto with the Horton team, not limited to, Nurse Mari for pre-op, post op care, taking hours to make sure I was well informed. Office Director, Mary Pasache ensured all the administrative work, scheduling, hospital admin, post care, insurance protocols were seamless and never had one issue or discrepancy. Front desk team always answer the phone with a direct number which is huge these days. Receptionist Niloo, always a breath of fresh air, welcoming, familiar your case, offering water, tea, cookies while in waiting and seeing me off to my favorite Gaga tunes making me feel like a million $$ on my worst days. It’s been a two-year journey and one of the most impactful relationship of my life. I am forever grateful. If you have a vision and want to make it a reality, I highly recommend you see Dr. Horton. - ★★★★★5 out of 5 Stars **Stephanie** Jan 18, 2022 I had a breast augmentation with Dr. Karen Horton. I chose her because of her reputation as an excellent surgeon. She and her team were professional and efficient at every step of the process and prepared me well for surgery. During my healing I texted Dr. Horton personally whenever I had any questions. I happened to have many just because I'm a very careful person, and she always responded with clear answers almost immediately. It's been almost five years since the procedure, and I am happy as ever about the results. Deciding to do this procedure and choosing Dr. Horton as my surgeon was one of the best decisions I have ever made. - ★★★★★5 out of 5 Stars **Kathy Van Patten** Jan 08, 2022 I chose Dr. Horton for several procedures and she is excellent in every way!!!!! I highly recommend her as an extremely talented surgeon. What separates her from all the rest is that she LISTENS to you and always has a solution. I trust her absolutely and know that she doesn’t perform any procedures unless they are right for me. - ★★★★★5 out of 5 Stars **Cali Girl** Dec 17, 2021 I chose Dr Horton for my Mommy Makeover because she had all the accolades that told me she absolutely knew what she was doing and was great at her job. However, what really sold me was who she is. She made me feel very comfortable and like she really cared. My results are amazing I am completly happy with my decision. Doc Horton, was with me every step of the way. My post care was just as amazing. - ★★★★★5 out of 5 Stars **Andrea Swetland** Dec 17, 2021 I recently had a breast reduction/lift with Dr. Horton. To say that she is calming, low-key, compassionate and does excellent work is an understatement. With all the experience she has with Breast Reconstruction Surgery and the amazing work she does for her cancer patients I knew that putting my body into her hands was a fabulous decision and I was right! 4 weeks post-op and I am feeling good, gaining my strength and all looks fabulous. I HIGHLY recommend anyone looking for a doctor who will do what is best for your body and make you look and feel glamorous. - ★★★★★5 out of 5 Stars **Dr. Jennifer Mathis** Dec 02, 2021 Dr. Karen Horton is amazing. She was my reconstructive plastic surgeon and worked in conjunction with my breast surgeon during my mastectomy. I feel whole again! It was such a blessing to wake up from surgery with a beautiful breast rather than an empty space. I was petrified of being disfigured and feeling lopsided when I learned about my cancer and that I would have to lose my right breast. Dr. Horton helped me feel beautiful and complete! I highly recommend her, she is well worth the wait!!!!! - ★★★★★5 out of 5 Stars **Hunny Powell** Sep 29, 2021 No comment given - ★★★★★5 out of 5 Stars **Denise Sweeney** Sep 17, 2021 Review by a physician: I had a wonderful experience with Dr Horton and her staff. I had a mastectomy and reconstruction due to breast cancer. I wish I had known about Dr Horton then! My reconstruction was terribly done, disfiguring and uncomfortable. I was getting numbness in my fingers. None of the plastic surgeons in my area felt competent to repair it, so I lived with it for far too long. I found Dr Horton, and she “gets it.” I actually cried at my first visit because she told me what was wrong without me even having to tell her. She understands the aesthetics and the function. Not only that, but she has the surgical skill to repair it. The front office is great with appointments and check-in. Mary helps you with prices, payments, and figuring out surgery schedules. Mari did an amazing job with pre-op teaching so that I knew what to expect. Hope I didn’t leave anyone out. I am now 5 months after surgery, and thrilled with my results! There are 2 stages to cancer. First, you just want to survive. Second is survivorship- wanting quality to your life. Dr Horton and her staff fully cater to this second half. After seeing what she was able to do for me, imagine what she can do for someone who did not have a botched first surgery. As an Ob-Gyn, I encourage people to come to her first! - ★★★★★5 out of 5 Stars **Mandy Waite** Sep 03, 2021 Dr. Horton is such an extraordinary surgeon and I am so happy with my results! . She is kind and really cares about her patients. I highly recommend her! She and her entire team are amazing. - ★★★★★5 out of 5 Stars **Sonae Delahanty** Aug 27, 2021 I had liposuction of the abdomen with Dr. Horton, this is my very first surgery, so I was quite nervous! Dr. Horton helped ease my anxiety, made me feel comfortable, and was very transparent with me. Her whole Team was incredible, from the front desk \[Niloo\] - to Mary & the people at the Hayes surgery center. Extremely knowledgeable, friendly, and accommodating. Welcomed all questions, at various hours \[She provides you with her number to text\]. Beyond that, I am two weeks post OP and very happy with my results so far! I Still have some time until I am fully recovered, but am happy, as she walked me through the healing process and what to expect. Would recommend her to anyone looking for a fantastic surgeon who does their job with compassion. - ★★★★★5 out of 5 Stars **Maggie Bernat** Jul 16, 2021 After extensive research in the bay area for liposuction specialists I had finally decided on Dr. Karen Horton. She was the most detailed, informative, passionate Dr. I had interviewed. Although more expensive than the others, I felt that it was worth the extra money when having this type of procedure so I was happy to pay the premium. I'm 2 weeks post op and I cannot believe the results I got. She went way above and beyond not just a "suck out of this area and that area" but a completely comprehensive contour that gave me an entirely new body that I couldn't be happier with. The before and after is dramatic. Not only that, but her attentiveness is shocking! She gives you her personal phone number so you can text with any questions or concerns. The after care is extraordinary and am confident that she has to be one of the top specialists in the area. I cannot recommend her more highly. - ★★★★★5 out of 5 Stars **eva nebeling** Apr 20, 2021 If I could give Dr. Karen Horton 100 stars I would. I recently got liposuction to the neck and wasn't sure what to expect. The communication her team has with their patients is amazing, and the kindness in the office is so enlightening. When I was getting the procedure done, the nurse held my hand and calmed me down so much. Her and the Doctor were nothing but kind, patient, and understanding when it came to me getting nervous or asking questions. I am very nervous about needles and the idea of surgery definitely makes me anxious, but with Dr. Horton, and her nurse, my stress immediately left the room. Even when sitting in the waiting room before surgery and overhearing the receptionists answering the phone, it was so nice to listen to them having real conversations and laughing. A good reminder that it costs nothing to be nice! Besides all of this, I wouldn't recommend a surgeon higher than doctor Horton and her team. - ★★★★★5 out of 5 Stars **sonia M** Mar 30, 2021 Dr. Horton and her staff are incredible. I knew at our first meeting that I had found the right doctor. My Abdominoplasty Surgery was about a month ago and went extremely well. It was an excellent experience. Dr. Horton is one of the most compassionate, caring and interesting people I have met in recent years. I am so truly thankful for the work Dr. Horton was able to do for me. She is a talented surgeon that I would highly recommend. - ★★★★★5 out of 5 Stars **Rebecca Henley** Mar 20, 2021 If I could give Dr. Horton 10 stars I would!! I went to see her after a poor result with another surgeon. Dr. Horton made me instantly comfortable and at ease. This was important as my previous results were so terrible. Immediately after surgery I knew I would look better and almost one year later I am beyond thrilled with how I look. Even more importantly, her care post-surgery and responsiveness is amazing and so appreciated!! - ★★★★★5 out of 5 Stars **Emma Woods** Dec 19, 2020 No comment given - ★★★★★5 out of 5 Stars **Shelly Valerio** Nov 13, 2020 Dr. Horton is a very caring and skilled surgeon. What else can I say I recommend her to anyone that needs her expertise . She is a ray of sunshine and her staff is too. I am only 7 days post -op, and can't believe how happy I am with her work. She is honest, and truly cares about her patients. She gives you her cell #, and encourages you to text her anytime with any questions or concerns. I've had plastic surgery years ago, but decided to go with Dr. Horton this time and I couldn't be happier. My friends are taking her # and getting in line! - ★★★★★5 out of 5 Stars **Caligirl2323** Oct 30, 2020 No comment given - ★★★★★5 out of 5 Stars **Peaceful6828** Oct 30, 2020 I had saline breast implants placed under the muscle, and a lift due to tubular shaped breasts, 10 years ago, As time went on, they'd become increasingly more tender-especially during menstrual cycle-to the point where I couldn't be hugged. I reviewed and met with 12 doctors. Dr. Horton was the ONLY doctor, who cared about my health enough to say-"First lets find out whats going on with these... - ★★★★★5 out of 5 Stars **ginertonic** Oct 30, 2020 I have the best experience having my surgery with Dr. Horton; I felt very listened to and very secure in her hands. She was extremely personable and understood me and what I wanted. She put me in touch with women who had had similar operations and made herself available to answer any questions or concerns I had. Moreover, I am extremely happy with all the results of my surgery, it is exactly... - ★★★★★5 out of 5 Stars **Anonymous1245323** Oct 30, 2020 I would recommend Dr. Horton in a heart beat. If you have high expectations and need a caring hand to get you there, Dr. Horton is your person! I came to Dr. Horton about two years ago, after being the unfortunate victim of paradoxical hyperplasia from CoolSculpting (from another doctor). Dr. Horton was approachable, and took time to understand my concerns. I felt heard and she took great... - ★★★★★5 out of 5 Stars **Caligirl2323** Oct 30, 2020 From the moment I met Karen and her team, I knew instantly I was in professional, kind hands! Karen made me and my husband feel comfortable immediately from the first visit. I did a lot of research on choosing the right plastic surgeon to perform my labiaplasty, and I found no one comes close to Karen M. Holton, she is someone who I completely trust and like me, a perfectionist. The procedure... - ★★★★★5 out of 5 Stars **Caligirl2323** Oct 28, 2020 No comment given - ★★★★★5 out of 5 Stars **Caligirl2323** Oct 26, 2020 No comment given - ★★★★★5 out of 5 Stars **Caligirl2323** Oct 24, 2020 No comment given - ★★★★★5 out of 5 Stars **Caligirl2323** Oct 22, 2020 No comment given - ★★★★★5 out of 5 Stars **Caligirl2323** Oct 22, 2020 From the moment I met Karen and her team, I knew instantly I was in professional, kind hands! Karen made me and my husband feel comfortable immediately from the first visit. I did a lot of research on choosing the right plastic surgeon to perform my labiaplasty, and I found no one comes close to Karen M. Holton, she is someone who I completely trust and like me, a perfectionist. The procedure couldn't have gone more smoothly along with the recovery and they answered every question and worry I had prior to it, I also found it incredibly helpful for them to give a couple of references of people who had already gone through with this type of procedure, and talking with them was lovely to get other insights about the labiaplasty surgery. If you have been thinking about going ahead with Labiaplasty for months or even years, 100% go get it done and 150% have Karen do the surgery you won't regret it, I promise. - ★★★★★5 out of 5 Stars **Michelle Martin** Jul 01, 2020 Dr. Horton is amazing. I have seen her twice now, and she is not only knowledgeable and talented, but her bedside manner and compassion are the real reasons anyone would be remiss not to see her. Her staff is incredible, friendly and reassuring (waving at you Nurse Mary!), and Dr. Horton is a true artist. Thank you. - ★★★★★5 out of 5 Stars **Anonymous** Jul 01, 2020 Dr. Horton is amazing. I have seen her twice now, and she is not only knowledgeable and talented, but her bedside manner and compassion are the real reasons anyone would be remiss not to see her. Her staff is incredible, friendly and reassuring (waving at you Nurse Mary!), and Dr. Horton is a true artist. Thank you. - ★★★★★5 out of 5 Stars **Alyssa Yell** Jun 27, 2020 Dr. Horton is a dream come true. Not only was she able to work within the confines of insurance requirements, she performed a beautiful surgery that truly is a work of art. Dr. Horton answered every single question I had, followed up with me when I needed it, and gave me all of the information and tools I needed to feel confident in my procedure. I felt entirely supported and cared for by her and her staff every step of the way. Not only has Dr. Horton changed my life with her craft, she's changed my perception on how extraordinary a doctor-patient relationship can be. - ★★★★★5 out of 5 Stars **ginertonic** May 21, 2020 I have the best experience having my surgery with Dr. Horton; I felt very listened to and very secure in her hands. She was extremely personable and understood me and what I wanted. She put me in touch with women who had had similar operations and made herself available to answer any questions or concerns I had. Moreover, I am extremely happy with all the results of my surgery, it is exactly what I have dreamed of and am so grateful she has given me this huge gift. Dr. Horton is skilled, personable, and accommodating, and is definitely someone I would recommend to any of my closest relatives. She has my 100% recommendation and if I need any surgery in the future, I would make the trip back to see her - ★★★★★5 out of 5 Stars **Anonymous1245323** May 16, 2020 I would recommend Dr. Horton in a heart beat. If you have high expectations and need a caring hand to get you there, Dr. Horton is your person! I came to Dr. Horton about two years ago, after being the unfortunate victim of paradoxical hyperplasia from CoolSculpting (from another doctor). Dr. Horton was approachable, and took time to understand my concerns. I felt heard and she took great care of me, not only prior to my corrective procedure but also after. We had several follow-ups and it was easy to reach out to her whenever I had questions or simply needed some reassurance. After my corrective procedure, there were still some contour irregularities (CoolSculpting made the fat really stubborn and hard to work with) and Dr. Horton was kind enough to perform a touch-up free of cost! I am happy with my results now and how everything turned out, especially given the misfortunate of having CoolSculpting gone bad. I feel lucky to have found her! - ★★★★★5 out of 5 Stars **Anonymous** May 15, 2020 I would recommend Dr. Horton in a heart beat. If you have high expectations and need a caring hand to get you there, Dr. Horton is your person! I came to Dr. Horton about two years ago, after being the unfortunate victim of paradoxical hyperplasia from CoolSculpting (from another doctor). Dr. Horton was approachable, and took time to understand my concerns. I felt heard and she took great care of me, not only prior to my corrective procedure but also after. We had several follow-ups and it was easy to reach out to her whenever I had questions or simply needed some reassurance. After my corrective procedure, there were still some contour irregularities (CoolSculpting made the fat really stubborn and hard to work with) and Dr. Horton was kind enough to perform a touch-up free of cost! I am happy with my results now and how everything turned out, especially given the misfortunate of having CoolSculpting gone bad. I feel lucky to have found her! - ★★★★★5 out of 5 Stars **CZrunner** Apr 25, 2020 I visited Dr. Horton after meeting with 5 different cosmetic surgeons across the West Coast. She was recommended by two cosmetic surgeons in the Sacramento area that told me my case was extremely difficult, and she would be my best bet. Two years prior to meeting Dr. Horton, I had a very negative experience with a surgeon who left my breasts hard, uneven, unnatural looking and painful. I knew I had to have my issues corrected, but I was extremely nervous to go under the knife again. As soon as I met with Dr. Horton, I knew she would be my surgeon. She was so kind and knowledgeable, and could sense my unease and nervousness. She immediately put both my husband and I at ease. She was so confident that she could fix my extreme animation deformity, double bubble, and ruptured pocket, and ensure I was no longer in pain. She was absolutely confident that she was the surgeon for me, and honestly, she did not disappoint.My results are amazing. She removed my implants from under the muscle and placed them over the muscle, repaired my pectoral muscle, and even lipo'd out that pesky armpit fat that no amount of gym time could fix. Four months later, my results are AMAZING! I have zero pain, my breasts look, feel and move like natural breasts, and my pectoral muscle has healed and finally has no pain.The entire process with Dr. Horton was easy and reassuring. She even gives you her personal cell phone number so you can contact her at any time with questions and concerns. I can not recommend her enough to anyone considering an augmentation or augmentation revision. - ★★★★★5 out of 5 Stars **Anonymous** Mar 25, 2020 Dr. Horton, how do I simply say 'thank you" for all that you have done for me? After going through breast cancer and undergoing a bilateral mastectomy, I feared as a woman, I would never feel "complete' again. With many surgeries behind me I honestly had accepted I had to just live with the results other doctors left me with. Then I met you! You reassured me, you eased my anxieties and assured me more could be done and in no way did I need to settle for mediocrity. With your artistry and talent, your incredible knowledge, and your uplifting personality, I knew I could trust you with my life. You certainly did not disappoint on any level. There are just not enough words of praise or gratitude to convey to you how you've changed me inside and out. I now feel stronger, more confident and for the first time in many years, whole again as a woman. So while I thank you for everything, I'm so humbled to be a patient of yours. My hope is to let anyone know, who has ever walked in shoes similar to mine, that you're amazing surgeon that always puts the patient first and they never have to settle - ★★★★★5 out of 5 Stars **Affectionate456771** Feb 22, 2020 Dr Horton is an amazing surgeon! She made me feel very comfortable from the first day I walked in her office! Answered all my concerns and even gave me contacts of her previous patients... who does that? Dr Horton’s staff is also very friendly and personable! I highly recommend her! - ★★★★★5 out of 5 Stars **badangz** Feb 06, 2020 I am beyond proud to say Dr. Horton is my doctor as she is just an A++ doctor. She truly cares about her patients and puts in the time & effort for them. The level of quality she put in my after-care is remarkable and I’m so happy that I went with her. - ★★★★★5 out of 5 Stars **Tim and Joanna Moore** Feb 05, 2020 My Husband and I met with Dr. Karen Horton on 1-27-20 for a consultation in regard to a Breast Flap Revision caused by breast cancer. I have had 13 surgeries with other Plastic Surgeons with unsatisfactory results. It has been very disheartening thinking this is the surgery that will be the one.... to be disappointed once again. I searched and found Dr. Horton's website and was extremely impressed by her photo gallery. I have been reluctant to have more surgery but after coming this far it is hard to quit now. Dr. Horton was very kind, gracious, understanding, positive and understood the results I am hoping for. Dr. Horton had suggestions on what to do to help me achieve my goal. She is intelligent sure of herself and listened to my story. I really appreciated that she was so informative on what she would do and what to expect. Dr. Horton is a beautiful and vibrant woman on the outside and my Husband and I could see right away that she has integrity and class. I scheduled surgery with Dr. Horton for 3-26-20 and I am very appreciative and excited for her to perform it. Dr. Horton's office staff are very polite, friendly and very efficient in regard to scheduling and taking care of the necessary paper work. Sincerely, Joanna Moore - ★★★★★5 out of 5 Stars **Nina Falls** Jan 13, 2020 Dr. Horton and her staff are amazing! From start to finish everything was smooth and easy. All of my questions were answered, and then some. I felt armed with all of the information I needed and felt confident I would get the results I wanted. I never had any doubt that I chose the right doctor. I absolutely love the end result of my procedure and tell everyone to go see Dr. Horton! - ★★★★★5 out of 5 Stars **Diana Vastardis** Dec 13, 2019 Dr Horton performed breast reduction for me, and I couldn’t be happier with the results! Dr Horton is so sweet and caring, offering her personal cell phone number for any questions after surgery. I am so excited to start my new life with perfect, perky breasts! - ★★★★★5 out of 5 Stars **Peaceful6828** Nov 08, 2019 I had saline breast implants placed under the muscle, and a lift due to tubular shaped breasts, 10 years ago, As time went on, they'd become increasingly more tender-especially during menstrual cycle-to the point where I couldn't be hugged. I reviewed and met with 12 doctors. Dr. Horton was the ONLY doctor, who cared about my health enough to say-"First lets find out whats going on with these old implants first.'. She suggested I see a specialist and encouraged a mammogram- before proceeding. This solidified her as my choice. Dr Horton cares about health first. Dr. Horton, gave me many choices and options and information about how to proceed and what my desired outcome would be. There was never, a "Hard Sell" After reviewing my options, I chose to have my old implants taken out -sub muscular, and new implants, sub-glandular. Surgery day, went smoothly, and when Dr Horton arrived pre -surgery, it was as though your sister just arrived to give comfort and support. On the table the last thing I remember was her, reassuring me, and holding my hand while the meds did their job. Dr Horton, gave us her phone number said we could call anytime we wanted, the recovery was very smooth, and my beasts turned out far better than anything I could've hoped for. Take-aways about Dr Horton 1\. Dr. Horton authentically cares about you as a whole, your health 2\. She will be very realistic with you-give you all your choices and options 3\. She WILL listen and never push you-it feels like a partnership from start to finish 4\. Neither her or her staff ever make you feel pressured 5\. The support you receive (Both before and after) outstanding, from everyone at Dr Hortons office is outstanding \*also, I must say her nurse Mari, is wonderful, she really took time to explain the post care, drains, and what to expect. Mari, is fun and you always feel at ease with her - ★★★★★5 out of 5 Stars **Sharon Beckley** Nov 06, 2019 Dr. Horton is professional and a thorough surgeon. She actually listens to you and is honest with her answers. She explains step by step what she feels is best for your situation. After my bi-lateral mastectomy, I had implants placed. However, my body rejected one of the implants. My next option was to see if I was a candidate for a "flap". My husband and I saw two different surgeons and Dr. Horton was the surgeon we chose. I am thankful we met her, as she did an amazing job on the flap and touch up one year later. She quickly answers your texts or phone calls. Not only is she an amazing surgeon, she is personable too. You are in great hands with Dr. Karen Horton. - ★★★★★5 out of 5 Stars **TSamantha** Aug 02, 2019 Today I am 6 weeks post op. Today I am ready to share my story. Hi, I am a 38year old mother of 2. I had 2 gigantic babies via C-section, that turned my stomach into a very sad place. I work out, I eat well, but no matter what I did there it was. The crumpled-up skin and shelf I knew as my body. I hid it well. REAL well. Nobody knew, but I was dying inside. Finally, in Jan I scheduled my surgery. Dr. Horton was first on my list. Why? Because she gets it. She is a mom, a businesswoman and a person that I knew when I spoke of my struggles, she got it. We spent hours chatting about expectations, what was going to happen and the recovery. June 20th I went in. 6 am I arrived... checked in, get in a robe, lay down, IV in, pass out - wake up 4.5 hours later.. to a new BOD… that’s when the FUN STARTED. Did it hurt? Not at first. I stayed overnight and was pretty drugged up the first 48 hours. After about 72 hours you start coming back to life and it feels a little weird. You can’t stand up straight and things like moving are a challenge. I was lucky enough to have my mother here to take care of me for a week. Mostly the first 10 days I slept, and rested. Pain scale overall harder than a C-section, but not something you can’t handle. It is about 10 days of difficult then just sore. Week 2-3 were healing time lots of naps and resting. By week 4 you round the corner and now 6 weeks out I feel like a million bucks. The feeling of difference is immediate. The results are exactly as Dr. Horton described. She told me what would hurt where and how long this would take to heal etc. Dr. Horton as a woman is amazing. As a surgeon she is brilliant. I went to sleep with her holding my hand, I woke up with her smiling at me. I went to sleep night one with her coming to visit and when I awoke the next day, she was there checking in on me. Would I do it again. YES. Would I recommend Dr. Horton 1000x YES!!! She is a real woman who understands our bodies and sets real expectations. My journey has been a long and hard one. I am so proud to say I am on the other side now. If you are thinking about this surgery, my only advice is to really select the right doctor that actually hears what you want, and take a month off.. you will need it! - ★★★★★5 out of 5 Stars **Sparkle Foundation Inc.** Aug 02, 2019 Today I am 6 weeks post op from a Tummy Tuck. Today I am ready to share my story. Hi, I am a 38year old mother of 2. I had 2 gigantic babies via C-section, that turned my stomach into a very sad place. I work out, I eat well, but no matter what I did there it was. The crumpled-up skin and shelf I knew as my body. I hid it well. REAL well. Nobody knew, but I was dying inside. Finally, in Jan I scheduled my surgery. Dr. Horton was first on my list. Why? Because she gets it. She is a mom, a businesswoman and a person that I knew when I spoke of my struggles, she got it. We spent hours chatting about expectations, what was going to happen and the recovery. June 20th I went in. 6 am I arrived... checked in, get in a robe, lay down, IV in, pass out - wake up 4.5 hours later.. to a new BOD… that’s when the FUN STARTED. Did it hurt? Not at first. I stayed overnight and was pretty drugged up the first 48 hours. After about 72 hours you start coming back to life and it feels a little weird. You can’t stand up straight and things like moving are a challenge. I was lucky enough to have my mother here to take care of me for a week. Mostly the first 10 days I slept, and rested. Pain scale overall harder than a C-section, but not something you can’t handle. It is about 10 days of difficult then just sore. Week 2-3 were healing time lots of naps and resting. By week 4 you round the corner and now 6 weeks out I feel like a million bucks. The feeling of difference is immediate. The results are exactly as Dr. Horton described. She told me what would hurt where and how long this would take to heal etc. Dr. Horton as a woman is amazing. As a surgeon she is brilliant. I went to sleep with her holding my hand, I woke up with her smiling at me. I went to sleep night one with her coming to visit and when I awoke the next day, she was there checking in on me. Would I do it again. YES. Would I recommend Dr. Horton 1000x YES!!! She is a real woman who understands our bodies and sets real expectations. My journey has been a long and hard one. I am so proud to say I am on the other side now. If you are thinking about this surgery, my only advice is to really select the right doctor that actually hears what you want, and take a month off.. you will need it! - ★★★★★5 out of 5 Stars **Leonard Pogo** Jul 26, 2019 My wife is a breast cancer survivor and had a nipple and skin sparing mastectomy about 11 years ago. Over the last 3-4 years her implants have really been causing a lot of pain, discomfort and possibly even some health issues. We had our initial consult with Dr. Horton about 2-3 months ago and she was so professional and positive that it almost did not seem real. Prior to visiting Dr. Horton, we had seen a number of other plastic surgeons (in our home town) that were insensitive and down right arrogant. Dr. Horton is the complete opposite. She is confident but not cocky! My wife just completed her DIEP Flap Reconstructive surgery and even though it has only been a week since her surgery we are very, very please with the results. It is absolutely incredible what Dr. Horton was able to do to create new breast for my wife and all out of her existing belly fat. Truly AMAZING procedure and Dr.! We are hopeful that by removing the implants she will also start to see some significant health improvements over the next 12 months as many other women have reported. Thank you Dr. Horton - ★★★★★5 out of 5 Stars **Rosemary** Jul 17, 2019 Dr Horton is amazing caring and incredibly knowledgeable physician. She’s is methodical and able to understand the issue, and mine was complicated, and give you the her best recommendations for correction, which is exactly what she did for me. She was able to correct a medical problem that no other dr was able to do. Throughout the entire process she kept me well informed, which is so good because I’m not a doctor and I didn’t want another physician glossing over my problem. She actually pointed out what was really wrong and she actually fixed it. I’ve been needing this for more than two decades and she was the one to do it. I cannot thank her enough for giving me the confidence that I needed/wanted. Here’s a tip, I interviewed multiple physicians first and after our one conversation I knew she would be the smartest doctor around. Kudos Dr. Horton, you don’t just put a bunch of fluff in your brochures- you delivered! - ★★★★★5 out of 5 Stars **Toni Lajoie** Jun 26, 2019 I've had a mastectomy, reconstruction, and the loss of the other breast as a result of infection and complications from a surgery to replace implants. I came to Karen Horton broken and discouraged. Words are insufficient to express my gratitude to her for her compassion, talent and expertise in reconstruction that is, in my case, natural and, I think, beautiful. I lived for 30 years with breasts and disfigurement that caused me to avoid intimacy. That has all changed thanks to the work of Karen Horton. - ★★★★★5 out of 5 Stars **tinyisterrific** Apr 19, 2019 I had breast implants placed 20 years ago after my second child. My breasts were sadly deflated, I went to my previous surgeon and requested a breast lift, I had never considered augmentation. The surgeon felt I would be unhappy with the scarring at 35 years and and recommended subglandular implants to improve the appearance of my breasts with minimal scarring. I went through with the procedure, it went well and my breasts looked pretty good, I had no complaints. I was fortunate to never experience and health issues related to the surgery or implants. I had saline implants and there was a little rippling but it wasn’t obvious. I was never completely comfortable with the implants, they were large for my 100 pound frame. Post menopause my breasts became more saggy, hot, heavy and uncomfortable. I did some research and realized breast lift scars aren’t really too bad and many women look great after the surgery. I decided to proceed with removal and breast lift. I am pleased with my choice of Dr Karen Horton for my surgeon, she understood my goals and never tried to steer me into replacing the implants or upsell me on other procedures. She set realistic expectations and achieved them. She did run way behind a couple of appointments but she does run a solo practice and I’m sure urgent situations do arise. Her staff is awesome and all female which was well appreciated due to the intimate nature of breast surgery. Mari was super accommodating and scheduled my surgery the day the Winter Olympics started because I told her I loved to watch them, made for good tv during my time off work. Nurse Mari was informative, reassuring and helpful (and funny) with pre and post op procedures. My surgery went well, it was done under general at a local hospital in outpatient surgery unit, my surgery was 7:30 am and I was home before noon. I only required pain meds for a day or two post surgery. Way more important than the pain medication was the anti anxiety meds, she provided a prescription for a few Ativan and it really helped before surgery and a few times during the healing process when my boobs had not progressed to the attractive stage. I think the anesthesia can really throw you into a state of depression. It resolves but I didn’t quite realize the impact it would have on me. I did have an office procedure post surgery to improve my scars which was successful. Didn’t require any further time off work. My breasts feel warm, natural and soft, so much better than the implants. I look better in clothing and undressed too, my husband liked the implants I think but he’s enjoying them back in their original state. I was a 30 B before kids, was 32DD with implants and now I’m 30A orB now. No one noticed the change in my breasts at work or friends, I didn’t tell anyone, I never told people I had implants. They don’t sag, I can go braless, I look leaner, I can run again without a heavy duty bra; I am so pleased. When I catch a glimpse of them in a mirror I smile, haven’t loved my breasts this much since before my first child. The scars from a lift are not too noticeable and mine are continuing to fade. Implant removal and lift improved my quality of life and I am very happy with my results! If you are considering either or both procedures you will be very pleased! - ★★★★★5 out of 5 Stars **noodledog** Apr 02, 2019 I am 24f and underwent a breast reduction by liposuction. I thought I’d write a review as I found little information online. I’m 5’6 and 135 pounds and was a 28F bra size for years. I always considered a breast reduction but was squeamish about surgery and drains and recovery time. I met an awesome surgeon and the procedure was a breeze. She conducted it under general anesthesia and removed ~1200 ccs of fat. I’m 3 weeks post op and around a 28D and my scars are healing beautifully. I have one in each armpit and two under each breast. They aren’t visible just looking at me head on. Recovery was a little uncomfortable but I felt almost normal within a week. - ★★★★★5 out of 5 Stars **lovingmomof2** Feb 11, 2019 My experience with Dr. Horton has been nothing short but great and she is everything you would want from a doctor. I had a tummy tuck and liposuction and 5 months post surgery I am seeing phenomenal results. Just from the initial consultations with her and her staff I knew it was a great fit. Dr. Horton certainly cared for my well being and not her pocketbook, was straightforward with me as to what to expect and was always just a text or phone call away if I had any concerns post op. That in itself gave me so much peace of mind and I felt like she always had my back even if something were to go wrong. I would not hesitate to refer her to anyone and I don’t think you will find anyone better in my opinion. - ★★★★★5 out of 5 Stars **diamondxgirl** Feb 05, 2019 Dr. Horton and her team are caring, knowledgeable, and invested in your outcome. From the start to now (2+ months post-surgery), I have felt a sense of calm through the process, which was important to me. I went into surgery knowing exactly what would be expected of me and my recovery. Dr. Horton’s blog posts (especially the one about the stages of recovery - I KNEW I would go through ups and downs and yet it still hit me) were helpful, as were her galleries. I have been pleased with how responsive Dr. Horton and Mary (patient coordinator) were through the process. When I had questions or concerns, there was an answer in a short period of time. My appointments were timely and informative. I am pleased with my outcome and the recovery. I am in scar therapy now and felt well prepared after my appointment with Emily (NFP). If you want someone who is invested in your goals, I highly recommend Dr. Horton and her team! - **Anonymous** Jan 24, 2019 The short: Dr Horton and her team of professions have heart, have amazing skill , and I would not hesitate to recommend them to anyone.The longer version: I met Dr Horton and her staff in late summer of 2018 when I decided to go in for an initial consultation. The longer version: I met Dr Horton and her staff in late summer of 2018 when I decided to go in for an initial consultation.I was a very young mom, and after my daughter was born I had issues right away that resulted in several surgeries in my 20s with a final hysterectomy in my mid 20s. No matter how fit I was, I had a blob of stretched out skin on my lower stomach, and problems with my belly button that would never get resolved with other Dr’s.I was nervous for my first appointment. However, the office was professional, but warm and inviting. All the staff were friendly and helpful.What struck me when I first met Dr Horton is how sincere she is about your health and your goals. She does an honest assessment and is straight with you about what will help you achieve them. She doesn’t try to oversell you, or push you in any direction. She is warm, kind and thoughtful. I had met other Dr’s before deciding, and none of the others had that same factor.Once I decided to move forward with my surgery, the office was sure I had all the information I needed. The pre-op appointment was very helpful to both me and my husband who would take care of me the next few weeks. They were very honest and straight about the recovery time - note: I thought for sure I could heal faster, but if you are really considering major surgery - listen to your Dr.At this point Dr Horton gives her patients her private cell number to call or text if you have any questions or concerns. We did use it 2 times, and both times she answered addressing our concerns and letting us know what to do next. I have felt cared for, understood and empowered through this entire processes, and I am SO HAPPY with my results!I had read the reviews that say sometimes the office runs late, so I was prepared for that. And I can say honestly, the office was often a little behind schedule when I had appointments, but no longer than you might wait anywhere else.Overall I am pleased with my results, all the staff, and Dr Horton. She and her staff are some of the best. I almost never leave reviews, but I highly recommend her and her team. - ★★★★★5 out of 5 Stars **Enjoysmin** Jan 24, 2019 The short: Dr Horton and her team of professions have heart, have amazing skill , and I would not hesitate to recommend them to anyone. The longer version: I met Dr Horton and her staff in late summer of 2018 when I decided to go in for an initial consultation. The longer version: I met Dr Horton and her staff in late summer of 2018 when I decided to go in for an initial consultation. I was a very young mom, and after my daughter was born I had issues right away that resulted in several surgeries in my 20s with a final hysterectomy in my mid 20s. No matter how fit I was, I had a blob of stretched out skin on my lower stomach, and problems with my belly button that would never get resolved with other Dr’s. I was nervous for my first appointment. However, the office was professional, but warm and inviting. All the staff were friendly and helpful. What struck me when I first met Dr Horton is how sincere she is about your health and your goals. She does an honest assessment and is straight with you about what will help you achieve them. She doesn’t try to oversell you, or push you in any direction. She is warm, kind and thoughtful. I had met other Dr’s before deciding, and none of the others had that same factor. Once I decided to move forward with my surgery (a full tummy tuck with liposuction) the office was sure I had all the information I needed. The pre-op appointment was very helpful to both me and my husband who would take care of me the next few weeks. They were very honest and straight about the recovery time - note: I thought for sure I could heal faster, but if you are really considering major surgery - listen to your Dr. At this point Dr Horton gives her patients her private cell number to call or text if you have any questions or concerns. We did use it 2 times, and both times she answered addressing our concerns and letting us know what to do next. I have felt cared for, understood and empowered through this entire processes, and I am SO HAPPY with my results! I had read the reviews that say sometimes the office runs late, so I was prepared for that. And I can say honestly, the office was often a little behind schedule when I had appointments, but no longer than you might wait anywhere else. Overall I am pleased with my results, all the staff, and Dr Horton. She and her staff are some of the best. I almost never leave reviews, but I highly recommend her and her team. - ★★★★★5 out of 5 Stars **Joy Kummer** Jan 24, 2019 The short: Dr Horton and her team of professions are amazing and I would not hesitate to recommend them to anyone. The longer version: I met Dr Horton and her staff in late summer of 2018 when I decided to go in for an initial consultation. The office was professional, but warm and inviting. All the staff were friendly and helpful. What struck me when I first met Dr Horton is how sincere she is about your health and your goals. She does an honest assessment and is straight with you about what will help you achieve them. She doesn’t try to oversell you, or push you in any direction. She is warm, kind and thoughtful. I had met other Dr’s before deciding, and none of the others had that same factor. Once I decided to move forward with my surgery, the office was sure I had all the information I needed. The pre-op appointment with Nurse Mary (who is also amazing) was very helpful to both me and my husband who would take care of me the next few weeks. And, at this point Dr Horton gives her patients her private cell number to call or text if you have any questions or concerns. We did use it 2 times, and both times she answered addressing our concerns and letting us know what to do next. I have felt cared for, understood and empowered through this entire processes, and I am SO HAPPY with my results. I had read the reviews that say sometimes the office runs late, so I was prepared for that. And I can say honestly, the office was often a little behind schedule when I had appointments, but no longer than you might wait anywhere else. Overall I am pleased with my results, all the staff, and Dr Horton. She and her staff are some of the best. I almost never leave reviews, but I highly recommend her and her team. - ★★★★★5 out of 5 Stars **Hugoisnice1** Jan 23, 2019 After meeting with multiple surgeons for my extensive surgery, I felt most comfortable with Dr. Horton, and I know I made the right choice!! I still have some recovery time to go, but my results are looking amazing so far, and I've been very well taken care of by Dr. Horton and her staff throughout the whole process. Dr. Horton stayed in the operating room much longer than planned in order to give me the best possible results. Not many doctors would go above and beyond like that -- she is truly caring about giving her patients the transformation they desire. She even gave me her personal cell phone number to contact her with any questions, which I have been doing a lot (it's in my nature, I always have a ton of questions), and she always responds super promptly. The extra attention makes me feel very supported, and I am so happy I chose to go ahead with this extensive procedure in the capable and skilled hands of Dr. Horton. - ★★★★★5 out of 5 Stars **Anonymous** Jan 23, 2019 The absolute best experience!! I thought long and hard about whether or not I wanted to go through with the extensive procedure that I got. I interviewed numerous other surgeons, and still felt like I was on the fence. After speaking with Dr. Horton I finally felt like I was in skilled enough hands to go through with it, and I am so very happy that I did!! I still have a few weeks to go to see my final results, but so far things are looking great, and I owe it all to Dr. Horton. I've felt well taken care of from the very beginning, and any time I have a question, I text Dr. Horton on her personal cell phone and she answers right away. Talk about 5 star treatment!! We spent a long time talking about what I was hoping to achieve, and Dr. Horton stayed in the surgery room well beyond my scheduled time in order to make sure I got maximum results. It showed she truly cares about her patients and such good will is rare in this day in age. I would recommend Dr. Horton without hesitation. - ★★★★★5 out of 5 Stars **Danielle Sorrenti** Jan 15, 2019 Best doctor patient care you will get! Dr. Horton and her staff are by your side from the moment you walk in through out your entire procedure. She is very detail oriented and cares deeply about her patients and her work. Her support staff are wonderful. Nurse Mary is pratical, down to earth with a fantastic beside manner. Mary will go above and beyond to take care of billing and insurance. I just wish there were more doctors out there with Dr. Horton's care for her clients. Highly recommend. - **Anonymous** Jan 15, 2019 Best doctor patient care you will get! Dr. Horton and her staff are by your side from the moment you walk in through out your entire procedure. She is very detail oriented and cares deeply about her patients and her work. Her support staff are wonderful. Nurse Mary is pratical, down to earth with a fantastic beside manner. Mary will go above and beyond to take care of billing and insurance. I just wish there were more doctors out there with Dr. Horton's care for her clients. Highly recommend. - **Gabrielle Wood** Nov 11, 2018 Dr. Horton is the sweetest woman on Earth. She not only cares about your results and you as a patient, she also takes the time to get to know who you are as an individual. When you consider how many patients she has, it is pretty incredible of her to take that extra time. I just had breast reduction surgery and am still recovering, but she has been informative, comforting and genuinely caring throughout the entire experience so far. I could not be more grateful to her for everything. This is something I’ve wanted to do since I was a teenager and she is literally making my dreams come true. It still doesn’t feel real. 💕 - ★★★★★5 out of 5 Stars **xotent** Oct 19, 2018 The Best. My bf and I scheduled in-office consultations at three different "Cool Sculpting, cosmetic surgery" services in San Francisco after I'd inquired with at least eight others. I wanted to get a sense of the whole spectrum of $$ and procedures. After consultations at the Berman Skin Institute (very commercial), Miguel Delgado M.D. (fabulous), and a Palo Alto-based clinic, we unanimously felt most confident and comfortable with Dr. Karen Horton's patient-based office practices in Sutter Health (formerly CA Pacific Medical Center, Pacific Heights) Hospital. I found, everyone in the skin game looks their best, and I tell you Dr. Horton is a movie star Amazon right out of Wonder Woman! Of course I'm a tiny 112 lb. scientific artist, media producer and my bf is a solid 180 lbs of good-looking(!), successful alt-energy developer and we were both impressed with Dr. Horton -- she can crack my bones anytime! And cool-sculpting guru Emily Sespaniak NP, is seriously all about what's right for you. They both thoroughly explained options and timing and precautions. The pricing is very straightforward too; I found their costs to be square in the middle of my comparisons ... and they are MEDICAL professionals. We got in the Cool-sculpting Summer Deal -- buy 2 get one free -- and plan to have a nip & tuck and liposuction in early 2019. This lady, Karen Horton MD, does full Mommy-makeovers (men, too); the whole shebang and she's On It. Her work is beautiful, critical, with thoroughly professional and up-to-date latest technique considerations. I predict their practice will grow exponentially, and I you'll love it. - ★★★★★5 out of 5 Stars **Anil Prasad** Sep 27, 2018 Dr. Horton made what I felt would be a very complex and difficult procedure into the most straightforward and perfectly-executed experience imaginable. I am incredibly grateful and recommend her and her staff highly. Fantastic all around. - ★★★★★5 out of 5 Stars **Diane G** Sep 27, 2018 Dr. Horton and her staff were fantastic! I had my bilateral mastectomy reconstruction redone after 10 years as I was embarrassed at how I looked and she gave me my breasts back, tattoos during surgery and all! I gave her 5 stars out of 5, she really earned 10 stars out of 5. Amazing compassion, professionalism, artistry and medical expertise! The pre-surgery education and post surgery education kept you informed making the process easier. Thank you Dr. Horton for helping me and caring for me. The 4 hour drive to SF for appointments was so worth it! - ★★★★★5 out of 5 Stars **osenton** Sep 14, 2018 Dr. Karen Horton is an absolutely amazing micro surgeon. She sat down with me, took the time to get to know me and what was behind my thoughts about the surgery I wanted. After a thorough exam and detailed information about expectations, she gave a list of people to call who had shared my same surgery to "get the good, bad and ugly" from another patients experience. Not one of them had one bad thing to say and all were extremely happy with the results! Day of surgery, I immediately felt comfortable, and well taken care of. I was worried about anesthesia, the outcome and many other things. She answered all my questions and quickly put me at ease. I saw her next in the operating room where she had music on that I chose, pictures up of what I was hoping results would be, and the friendliest staff. I woke up and was quickly attended to, made comfortable, and I've never been happier with a surgical experience. Don't hesitate!!! Karen is the best! - ★★★★★5 out of 5 Stars **Anonymous** Sep 14, 2018 Dr. Karen Horton is an absolutely amazing micro surgeon. She sat down with me, took the time to get to know me and what was behind my thoughts about the surgery I wanted. After a thorough exam and detailed information about expectations, she gave a list of people to call who had shared my same surgery to "get the good, bad and ugly" from another patients experience. Not one of them had one bad thing to say and all were extremely happy with the results! Day of surgery, I immediately felt comfortable, and well taken care of. I was worried about anesthesia, the outcome and many other things. She answered all my questions and quickly put me at ease. I saw her next in the operating room where she had music on that I chose, pictures up of what I was hoping results would be, and the friendliest staff. I woke up and was quickly attended to, made comfortable, and I've never been happier with a surgical experience. Don't hesitate!!! Karen is the best! - ★★★★★5 out of 5 Stars **Liz Acosta** Sep 10, 2018 If you're just THINKING about scheduling a consultation with Karen, don't wait! DO IT NOW! I was a young and desperate breast cancer patient when I found Karen. All the plastic surgeons I had seen for my breast reconstruction didn't seem to understand the particular needs of a young cancer patient. From the moment I spoke with Mary -- Karen's right hand lady -- I knew this would be the team for me. Mary was so compassionate and able to schedule me right away. When I met Karen, I KNEW she was the one, and suddenly there seemed to be some hope in my cancer treatment. Karen claims she is not a fairy godmother, but don't believe her! Almost by magic, she helped me put my life back together post cancer. What I love most about Karen is her mastery of her craft, and the skills she brings to her work. So don't hesitate -- call her now and schedule an appointment! - ★★★★★5 out of 5 Stars **femmFerocious** Aug 15, 2018 If you're even just \_thinking\_ of making a consultation with Karen, don't wait any longer! Do it! I met Karen in the throes of breast cancer. I was diagnosed at thirty-one, and none of the plastic surgeons I met with seemed to understand the particular needs of a young breast cancer patient. I was supposed to get at least five more years out of my breasts before they started drooping! Now I was going to lose them at \_just thirty-one\_. I started to grow desperate and despairing, and that's when I got in touch with Karen's office. Mary -- Karen's amazing right hand lady -- soothed me over the phone while I cried and told her my story, and was able to make an appointment right away. The moment Karen walked into the room, I knew I had found THE ONE AND ONLY DOCTOR I could trust with my breast reconstruction. She was truly a silver lining to the tragedy and trauma of breast cancer. Karen says she is not a fairy godmother, but don't believe her! She helped me put back the pieces, she gave me back my life after cancer. What I love most about Karen is how much she enjoys her craft. She is an artist with a vision, and she has the skills to achieve those visions. She gives you her cell phone number, and makes a priority of responding. No question or concern is too small or too silly. She is advocate for breast cancer patients, and I am so glad I found her. You will be too. And PS I LOVE MY BOOBS! - ★★★★★5 out of 5 Stars **Juliana King** Aug 11, 2018 Dr Horton is skilled, professional, and great with her patients. I felt that I was in great hands the whole time. The compliments extend to her entire staff as well. I love my results! - ★★★★★5 out of 5 Stars **Kitkat** Aug 03, 2018 After extensive research I chose Dr. Horton to be my daughters surgeon. The entire staff was knowledgeable and friendly and so respectful of my daughter and her needs. The procedure is done in a hospital ,we chose to have her stay overnight to be absolutely safe on pain control and it being her first surgery. The hospital staff was equally amazing, I personally have never seen a kinder night staff in a hospital . She is thrilled with the result ,as am I. Dr. Horton is such a skilled surgeon the scarring is healing beautifully and minimally . I trusted her with my child and she did an amazing job keeping her safe and healthy. She changed my child's life! - ★★★★★5 out of 5 Stars **Anonymous** Jul 19, 2018 She's the best of the best. I had a liposuction procedure done. Karen listened to what I wanted and made me feel confident and reassured throughout the process. Even after the procedure, I had trouble with how my scars healed and struggled with some unevenness. But Dr. Horton is honest, reliable and stays true to her word. She helped guide me through the revision process and made sure that the final result was the best it can be. I couldn't have asked for more from a surgeon. - ★★★★★5 out of 5 Stars **Llattinna Gonzu** Jul 08, 2018 � - ★★★★★5 out of 5 Stars **Anne Corbin** Jun 29, 2018 Karen Horton is absolutely the best surgeon ever! Highly recommend - ★★★★★5 out of 5 Stars **Tina McGovern** Jun 11, 2018 Dr Horton is a talented doctor. She deeply cares for her patients, and calmly explains procedures thoroughly. She gave me a new lease on life. Forever grateful. Great staff treat you like family. Thank you Dr Horton. - ★★★★★5 out of 5 Stars **Anonymous** Jun 08, 2018 I interviewed 3 male doctors before consulting with Dr. Horton. From a woman's perspective, she gets it. We discussed my goals and expectations, which were to have a successful surgery without infection, and a good reconstructive cosmetic outcome. She was skillful, supportive, knowledgeable, caring, reassuring, and available whenever I needed her. Her positive attitude is uplifting. Her practice sees the whole patient, emotional and physical. The staff is warm, sensitive and extremely helpful. I had 2 surgeries and a long recovery. Along the way, there were some insuance issues with which Mary Pasache guided me through. As an educator, Mari RN, is another indispensable part of the team, and a fantastic baker. The front desk ladies were very caring and helpful. Dr. Horton continues to guide me through my recovery. I'm confident that after the swelling resolves, the outcome will be as she has predicted. Dr. Horton is everything you want in a surgeon. - ★★★★★5 out of 5 Stars **Anne Corbin** May 26, 2018 I had a breast lift on my right side only and augmentation with Dr. Karen Horton 6 weeks ago. 10 years total of nursing left me with very deflated uneven breasts. My confident and self esteem suffered a lot because of this to the point where I couldn’t wear a tight shirt without an insert on one side to even them out. I Initiallu chose Karen because she has amazing before and after and because I appreciated her views on implants and being placed over the muscle. I was looking for a natural look and something that wouldn’t interfere with fitness. I live in lodi which is an hour and a half away, usually two or more because of traffic. Her prices were more but.. I wanted the very best surgeon! Travel, inconvenience and money did not matter to me because Karen is that good. She is responsive very friendly and seems to genuinely care. She puts her heart into her work, and I believe being passionate about a job like this is essential. During my pre op her nurse spent over an hour with me making sure I was comfortable and all my questions had been answered. Karen went over my “wish pics” in detail taking note of every aspect of each that I wanted to achieve and making me explain why I wanted certain attributes. She was tuned in with me and understanding of everything I desired. Made me feel very comfortable with something that can be embarrassing and intimate. On the day of my surgery she came and talked to me and was alert and friendly and smiling. Surgery day was one of the best days of my life! Go to sleep wake up and felt amazing! Minimal pain, her staff cared if I was prone to nausea or anxiety and addressed all my needs. Karen gives you her personal cell number and you can text or call her anytime and she always answers! Even small seemingly silly questions she answers quickly! So comforting to have that and I know lots of ladies who do not have that relationship with their surgeon. She had warned me I might look a little strange on my one side that had a lift compared to my other for the first 6 weeks or so and I was so pleasantly surprised that I loved them from day 1. Absolutely gorgoes cleavage right away! I look thinner and feel much more confident. It’s honestly amazing what having beautiful breasts can do for you! Also.. Karen did free lipo on my armpits! Love them now! My sister wants to travel all the the way from Seattle to see Karen because they are that beautiful! From the bottom of my heart karen thank you for giving me back my body! 💗 - ★★★★★5 out of 5 Stars **jenafer410** Mar 22, 2018 I couldn't have had a better experience than I had with Dr. Horton and her team. I had met with a few surgeons regarding Breast Explantation, and once I met Dr. Horton- I knew she was the one. Whereas other surgeons had tried to talk me into swapping implants, Dr. Horton was honest and confirmed that explantation was my best route. After years and years of various surgeons, and revision after revision, I'm happy to finally be implant free- and I love my (very small) natural breasts! Dr. Horton is also a master with scars. The incision was so clean and so straight, I've got minimal scarring. Explantation was one of the best decisions I've ever made. I'm grateful to Dr. Horton for getting me to this place. Thank you to Dr. Horton and her entire team! I'm a very happy patient. - ★★★★★5 out of 5 Stars **Kara Gutierrez** Mar 12, 2018 I am so thankful to have found Dr. Karen Horton and her team. An excellent surgeon, her compassion along with her lovely and lively spirit, shine as soon as she walks in. She immediately puts you at ease, answering all questions and explaining everything in great detail. Dr. Horton is a beautiful soul inside and out and she gave me hope when I thought I had none. I am beyond pleased with her work! My breasts are beautiful and my experience was awesome! - ★★★★★5 out of 5 Stars **swheels** Feb 28, 2018 Dr. Horton is the only person I would ever trust to do my breast reduction. She answered every single question I had with full confidence and honesty. After my surgery, Dr. Horton was available via text 24/7 for any assistance - she even adjusted my medication prescription on a Saturday morning. Dr. Horton and her entire staff put their patients first and it really shows. I am so happy with my results and cannot thank Dr. Horton enough. - ★★★★★5 out of 5 Stars **Sarah Wheeler** Feb 25, 2018 Dr. Horton is simply the best. I wouldn't trust anyone else to do my breast reduction. From my consultation appointment, pre-op, surgery, and post-op appointments, Dr. Horton has the most amazing bedside manner and willingness to answer every single question. Dr. Horton's staff also has the same willingness to assist with insurance questions & paperwork. I am so pleased with my results. My friends and family are astounded by Dr. Horton's precision: my breasts are symmetrical, perky, and perfectly placed. It's clear that Dr. Horton truly knows how to take a vision and make it a reality. I highly recommend Dr. Horton as an amazing plastic surgeon and confidant! Love, love, love her. - ★★★★★5 out of 5 Stars **Maggie Glickfeld Sedar** Jan 18, 2018 Love Emily Sespaniak for all of my 'non-surgical' beauty treatments! On time appointments, knowledgeable, professional,precise, all topped off with a very pleasant demeanor. Go to her!!! - ★★★★★5 out of 5 Stars **Anonymous** Jan 05, 2018 I just had the second reconstruction surgery required to fix what was done previously by another surgeon after a Bilateral Mastectomy and four reconstruction/revision surgeries. When I went to Dr. Horton I was not feeling very confident or hopeful. She immediately put me at ease and gave me hope to believe I would be pleased with the outcome following a Diep Flap surgery. It was just as intense as she said it would be. Recovery was long and painful. There were times I felt depressed and overwhelmed but Dr. Horton reassured me that was to be expected. She gave us her cell phone number so we could contact her at anytime if we had questions and or concerns. After almost a year Dr. Horton just completed the final surgery, which required some corrections and revisions. Although I am still in the recovery process I am confident the end results will be positive. Any areas that are concerning, like the scarring, are not a reflection of what Dr. Horton accomplished. She was given a huge undertaking due to the previous surgeries and two failed implant attempts. Dr. Horton is professional, thorough and cares deeply about her patients. I appreciate her compassion and empathy. - ★★★★★5 out of 5 Stars **jmlozada** Dec 27, 2017 Dr. Horton is one of the most passionate people I have met in my life. She is all about her work and her patients. The support and care she gives, is more than anyone can expect and ask for. She is not just some family practice doctor that you walk in to see and wait forever to talk to, for 2 minutes. The reason why her wait time can be long, is because she takes her time with her patients. Which is exactly what I want in a doctor. She spends the needed amount of time with you to ensure you are doing well. You can't ask for anything more. So that's why I understand when she runs behind. We all want our doctor's to spend time with us and not make us feel rushed. If you are looking for that type of doctor, then do your consultation with her. I promise you will feel welcome as soon as your meet her. For everyone else in the office, Nurse Mari is amazing and just get loving and caring. She ensures you are well informed before and after surgery. She is always there to answer crazy questions and concerns because she too, has seen it all. I would recommend Dr. Horton and her team to everyone. I am extremely satisfied and happy. There is nothing more I can ask for! Thank you Dr. Horton and thank you to her OR Team and Office Team! - ★★★★★5 out of 5 Stars **amymiriamsf** Dec 11, 2017 I found Dr. Horton after carefully doing my homework. She is very professional and after talking to her other patients I felt this was the right decision. She made me feel comfortable, explained everything honestly, and gave me tome to think about it. I love my results. I look great but also natural. Everyone who has seen me tells me how fantastic I look and how it looks so natural. She is a star. - ★★★★★5 out of 5 Stars **Anonymous** Dec 11, 2017 I feel so lucky that I found Dr Horton. I love the results and she made me feel so comfortable the whole time. This is a person who know their stuff and wants to do what is best for her patients. . - ★★★★★5 out of 5 Stars **Amy** Dec 11, 2017 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. - ★★★★★5 out of 5 Stars **Brechy** Dec 02, 2017 I just love Dr. Karen Horton and her office of lovely professional staff. Yes, there can sometimes be a long wait, however this is probably due to a bird brain like me forgetting my appointment time and coming in late. Also, Dr. Karen Horton and her staff are so sweet and professional so it is honestly worth the wait. I have come to expect that I will be spending some good me time at Dr. Horton's office so I clear the whole day just in case. It is really no problem if you have good expectations. Other than that, I think Dr. Horton did an amazing job on my breast reduction surgery. They came out way better than I imagined and I think she had a lot of challenges with mine because they were so big and saggy :( But she worked some serious magic and I have to trust the process, but they have been coming long nicely. I have felt confident with Dr. Horton's work that in just two weeks I will be going back in with her for the rest of my mommy make over surgery. After experiencing her care and professionalism with my breast reduction and am more than happy to entrust her with the next big step in my journey to uncover my best physical self. Dr. Karen Horton is a lovely person, trustworthy, smart, ethical, and genuinely has an interest in helping women be their best selves. I highly recommend Dr. Horton and her amazing staff. I love them all! - ★★★★★5 out of 5 Stars **jinju0708** Oct 22, 2017 I’m a 30 yo female, 125lbs, 5’7’’ and with breast augmentation I went from an A cup to a C/D cup. Dr. Horton is a great surgeon: -She is kind, confident, experienced and knowledgable. -At the consultation she explained that I would be her patient for life, and that she will monitor me at the times when my body is expected to change. -Her surgical methods retain nipple sensation and ability to breastfeed. -She uses unconventional methods to prevent and treat capsular contracture. -I have some unusual underlying anatomy that we were unaware of until I was in surgery. She noticed the abnormality and intervened appropriately. -I text her questions frequently, and she always responds within an hour or two. The practice is run well: -Everybody is polite, helpful and responds to emails or phone calls almost immediately. -Mary P took complete care of the logistics regarding time off work. -Nurse Mari consoled and helped me navigate a difficult situation that coincidently happened days before surgery. -Emily NP provided me the tools and education to ensure optimal scar healing. Results: -My breasts look natural, and now my body is perfectly proportioned. -The healing period was brief and unremarkable. -My exercise routine and athletic abilities have not been affected. -I have a new interest in shopping and fashion since I look better in clothes. Old pieces from my wardrobe have been revived, and I now wear styles that I have not worn before. Dr. Horton is an experienced, knowledgeable, and thinks outside the box. I am thrilled with my results, and I will go to her for any future cosmetic work. I would readily refer her to friends and family. - ★★★★★5 out of 5 Stars **Victoria Zemrak** Oct 19, 2017 Dr. Horton is an amazing, caring, thorough doctor...I was extremely happy with how she explained everything and took great care of me before, during, and after my reconstruction!! - ★★★★★5 out of 5 Stars **Kimberly Campbell** Oct 19, 2017 No comment given - ★★★★★5 out of 5 Stars **Jane S** Oct 11, 2017 Dr. Karen Horton is a talented surgeon with an excellent bedside manner to match. She performed a breast implant exchange to downsize my old implants that were too large for my petite frame. I was anxious going into this procedure because I'd had a bad experience with my previous surgeon who didn't listen to my desires and left me with awkwardly large breasts that looked and felt disproportionate. Dr. Horton performed a thorough review of my case, patiently answered all of my questions, and worked together with me to choose the perfect size. When I removed my surgical bandages for the first time, I actually cried I was so happy. She nailed it. My results far exceed any expectations I had going into this. My new breasts are soft, look very natural and are perfectly proportioned. I seriously couldn't be happier and would recommend this surgeon to anyone seeking a natural-looking breast augmentation. Dr. Horton is a true artist! - ★★★★★5 out of 5 Stars **valerie gardner** Oct 11, 2017 I can only say Dr Horton completely changed my life. I had numerous unsuccessful surgeries before finally meeting Dr Horton. I was a 2 time cancer survivor and the radiation from my initial diagnosis had caused substantial damage and made reconstruction very difficult. I had unsuccessful breast reconstruction after my bilateral mastectomy at UCSF. She patiently talked to me about options and gave me the bad news that my body would need to heal for a year from the ongoing infection I had from my surgeries with my prior doctor. She told me what I needed to hear, not what I wanted to hear. I had numerous stages to my reconstruction. Dr Horton and I talked about how there would be a number of steps needed, for my initial surgery with her I underwent a free flap surgery. She was with me every step of the way. She gave me her cell phone number and called me immediately if I texted or left a message. She was always there to assure me when I was concerned. I am sad to see the negative comments. I am confident that Dr Horton never told anyone that all they would need is one surgery. No doctor can guarantee results nor outcomes. Every person is different and their bodies respond differently. I had to have additional surgeries due to healing issues which had nothing to do with Dr Horton, it was my body responding and it was still struggling with the radiation after effects. I also had implants put in under the flaps in a secondary surgery due to issues with my breast bone. ( again my body issue, not Dr Horton) She gave me a "makeover" and I am so happy with the outcome. I look and feel better than I have in 20 years! I sent one of my best friends to Dr Horton when she was diagnosed with Breast Cancer. She loved Dr Horton and had the same amazing experience that I did. The preponderance of comments are positive and reflect who Dr Horton really is. I have, and will continue, to recommend her. She is truly the best. - ★★★★★5 out of 5 Stars **leah.perrien** Oct 04, 2017 After having two babies in two years and suffering with a wide diastasis recti I began an exhaustive search for a solution. I spent 3 years trying everything from physical therapy, to a personal trainer, to a forum specifically for DR sufferers (Fit2B.us) Although I was eventually able to get my DR from 4 fingers to a small 1 finger, I still looked several months pregnant and was unable to wear pants with a waistband. Fed up, I decided to schedule a plastic surgery consultation, but I also wanted to consider CoolSculpting, so I found a practitioner that offered both. Dr. Horton's office had great reviews and was pleasant to deal with on the phone. My husband joined me at the consultation and we both agreed that Dr. Horton seemed like a great combination of friendly/caring, but also professional/knowledgable. Her and her staff we great to work with pre and post surgery. She is busy and her time is precious, so my after-care visits have been very short, but I never feel rushed or unheard. My only con in the entire experience is that during post-op physical exams she can be kind of rough. When removing and replacing my compression garment just a few weeks after surgery it didn't feel like she took into consideration the pain I was in, instead she just did the job as quickly as possible. I would have rather she let me do it myself. She acted similarly when trimming/removing stitches. She was quick, but rough. I'm only 3 months post-surgery, so I don't know what my final results are going to be, but Dr. Horton has been very reassuring that I am on track for an amazing transformation, but she has also made it clear that post-op touch-ups are always a possibility. I appreciate her honestly and understanding when my expectations waver. If plastic surgery is the best option for you then I would recommend you schedule a consultation with Dr. Horton! - ★★★★★5 out of 5 Stars **Emily J** Sep 25, 2017 Dr. Karen M. Horton is a talented surgeon with an excellent bedside manner to match. She did a phenomenal job on my breast augmentation revision. She helped me decide on the perfect size implants to fit my petite frame. I cried when I removed my bandages for the first time because I couldn't believe how incredible I looked. The results completely exceeded my expectations. My new breasts are perfectly fitted to my small frame, soft, and very natural looking. After my first experience with the other surgeon years ago, I wasn't convinced that breast implants could look like natural breasts. I've learned that who you choose to be your surgeon matters, and Dr. Horton is an artist! - ★★★★★5 out of 5 Stars **Keke Vasquez** Sep 15, 2017 Dr. Horton is such a personable and kind person. She's very thoughtful and so polite! Love her! - ★★★★★5 out of 5 Stars **Anonymous** Aug 18, 2017 Dr. Horton is personable and professional. Her kind and knowledgeable demeanor shows in her work. She was pleaseant in communicating with my wife and I throughout the entire process regarding my wife's breast surgery, and her surgical procedure was great (the results are beautiful). My wife is very happy, and I am very happy that she is happy. - **Anonymous** Jul 02, 2017 I love Dr. Horton. Her surgery is impeccable; she really cares about her patients, she fought with my insurance company for me. I get compliments every time I go for a checkup and people can't believe it was a mastectomy! I'm grateful for her. - ★★★★★5 out of 5 Stars **AboveandBeyond12** Jun 27, 2017 The second I met Dr. Horton I felt an instant connection with her, I trusted her right away. She is incredibly caring, intelligent, kind and extremely talented in her work. I'm only 3 weeks Post-Op and I LOVE my new breasts so much! I loved them right away! They're healing SO well and look JUST like I wanted them to. Dr. Horton is the most amazing doctor I've EVER had and her staff are incredible too. I am SO happy with my decision to come to her for this surgery. She's truly changed my life and I'm so grateful for that. - ★★★★★5 out of 5 Stars **Monica Galindo** Jun 25, 2017 No comment given - ★★★★★5 out of 5 Stars **Bonnie Romero** May 05, 2017 No comment given - ★★★★★5 out of 5 Stars **Claudine Cabaron** Mar 31, 2017 Dr. Horton and her staff are wonderful. They are great and very professional. Before Dr. Horton did my procedure, she informed me of what to expect and how she was going to do the surgery. She made me feel comfortable and I felt taken care of. She truly cares for her patients and I highly recommend her as my plastic surgeon. - ★★★★★5 out of 5 Stars **Chari Jopes** Mar 29, 2017 I love Karen!! I completely trust her for any procedure and her work is flawless! She is so nice and comforting throughout the entire experience. After my recent surgery Karen kept in touch to check on me, and I really appreciated her consistency. I highly recommend her!! - ★★★★★5 out of 5 Stars **Anonymous** Mar 09, 2017 Dr, Horton and her team are outstanding. Collectively, they are compassionate, warm, knowledgeable and caring. I was seeking a bit of a "retirement makeover" (why not?) and while I was a little embarrassed about it, Dr. Horton immediately put me at ease. She has that rare combination of knowledge, skill and artistry. It has been a year since my procedure, and I am very happy with the result, and with the ongoing relationship I feel that I have with Dr. Horton and her team. Dr. Horton is simply the best in her field. - **Anonymous** Jan 09, 2017 She is an amazing artist. I have not met a more open, compassionate and skillful Doctor. She helped make my journey through Breast Cancer a less fearful and scary one. I LOVE her! - ★★★★★5 out of 5 Stars **Jamie Dinsmore** Oct 22, 2016 No comment given - ★★★★★5 out of 5 Stars **Thomas Mautner** Oct 11, 2016 Both my wife, Cheryl, and my daughter, Victoria, are currently patients of Doctor Horton. She is a perfectionist and an AMAZING doctor, as well as a very special person! I have complete faith in her abilities as a surgeon and know that she will take care of my family's medical needs. - ★★★★★5 out of 5 Stars **Alyson Miller** Oct 11, 2016 I'm 10 days post-op and feel and look better than I ever could imagine! What surgery? Dr. Horton and her team are great and extremely supportive. They let me contact them any time of day post surgery to get any worries handled. I was also referred by them to Nurse Hope to pick me up and take me to my hotel room and care for me the day of surgery, and she was so kind and fantastic! All in all I would do it again. And would go to them for any other surgeries or needs!! - ★★★★★5 out of 5 Stars **Mirza Husnain** Aug 10, 2016 No comment given - ★★★★★5 out of 5 Stars **Pasache Family** Jul 08, 2016 No comment given - ★★★★★5 out of 5 Stars **Adeline O** Feb 18, 2016 Dr. Horton and her staff are compassionate, understanding and are the epitome of reconstructive care. I came to her after having seen 4 other reconstructive surgeons to fix my post-mastectomy reconstruction issues. I am now over a month out from my surgery with her and wish I had found her a year ago. I recommend her to anyone looking for answers and solutions. - ★★★★★5 out of 5 Stars **Anonymous** Feb 08, 2016 Great listener, knowledgeable, put me at ease. More docs should be like her. - ★★★★★5 out of 5 Stars **Jeanette Fields** Jan 29, 2016 No comment given - **Anonymous** Jan 04, 2016 I don't go online to post reviews- but I just knew that I had to say something about Dr. Horton and her amazing team. I felt truly heard, and supported throughout my entire process. I love my results- and i would recommend in a heartbeat for anyone to put their trust in Dr. Horton. Thank you, Thank you, Thank you!!! - ★★★★★5 out of 5 Stars **Patricia Luzi** Oct 12, 2015 Dr. Horton is the best. I found here because of previous problems suffered from another surgeon that needed correction. She was compassionate and understanding and truly wanted to do the best for me. Which she did. I would highly recommend her and her spa to anyone knowing only best services will be received. FYI - in my experience every woman needs a female plastic surgeon - they know the body, contours and can produce the best aesthetic results. Thank you so much!! - ★★★★★5 out of 5 Stars **Tara Farbstein** Oct 12, 2015 I love Dr.Horton and her staff. From the moment I met her, she put me at ease and made my breast cancer journey a little easier. My surgeries went great and I'm so happy with the results. She is fantastic! - ★★★★★5 out of 5 Stars **Jill Alter** Oct 12, 2015 Dr. Horton is a very caring and skilled surgeon. She has held my hand and given me plenty of hugs. She is always ahead in the latest procedures available and explains each with the pro's and con's and always let's the patient make the decision. What else can I say I recommend her to anyone that needs her expertise . She is a ray of sunshine and her staff is to. - ★★★★★5 out of 5 Stars **Sandy Bradley** Oct 12, 2015 As an older woman who is still dealing with the aftermath of a reconstructed breast after a mastectomy 12 years ago, it was so very, very comforting and empowering to meet a female doctor who is so totally pro- patient. I had a terrific experience with Dr. Horton and would not hesitate to recommend her to anyone for any reason that is related to cosmetic or reconstructive surgery. Her team is amazing. The entire experience of meeting her, discussing my wish list and then experiencing it and it coming to fruition is beyond my expectations. This was a great experience and I am very thankful and grateful to have met such a supportive, creative, happy, team of professional medical providers. If you have any doubts, don't think twice. Just go for it!! You will be elated! - ★★★★★5 out of 5 Stars **Marsha Peterson** Oct 12, 2015 I believe Dr. Horton has created a masterpiece from the ruins of my breast post 2 lumpectomies, chemotherapy and radiation therapy. The pain from the surgical operations was intense and I'm just in my 4th week post operation recovery, but realistically I am looking forward to the finished product and full recovery by next year this time. Dr. Horton is a classy lady and has a disarming bedside manner. She can be yanking out drains or stitches and speaking in a very chipper voice about what to look forward to next week; therefore, I wasn't as anxious while she was doing these things. I fought hard to get approval for Dr. Horton to do my surgery since she was out-of-network. I am glad that I did and feel I was in the very best hands for this very complicated surgery. - ★★★★★5 out of 5 Stars **Morgan Young** Oct 12, 2015 I went in to see Dr.Horton regarding my axillary area due to a long time insecurity regarding my "baby fat" in the crease of my arm pit. After having a child it only got worse. First meeting with Karen, she really took the time and energy into getting to know me and my body image issue. She was so genuine and showed legitimate interest in empowering me to love my body and having the freedom to elect modern ways to help reach my goals. I am almost 1 month healed from having liposuction on my axillary area and wow what a difference! I shop for clothes differently, I feel more confident in the things I wear and I really do feel different. I feel beautiful. I knew I was before going in for the procedure but now I feel unstoppable. Thank you Dr. Horton. For helping me change my life. - ★★★★★5 out of 5 Stars **Anonymous** Sep 22, 2015 Dr. Horton gave me the confidence to have reconstruction surgery. My situation called for something a little different and she and my surgeon Dr. Grissom were willing to make it happen.I interviewed 4 reconstruction surgeons in the Bay Area and I can honestly say that until I met Dr. Horton I was unimpressed and scared. She was friendly and forthcoming with information. She and her staff are there for you every step of the way.Her website alone is a fountain of information. A quick reference on anything you might have forgotten.The office is like mini spa... warm, friendly and relaxing. The staff is a reflection of Dr. Horton. The is a kind woman as well as a brilliant surgeon.Thank you so very much! - ★★★★★5 out of 5 Stars **Allison Efird Bunch** Sep 16, 2015 I received a call from a patient today only to tell me she was absolutely thrilled with the "beautiful job" Dr. Horton did on her breast reconstruction. Even after multiple prior surgeries and radiation, Dr. Horton was able to give the patient exactly what she wanted. She called Dr. Horton "an artist". I have never heard this patient happier, thank you Dr. Horton! - ★★★★★5 out of 5 Stars **Anonymous** Aug 10, 2015 Fantastic - the best in the country!!!!!! This is a doctor that really, really listens to her patients. You get the results you want and her knowledge, professionalism and kindness are extraordinary. Her staff is top notch too. - ★★★★★4 out of 5 Stars **Cheryl Ann Martinez** Apr 11, 2015 No comment given - **Anonymous** Jan 30, 2015 Thanks to Dr. Horton's careful listening and practical, compassionate advice, my lipo turned out to be one of the kindest things I've ever done for myself. She spends a lot of time in the operating room, which is exactly what we want her doing, even if it means being a little late for appointments in the office. Everyone in the office is incredibly helpful and always knows what's going on. I always leave the office (and OR) knowing I'm in the best possible hands. - ★★★★★5 out of 5 Stars **Anonymous** Jan 23, 2015 I went to Dr. Horton for inverted nipple correction. I've had inverted nipples since I stopped breastfeeding my second child. She is amazing. Very friendly, very approachable. She explained why this happened and how it can be fixed. I had an in office procedure. Dr. Horton and Nurse Mary were wonderful the entire time. I am now 2 weeks post op and very please with my results. Just an fyi, Dr. Horton offered me patient references without my asking, gave her cell number for any problems or issues, and provided me with several supplies just in case I needed them post op. One of my best experiences with a doctor ever. - ★★★★★5 out of 5 Stars **Norcalmommy** Nov 22, 2014 Well this was one of the best decsions of my life. I was super nervous about having surgery, especially one that would alter my appearance permantly. Dr Horton was amazing and answered ally husband and my questions before we even asked. Post op she even gave us her cell # to text her questions and even pictures when needed. It was like having a friend do my surgery! The best part. I look amazing. Just exactly how I wanted to and exactly how she and I had talked about me looking. - ★★★★★5 out of 5 Stars **Paula Murray** Oct 12, 2014 I experienced severe complications from treatments from my 2006 breast cancer. By 2013, my mammogram showed changes from the year prior. In working with a different medical center, there were four surgeries over the course of 2013-2014 . The damaged tissue resulted in squamous cell carcinoma on my chest wall which was removed, but the damaged tissue was still in place. I decided it was time for a second opinion. A friend told me about California Pacific Medical Center and I was fortunate to meet with Dr. Horton. From that first meeting I knew I'd found the right doctor. Dr. Horton is extraordinary, caring, compassionate, and an extremely skilled surgeon. Dr. Horton and her team performed had a chest wall excision and reconstruction with a diep flap in June 2014. Dr. Horton was there for me in many ways at a very difficult time in my life. I feel like a new person and can't thank Dr. Horton enough. - ★★★★★5 out of 5 Stars **Dianne Nakanishi** Oct 12, 2014 Dr. Karen Horten is a great surgeon. She performed breast reconstruction DIEP flap. When I was recovering from surgery, the nurses all said that I had an amazing dream team and if they were ever in need of the same surgery they would definitely be using the same team. She is always cheerful and patient and tells you exactly what you need to know in order for you to make the most educated decision. - ★★★★★5 out of 5 Stars **Mary R Scott** Oct 12, 2014 From the very first visit, I felt reassured and confident that Dr. Karen Horton was a true and gifted clinician and surgeon. Her manner is so gracious and reassuring, her plans were explicit which she clearly explained in layman's terminology. The staff that supports the office are all wonderful and do a great job to make you feel welcome and cared for. The morning of my surgery, she came to see me as I was getting prepped and made me feel safe and in an caring, excellent hands. The outcome was beyond my expections and I have already referred several friends to her practice. It is always a bit scary to have surgery, but when there is someone like Dr. Horton, it removes all fears. Thank you Dr. Horton, I will forever be indebted for the your amazing ability and compassion. Sincerely, Mary R. Scott - ★★★★★5 out of 5 Stars **Gayle Niehaus** Oct 10, 2014 Dr. Karen did a "mommy makeover" for me at the age of 51. It changed my life for the better. The follow up after surgery was phenomenal and everything was explained well. The office staff was superb and genuinely made my husband and me feel at home. - **Anonymous** Sep 09, 2014 I went to Dr. Horton for removal of my breast implants. I've had 3 sets and a lift previously from other docs. Basically I went to Dr Horton to have her fix other peoples mistakes and remove the capsule and all the scar tissue in the capsule. She was caring and compassionate and is also very down to earth and totally makes you feel comfortable. I had a great experience with her. She's available by text or cell after hours. She also did a great job. I would never go to anyone else. - ★★★★★5 out of 5 Stars **Anonymous** Sep 06, 2014 Thank you Dr. Horton for being my SUNSHINE along this journey. As a breast cancer survivor, I feel blessed to have found you. My breasts finally are back to feeling proportioned and it is due to your talent as a surgeon. A big thank you to your entire office staff who handled my appointments and insurance claims.....you are a wonderful group of women. Nurse Mary, you made me feel so at ease and I truly appreciated your reassuring voice about my "new look"! What else can I say......you are all FAMILY now. Breast cancer survivor of 8 years. - ★★★★★5 out of 5 Stars **Gsjules** Aug 30, 2014 Absolutely wonderful. Would never go to anyone else. - ★★★★★5 out of 5 Stars **Robyn Youngswick Christo** Jul 09, 2014 No comment given - ★★★★★5 out of 5 Stars **Tasha Sylsberry** Jun 10, 2014 No comment given - ★★★★★5 out of 5 Stars **Kathy Risk-Sego** Jun 08, 2014 No comment given - ★★★★★5 out of 5 Stars **Shannon Piro** Apr 05, 2014 No comment given - ★★★★★5 out of 5 Stars **Anonymous** Feb 13, 2014 Karen is an absolutely fantastic person and physician. Her work excels anything I've seen in terms of breast reconstruction surgery. Besides being extremely efficient and skillful, she has a wonderful, beautiful personality. She is kind sensitive and empathetic. It's been painful but rewarding and the final product has completely changed my life. My husband tells me constantly I'm beautiful not because I've been "fixed" but because I radiate confidence. I FEEL beautiful! - ★★★★★5 out of 5 Stars **robroc** Jan 30, 2014 Dr. Horton and her staff are all wonderful and supportive. Dr. Horton even provides you with her cell number so you can reach her at any time with pre- or post-surgical questions or concerns. I've known other women who have had this procedure with other physicians and, although they've been mostly happy with the results, they were less than thrilled with the bedside care and support provided by the doctor. Dr. Horton is a true expert and artist who will shepherd you through the process is a caring and loving manner. The decision to have plastic surgery is an important one. Choosing the right doctor is key. In a word, Dr. Horton is amazing. - ★★★★★5 out of 5 Stars **Salvatore Taglialatela Scafati** Dec 16, 2013 No comment given - ★★★★★4 out of 5 Stars **Ediz Akçay** Dec 10, 2013 No comment given - ★★★★★5 out of 5 Stars **Donna Perkins** Nov 25, 2013 No comment given - ★★★★★5 out of 5 Stars **Anonymous** Nov 13, 2013 Dr. Karen Horton is an angel. She is so caring, supportive, and informative. Her staff's customer service is top notch. Each of them are very helpful and responsive. - ★★★★★5 out of 5 Stars **Barbara Christian** Oct 12, 2013 Dr. Horton is very reassuring and does excellent work. I feel fortunate to have been cared for by such a talented micro surgeon! - ★★★★★5 out of 5 Stars **shannon grubert** Oct 12, 2013 Dr. Karen Horton is absolutely amazing. She was able repair and fix a very painful and unsightly breast reconstruction preformed by another surgeon using a DIEP Flap. My results are amazing and her and her office staff have been available every step of the way, including a cell phone number I was able to use if needed during off hours. Her bedside manner has to be the best I have encountered and she always makes you feel wonderful. I can not say enough about her surgical abilities, her office staff. The wait has always been very minimal. If you are in need of an amazing surgeon to preform a breast reconstruction, I personally have met and visited with dozens along the way. My recommendation is to use Dr. Karen Horton. A refreshing change from the typical surgeon! Thank you Dr. Horton. I love my results! - ★★★★★5 out of 5 Stars **Pamela Fondacabe** Oct 12, 2013 I am happy to recommend Dr. Karen Horton. I have found her to be a great listener and a talented surgeon. - ★★★★★5 out of 5 Stars **Christine Buell** Oct 12, 2013 No comment given - ★★★★★5 out of 5 Stars **Anonymous** Sep 30, 2013 Dr. Horton is a phenomenal surgeon with a caring and friendly demeanor. She truly cares about her patients, which is evident from the initial consultation to the post-op appointment. For every visit, I felt like I was reuniting with family, rather than entering a sterile, doctor's office. And, to say that the results are amazing is an understatement. She is incredibly talented. I highly recommend Dr. Horton for any surgical procedure. - ★★★★★5 out of 5 Stars **Overjoyedwithresults** Sep 30, 2013 Dr. Horton is a fantastic surgeon. She performed a breast reconstruction and replaced implants. Through the pre-op process, some questionable cells were discovered. Dr. Horton was reassuring and helped me through that difficult time. I am happy to report that I am incredibly pleased with the results. Thank you for doing such a wonderful job in fixing things up! - **Anonymous** Aug 14, 2013 Karen Horton is not only an artist at her craft -- but is also the most caring doctor I have ever dealt with. She expresses that care in every interaction and has changed the way I look at her field and how I look at myself. You should know that you will likely wait to see her longer than you might like -- but it's worth it when your turn comes. If you don't like the wait you can always choose one of the MANY others in her profession who don't spend the time to show that level of care to their patients. - ★★★★★5 out of 5 Stars **Janice Dunn** Oct 12, 2012 Dr Horton is Amazing! A true professional who mixes her passion with incredible expertise! I knew within minutes that I had found the absolute best surgeon to perform my breast cancer reconstruction and give me back my self! I often wonder why I waited 11 years to make this decision - now I know! Dr Horton has made this journey a life-changing experience! Her staff is wonderful - a true TEAM! - ★★★★★5 out of 5 Stars **Mel Macleod** Oct 12, 2012 Dr. Horton is so fantastic, as well as her whole office staff! I interviewed several surgeons and she was by far the best in her field! Dr.Horton has always made this experience a positive one and I appreciate that after a long year of breast cancer. She recently performed the DIEP flap surgery on me after I finished chemo, so this was the end for me. So many people keep telling me how amazing my breasts look. Dr. Horton is a gifted surgeon with such a warm-heart and fantastic bedside manner. I strongly recommend her to anyone! - ★★★★★5 out of 5 Stars **Anonymous** Jul 06, 2012 Dr. Horton is so fantastic, as well as her whole office staff! I interviewed several surgeons and she was by far the best in her field! Dr.Horton has always made this experience a positive one and I appreciate that after a long year of breast cancer. She recently performed the DIEP flap surgery (6/12) on me after I finished chemo, so this was the end for me. So many people keep telling me how amazing my breasts look. Dr. Horton is a gifted surgeon with such a warm-heart and fantastic bedside manner. I strongly recommend her to anyone! - **Anonymous** Mar 18, 2012 Dr. Horton took on my case when no other doctor would. Apparently a horseshoe scar is very hard to correct. Especially on one's face. She fixed my lower lip in an extremely painless and quick procedure. It healed quickly and now no-one can even tell that there used to be a scar there. Also, in an unrelated event, when I got hit by a motorscooter. Dr. Horton immediately referred me to the best doctor who could help fix my leg. Thank you Doctor Horton! - ★★★★★5 out of 5 Stars **Anonymous** Mar 13, 2012 There are not enough positive superlative words to describe Dr. Horton. She is skilled, artistic, and empathetic. My bilateral mastectomy was the best. Her talent in rebuilding my poor body was superb. Unlike many doctors, she has time for her patients and makes a very difficult procedure "simple." I would go through it again in a heartbeat--but only under her skilled leadership. She obviously got into med school on talent and intelligence rather than the growing route of "special" quota programs. - **Anonymous** Mar 12, 2012 Dr.Horton and Dr. Buntic are fantastic surgeons. I call them the "Dream Team" for breast reconstruction! Dr. Horton is a very compassionate and supportive listener. I thought I was too old, and too late, for a TUG breast reconstruction surgery--after bilateral masectomies 7 years earlier. Dr. Horton assured me that it was not only possible--but did the best reconstruction surgery you could ever imagine. Thank you so much for helping me regain my confidence as a woman--and the beautiful breast reconstruction job! Sharon - ★★★★★5 out of 5 Stars **Anonymous** Mar 07, 2012 It was 15 years after my breast cancer that I found Dr. Horton, but it was worth the wait! She is a remarkably gifted surgeon and compassionate person. She is genuinely interested in her patients and takes time to explain everything. She is warm, sensitive, supportive and protective. Her staff reflects her compassion and has been exceptionally flexible in scheduling for a patient with a 6 hour rt commute. Dr. Horton created a new "natural" breast for me and gave me back my feminine dignity. A truly amazing surgeon and experience. - **Anonymous** Mar 03, 2012 Dr. Horton was such a wonderful surgeon; she reconstructed my breast simultaneously with Dr. Grissom for the one-step mastectomy/reconstruction. My results are very natural looking; she preserved my skin and nipple; although my breasts are C-D cup she was able to preserve and maintain a very good shape. She doesn't believe in cutting pectoral muscles to insert the implant; unlike all of the other surgeons I saw. This preserved my range of motion, did not cause back pain, was very low intensity. Mary, Mari and Bridget are so so kind and wonderful. I am grateful to have found them. Dr. Horton is an excellent doctor, and her co-surgeon Dr. Grissom is a wondeful and excellent surgical oncologist. - ★★★★★4 out of 5 Stars **MissLane27** Mar 03, 2012 Recovery time can be lengthy. Dr. Horton, was meticulous to my breast reconstruction procedure. The sensation to my nipples was kept and my healing process and look afterward was excellent. I feel beyond confident with my new breasts that look natural and yet firm as if I were a teenager and incredibly fit. This Dr. Goes by what YOU the patient wants! You get to bring in "wish" pictures so that she knows what you desire rather than a sack of grain placed in a bra which leaves not much for your immag. Or wants. I love my look!! [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Male Breast Reduction Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Male Breast Reduction (Gynecomastia) [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") ## Male Breast Reduction (Gynecomastia) [What is Gynecomastia Correction (Male Breast Reduction)?](https://www.drkarenhorton.com/breast/male-reduction#what) [What Causes Gynecomastia?](https://www.drkarenhorton.com/breast/male-reduction#causes) [Who is a Good Candidate for Gynecomastia Correction?](https://www.drkarenhorton.com/breast/male-reduction#candidate) [What Are The Different Types of Gynecomastia Correction Surgery?](https://www.drkarenhorton.com/breast/male-reduction#types) [What is the Recovery Like After Gynecomastia Surgery?](https://www.drkarenhorton.com/breast/male-reduction#recovery) [How Do I Know Whether Male Breast Reduction is Right For Me?](https://www.drkarenhorton.com/breast/male-reduction#right) ## What is Gynecomastia Correction (Male Breast Reduction)? Male breast reduction is known as “gynecomastia correction”. This procedure is designed to remove excess breast (glandular) tissue and fat from the chest area of men, creating a smoother, firmer contour. Occasionally, removal of excess skin is also required, depending on the degree of gynecomastia and amount of breast droop. Gynecomastia correction has tremendous psychological benefits, and can significantly improve a man’s quality of life. [View Our Patient Gallery](https://www.drkarenhorton.com/gallery/procedures-for-men/male-breast-reduction-gynecomastia/) ## What Causes Gynecomastia? Gynecomastia is quite common, and can affect one or both breasts. It can generate self-consciousness or embarrassment for a man. Although gynecomastia can result from obesity, some medical problems, hormone imbalances, medication or drug use (marijuana), in the majority of cases the cause is unknown. [Back to Top](https://www.drkarenhorton.com/breast/male-reduction#) ## Who is a Good Candidate for Gynecomastia Correction? Good candidates for a male breast reduction include men of any age who are healthy, in good physical shape, are emotionally stable, and as close as possible to their ideal body weight (or a stable weight following major weight loss). The best candidates for surgery have firm, elastic chest skin that will reshape to its new contour after surgery. You may not be an appropriate candidate for gynecomastia surgery if you are a smoker, have an inadequately treated major medical problem or if you do not have good overall “health” as described above. If you are significantly overweight, you may be advised to lose some weight before surgery to allow the best cosmetic outcome and to avoid complications. Men who drink alcohol in excess, who use anabolic steroids or who smoke marijuana are not considered good candidates for surgery. It is prudent to first discontinue the use of these substances for 4-6 months before considering gynecomastia surgery. Your past medical history and current medical status will be evaluated at your consultation. You may be asked to see your Primary Care Physician for a full physical examination and appropriate laboratory tests prior to being medically cleared for surgery. [Back to Top](https://www.drkarenhorton.com/breast/male-reduction#) ## What Are The Different Types of Gynecomastia Correction Surgery? Male breast tissue is usually a combination of excess glandular (breast) tissue and adipose tissue (fat). Occasionally there is also excess or droopy skin. Correction of gynecomastia therefore addresses these issues as they occur on an individualized basis. Outpatient surgery can take an hour or two to perform or sometimes longer if more extensive surgery is required. ### Excision of Excess Male Breast Tissue Surgical removal of excess breast tissue is usually approached by way of an inconspicuous incision underneath the areola at its junction with the chest skin. Glandular tissue and/or fat are removed beneath the areola and in the breast region. Surgical excision may be performed alone or in conjunction with liposuction. ### Liposuction Correction of Gynecomastia Liposuction is often used to remove both fatty tissue and some glandular tissue from the male chest. Often, a special type of liposuction that uses ultrasound (ultrasonic liposuction, known as “UAL” or “VASER”) is employed. Small incisions a few millimeters in diameter are made at the edge of the areola or in the underarm area. Please see our section on [Liposuction](https://www.drkarenhorton.com/body/liposuction/) to learn more about this procedure. If there is also a firm “button” of glandular tissue beneath the nipple and areola, surgical excision of this region may also be required. ### Extended Male Breast Reduction For the extremely enlarged and droopy male breast, a more significant breast reduction may be indicated. Extended male breast reduction involves removal of considerable breast tissue, fat and skin. This procedure may require larger incisions and create more conspicuous scars, as for female [breast reduction](https://www.drkarenhorton.com/breast/reduction/) surgeries. If liposuction is also used to remove excess fat in these cases, the cannula is usually inserted through the incisions used for reduction. Occasionally, a [drain](https://www.drkarenhorton.com/patient-information/postoperative-instructions/#drains) is inserted through a separate incision to remove excess wound fluid during healing. Men with the most severe degree of gynecomastia are usually candidates for this type of surgery. [Back to Top](https://www.drkarenhorton.com/breast/male-reduction#) [View Our Patient Gallery](https://www.drkarenhorton.com/gallery/procedures-for-men/male-breast-reduction-gynecomastia/) ## What is the Recovery Like After Gynecomastia Surgery? Incisions from gynecomastia correction are closed with dissolving sutures (stitches) and are usually covered with a soft dressing. The chest is wrapped with a compressive garment to encourage skin contraction to its new contour. You may experience some mild discomfort over the first week, for which you are prescribed oral pain medication. Mild swelling of the chest area and bruising will resolve within two to three weeks. You will be seen at the office for your first dressing change a few days after surgery. At this visit, your [drains](https://www.drkarenhorton.com/patient-information/postoperative-instructions/#drains) will be removed (if drains were placed) and you will be encouraged to continue wearing compression for up to six few weeks to facilitate the best chest contour. We usually provide your necessary postoperative garments after surgery. You do not need to specifically purchase any special garments unless your surgeon specially instructs you to do so. You may shower after your first dressing change, and you can return to work when you feel ready, often within a day or two after surgery. You should avoid sexual activity for a week or two, and heavy exercise for about three to four weeks. Try to avoid participating in sports or activities that risk a blow to the chest area for a few weeks after surgery. Any discomfort you may experience will begin to fade as you heal over the first month. Wearing your compressive garment under your clothing will facilitate resolution of swelling, known as “edema”. It can take three months, up to a full year for you to fully appreciate the effects of your surgery. Be patient, and allow your body to recover at its own pace. You should avoid exposing your incisions directly to the sun for at least six months, up to a year. Tanning of the scars can cause “hyperpigmentation”, or semi-permanent darkening of the incisions. If sun exposure is unavoidable, use a sunblock of at least SPF 30 on your incisions, even under light clothing. Please see our [Scar Therapy](https://www.drkarenhorton.com/patient-information/postoperative-instructions/#scar) section for more guidance on postoperative management of scars. [Back to Top](https://www.drkarenhorton.com/breast/male-reduction#) ## How Do I Know Whether Male Breast Reduction is Right For Me? At your initial consultation, your surgeon will spend a great deal of time getting to know you personally and taking a complete medical history. As Plastic Surgeons who perform a great deal of breast surgery, we intimately understand how a man’s body image is often related to his chest contour. We aim to help you achieve the result you are looking for! We will explore your reasons for seeking gynecomastia correction, examine your chest, and if you are an appropriate candidate for surgery, your options will be described in detail. [Back to Top](https://www.drkarenhorton.com/breast/male-reduction#) [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/breast/male-reduction#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Breast Revision Surgery Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Revision Breast Surgery [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") Page Updated: December 19, 2024 At our practice in San Francisco, California, we specialize in breast revision surgery to help patients achieve their ideal results for their breasts after past breast surgery. Whether you are dealing with capsular contracture, breast implant rupture, breast asymmetry, or changes in your breast size or appearance over time, Board-Certified Plastic Surgeon Dr. Karen Horton is here to guide you through the process. Revision surgery is tailored to address complications such as implant malposition, deflation, or excess skin following an initial procedure. Our goal is to help you feel confident and comfortable with your appearance by aligning your results with your unique aesthetic goals. [What is Revision Breast Surgery?](https://www.drkarenhorton.com/breast/augmentation-revision#what) [Who is a Good Candidate for Breast Revision?](https://www.drkarenhorton.com/breast/augmentation-revision#candidate) [What Are The Different Types of Breast Revision?](https://www.drkarenhorton.com/breast/augmentation-revision#types) [Preparing for Breast Revision Surgery](https://www.drkarenhorton.com/breast/augmentation-revision#preparing) [What Really Happens During Breast Revision Surgery?](https://www.drkarenhorton.com/breast/augmentation-revision#surgery) [Recovery After Breast Revision Surgery](https://www.drkarenhorton.com/breast/augmentation-revision#recovery) [Where Can I See Before and After Photographs of Breast Revision Procedures?](https://www.drkarenhorton.com/breast/augmentation-revision#gallery) [FAQs About Breast Revision Surgery](https://www.drkarenhorton.com/breast/augmentation-revision#faq) ## What is Revision Breast Surgery? Revision breast surgery, also known as revision mammaplasty, encompasses a range of procedures aimed at enhancing or improving the appearance of breasts that have undergone prior surgery. This type of surgery can address aesthetic concerns or physical symptoms such as tightness or discomfort. Whether performed for cosmetic reasons or as part of post-reconstruction care, revision surgery demands the expertise, precision, and skill of an experienced Plastic Surgeon such as [Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/).1 As a female Plastic Surgeon, Dr. Horton intimately understands how a woman’s feelings about her breasts can influence her self-image and her femininity. Our ultimate goal is to help you feel better, look better, and give you the results you are seeking! Dr. Horton’s skill and experience in complicated [breast reconstruction](https://www.drkarenhorton.com/breast/reconstruction/) surgery is directly applied to all types of breast revision, whether reconstructive or cosmetic. Cosmetic breast revision may include improvement or modification of breast implants, reshaping breasts that have previously had a lift or reduction done, or correction of unsightly breast scars. Revision of previously reconstructed breasts can involve a variety of techniques as determined by your personal goals and the specifics of previous breast reconstruction attempts. Correction of previous breast surgery can also basically make previously operated-on breasts look and feel more beautiful! Improvement of the appearance of the breasts has psychological benefits for a woman in addition to improvement in quality of life! While there are no absolute guarantees regarding the final outcome of breast revision, our goal is to create the most aesthetic outcome with the best possible symmetry and a natural result that is proportional to the rest of the body. [Back to Top](https://www.drkarenhorton.com/breast/augmentation-revision#) Dr. Karen Horton on Breast Reduction Surgery - YouTube Dr. Karen Horton 871 subscribers [Dr. Karen Horton on Breast Reduction Surgery](https://www.youtube.com/watch?v=JLxEL9dMDsA) Dr. Karen Horton Search Info Shopping Tap to unmute If playback doesn't begin shortly, try restarting your device. You're signed out Videos you watch may be added to the TV's watch history and influence TV recommendations. To avoid this, cancel and sign in to YouTube on your computer. CancelConfirm Share Include playlist An error occurred while retrieving sharing information. Please try again later. Watch later Share Copy link Watch on 0:00 / •Live • [Watch on YouTube](https://www.youtube.com/watch?v=JLxEL9dMDsA "Watch on YouTube") ## Who is a Good Candidate for Breast Revision? If you have recently undergone breast augmentation, breast lift, breast reduction or reconstruction surgery and are looking for a correction, a period of at least six months should pass before having a major revision, as swelling and changes in shape can take this long to resolve and for all scars to become mature. However, you may come in for a consultation at any time to learn about your options and to plan for the future. Ideal candidates for breast implant revision surgery include: - Adults in generally good physical health - Those unhappy with the size, shape, symmetry, or overall appearance of their breast implants - Individuals experiencing complications such as implant rupture, deflation, or implant malposition - Patients who are not currently pregnant or breastfeeding - Non-smokers with realistic expectations for the outcome2 Whether you are addressing complications or seeking to align your results with your evolving aesthetic goals, revision surgery can help restore your confidence and satisfaction. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/ "Contact Us") “ _If I could give 10 stars I would! I came to Dr. Horton after several breast surgeries. My mother and sister both died from breast cancer. I had a prophylactic double mastectomy 9 years ago. The implants were under the muscle which seemed fine at first but caused me discomfort, distortion and finally frozen shoulder from the scar tissue. Had several surgeries and procedures to try to fix, and finally my surgeon decided to take out the implants and put them over the muscle. As soon as I woke up I had pain and distortion of my left breast. I couldn't work out and had to wear two bras for a year and a half all the time until I found Dr. Horton. From my initial consultation, I felt hope for the first time! She fixed my breasts! Woke up with the pain gone and my breasts in the right position! Even my shoulder felt better right away! She did nipple grafts 6 months later and still with me until we finish with some tattooing to complete the procedure! She is always available to text and is ALWAYS positive! I can't recommend her more highly!_ „ ## What Are The Different Types of Breast Revision? Patients often choose to undergo breast implant revision surgery to address concerns such as implant rupture, asymmetry, or dissatisfaction with their breast size or shape after their initial breast augmentation surgery. Revision surgery aims to correct complications, improve symmetry, and align results with each patient’s aesthetic goals.3 ### Removal or Replacement of Breast Implants Some women with saline breast implants may wish to have them replaced with silicone gel implants to make their breasts look and feel most natural. While there is no rule that implants should be changed at a certain time (breast implants are not like car tires that need replacement every 10,000 miles!), they are a medical device, and as such may not last forever. Dr. Horton will help you determine whether implant replacement is appropriate, and will go over with you in detail the various options for implant types, shapes and sizes that are most proportional and best suited to your body. ![patient looking at breast implants during consultation](https://hortonnew.b-cdn.net/wp-content/uploads/2024/12/implant-replacement.webp) [Learn About “Breast Implant Illness”](https://www.fda.gov/news-events/press-announcements/fda-updates-analysis-medical-device-reports-breast-implant-illness-and-breast-implant-associated) [Learn About the FDA’s Labeling Requirement for Breast Implants](https://www.fda.gov/media/131885/download) **Learn more about Breast Implant Illness (BII) treatment & the latest recommendations from The Aesthetic Society [on Dr. Horton’s blog](https://www.drkarenhorton.com/dr-hortons-blog/procedural-information/breast-implant-illness-bii-treatment/).** Adjustment of the breast implant “pocket”, called “capsulorrhaphy”, may be done to create better symmetry or to improve the appearance and position of previously augmented breasts to one that is more natural and aesthetic. This can involve opening the pocket (“capsulotomy”), removing scar tissue on the inside (“capsulectomy”) or creating a new pocket on top of the muscle (converting to a prepectoral plane) for implants that are under the muscle and causing pain or deformity. Other women may wish to have their implants removed for individual reasons (personal preference, weight gain or increased age). Removal of breast implants, called “explantation”, is a straightforward procedure, but the shape of the breast may be somewhat flat or deflated afterward in some cases. A [breast lift](https://www.drkarenhorton.com/breast/lift/) or internal reshaping surgery using the “auto-augmentation” technique may therefore be recommended after implant removal to reshape the breast tissue and to create the most aesthetically pleasing breast shape. [Back to Top](https://www.drkarenhorton.com/breast/augmentation-revision#) ## How Do I Select the Right Breast Implants? Read more about selecting the right breast implants for you in Dr. Hortons blog! [Read More](https://www.drkarenhorton.com/dr-hortons-blog/how-do-i-select-the-right-breast-implants/) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2017/05/image-1.jpg) ### Capsulectomy to Correct Contracted Breast Implants Capsular contracture occurs when scar tissue tightens around a breast implant, which may develop due to factors like infection or a hematoma. The current thinking behind what causes most cases of capsular contracture is called the “biofilm theory” – if bacteria develop around a breast implant, the body responds by forming additional scar tissue as a protective measure to contain the bacteria in one place.4 This condition can cause the breast to feel firm, alter its shape, or, in severe cases, result in discomfort or noticeable deformity. To address this, a surgical procedure called “capsulectomy” is performed to remove the scar tissue and is commonly included in breast implant revision surgery.5 ### Replacement of the Pectoralis Muscles to the Chest Wall to Correct “Animation Deformity” and Pain in Sub-Muscular Implants It is possible to re-attach the pectoralis major muscles back to their native location on the chest wall and to place new implants on top of the muscle, converting the implants from the submuscular plane to the subglandular plane (for augmentations) or prepectoral plane (for reconstructions after mastectomy). This type of revision will eliminate the animation deformity that occurs with muscle flexion and usually rids patients of discomfort related to the muscle contracting tightly over the implant. This is called a “capsulectomy” since it also removes constricting scar tissue and creates a new pocket for the implant. ![Breast Revision Surgery](https://hortonnew.b-cdn.net/wp-content/uploads/2018/10/bNa.jpg) Intraoperative view of a breast revision surgery. This patient experienced pain and deformity from her submuscular implants. The pectoralis major muscle has been returned to the chest wall on the right, and a new implant has been placed in the subglandular position. \* In Dr. Horton’s own words: “A great percentage of my practice involves breast revision; sometimes I feel like I’m hosting my own reality show—’Botched, San Francisco’—since I see so many unsatisfactory surgery results after both cosmetic surgery and breast reconstruction. And there is always hope: we can usually make things much better! Most breast revisions I perform involve replacing muscles to the chest wall and placing new implants on top of the muscle. Results look and feel more natural, the motion deformity is gone, usually all symptoms of pain and tightness vanish, and women are able to resume all upper body activities without any restrictions at 4-6 weeks after surgery. While the only potential trade-off USED to be a slight increase in rippling of the implant, with our newest higher-fill and more cohesive silicone gel implants, this is rarely—if ever—a problem now! Learn more about these newest implants in my blog post about the newest, safest, softest and least-likely-to-ripple [7th generation silicone implants.](https://www.drkarenhorton.com/dr-hortons-blog/7th-generation-breast-implants-softer-safer/)” ![](https://hortonnew.b-cdn.net/wp-content/uploads/2022/11/Dr-Horton-Headshot-Surgery-Center.jpg) “ _Dear Dr. Horton,_ _I LOVE my reconstructed boobs!! You ought to have BILLBOARDS in breast care centers worldwide! Thx so much. PS - Thank you for putting up with me! I am fully cognizant your work is extraordinarily skillful, courageous (the radiated breast etc) + artistic, and I am so grateful to you._ _Thank you so much._ „ This video shows severe deformity of the breast skin and the chest wall resulting from implants being placed under the muscle after mastectomy and breast reconstruction performed elsewhere. Unfortunately, most surgeons put implants under the muscle, which creates chronic tension of the muscle, obvious deformity, sometimes pain and forces women to stop doing activities which accentuate this muscle contraction—like exercising or using their arms. YouTube Search Watch later Share Copy link Info Shopping Tap to unmute If playback doesn't begin shortly, try restarting your device. More videos ## More videos This video is age-restricted and only available on YouTube. [Learn more](https://support.google.com/youtube/answer/2802167?hl=en) [Watch on YouTube](http://www.youtube.com/watch?v=hex-_7BmP_8) [Visit YouTube to search for more videos](https://www.youtube.com/) ## More videos on YouTube Share Include playlist An error occurred while retrieving sharing information. Please try again later. [Watch on](https://www.youtube.com/watch?v=hex-_7BmP_8&embeds_referring_euri=https%3A%2F%2Fwww.drkarenhorton.com%2F) 0:00 0:00 / 0:00•Live • [Watch on YouTube](https://www.youtube.com/watch?v=hex-_7BmP_8 "Watch on YouTube") ### Conversion of Submuscular Implants to a More Natural Location on Top of the Muscle Breast implants originally placed under the muscle, whether for cosmetic or reconstructive purposes, can be relocated above the muscle. This adjustment can enhance the breasts’ appearance and help relieve symptoms associated with submuscular implant placement. There are many advantages of the subglandular [breast implant placement](https://www.drkarenhorton.com/breast/augmentation/#subglandular) compared to the submuscular location. Conversion of implants to a subglandular position (on top of the pectoralis major muscle) often creates a more natural look and feel to the breasts. Likewise, completely submuscular tissue expanders or permanent implants placed for reconstruction after cancer can be converted to a location on top of the muscle to achieve a more natural look and feel of the reconstruction. ### Breast Lift after Previous Augmentation, Lift or Reduction Natural droop of the breasts can occur after having children, after major weight loss or with increased age, resulting in a saggy, droopy appearance to the breasts, and the nipple and areola lying lower on the breast. A breast lift (mastopexy) will raise the nipple to a more aesthetic position and reshape the breast tissue using the “auto-augmentation” technique, where breast tissue is lifted and reshaped internally. Likewise, even women who have had prior breast surgery ( [augmentation](https://www.drkarenhorton.com/breast/augmentation/), [reduction](https://www.drkarenhorton.com/breast/reduction/) or [lift](https://www.drkarenhorton.com/breast/lift/)) may develop droop to their breasts over time that can be improved by a mastopexy. ### Correction of Breast Scars Scar appearance is largely influenced by genetics, but scars that are stretched, prominent, or unsightly after breast surgery can often be improved through revision procedures. Scar revision may be performed alongside breast revision surgery or as a standalone treatment. Post-surgery, scar therapy is often recommended to optimize results. Visit our section on [Scar Therapy](https://www.drkarenhorton.com/patient-information/postoperative-instructions/#scar) to learn more about achieving the best possible scar outcomes. ### Conversion of Implant-Based Reconstructions to Flap Reconstructions Some breast cancer survivors with unsatisfactory implant reconstructions or with implant-related complications may wish to have conversion of their breast reconstruction to a flap. Microsurgical free flap breast reconstructions have a number of advantages, described in detail in our section on [Flap Reconstruction](https://www.drkarenhorton.com/breast/reconstruction/flap/#what). ### Revision of Previous Flap Reconstructions Enhancements to previous flap reconstruction may include minor adjustments to create a more natural or symmetrical appearance or to refine the flap donor site. Techniques such as tissue rearrangement, liposuction, or scar revision are often used. In some cases, flap augmentation is performed to add projection to the breast reconstruction. Visit our [Breast Reconstruction](https://www.drkarenhorton.com/breast/reconstruction/) section to learn more! ### Contouring of the Breasts After Breast Surgery Breast revision may include lifting sagging breasts that have undergone previous surgery, revising a past breast reduction, or improving scars from earlier procedures. To enhance the overall contour, [liposuction](https://www.drkarenhorton.com/body/liposuction/) can be used to address excess fatty tissue in areas like the underarm or back “bra roll” regions. Incorporating liposuction into breast revision can help achieve a more balanced appearance while minimizing scar length for an optimal aesthetic outcome. [Back to Top](https://www.drkarenhorton.com/breast/augmentation-revision#) [View Our Patient Gallery](https://www.drkarenhorton.com/gallery/breast/revision-breast-surgery/) ## Mammograms with breast implants – Q & A with Dr. Horton Learn more about mammograms after breast surgery in this blog by Dr. Karen Horton. [Read More](https://www.drkarenhorton.com/dr-hortons-blog/mammograms-with-breast-implants/) ![mammogram equipment in office](https://hortonnew.b-cdn.net/wp-content/uploads/2023/09/Mammogram-advancements-HN3132-iStock-1311077677-Sized.jpg) ## Surgical Drains After Breast Augmentation Surgery Dr. Horton will place surgical drains to provide an outlet for the fluid that builds up in the pocket created for the breast implant. We urge you to read [Dr. Horton’s blog post on surgical drains](https://www.drkarenhorton.com/dr-hortons-blog/dr-hortons-breast-augmentation-journey-part-vii/ "Dr. Horton’s Breast Augmentation Journey Part VII – BYOD: Bring Your Own Drains") and watch all of the accompanying videos so that you are well prepared to care for your drains after surgery. Postop day 1: Milking your drains after breast augmentation - how to do it. - YouTube Dr. Karen Horton 871 subscribers [Postop day 1: Milking your drains after breast augmentation - how to do it.](https://www.youtube.com/watch?v=67-1-MPm2hQ) Dr. Karen Horton Search Watch later Share Copy link Info Shopping Tap to unmute If playback doesn't begin shortly, try restarting your device. More videos ## More videos You're signed out Videos you watch may be added to the TV's watch history and influence TV recommendations. To avoid this, cancel and sign in to YouTube on your computer. CancelConfirm Share Include playlist An error occurred while retrieving sharing information. Please try again later. [Watch on](https://www.youtube.com/watch?v=67-1-MPm2hQ&embeds_referring_euri=https%3A%2F%2Fwww.drkarenhorton.com%2F) 0:00 0:00 / 2:05•Live • [Watch on YouTube](https://www.youtube.com/watch?v=67-1-MPm2hQ "Watch on YouTube") [Read the Entire Blog to See All Drain Videos](https://www.drkarenhorton.com/dr-hortons-blog/dr-hortons-breast-augmentation-journey-part-vii/) ## Preparing for Breast Revision Surgery The first step in preparing for breast revision surgery is your initial consultation with your Board-Certified Plastic Surgeon. During this appointment, we will get to know you personally and will take a complete medical and surgical history. Your surgeon will give you a realistic idea of what breast revision can and cannot achieve and will go over all options with you in detail so that you can make the most informed decision. We will explore your reasons for seeking revision of your breasts, we will examine in detail the aspects you would like to correct or improve, and if you are an appropriate candidate for surgery, your options will be described in detail. Once your breast augmentation revision is scheduled, we will give you detailed instructions about how to prepare for surgery day as well as what you can expect during the recovery process. [Preparing for Breast Surgery](https://www.drkarenhorton.com/patient-information/preparing-surgery/#breast) ![Dr. Horton consulting with patient before breast surgery](https://hortonnew.b-cdn.net/wp-content/uploads/2024/12/breast-consult-horton-patient.webp) ## What Really Happens During Breast Revision Surgery? Breast revision surgery is a personalized procedure designed to address concerns from a previous breast augmentation or reconstructive surgery. The process typically involves the following steps: 1. **Anesthesia Administration**: Surgery is performed under general anesthesia to ensure your comfort throughout the procedure. 2. **Evaluation and Correction**: Your surgeon will address specific issues such as implant rupture, implant rippling, or capsular contracture. Adjustments to the implant size or replacement of saline implants with silicone gel implants may be performed to enhance the natural look and feel of the breasts. 3. **Pocket Adjustment or Tissue Removal**: If necessary, the breast implant pocket may be repositioned to correct asymmetry or improve implant placement. In cases of excess skin, a breast lift might be included to reshape and contour the breasts. 4. **Closure and Recovery Preparation**: After achieving your desired result, incisions are closed carefully to minimize scarring. Your surgeon will ensure the surgical area is optimized for healing and symmetry. Each surgery is customized to meet our patients’ individual aesthetic goals, with careful attention to creating balanced, natural-looking results. [Back to Top](https://www.drkarenhorton.com/breast/augmentation-revision#) ## Recovery After Breast Revision Surgery Recovery from breast revision surgery varies based on the complexity of the procedure and the specifics of your treatment plan. Most patients can expect some swelling, bruising, and mild discomfort during the first week, which can be managed with prescribed medications. Here’s what you can anticipate during your recovery: - **Rest and Activity**: You’ll need to rest for the initial few days, avoiding strenuous activities. Light walking is encouraged to promote circulation. Most patients can resume normal daily activities within one to two weeks, but heavy lifting or intense exercise should be avoided for 4-6 weeks. - **Follow-Up Care**: Your surgeon will schedule follow-up visits to monitor your healing progress. Any surgical drains, if used, are typically removed within a few days post-surgery. - **Incision and Drain Care**: Proper care of your incisions and drains is essential to minimize scarring and optimize healing. Detailed aftercare instructions will be provided to ensure the best outcomes. The timeline for full recovery and final results can take several months as swelling subsides and your breasts settle into their new shape. Our team will guide you every step of the way, ensuring you are comfortable and confident throughout the healing process. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Where Can I See Before and After Photographs of Breast Revision Procedures? Please visit our photo gallery to see [before and after breast revision](https://www.drkarenhorton.com/gallery/breast/revision-breast-surgery/) results! “ _Dear Dr. Horton,_ _I am thrilled with my results. You are the only doctor who listened to me in over 25 years regarding my breast surgery. When I first saw them yesterday - I was a bit in shock. I didn't expect to see smaller, normal looking breasts. Given all they have been through, you are truly a miracle worker to make the result look so good. I can't wait to put on a dress........or some clothes I've dreaded wearing for years. I can't wait to feel like me again. It's been way too long. Again - I'm so thankful to you for listening to me and giving me the results that I've always wanted!_ „ Dr. Horton instructing her breast revision patient to show her breast implant massage and how soft the implants feel. Note the revision of nipple and areolas including recent tattoo that creates symmetry to the reconstruction without the need for additional scar revisions. YouTube Search Watch later Share Copy link Info Shopping Tap to unmute If playback doesn't begin shortly, try restarting your device. More videos ## More videos This video is age-restricted and only available on YouTube. [Learn more](https://support.google.com/youtube/answer/2802167?hl=en) [Watch on YouTube](http://www.youtube.com/watch?v=oT5qLbK6-Mc) [Visit YouTube to search for more videos](https://www.youtube.com/) ## More videos on YouTube Share Include playlist An error occurred while retrieving sharing information. Please try again later. [Watch on](https://www.youtube.com/watch?v=oT5qLbK6-Mc&embeds_referring_euri=https%3A%2F%2Fwww.drkarenhorton.com%2F) 0:00 0:00 / 0:00•Live • [Watch on YouTube](https://www.youtube.com/watch?v=oT5qLbK6-Mc "Watch on YouTube") ## FAQs About Breast Revision Surgery ### How much does breast revision surgery cost near me in the Bay Area? The cost of breast revision surgery can vary depending on the complexity of the procedure, the surgeon’s expertise, and the surgical facility. During your consultation at our San Francisco office, we will provide a detailed cost breakdown, including any adjustments for implant size changes or additional procedures like a breast lift. ### How do I know if revision breast surgery is right for me? If you are dissatisfied with the results of your initial breast augmentation surgery or experiencing complications such as implant rupture, deflation, or implant malposition, you may be a good candidate for breast implant revision surgery. Patients should be in good overall health, not currently breastfeeding, and have realistic expectations about the outcomes. ### What are some common reasons for needing breast revision surgery? Common reasons include: - Desire to change breast size or implant size - Correcting asymmetry or implant rippling/wrinkling - Addressing complications like capsular contracture or implant rupture - Removing implants due to personal preference or health concerns - Revising results after significant weight changes or aging [Back to Top](https://www.drkarenhorton.com/breast/augmentation-revision#) ## Contact Us Ready to explore your options for breast revision surgery? Schedule a consultation with Dr. Karen Horton to achieve results that align with your unique aesthetic goals. We proudly serve patients from San Francisco, California and throughout the Bay Area. 1 American Society of Plastic Surgeons. What is breast implant revision surgery? Available: [https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-revision](https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-revision). Accessed November 26, 2024. 2 American Society of Plastic Surgeons. Who is a good candidate for breast implant revision? Available: [https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-revision/candidates](https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-revision/candidates). Accessed November 26, 2024. 3 Seminars in Plastic Surgery. Revision Breast Augmentation. Available: [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8186996/#](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8186996/#). Accessed November 26, 2024. 4 American Society of Plastic Surgeons. What is capsular contracture and how can it be treated? Available: [https://www.plasticsurgery.org/news/blog/what-is-capsular-contracture-and-how-can-it-be-treated](https://www.plasticsurgery.org/news/blog/what-is-capsular-contracture-and-how-can-it-be-treated). Accessed December 9, 2024. 5 Susini P, Nisi G, Pierazzi DM, Giardino FR, Pozzi M, Grimaldi L, Cuomo R. Advances on Capsular Contracture-Prevention and Management Strategies: A Narrative Review of the Literature. Plast Reconstr Surg Glob Open. 2023 Jun 9;11(6):e5034. doi: 10.1097/GOX.0000000000005034. PMID: 37305202; PMCID: PMC10256414. Available: [https://pubmed.ncbi.nlm.nih.gov/37305202/](https://pubmed.ncbi.nlm.nih.gov/37305202/). Accessed November 26, 2024. [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). 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We can provide a financial quote for what anticipated surgical fees will be after your consultation. ## Accreditations Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/breast/augmentation-revision#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Eyelid Surgery Overview Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Eyelid Surgery (Blepharoplasty) [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") Page Updated: January 10, 2025 ## Eyelid Surgery (Blepharoplasty) [What is a Blepharoplasty?](https://www.drkarenhorton.com/face/eyelid-lift#what) [Eyelid Surgery Candidates](https://www.drkarenhorton.com/face/eyelid-lift#candidate) [Types of Eyelid Lifts](https://www.drkarenhorton.com/face/eyelid-lift#types) [The Blepharoplasty Procedure](https://www.drkarenhorton.com/face/eyelid-lift#procedure) [Recovery After Eyelid Surgery](https://www.drkarenhorton.com/face/eyelid-lift#recovery) [FAQs About Blepharoplasty](https://www.drkarenhorton.com/face/eyelid-lift#faq) ## What is a Blepharoplasty? A Blepharoplasty (Eyelid Lift) is a facial rejuvenation procedure that restores a refreshed and rested appearance to the eyes by addressing extra skin and lower eyelid bags that can occur with aging. Blepharoplasty can be a rewarding experience that can improve self-confidence by improving the appearance of the [Upper Eyelids](https://www.drkarenhorton.com/face/eyelid-lift/#upper), the [Lower Eyelids](https://www.drkarenhorton.com/face/eyelid-lift/#lower), or both [Upper and Lower Lids](https://www.drkarenhorton.com/face/eyelid-lift/#upper_lower), making you look more rested, bright-eyed, and alert. In extreme cases, puffy bags of skin called “festoons” can develop in the lower lids; this condition is usually genetic and requires skin excision. Extreme droop or curving out of the lower eyelids, called ectropion (creating a “show” of the sclera, the white portion of the eye) can also be corrected by blepharoplasty. Eyelid surgery will treat the above features of aging to produce a brighter and refreshed look to the eyes. It should not change your appearance. The best facial rejuvenation procedures are not immediately obvious to others, but the brightening of the eyes will be evident to all. Beautiful, subtle, and natural results are the goal for blepharoplasty patients, without looking “done,” “surprised,” or different. ## Eyelid Surgery Candidates Ideal candidates for blepharoplasty are healthy adult men and women who are physically well, emotionally balanced, non-smokers, and exhibit signs of eyelid aging, as outlined earlier. In some cases, individuals may also experience brow ptosis (forehead drooping) and could benefit from combining a brow lift with surgical eye rejuvenation to achieve optimal results. Those with cardiovascular disease, uncontrolled high blood pressure, or poorly controlled diabetes are not good candidates for blepharoplasty due to concerns with postoperative bleeding, infection or poor healing. Individuals with diseases of the eye, such as dry eyes, glaucoma, or a history of detached retina, also may not be good candidates for surgery. Remember to tell Dr. Horton about a history of vision disorders or past LASIK surgery. Patients with Graves disease, or an overactive thyroid, as well as those experiencing exophthalmos, or bulging of the eyes, are at higher risk of complications from blepharoplasty and should avoid cosmetic eyelid surgery. If you receive neuromodulator treatments to your forehead and Crows feet region such as Botox, Dysport or other injectable wrinkle reducers, you should ensure their effects have completely worn off before your blepharoplasty consultation – three months since your last treatment should suffice. This will facilitate Dr. Horton’s examination of your brow and eyelids in the most accurate anatomic fashion, as many of us accommodate for upper eyelid drooping as we age by elevating our eyebrows at rest. [Learn more about Preparing for Plastic Surgery in our Preoperative Instructions section](https://www.drkarenhorton.com/patient-information/preparing-surgery/) ![woman holding her hands to her face happy with Blepharoplasty results](https://hortonnew.b-cdn.net/wp-content/uploads/2025/01/woman-holding-her-hands-to-her-face-happy-with-Blepharoplasty-results.webp) ## Types of Eyelid Lifts During your blepharoplasty consultation, Dr. Horton will evaluate your eyelids and forehead, both at rest and while in motion, to assess the interplay of facial muscles. The recommended surgical approach will be tailored to your unique anatomy, taking into account factors such as skin texture and elasticity, eyebrow positioning, the degree of excess skin in the upper and lower eyelids, the presence of under-eye bags or festoons, and the overall condition of the forehead and brow area. An upper lid blepharoplasty, lower lid blepharoplasty, four-lid (also known as a “quad”) blepharoplasty, or nonsurgical rejuvenation of the eyelids may be recommended to you as stand-alone procedures or in combination. # Featured Case [View Our Patient Gallery](https://www.drkarenhorton.com/face/eyelid-lift) Previous ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG4786333096-33559-b/original.jpeg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG4786333110-33559-a/original.jpeg) Drag the slider to see transformation ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG9876370018-29238-b/original.jpeg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG9876370030-29238-a/original.jpeg) Drag the slider to see transformation ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG0261978064-31167-b/original.jpeg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG0261978077-31167-a/original.jpeg) Drag the slider to see transformation Next [View More](https://www.drkarenhorton.com/gallery/face-and-neck/blepharoplasty/) # Upper Lid Blepharoplasty Upper eyelid blepharoplasty, or upper eyelid surgery, makes an incision within the natural fold of the eyelid crease, extending from the inner upper lid slightly past the outer upper lid crease to fall in a natural “laugh line” or existing crease. Because the incision follows the upper eyelid’s natural crease, it is eventually inconspicuous and fades with time to be nearly invisible, particularly when wearing makeup. Loose skin is removed from the upper lid, fatty deposits may be repositioned or removed, eyelid muscles can be tightened, and the upper lid is given a refreshed and more youthful appearance. # Lower Lid Blepharoplasty Lower lid blepharoplasty, or lower eyelid surgery, may be done using an incision below the lower lid lash line (“subciliary” method) or within the internal lining of the lower lid (“transconjunctival” approach). The method used to rejuvenate the lower lids depends on your anatomy, the amount of excess lower eyelid skin, and the presence of bags or festoons. # "Subciliary" Lower Lid Eye Lift A subciliary lower eyelid lift rejuvenates the lower eyelid through an incision just below the lower eyelash line. Through this incision, excess skin of the lower eyelids is removed, and underlying fat and/or muscle is repositioned or removed as necessary. The subciliary incision heals nearly imperceptibly and is hidden beneath the eyelashes of the lower lid. # "Transconjunctival" Lower Lid Eye Lift A transconjunctival blepharoplasty makes an incision inside the lower eyelid, hidden within the “conjunctiva”, the thin membrane that lines the lower lid. The transconjunctival approach is used only to redistribute or remove excess lower lid fat and correct lower eyelid conditions but does not permit the removal of excess lower lid skin. # Four-Lid "Quad" Blepharoplasty Surgery of the upper and lower eyelids is commonly called “quad” or four-lid blepharoplasty. The lower lids may be addressed by either the subciliary or transconjunctival incisions. [Back to Top](https://www.drkarenhorton.com/face/eyelid-lift#) # Nonsurgical "Liquid Eye Lift" A nonsurgical option that can achieve modest rejuvenation of the eye area involves the use of [BOTOX](https://www.drkarenhorton.com/non-surgical/botox/) ® Cosmetic and [Injectable Fillers](https://www.drkarenhorton.com/non-surgical/injectables/) to fill in depressions, deep creases or hollows above or below the eyes. Gentle elevation of the outer aspect of the brow can be achieved by selectively relaxing muscles around the eye, giving the eyes an overall refreshed look. Nonsurgical procedures have the advantage of improving the appearance of the eye region both at rest and with animation, and can last for many months to a year or two. Please visit our [Minimally Invasive Procedures](https://www.drkarenhorton.com/non-surgical/) section to learn more. ## The Blepharoplasty Procedure Visit our Preparing for Surgery section for detailed information about what to expect in the operating room on the day of your procedure. A blepharoplasty is performed in the operating room under local anesthesia to constrict the blood vessels in the eyelids and limit bruising with an oral anti-anxiety medication and inhaled laughing gas, or under general anesthesia plus local anesthesia for your comfort and safety – especially if an eyelid lift is being combined with other surgeries. As with all aesthetic Plastic Surgery procedures of the face, eyelid surgery is performed under surgical “loupe” magnification to ensure exceptional precision and careful attention to detail. ![older man smiling](https://hortonnew.b-cdn.net/wp-content/uploads/2025/01/older-man-smiling.webp) The specific approach to your blepharoplasty will be tailored to your unique anatomy, the extent of skin laxity, and the presence of bulging fat or muscle in the upper and lower eyelids. Incisions are strategically placed to blend seamlessly within the natural crease of the eyelid area for minimal visibility. After administering local anesthesia with epinephrine (to reduce bruising), the delicate eyelid skin is gently separated from the underlying tissue. Excess fat or muscle is either removed or repositioned as needed, and any small blood vessels are carefully sealed to prevent bleeding. Redundant skin is precisely trimmed, and the remaining skin is smoothly redraped without tension. Fine sutures are used to close the incisions, woven underneath the eyelid skin – these are typically removed within a week to avoid visible suture marks. When you wake from surgery performed under general anesthesia, your vision may be temporarily blurred due to the application of protective ophthalmic ointment. Most patients find the procedure comfortable, with minimal pain. Prescription pain medication will be provided for any post-surgical discomfort, though many patients do not require it. Cool compresses will be placed over your eyes, which you can continue to use at home during the initial recovery period, although ice should not be directly applied to the eyelids. Eyelid surgery is generally performed on an outpatient basis and takes approximately 1-2 hours, depending on the complexity of the procedure. ## Recovery After Eyelid Surgery Initial healing after a blepharoplasty may include eyelid swelling, bruising, tearing, eye irritation, light sensitivity, or dry eyes that are controlled with medication, cold compresses, and lubricating ointment or drops. Initial eyelid asymmetry from swelling or an uneven appearance can occur and will normalize as healing progresses. ![middle aged woman with perfect eyelids](https://hortonnew.b-cdn.net/wp-content/uploads/2025/01/middle-aged-woman-with-perfect-eyelids.webp) After approximately two weeks, obvious signs of surgery such as puffiness or discoloration should begin to dissipate. Bruising tends to follow gravity and descent downwards under the eyes to the lower eyelids and cheeks, even if only the upper eyelids are addressed. Large sunglasses can help to conceal bruising and/or concealing makeup, which can be applied within one to two weeks after surgery. Some patient wear glasses to conceal their incisions, while others get eyelash extensions or an updated hairstyle to take attention away from their healing upper eyelids. Blepharoplasty incisions typically heal well with virtually undetectable scars due to the delicate nature of eyelid skin and robust blood supply of the face. As the initial bruising and swelling diminish, noticeable enhancements in the appearance of the eyes will become evident over the course of a few weeks. Blepharoplasty results reveal smoother, more contoured eyelids and a rejuvenated eye area, contributing to a brighter and more youthful look. While early improvements are visible relatively soon, the full results develop gradually over several months to a year as the healing process completes and incision lines continue to fade. Sleeping with the head elevated can help speed up the resolution of postop swelling. To prevent hyperpigmentation (darkening of the skin or incision sites) and sunburn, it is essential to strictly avoid sun exposure and consistently apply a broad-spectrum sunscreen with at least SPF 30. One week after surgery, you may apply makeup over your sunscreen, incorporating both into your daily skincare routine for optimal protection and healing. Products recommended for postoperative skin protection are available at our office as part of our [Medical-Grade Skin Care](https://www.drkarenhorton.com/non-surgical/skin-care/) regime. Sutures will be removed in the office in the first week after surgery. Please see our [Postoperative Instructions](https://www.drkarenhorton.com/patient-information/postoperative-instructions/) section and [Special Instructions for Facial Surgery](https://www.drkarenhorton.com/patient-information/postoperative-instructions/#facial) for additional information pertaining to recovery from a blepharoplasty. Dr. Horton’s comprehensive [Scar Therapy Protocol](https://www.drkarenhorton.com/patient-information/postoperative-instructions/#scar) emphasizes the importance of protecting the delicate skin around the eyes from sun exposure, both during the healing process and as an ongoing habit. Limiting direct sunlight to the eyelids and face is key to minimizing future sun damage and maintaining a refreshed appearance over time. As part of this approach, Dr. Horton advises wearing dark sunglasses to shield the healing skin and enhance comfort after surgery. Incorporating sun protection into your daily routine is a vital step in preserving your surgical results and promoting long-term skin health. [**Book an Appointment**](https://www.drkarenhorton.com/contact-us/) # Procedure FAQs How long do the results of blepharoplasty last? The results of blepharoplasty are long-lasting, providing your eyes with a refreshed and youthful appearance that endures over time. While the natural aging process continues following any facial Plastic Surgery procedure, your eyes will always look younger than they would have without the procedure. The outcome is designed to appear natural, never tight, "overdone," or artificial.To extend the benefits of your blepharoplasty, maintaining a good skincare routine, practicing diligent sun protection, and incorporating non-surgical rejuvenation treatments can be highly effective. Regular follow-up appointments with your surgeon ensure your results are monitored and optimized in the short and long term. Can I combine other surgical procedures with blepharoplasty? While blepharoplasty focuses on rejuvenating the eyelid area, it does not address concerns in other regions such as the brow, mid-face, cheeks, neck, or jawline. During your consultation, a thorough facial assessment will help determine which additional surgical procedures may complement your goals and address specific signs of aging.Blepharoplasty results are often enhanced by combining it with other Facial Plastic Surgery procedures, including: - Brow Lift (Forehead Lift): Elevates and refreshes the brow, creating a more youthful look and enhancing blepharoplasty outcomes. - [Facelift](https://www.drkarenhorton.com/face/lift/): Targets aging in the mid-face, smoothing wrinkles and lifting sagging cheeks for a rejuvenated appearance. - [Neck Lift](https://www.drkarenhorton.com/face/neck-lift/): Restores definition to the jawline, eliminates jowls, and tightens loose neck skin for a youthful contour. - [Earlobe Repair](https://www.drkarenhorton.com/face/earlobe-repair/): Rejuvenates or repairs stretched or aging earlobes, contributing to overall facial balance. A personalized treatment plan will be created to combine procedures that best align with your aesthetic goals. Can non-surgical treatments enhance blepharoplasty? Non-surgical cosmetic treatments are often combined with blepharoplasty to enhance and extend its results. Incorporating minimally invasive procedures or advanced skincare routines before and after surgery can optimize outcomes and promote long-term rejuvenation.Common non-surgical options include: - [Minimally Invasive Treatments:](https://www.drkarenhorton.com/non-surgical/) Options like BOTOX® Cosmetic, dermal fillers, laser resurfacing, IPL photofacials, medical-grade peels, and other skin treatments can enhance the effects of blepharoplasty by addressing fine lines, volume loss, and skin texture. - [Medical-Grade Skincare:](https://shop.drkarenhorton.com/collections/all/skincare) Prepares the skin for surgery, supports recovery during the healing process, and helps maintain surgical results over time. - [Medi-Spa Services:](https://www.drkarenhorton.com/non-surgical/face-rejuvenation/) Provide additional rejuvenation for areas such as the eyes, forehead, neck, and décolletage, offering a comprehensive refresh. These ancillary aesthetic facial treatments can be tailored to your specific needs to maximize the benefits of your blepharoplasty procedure. What are the potential risks and complications of blepharoplasty surgery? Before undergoing any surgical procedure, it is essential to be well-informed about the possible risks and complications. For a detailed overview, visit our [Preparing for Surgery](https://www.drkarenhorton.com/patient-information/preparing-surgery/) section, which includes information on general surgical risks, [Special Considerations for Facial Plastic Surgery](https://www.drkarenhorton.com/patient-information/preparing-surgery/#facial), and [Postoperative Instructions](https://www.drkarenhorton.com/patient-information/postoperative-instructions/#facial) tailored to blepharoplasty. Where can I see before and after photos of eyelid surgery? Before and after eyelid surgery results will be reviewed during your consultation.  Your own preoperative and postoperative photos will be reviewed with you during follow-up visits and can be shared with you securely through the [Symplast patient App](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/). How do I know if blepharoplasty is right for me? Dr. Karen Horton takes a personalized approach to blepharoplasty, focusing on the connection between appearance and self-confidence. During your consultation, she will review your medical history, assess your concerns, and evaluate factors such as eyelid skin texture, elasticity, bagginess, your bone structure, brow position, and facial wrinkles. Based on this assessment, Dr. Horton will design a customized treatment plan tailored to your needs and recommend the most effective surgical technique.While blepharoplasty enhances the eyelid area, it does not address dark circles, fine lines, or “crow’s feet,” which are better treated with non-surgical options like dermal fillers, Botox, and advanced skincare. For these concerns, explore our Minimally Invasive Cosmetic Enhancements and Medical-Grade Skincare sections.Additionally, an upper eyelid lift does not correct drooping brows or forehead sagging caused by “brow ptosis.” If these issues are present, a brow lift may be recommended alongside or instead of blepharoplasty, especially if a prior eyelid surgery has been performed.Your consultation will thoroughly explore your goals for blepharoplasty, determine if you are a suitable candidate, and outline your surgical options in detail. Where can I find blepharoplasty near me? If you’re looking for blepharoplasty near you in the San Francisco Bay Area, Dr. Karen Horton offers both upper blepharoplasty and lower blepharoplasty procedures to rejuvenate your appearance and address concerns like sagging eyelids or under-eye bags. Known for her expertise and personalized care, Dr. Horton provides natural-looking results tailored to your needs.To learn more about your options and determine the best approach for you, contact us today to schedule a consultation at our San Francisco practice. Whether you’re considering upper or lower blepharoplasty, Dr. Horton and her team are here to guide you every step of the way. [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). 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We can provide a financial quote for what anticipated surgical fees will be after your consultation. ## Accreditations Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/face/eyelid-lift#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Flap Breast Reconstruction Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # DIEP/SIEA Flap [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") **_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._** ## DIEP/SIEA Flap [What is a Flap?](https://www.drkarenhorton.com/breast/reconstruction/flap#what) [Who is a Good Candidate for Flap Reconstruction of the Breast?](https://www.drkarenhorton.com/breast/reconstruction/flap#candidate) [What are the Advantages of Flap Breast Reconstruction?](https://www.drkarenhorton.com/breast/reconstruction/flap#advantages) [What are Potential Disadvantages of Flap Breast Reconstruction?](https://www.drkarenhorton.com/breast/reconstruction/flap#disadvantages) [What Types of Flaps are Used for Breast Reconstruction?](https://www.drkarenhorton.com/breast/reconstruction/flap#types) [What is Microsurgery?](https://www.drkarenhorton.com/breast/reconstruction/flap#microsurgery) [Microsurgical "Free Flap" Breast Reconstruction](https://www.drkarenhorton.com/breast/reconstruction/flap#microsurgical) [What is the DIEP Flap?](https://www.drkarenhorton.com/breast/reconstruction/flap#diep) [What is the SIEA Flap?](https://www.drkarenhorton.com/breast/reconstruction/flap#siea) [What is the TUG Flap?](https://www.drkarenhorton.com/breast/reconstruction/flap#tug) [How is the TUG Flap Used to Make a New Nipple and Areola?](https://www.drkarenhorton.com/breast/reconstruction/flap#used) [Which Free Flap Will Be Selected for Breast Reconstruction?](https://www.drkarenhorton.com/breast/reconstruction/flap#selection) [What Actually Happens During a Microsurgical Free Flap Breast Reconstruction?](https://www.drkarenhorton.com/breast/reconstruction/flap#happens) [Where Will My Microsurgical Breast Reconstruction Take Place?](https://www.drkarenhorton.com/breast/reconstruction/flap#location) [What is the Recovery after Microsurgical Breast Reconstruction?](https://www.drkarenhorton.com/breast/reconstruction/flap#recovery) [What are Specific Risks and Complications of Microsurgery?](https://www.drkarenhorton.com/breast/reconstruction/flap#risks) [How Will my Free Flap Circulation be Monitored While in the Hospital?](https://www.drkarenhorton.com/breast/reconstruction/flap#monitor) [Can Minor "Touch Ups" Be Done After a Breast Free Flap for Improved Symmetry and Aesthetics?](https://www.drkarenhorton.com/breast/reconstruction/flap#touch_up) [Can I Have a Microsurgical Breast Reconstruction if I Live Outside the Bay Area?](https://www.drkarenhorton.com/breast/reconstruction/flap#traveling) ## What is a Flap? A “flap” (known as “autologous” reconstruction) uses the Body’s Own Tissue to rebuild the breast form. A flap is a segment of tissue (skin and fat) that carries with it its very own blood supply; it is a warm, soft, living tissue reconstruction that can feel just like a natural breast! A flap can be taken from many different areas on the body (known as “donor sites”). The most common regions where flaps are taken from are the tummy or the inner thigh in our practice. A flap reconstruction is often indicated after radiation of the breast or chest wall, if there is a good chance that postoperative radiation will be needed, or after a failed or unsatisfactory implant reconstruction. For many informed and well-educated women seeking [breast reconstruction](https://www.drkarenhorton.com/breast/reconstruction/), a flap is often their very first preference! [![Download a copy of our Breast Reconstruction Pamphlet](https://hortonnew.b-cdn.net/wp-content/uploads/2018/10/KH_pamphlet_button.png)](https://hortonnew.b-cdn.net/wp-content/uploads/2011/12/Brochure.pdf) _Hi Dr. Horton,_ _Thanks for the lovely job on the surgery. You and Dr. Buntic are the 'Dream Team' for breast reconstruction. You are beautiful on the inside and the outside too!! Many thanks again!_ ## Who is a Good Candidate for Flap Reconstruction of the Breast? Any woman with adequate donor site tissue who is fully understands what surgery entails is a potential candidate for a flap reconstruction. Healthy, physically active, nonsmoking patients with enough abdominal or inner thigh fatty tissue to create a breast mound are good candidates for a [DIEP](https://www.drkarenhorton.com/breast/reconstruction/flap/#diep), [SIEA](https://www.drkarenhorton.com/breast/reconstruction/#siea) or [TUG flap reconstruction](https://www.drkarenhorton.com/breast/reconstruction/flap/#tug). Often women with excess abdominal skin and fat following pregnancy can additionally benefit from the tummy-tuck donor site closure. Smokers, patients with diabetes, multiple medical problems or blood-clotting disorders are not good candidates for flap reconstruction. Morbidly obese patients have a much higher rate of complications and are advised to achieve a more optimal weight prior to flap surgery. [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/flap#) # Featured Case [View Our Patient Gallery](https://www.drkarenhorton.com/gallery/breast/diep-siea-flap-reconstruction/) ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG0895151057-10606-b/original.jpeg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG0895123051-10606-a/original.jpeg) Drag the slider to see transformation ## What are the Advantages of Flap Breast Reconstruction? A flap creates a permanent, warm, soft, living tissue breast reconstruction. A flap will move with changes in your body position, will grow (and shrink) proportionally with changes in your body weight and will age appropriately with you. Bringing new, healthy tissue with a robust blood supply to an area that has been previously violated by surgery, radiation or infection helps to counteract many of these changes. A flap is the procedure of choice when other types of reconstruction are unsuccessful, and is therefore a flap is usually indicated specifically after mastectomy and radiation therapy. And in contrast to implants, flaps truly last forever! [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/flap#) ## What are Potential Disadvantages of Flap Breast Reconstruction? Potential disadvantages of a flap are the need to create a “donor site” (the area of the body from which the flap tissue will be taken). There are additional scars and a second surgical site that must also heal. A flap reconstruction is a slightly longer surgery (3-5 hours for one side, 6-8 hours for a bilateral reconstruction), with a slightly longer recovery time after surgery (approximately 4-6 weeks). [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/flap#) _Now that my reconstruction is complete, I don't know what I'm going to do without having to come see you, Nurse Mari, Mary P., and sweet Jenny. You've all been such a big part of my life for so many years. Gave me such support and encouragement. Let me cry when I needed to cry and laughed at all my silly stories. You've truly left a mark on my life's blueprint (Not to mention on my boobs, tummy, thighs, and, well, you know all the places..lol) I love you guys._ ## What Types of Flaps are Used for Breast Reconstruction? ### Local Flaps Local flaps refer to tissue that is present immediately next to the defect created by a lumpectomy. An example would be local tissue rearrangement by way of a breast lift after a lumpectomy. See our [Breast Reconstruction by Reduction or Lift](https://www.drkarenhorton.com/breast/reconstruction/reduction-lift/) section for more information on this technique. ### Pedicled (Muscle) Flaps Pedicled flaps use a major muscle of the body as a “carrier” of the blood supply to the flap. An example is the latissimus (LAT) flap from the back, which sacrifices the Latissimus dorsi (the largest muscle of the body) and still requires an implant for projection of the breast reconstruction. We do not usually recommend this option to our patients due to its potential for “donor site morbidity” (loss of muscle function) and the additional requirement for an implant. Traditional abdominal flaps used for breast reconstruction transferred skin and fat to the chest using the rectus abdominis muscle as a carrier of the blood supply (the TRAM flap). While this procedure was considered state-of-the-art over 20 years ago, today it is viewed as less desirable. While the TRAM flap can create a good breast reconstruction, it sacrifices the major rectus abdominis muscles of the abdominal “core” which create the “six pack” in very fit individuals, and sacrifices all or part of the supporting rectus fascia that provides structural support to the abdomen. Consequences of rectus muscle sacrifice include abdominal wall weakness (inability to do sit-ups or to easily transfer from a lying down to an upright position without using the arms to push up), an abdominal bulge from loss of resting tone of the abdominal wall, and the potential for “hernia” (protrusion) of bowel through the resultant fascial defect. While most Plastic Surgeons can offer the TRAM or Latissimus flap for breast reconstruction, only Microsurgeons perform state-of-the-art “free flap” procedures that do not sacrifice major muscles of the body to reconstruct the breast. ### Microsurgical Flaps Flaps that are transplanted using Microsurgery include the DIEP flap, the SIEA flap and the inner thigh (TUG) flap. Microsurgical flaps are only performed by specially trained Microsurgeons who have completed an additional year of advanced training (a post-Residency “Fellowship”) in Reconstructive Microsurgery after 5-6 years of formal Plastic Surgery training. [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/flap#) ## What is Microsurgery? Microsurgery is a complex subspecialty of Plastic Surgery that is used for reattaching amputated digits, correction of congenital birth defects, trauma or burn surgery and cancer reconstruction. Microsurgery involves use of high-powered magnification to surgically reconnect tiny blood vessels (1-3 mm diameter), using “microsutures” thinner than a human hair that are nearly imperceptible to the human eye. Microsurgery is typically performed by two specially trained surgeons who form a Microsurgical Team, carrying out each step of the procedure together. Working as a team greatly decreases total operating time, increases success rates, and ensures a routine and straightforward surgery with the most aesthetic, beautiful cosmetic outcome. YouTube Search Watch later Share Copy link Info Shopping Tap to unmute If playback doesn't begin shortly, try restarting your device. More videos ## More videos This video is age-restricted and only available on YouTube. [Learn more](https://support.google.com/youtube/answer/2802167?hl=en) [Watch on YouTube](http://www.youtube.com/watch?v=9LcT95P3sqQ) [Visit YouTube to search for more videos](https://www.youtube.com/) ## More videos on YouTube Share Include playlist An error occurred while retrieving sharing information. Please try again later. [Watch on](https://www.youtube.com/watch?v=9LcT95P3sqQ&embeds_referring_euri=https%3A%2F%2Fwww.drkarenhorton.com%2F) 0:00 0:00 / 0:00•Live • [Watch on YouTube](https://www.youtube.com/watch?v=9LcT95P3sqQ "Watch on YouTube") In this video of a microvascular anastomosis, tiny blood vessels 2-3 mm in diameter are hand-sewn together under the operating microscope. Microsurgery reestablishes blood flow and allows arterial blood to perfuse tissue in breast reconstruction and venous blood to drain from the flap. This is the most important aspect of DIEP, SIEA and TUG flap breast reconstruction. It is amazing! ## Microsurgical “Free Flap” Breast Reconstruction For Microsurgical breast reconstruction, skin and fat are transplanted from one area of the body to the chest to reconstruct the breast form. A “free flap” is a Microsurgical tissue transplantation procedure that involves elevation of a flap containing skin and fat supplied by blood vessels, division of the blood vessels to move the tissue “free” in the air to the chest area, and then reconnection of the blood vessels to recipient vessels under the microscope. Examples of free flaps used for breast reconstruction are the DIEP Flap, the SIEA Flap and the TUG (Inner Thigh) Flap. [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/flap#) ## What is the DIEP Flap? What is DIEP Flap Breast Reconstruction Surgery? \| Karen Horton, MD - YouTube Dr. Karen Horton 871 subscribers [What is DIEP Flap Breast Reconstruction Surgery? \| Karen Horton, MD](https://www.youtube.com/watch?v=SErZ7Rn_iv0) Dr. Karen Horton Search Watch later Share Copy link Info Shopping Tap to unmute If playback doesn't begin shortly, try restarting your device. More videos ## More videos You're signed out Videos you watch may be added to the TV's watch history and influence TV recommendations. To avoid this, cancel and sign in to YouTube on your computer. CancelConfirm Share Include playlist An error occurred while retrieving sharing information. Please try again later. [Watch on](https://www.youtube.com/watch?v=SErZ7Rn_iv0&embeds_referring_euri=https%3A%2F%2Fwww.drkarenhorton.com%2F) 0:00 0:00 / 1:23•Live • [Watch on YouTube](https://www.youtube.com/watch?v=SErZ7Rn_iv0 "Watch on YouTube") In the DIEP flap, lower abdominal skin and fat (in the same distribution as a tummy tuck) is used to create a breast form. The Deep Inferior Epigastric Artery Perforator (DIEP) Flap is named for the blood vessel that supplies the skin and subcutaneous fat of the tummy. Unlike the TRAM flap, the DIEP flap does not sacrifice any rectus muscle, fascia or strength; it has a much faster recovery and significantly less postoperative pain than a muscle-sacrificing procedure. A particular advantage of the DIEP flap is that it can have a consistency and feel most similar to natural breast tissue. Most women have a little extra abdominal fat after having children or with age, and are thrilled to be able to use it for their breast reconstruction! The abdominal scar is designed to lie low on the torso and is usually completely hidden in undergarments or a swim suit. Closure of the abdominal donor site creates the effect of a “ [tummy tuck](https://www.drkarenhorton.com/body/tummy-tuck/)“. Because no muscle is included with the flap, it avoids any potential abdominal complications such as hernia, bulge or weakness. During the DIEP flap procedure, the fatty tissue of the lower abdomen that lies between the belly button and the pubic area is used to make up the bulk of the flap. The flap is supplied by “Perforators”, extremely small blood vessels that travel through the rectus abdominis muscle to supply the overlying skin and fat. The flap is designed on one or two perforators by gentle dissection through the rectus muscle; the abdominal muscle is left alone. Abdominal strength, tone and function remain intact after DIEP flap harvest. The zone of surgery does not extend deep to the rectus muscle and does not enter the inner abdominal cavity; there is therefore no interference with bowel function and a regular diet can resume the morning after surgery. When the DIEP flap donor site is closed, the abdominal skin is redraped over the abdominal wall to create an abdominoplasty effect with a more firm and flat tummy contour. The navel (“umbilicus”) is preserved on a “stalk” in its natural position; it is brought out through a new incision to create an attractive belly button after the abdominal skin is advanced downward. The DIEP flap tissue is sculpted to create a breast shape that is placed beneath (“buried” under) the natural breast skin in immediate reconstructions, acting to replace the breast contents like a natural “tissue implant”. For delayed breast reconstructions, the skin and fat of the flap is used to create a breast mound by reopening the previous mastectomy scar and shaping the flap. Some skin of the flap is visible in delayed reconstructions. Please see our Before and After [Photo Gallery](https://www.drkarenhorton.com/gallery/) for examples of immediate and delayed breast reconstructions using the DIEP flap. DIEP flap surgery takes 3.5 to 5 hours for a unilateral (single-sided) reconstruction, and 6-8 hours for a bilateral (double breast) reconstruction. In immediate reconstructions, the mastectomy is performed at the same time as the flap surgery. Hospital stay is up to a week and down-time is approximately 6 weeks. Surgery is not very painful; many women leave the hospital taking only plain Tylenol (acetaminophen) for pain. See our [patient reviews](https://www.drkarenhorton.com/about/patient-reviews/) section to learn about the DIEP flap experience in our patients’ own words. [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/flap#) ## What is the SIEA Flap? The Superficial Inferior Epigastric Artery (SIEA) Flap is based on a small subcutaneous (superficial) artery and vein that lies in the groin region and supplies the lower abdominal skin and fat. The SIEA flap contains the exact same tissue as the DIEP flap but is based on a different blood vessel system that travels superficial to (above) the rectus abdominis muscle. Only approximately 30% of people have SIEA vessels that are large enough to be used for reconstruction – this cannot be determined until surgery. Usually only one of the blood vessel systems (the deep (DIEP) system or the superficial SIEA vessels) is dominant. If the SIEA vessels are present, then both systems are dissected and the best (dominant) system is selected for anastomosis. For all other purposes, the DIEP and SIEA flaps are the same. Potential advantages of the SIEA flap include less surgical dissection in the abdominal muscle region and very minimal discomfort after surgery. Recovery time is equal to or potentially slightly less than the DIEP flap but is significantly less than the TRAM flap. The disadvantages of the SIEA flap include the fact that only a minority of individuals has this blood vessel, and it may or may not be large enough for Microsurgery. Like the DIEP flap, the SIEA flap is sculpted to create a breast shape, burying it beneath a [nipple-sparing mastectomy](https://www.drkarenhorton.com/breast/reconstruction/implants/#sparing) in immediate reconstructions. In delayed reconstructions, the skin and fat of the flap is used to create a breast form. Please see our Before and After Photo Gallery for examples of immediate and delayed breast reconstructions using the SIEA flap. [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/flap#) ## What is the TUG Flap? The Transverse Upper Gracilis (TUG) Flap is taken from the upper Inner Thigh region. A crescent-shaped flap of skin and fat is used to create a new breast mound using Microsurgery. The TUG flap has the same distribution as cosmetic thigh lift, and closure of the donor site creates a slender and attractive inner thigh. The TUG flap provides a permanent, warm, soft and shapely breast reconstruction and also enables immediate [nipple and areola reconstruction](https://www.drkarenhorton.com/breast/reconstruction/#nipple_areola). The crescentic flap is folded and shaped to provide projection to the reconstruction, and the skin is usually removed so that it lies beneath the natural breast skin in immediate breast reconstructions. The tissue from the inner thigh is removed with some underlying skin, fat and a small amount of nonessential gracilis muscle. Unlike other major muscles of the body, the gracilis muscle is a thin, minor, expendable muscle that is not missed even if it is taken in its entirety (as is done for many other reconstructive procedures using Microsurgery). There is no “functional deficit” to removing a small piece of this muscle and there is no consequence to the inner thigh cosmetically. The purpose of including a small segment of the gracilis muscle with the flap is to ensure the most robust blood supply to the flap and promote Microsurgical success. The inner thigh tissue is sculpted (“coned”) to create a shapely breast reconstruction with excellent projection and a natural breast shape. Like the DIEP and SIEA flaps, it is transferred “free in the air” and its blood vessels are reconnected under the microscope to blood vessels in the chest to reestablish the circulation to the flap. Please see our Before and After Photo Gallery for examples of immediate and delayed breast reconstructions using the TUG flap. Like the DIEP or SIEA flaps, the TUG flap requires a surgeon with Microsurgical expertise in breast reconstruction, up to a week’s hospital stay, and a slightly longer recovery than implant reconstruction. However, results are permanent, and no further surgeries are required after healing is complete. ### How is the TUG Flap Used to Make a New Nipple and Areola? When the TUG flap is shaped, a natural projection is created that simulates a nipple. Sutures are added to this projection to enhance the projection and create an immediate nipple reconstruction at the same time as the breast reconstruction. Because the skin of the inner thigh region is naturally darker than the breast skin, an immediate areola reconstruction is also created if the nipple and areola requires removal during the mastectomy. Further tattooing of this area is often not necessary, although it is offered if additional pigmentation is desired, as an office procedure. Like DIEP and SIEA flaps, if a nipple-sparing mastectomy is done at the same time as the reconstruction, the skin from the inner thigh flap is completely removed and the TUG flap is “buried” beneath the breast skin. The flap acts as a tissue “implant” and replaces the breast tissue with soft, warm, living tissue that feels just like a natural breast! [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/flap#) ## Which Free Flap Will Be Selected for Breast Reconstruction? The DIEP or SIEA flap is usually our first-line choice for Microsurgical breast reconstruction due to the superiority of the tummy tissue over that of other donor sites such as the back or the buttocks, and the presence of excess tummy fat in many women. However, if abdominal tissue is unavailable (previous abdominal flap or tummy tuck, significant past abdominal liposuction or an extremely thin tummy area), a free flap from the inner thigh area (the TUG flap) is our usual recommendation. For some women with very thin abdomens but more inner thigh fat, the TUG flap is in fact their best reconstructive option based on their body shape. If no donor site tissue is realistically available from either the tummy or inner thigh area, an implant may be recommended. Please see our [breast implant reconstruction](https://www.drkarenhorton.com/breast/reconstruction/implants/) section for information on our state-of-the-art single stage breast implant reconstruction procedure. [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/flap#) ## What Actually Happens During a Microsurgical Free Flap Breast Reconstruction? Please see our [Preparing for Surgery](https://www.drkarenhorton.com/patient-information/preparing-surgery/) section to learn about what actually happens in the operating room on the day of surgery. ### Elevation of the Free Flap For immediate reconstructions, the mastectomy and elevation of the flap occur at the same time, decreasing the total time under anesthesia. Two separate surgical teams (the Breast Surgeon and two Microsurgeons working as a team) operate in tandem. Measurements of the breast tissue are taken as a reference point for your reconstruction. Please see details for the DIEP flap, SIEA flap and TUG flap for a description of each flap option. The Microvascular transplant is supplied by an artery and 1-2 veins, known as the “microvascular pedicle” which brings blood flow to and from the flap tissue. Once the flap has been “elevated” on its specific blood vessels, the blood vessels are divided and it is ready to be transplanted to the chest area. The tummy or the inner thigh area does not “miss” the blood vessels that have been used for the flap; many other blood vessels in the donor site area take over the circulation to the remaining abdomen or thigh. Nerves are not taken with the flap. Sensation will slowly recover in the donor site area over many months after surgery, and nerves commonly gradually grow into the flap to provide some sensation. ### Preparation of Recipient Blood Vessels The blood vessels of the flap are then reconnected (“reanastomosed”) to recipient blood vessels found beside the sternum in the chest area. The recipient vessels most commonly used are the Internal Mammary Artery and Vein. In order to access these blood vessels, a small segment of rib cartilage is removed, as the vessels lie protected underneath. Removal of this cartilage does not create any pain or deformity, the body does not “miss” it and the chest is not affected in any way. The internal mammary blood vessels are the recipient vessels of choice for breast reconstruction; they provide excellent circulation to the flap in the chest and are available for Microsurgery even after radiation. ### Microvascular Anastomosis The flap artery and vein are reanastomosed (surgically repaired) to their recipient vessels under the operating microscope. The flap is literally “transplanted” from one part of the body to another using Microsurgery to disconnect and then reconnect the blood vessels in their new location. However, unlike an organ transplant from one person to another, there is no chance of rejection because the donor and recipient is the same person! Microsurgery truly enables rearrangement of a woman’s own body to provide her with the most natural form of breast reconstruction. ### Closure of the Donor Site For abdominal (DIEP and SIEA) flaps, the skin and fat overlying the abdominal muscles is elevated and redraped downwards to create a flatter, more taut abdominal wall, like a tummy tuck. For the inner thigh (TUG) flap, the inner thigh incision is closed to create a lifted and thinner inner thigh, like a thigh lift. [Drains](https://www.drkarenhorton.com/patient-information/postoperative-instructions/#drains) will be inserted into the flap site and the donor area and typically remain in place for 1-2 weeks. Each breast reconstruction will also have a [drain](https://www.drkarenhorton.com/patient-information/drain-log/) that is in place for up to a week. [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/flap#) ## Where Will My Microsurgical Breast Reconstruction Take Place? Microsurgery is only performed at specialized Microsurgical centers of excellence such as the [Davies Campus of California Pacific Medical Center (CPMC)](http://www.cpmc.org/visiting/directions/directions-dav.html). Microsurgery was “born” at this center in North America over 40 years ago, and complex reconstructive cases are performed here every single day, including numerous Microsurgical breast reconstructions. We choose to bring our patients to this hospital because of the skilled, expert Microsurgery Nurses, the experienced operating room staff, and the warm and wonderful hospital staff in general. [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/flap#) ## What is the Recovery after Microsurgical Breast Reconstruction? Please print out and read the comprehensive [Preparing for Breast Reconstruction Surgery handout](https://hortonnew.b-cdn.net/wp-content/uploads/2011/12/BreastReconstructionHandout1.pdf). Prepared by Nurses and Doctors at Davies, this pamphlet describes in detail how to prepare for breast reconstruction surgery, educates you what to expect in the hospital, your recovery and explains postoperative recommendations specific to your type of breast reconstruction. [![Breast Reconstruction Handout](https://hortonnew.b-cdn.net/wp-content/uploads/2018/10/KH_BR_Surgery_Handout_button.png)](https://hortonnew.b-cdn.net/wp-content/uploads/2011/12/BreastReconstructionHandout1.pdf) You will spend approximately seven nights in the hospital after a Microsurgical free flap breast reconstruction. Your breast drains and implantable venous Doppler probe monitors will be removed before you leave the hospital. We will see you back in the office a few days after you go home to remove your donor site drains, and approximately 3-6 weeks after that to check on your wound healing. It is recommended that you do not exercise, lift more than 5 pounds, or do any activities that raise your heart rate and blood pressure for approximately 4-6 weeks after surgery. At 6 weeks after flap surgery you can return to your usual activities without restriction. However, “listen to your body” is the rule, and if it feels like you are straining even after six weeks, be sure to avoid activities or movements that are still creating discomfort. Remember that is takes many months for your body to fully recover after any form of surgery. Breast reconstruction is no exception. Your body will let you know when it is ready to gradually resume strenuous activities. [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/flap#) ## What are Specific Risks and Complications of Microsurgery? When you are considering any type of surgery, you should be fully educated about potential risks and complications. Please see our Preparing for Surgery section for information relating to surgical procedures in general. When specifically considering Microsurgery, there are some additional details to recognize: After most types of Microsurgery, very quiet physical activity in your hospital bed for up to five days is recommended to allow the blood vessels to mend without complications. During this time, you may move around in bed and flex your calves to keep the blood flowing in your legs. A bladder (“Foley”) catheter is in place, and you will not likely need to have a bowel movement during this time due to slight normal constipation from anesthesia and pain medications. To prevent against blood clotting, you may be placed on an intravenous blood thinner temporarily after surgery, and can expect to take a daily aspirin orally for a month after surgery. You will also be instructed on deep breathing and coughing to keep your lungs fully expanded and healthy while in the hospital. In the vast majority of cases, Microsurgery is a success! There is a 1-2% risk of “Failure” of the microvascular anastomosis in our experience, which is lower than the published literature. Recall that a tiny (2-3 mm diameter) artery and vein are reconnected together under the microscope. There is a remote chance of a “thrombosis” (clot or obstruction) of the vessels providing circulation to the breast flap early after surgery. If the flap circulation becomes blocked for some reason, the flap could fail and require removal. A problem with the free flap circulation statistically occurs most often in the first 24 hours after surgery. It is for this reason that intense monitoring of the flap circulation takes place in the hospital (TICU or step-down unit) for the first 5 days after surgery, and up to a full week’s stay is recommended – to ensure success of the operation! When you are discharged from the hospital, the risk of thrombosis or flap complications is generally over. [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/flap#) ## How Will my Free Flap Circulation be Monitored While in the Hospital? During your hospital stay, specially trained Microsurgery Nurses will monitor your flap circulation in a number of ways: 1. “Clinical Monitoring” consists of assessing the flap at regular intervals by inspection (looking) and palpation (feeling) the tissue to ensure it is warm, pink, with a normal amount of swelling and capillary refill. 2. If there is exposed flap skin, a Pencil Doppler Probe (similar to probes used to assess fetal heart beats in pregnant women) will assess the flap circulation, and 3. an Implantable Venous Doppler Probe will be temporarily implanted at the time of surgery to monitor the flap circulation by way of a real-time, “Doppler radar” audible signal of blood flow. It takes approximately five days after Microsurgical anastomosis for the internal lining of the blood vessels to mend. Once you are ready to leave the hospital, all monitoring is discontinued. The risk of a flap complication is generally over after postoperative day 5-7. You do not need to continue any special monitoring at home. Should there be a concern about the flap circulation while in the hospital, you will immediately return to the operating room for your Microsurgeons to assess your flap and to repair or redo the anastomosis if necessary. The incidence of a Microsurgical “take back” is very low, but should a flap circulation problem occur, your surgeons will usually be able to fix the problem without any consequences. Should the flap circulation problem persist, the flap would require removal and another reconstruction type could be discussed in the future. Flap failure is extremely rare and does not pose any risk to your life or your health should it occur. [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/flap#) ## Can Minor “Touch Ups” Be Done After a Breast Free Flap for Improved Symmetry and Aesthetics? ### Flap Revision After a flap breast reconstruction, mild differences may exist between the breasts. At the time of nipple and areolar reconstruction (if needed) or approximately 6 months after a flap, minor revisions can be performed to optimize the appearance of the flap and the other breast. Flap revision can include contouring of the flap by removing fat using liposuction or by surgical revision, performing a “lift” of the flap or scar revisions to make the breasts as symmetric and attractive as possible. ### Flap “Augmentation” Sometimes after a free flap breast reconstruction, a breast implant is placed beneath the flap for enhanced projection and better symmetry with the other breast. A waiting period of at least 6 months is recommended after Microsurgery before an “augmentation” of the flap is done. Either a postoperatively adjustable saline implant or a [silicone gel implant](https://www.drkarenhorton.com/breast/augmentation/#advantages) can be placed, depending on the aesthetic goals and the degree of flap augmentation planned. Augmentation of a flap is considered a revision of the breast reconstruction and is usually covered by insurance. Whereas an implant-based breast reconstruction has unique risks and complications, augmentation of a flap is much more similar to a [breast augmentation](https://www.drkarenhorton.com/breast/augmentation/). The flap tissue provides additional padding over the implant, preventing it from being visible and palpable like an implant reconstruction, and the risk of complications is closer to a breast augmentation than an implant reconstruction. ### Free Fat Grafting (“Lipofilling”) Occasionally, free [fat grafting to the breasts](https://www.drkarenhorton.com/breast/reconstruction/fat-grafting/) (also known as “lipofilling”) can help to fill in contour defects around a breast reconstruction. Fat can be taken (“harvested”) from one area of the body using a [liposuction](https://www.drkarenhorton.com/body/liposuction/) cannula and transferred to fill in an area that is not fully corrected by traditional reconstructive methods (for instance, above the breast reconstruction below the collarbone or in a hollow resulting from axillary lymph node dissection). Fat grafting is only used as an adjunct to special reconstructive situations and is generally not recommended in routine cosmetic procedures. When fat is transferred by lipofilling, some of the fat will survive and some cells do not. Calcifications can form in the area of fat grafts that do not “take” (survive); this can show up as abnormalities on a mammogram. For this reason, free fat grafting is only recommended in small areas where there is not normal breast tissue, such as in [Poland syndrome](https://www.drkarenhorton.com/breast/poland-syndrome/) or after mastectomy and reconstruction. Correction by lipofilling may be complete after one session of fat grafting, or a 2-3 procedures staged 3-6 months apart may be needed; surgery is done in the operating room as an outpatient procedure. ### Donor Site Scar Revisions After any surgical procedure, areas of raised skin or protuberant soft scars nicknamed “dog ears” (raised points of skin and/or fat) can occur at the very end of the incisions. This can happen both after a mastectomy and at the donor site scars. Very often, raised areas of swelling slowly resolve over six months to a year after surgery. Occasionally, if dog ears persist, a scar revision can be done 6-12 months after the flap to trim any excess skin and fat, creating a flatter end to the donor site incision. [Scar revision surgery](https://www.drkarenhorton.com/patient-information/postoperative-instructions/#scar) is covered by insurance and is done together with any other procedures planned at the final surgery (nipple and areola reconstruction, flap revision, donor site contouring, fat grafting). ### Donor Site Contouring using Liposuction Our goal is not only to create the Most Beautiful Breast Reconstruction possible but also the Most Aesthetic Donor Site. Our flap reconstruction patients are often excited and proud to show off their new bodies in a bikini! Following a flap reconstruction, most women do not need any additional surgery. However, many breast cancer survivors are interested in additional contouring of their donor sites after their flap to flatten their tummies or further thin out their thighs. The method used most often for donor site contouring after a DIEP/SIEA flap or TUG flap is harvested is Liposuction. Liposuction effectively removes stubborn deposits of excess fat that persist even after surplus fat is used for breast reconstruction. Unfortunately, liposuction is not covered by insurance and is considered cosmetic. If a cosmetic procedure such as donor site liposuction (or another cosmetic procedure) is being contemplated, then planning it as a compliment for the reconstructive procedure (flap revision, scar revisions, etc.) in the same operation is a wise option. Combining reconstructive and cosmetic procedures at the final surgery lessens total time under anesthesia, limits the recovery period, and enables the very best aesthetic results of both the breasts and the tummy or inner thigh! In benevolence to our patients, we usually offer a discount on cosmetic procedure fees when they are added to their final breast reconstruction procedure. Please contact our Patient Coordinator Mary Pasache in our office to discuss applicable cosmetic fees. [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/flap#) ## Can I Have a Microsurgical Breast Reconstruction if I Live Outside the Bay Area? Our patients travel from far and wide to see us for breast reconstruction and Microsurgery. Women seeking free flap and perforator breast reconstruction come from other regions of the United States and sometimes other parts of the world. Our patients recognize that specialized breast reconstruction is not offered in every city or state; they travel to San Francisco to receive superior attention and care. Please see our Testimonials section to hear about our breast reconstruction patients’ experiences in their own words. [Back to Top](https://www.drkarenhorton.com/breast/reconstruction/flap#) [Download the Breast Reconstruction Planner provided by ASPS](https://hortonnew.b-cdn.net/wp-content/uploads/2013/10/breast-reconstruction-recovery-guide-planner.pdf) [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). 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We can provide a financial quote for what anticipated surgical fees will be after your consultation. ## Accreditations Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/breast/reconstruction/flap#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Injectable Fillers Overview Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Injectable Dermal Fillers [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") Injectable fillers are a semi-permanent way to provide an immediate non-surgical cosmetic enhancement to the face and body. These products are smooth, gel-like substances that come in a sterile, pre-filled syringe, and are injected under the skin to provide volume, structure and support in the soft tissue under the skin. The injectable fillers we offer include Restylane-L, Restylane Kysse, Juvederm Ultra XC, Juvederm Ultra Plus XC, Radiesse, and Voluma XC. These products are FDA-approved for safety and reliability, and depending on how much filler is used and your body’s unique metabolism, these products have been shown to last between 6 and 24 months. There is a high patient satisfaction rate associated with injectable fillers because results can be seen immediately and they do not involve surgery or lots of downtime. The cost of the treatment depends on how many syringes are used for the treatment. Emily Sespaniak, [Board-Certified Nurse Practitioner](https://www.drkarenhorton.com/about/emily-sespaniak-nurse-practitioner-san-francisco-ca/), will advise you during your consultation of how many syringes she recommends to achieve your goals. [![](https://hortonnew.b-cdn.net/wp-content/uploads/2021/10/At-Home-Filler-Button-Pink.svg)](https://www.drkarenhorton.com/horton-spa/what-you-need-to-know-about-hyaluron-pen-and-at-home-lip-fillers/) “ _My face looks amazing! You're the best. I look 10 years younger today. I can't believe the difference in my cheeks/under eye area. You are a miracle worker. ~ C.H._ „ Injectable fillers can enhance a variety of areas on the face and body, including: - Nasolabial folds (corners of the nose to the corners of the mouth) - [Lip augmentation to add fullness](https://www.drkarenhorton.com/non-surgical/lip-fillers/) - Vertical lip lines or “smokers lines” - Minimization of the “jowl” appearance along the jaw line - Marionette lines (lines from the corners of the mouth to the chin) - Downturned smile - Cheek fullness - Chin symmetry and shape - Tear trough (hollows under the eyes) - Filling of the temple depressions on the sides of the face - Deep and fine lines and wrinkles throughout the face - Volume loss on the top of the hands - Eyebrow lift and definition - HIV-related lipodystrophy - Lines on the chest and between the breasts - Scar augmentation for hypertrophic scars # Injectable Fillers are FDA-Approved Injectable fillers are FDA-approved to be injected into areas that have been extensively studied in clinical trials. There are other areas of the face and body that are frequently and safely treated with fillers in clinical practice, some of which are considered “off-label”. We offer injectable dermal filler treatment for both “on-label” and “off-label” areas, with safety and patient satisfaction being our utmost priorities. At your consultation appointment, our Board-Certified Nurse Practitioner will discuss with you your short and long-term goals for anti-aging and cosmetic enhancement. Based on knowledge of the injectable products and your unique facial structure, Emily will advise you as to your best options for injectable fillers. Please expect to spend approximately one hour for your injectable filler treatment. Emily is extremely detail-oriented and a perfectionist when it comes to your face, so this is not a treatment you want to be rushed! We generally recommend coming in for a consultation prior to your treatment so that we can come up with a treatment plan and advise you about any pre- and post-treatment instructions ahead of time, although this is not required. # For Your Safety and Comfort For your comfort, we offer options for management of discomfort related to the injection process. If you have special requests or questions/concerns about pain related to the injection process, please discuss this with the practitioner during your consultation. We advise all our patients that with any injectable treatment there is the possibility of bruising or redness on the skin, so please plan accordingly. It is best to schedule any injectable treatment at least 2 weeks prior to any important event for which you would like to look your best, to allow any swelling or skin discoloration to subside. We also offer a homeopathic anti-bruising kit available for purchase in our office that we recommend starting before your treatment. **Our goal is always a noticeable result that is so natural that no one will know!** # Find Out About Dr. Horton's Personal Aesthetics Routine! Dr. Karen Horton shares her PERSONAL skin care routine! - YouTube Dr. Karen Horton 871 subscribers [Dr. Karen Horton shares her PERSONAL skin care routine!](https://www.youtube.com/watch?v=nBtsgl6AVYU) Dr. Karen Horton Search Watch later Share Copy link Info Shopping Tap to unmute If playback doesn't begin shortly, try restarting your device. More videos ## More videos You're signed out Videos you watch may be added to the TV's watch history and influence TV recommendations. To avoid this, cancel and sign in to YouTube on your computer. CancelConfirm Share Include playlist An error occurred while retrieving sharing information. Please try again later. [Watch on](https://www.youtube.com/watch?v=nBtsgl6AVYU&embeds_referring_euri=https%3A%2F%2Fwww.drkarenhorton.com%2F) 0:00 0:00 / 11:02•Live • [Watch on YouTube](https://www.youtube.com/watch?v=nBtsgl6AVYU "Watch on YouTube") # Contact Us Please [contact our office](https://www.drkarenhorton.com/contact-us/) to schedule a consultation to learn more about injectable fillers and how [minimally invasive cosmetic enhancement](https://www.drkarenhorton.com/non-surgical/) may benefit you. [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/non-surgical/injectables#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Skin Rejuvenation Procedures Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Skin Rejuvenation Procedures [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") # **Clear + Brilliant™** Clear + Brilliant™ is a gentle yet effective laser resurfacing treatment that delivers multi-benefit skin rejuvenation. This non-invasive procedure utilizes fractional laser technology with no incisions or injections. Clear + Brilliant™ can diminish fine lines, reduce the appearance of large pores, and leave skin smoother and more even-toned. This quick procedure requires no downtime and is also an excellent preventative treatment to ward off visible signs of aging, making it an excellent choice for patients in their 20s and 30s. [Learn More About Clear + Brilliant](https://www.drkarenhorton.com/non-surgical/laser-skin-resurfacing/) ![clear-and-brilliant patient](https://hortonnew.b-cdn.net/wp-content/uploads/2019/03/clear-and-brilliant.jpg) # **Intense Pulsed Light (IPL) Therapy** Intense Pulsed Light (IPL) Therapy is a non-invasive and non-ablative treatment that can address a wide range of skin concerns by delivering broad spectrum light energy to the skin in pulses. IPL is fully customizable, as the wavelengths of the light emitted can be adjusted to meet the needs of each patient. IPL photofacials can correct sun damage, reduce hyperpigmentation, diminish redness, and minimize rosacea and the appearance of broken capillaries. [Learn More About IPL](https://www.drkarenhorton.com/non-surgical/laser-treatments/) ![intense-pulse-light therapy](https://hortonnew.b-cdn.net/wp-content/uploads/2019/03/intense-pulse-light.jpg) [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/skin-rejuvenation-procedures#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Liposuction Body Gallery Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Liposuction of the Body Gallery # Featured Case Previous ![](https://hortonnew.b-cdn.net/wp-content/uploads/2014/02/after1-1.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2014/02/before1-1.jpg) Drag the slider to see transformation ![](https://hortonnew.b-cdn.net/wp-content/uploads/2014/02/after4.jpg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2014/02/before4.jpg) Drag the slider to see transformation Next ### Patient 1 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG2645046010-11432-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-1) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG2645046036-11432-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-1) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-1) ### Patient 2 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG6950827033-28854-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-2) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG6950827045-28854-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-2) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-2) ### Patient 3 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG9395672103-31062-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-3) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG9395673017-31062-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-3) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-3) ### Patient 4 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG9930788063-32802-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-4) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG9930788077-32802-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-4) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-4) ### Patient 5 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG1060642059-33020-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-5) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG1060642077-33020-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-5) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-5) ### Patient 6 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG8814124044-32649-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-6) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG8814124058-32649-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-6) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-6) ### Patient 7 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG0565775075-11164-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-7) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG0565776034-11164-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-7) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-7) ### Patient 8 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG9671118017-32779-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-8) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG9671118032-32779-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-8) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-8) ### Patient 9 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG0171210061-30221-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-9) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG0171210074-30221-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-9) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-9) ### Patient 10 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG0490624107-30257-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-10) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG0490625021-30257-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-10) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-10) ### Patient 11 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG1147665095-10666-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-11) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG1147666042-10666-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-11) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-11) ### Patient 12 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG0096521061-32858-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-12) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG0096521073-32858-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-12) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-12) ### Patient 13 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG6090238036-25653-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-13) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG6090238051-25653-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-13) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-13) ### Patient 14 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG1308300087-33092-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-14) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG1308300101-33092-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-14) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-14) ### Patient 15 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG0565260030-11163-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-15) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG0565260088-11163-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/liposuction/patient-15) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-15) ### Patient 16 [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-16) [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-16) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-16) ### Patient 17 [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-17) [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-17) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-17) ### Patient 18 [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-18) [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-18) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-18) ### Patient 19 [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-19) [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-19) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-19) ### Patient 20 [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-20) [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-20) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-20) ### Patient 21 [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-21) [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-21) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-21) ### Patient 22 [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-22) [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-22) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-22) ### Patient 23 [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-23) [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-23) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-23) ### Patient 24 [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-24) [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-24) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-24) ### Patient 25 [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-25) [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-25) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-25) ### Patient 26 [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-26) [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-26) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-26) ### Patient 27 [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-27) [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-27) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-27) ### Patient 28 [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-28) [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-28) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-28) ### Patient 29 [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-29) [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-29) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-29) ### Patient 30 [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-30) [![]()](https://www.drkarenhorton.com/gallery/body/liposuction/patient-30) [Click To View Details](https://www.drkarenhorton.com/gallery/body/liposuction/patient-30) #### View More Cases - [1](https://www.drkarenhorton.com/gallery/body/liposuction/page/1/) - [2](https://www.drkarenhorton.com/gallery/body/liposuction/page/2/) - [3](https://www.drkarenhorton.com/gallery/body/liposuction/page/3/) - [4](https://www.drkarenhorton.com/gallery/body/liposuction/page/4/) - [5](https://www.drkarenhorton.com/gallery/body/liposuction/page/5/) - [6](https://www.drkarenhorton.com/gallery/body/liposuction/page/6/) - [»](https://www.drkarenhorton.com/gallery/body/liposuction/page/6) - [Next](https://www.drkarenhorton.com/gallery/body/liposuction/page/2) [Schedule a Consultation](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St #506 San Francisco, CA 94115 Phone: [415.570.7352](tel:+14155707352) ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## Hours **Monday-Friday:** 8am - 5pm **Saturday-Sunday:** Closed Monday: 8 AM to 5 PM Tuesday: 8 AM to 5 PM Wednesday: 8 AM to 5 PM Thursday: 8 AM to 5 PM Friday: 8 AM to 5 PM Saturday: 8 AM to 5 PM Sunday: 8 AM to 5 PM ## Address Dr. Karen M. Horton 2100 Webster St #506 San Francisco, CA 94115 Phone: [415.570.7352](tel:) ## Accreditations Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/gallery/body/liposuction) [Back To Top](https://www.drkarenhorton.com/gallery/body/liposuction#) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Website Terms of Use Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Terms of Use [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON]()Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") Page Updated: August 30, 2024 ## Introduction This website is operated by San Francisco Plastic Surgery (collectively the “Company”, “We” or “Us”). The use of our website is subject to the following terms and conditions of use, as amended from time to time (the “Terms”). The Terms are to be read together by you with any terms, conditions or disclaimers provided in the pages of our website. Please review the Terms carefully. They constitute a legal contract between you and the Company. The Terms apply to all users of our website, including without limitation, users who are browsers, customers, merchants, vendors and/or contributors of content. If you access and use this website, you accept and agree to be bound by and comply with the Terms and our Privacy Policy. If you do not agree to the Terms or our Privacy Policy, you are not authorized to access our website, use any of our website’s services or place an order on our website. ## Use of Our Website The information on this Site is for information or educational purposes only. It is not intended to provide medical advice or diagnose any condition. You agree to use our website for legitimate purposes and not for any illegal or unauthorized purpose, including without limitation, in violation of any intellectual property or privacy law. By agreeing to the Terms, you represent and warrant that you are at least the age of majority in your state or province of residence and are legally capable of entering into a binding contract. You agree to not use our website to conduct any activity that would constitute a civil or criminal offense or violate any law. You agree not to attempt to interfere with our website’s network or security features or to gain unauthorized access to our systems. You agree to provide us with accurate personal information, such as your email address, mailing address and other contact details in order to complete your order or contact you as needed. 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You agree that we will not be liable to you or any third party for any modification, suspension or discontinuance of our website or for any service, content, feature or product offered through our website. ## Consent to Electronic Communications You agree that we may communicate with you electronically regarding your use of the website or the services and that any notices, agreements, disclosures or other communications that we send to you electronically will satisfy any legal communication requirements including any requirement that the communications be in writing. To withdraw your consent to receiving electronic notices, please notify us at the information on the Contact page of our website. ## Products or Services All purchases through our website are subject to product availability. We may, in our sole discretion, limit or cancel the quantities offered on our website or limit the sales of our products or services to any person, household, geographic region or jurisdiction. Prices for our products are subject to change, without notice. Unless otherwise indicated, prices displayed on our website are quoted in U.S. dollars. We reserve the right, in our sole discretion, to refuse orders, including without limitation, orders that appear to be placed by distributors or resellers. If we believe that you have made a false or fraudulent order, we will be entitled to cancel the order and inform the relevant authorities. We do not guarantee the accuracy of the color or design of the products on our website. We have made efforts to ensure the color and design of our products are displayed as accurately as possible on our website. ## Links to Third-Party Websites Links from or to websites outside our website are meant for convenience only. We do not review, endorse, approve or control, and are not responsible for any sites linked from or to our website, the content of those sites, the third parties named therein, or their products and services. Linking to any other site is at your sole risk and we will not be responsible or liable for any damages in connection with linking. Links to downloadable software sites are for convenience only and we are not responsible or liable for any difficulties or consequences associated with downloading the software. Use of any downloaded software is governed by the terms of the license agreement, if any, which accompanies or is provided with the software. ## Patient Portal Account Creation To access and use the Patient Portal, we may require you to first register for an Account. You must provide accurate, current and complete information during the registration process and you must keep your information updated. You are responsible for maintaining the confidentiality of your account and password and for restricting access to your computer or device, and you agree to accept responsibility for all activities that occur under your registration, username, password and/or patient account. We may, in our sole discretion, terminate your account or use of the portal at any time and for any or no reason. ## Use Comments, Feedback, and Other Submissions You acknowledge that you are responsible for the information, profiles, opinions, messages, comments and any other content (collectively, the “Content”) that you post, distribute or share on or through our website or services available in connection with our website, including our social media sites. You further acknowledge that you have full responsibility for the Content, including but limited to, with respect to its legality, and its trademark, copyright and other intellectual property ownership.We do not wish to receive any confidential, proprietary or sensitive information from you via the website or your comments. You agree that any Content submitted by you in response to a request by us for a specific submission may be edited, adapted, modified, recreated, published, or distributed by us. You further agree that we are under no obligation to maintain any Content in confidence, to pay compensation for any Content or to respond to any Content. You agree that you will not post, distribute or share any Content on our website that is protected by copyright, trademark, patent or any other proprietary right without the express consent of the owner of such proprietary right. You further agree that your Content will not be unlawful, abusive or obscene nor will it contain any malware or computer virus that could affect our website’s operations. You will be solely liable for any Content that you make and its accuracy. We have no responsibility and assume no liability for any Content posted by you or any third-party. We reserve the right to terminate your ability to post on our website and to remove and/or delete any Content that we deem objectionable. You consent to such removal and/or deletion and waive any claim against us for the removal and/or deletion of your Content. ## Your Personal Information Please see our [Privacy Policy](https://www.drkarenhorton.com/privacy-policy) to learn about how we collect, use, and share your personal information. ## Errors and Omissions Please note that our website may contain typographical errors or inaccuracies and may not be complete or current. We reserve the right to correct any errors, inaccuracies or omissions and to change or update information at any time, without prior notice (including after an order has been submitted). Such errors, inaccuracies or omissions may relate to product description, pricing, promotion and availability and we reserve the right to cancel or refuse any order placed based on incorrect pricing or availability information, to the extent permitted by applicable law. We do not undertake to update, modify or clarify information on our website, except as required by law. ## Disclaimer and Limitation of Liability You assume all responsibility and risk with respect to your use of our website, which is provided “as is” without warranties, representations or conditions of any kind, either express or implied, with regard to information accessed from or via our website, including without limitation, all content and materials, and functions and services provided on our website, all of which are provided without warranty of any kind, including but not limited to warranties concerning the availability, accuracy, completeness or usefulness of content or information, uninterrupted access, and any warranties of title, non-infringement, merchantability or fitness for a particular purpose. We do not warrant that our website or its functioning or the content and material of the services made available thereby will be timely, secure, uninterrupted or error-free, that defects will be corrected, or that our websites or the servers that make our website available are free of viruses or other harmful components. The use of our website is at your sole risk and you assume full responsibility for any costs associated with your use of our website. We will not be liable for any damages of any kind related to the use of our website. In no event will we, or our affiliates, our or their respective content or service providers, or any of our or their respective directors, officers, agents, contractors, suppliers or employees be liable to you for any direct, indirect, special, incidental, consequential, exemplary or punitive damages, losses or causes of action, or lost revenue, lost profits, lost business or sales, or any other type of damage, whether based in contract or tort (including negligence), strict liability or otherwise, arising from your use of, or the inability to use, or the performance of, our website or the content or material or functionality through our website, even if we are advised of the possibility of such damages. Certain jurisdictions do not allow limitation of liability or the exclusion or limitation of certain damages. In such jurisdictions, some or all of the above disclaimers, exclusions, or limitations, may not apply to you and our liability will be limited to the maximum extent permitted by law. ## Indemnification You agree to hold us and our affiliates, including any party involved in creating, producing or delivering the site, harmless against any losses, liabilities, claims, expenses (including legal fees) in any way arising from, related to or in connection with your use of our website, your violation of the Terms, or the posting or transmission of any materials on or through the website by you, including but not limited to, any third party claim that any information or materials provided by you infringe upon any third party proprietary rights. ## Entire Agreement The Terms and any documents expressly referred to in them represent the entire agreement between you and us in relation to the subject matter of the Terms and supersede any prior agreement, understanding or arrangement between you and us, whether oral or in writing. Both you and we acknowledge that, in entering into these Terms, neither you nor we have relied on any representation, undertaking or promise given by the other or implied from anything said or written between you and us prior to such Terms, except as expressly stated in the Terms. ## Termination We reserve the right, in our sole discretion, to restrict, suspect, or terminate these Terms and your access to all or any part of the Site or the Content at any time and for any reason without prior notice or liability. We also reserve the right to cease providing the Site or the Services at any time. ## Waiver Our failure to exercise or enforce any right or provision of the Terms will not constitute a waiver of such right or provision. A waiver by us of any default will not constitute a waiver of any subsequent default. No waiver by us is effective unless it is communicated to you in writing. ## Severability If any of the provisions of the Terms are determined by any competent authority to be invalid, unlawful or unenforceable, such provision will to that extent be severed from the remaining Terms, which will continue to be valid and enforceable to the fullest extent permitted by law. ## ADA Compliance Notice We are committed to making the website’s content accessible for all. If you are having difficulty accessing, viewing and/or navigating any content on the website, or if you notice any content, feature or functionality that you believe is not fully accessible to people with disabilities, please contact us using the information provided on the contact page of our website using “Website Access” as the subject. Please provide a description of the feature you feel is not fully accessible or a suggestion for improvement. We will use it to accommodate all our customers and improve our overall accessibility policies. ## Questions or Concerns Please send all questions, comments and feedback to us using the information provided on the contact page of our website. [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/terms-of-use#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Neck Lift Surgery Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Neck Lift [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") Page Updated: January 30, 2025 As we age, the neck area can be one of the first places to show visible signs of aging, such as sagging skin, excess fat, and weakened neck muscles. These changes often result in a less defined neckline, creating a tired or aged appearance that doesn’t reflect how individuals feel inside. Neck lift surgery is a cosmetic procedure designed to improve the neck contour in both women and men by tightening the underlying soft tissues, removing excess skin, and creating a smoother, more youthful neckline. At her San Francisco Plastic Surgery center, Board-Certified Plastic Surgeon [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) specializes in personalized neck contouring treatments, helping patients achieve natural-looking results that enhance their confidence. [What is a Neck Lift?](https://www.drkarenhorton.com/face/neck-lift#what) [Who is a Good Candidate for Neck Lift Surgery?](https://www.drkarenhorton.com/face/neck-lift#candidate) [What Are the Different Types of Neck Lifts?](https://www.drkarenhorton.com/face/neck-lift#types) [What to Expect During a Neck Lift Procedure](https://www.drkarenhorton.com/face/neck-lift#expect) [Recovery After Neck Lift Surgery](https://www.drkarenhorton.com/face/neck-lift#recovery) [FAQs About Neck Lift Surgery](https://www.drkarenhorton.com/face/neck-lift#faq) ## What is a Neck Lift? A neck lift, or lower facelift, is a surgical procedure designed to address signs of aging in the neck and lower face by smoothing crepey skin, tightening soft tissues, and redefining the jawline. It can correct concerns such as a “double chin,” “turkey neck,” vertical platysmal bands, and sagging jowls caused by skin laxity, gravity, or weight loss. This procedure removes excess skin, tightens underlying muscles and soft tissues (collectively called the “SMAS”, the submusculoaponeurotic system of facial muscles and fibrofatty tissue), and improves the neck contour, creating a more youthful appearance with long-lasting results. Neck lift surgery often complements a upper facelift and/or a blepharoplasty to rejuvenate the face and neck at the same time. The goal is to achieve a refreshed, natural look and more defined jawline without appearing overdone or pulled overly tight. [![](https://hortonnew.b-cdn.net/wp-content/uploads/2018/02/bna1.png)](https://www.drkarenhorton.com/gallery/face-and-neck/neckmacs-lift/patient-1) [Click here for before and after photos](https://www.drkarenhorton.com/gallery/face-and-neck/neckmacs-lift/) [Back to Top](https://www.drkarenhorton.com/face/neck-lift#) ## Who is a Good Candidate for Neck Lift Surgery? Good candidates for a neck lift include men or women who are healthy, in good physical shape, and at their ideal body weight (or a stable weight following significant weight loss). Individuals who smoke, have unmanaged medical conditions or are mentally unprepared for surgery may not be suitable candidates for a neck lift. GLP-1 medications must be stopped a full month before any surgery under general anesthesia to avoid complications. Learn more about how to stay safe when taking diabetic or weight loss medications including semaglutides in [this blog post](https://www.drkarenhorton.com/dr-hortons-blog/new-year-new-bod/). ![Middle age woman confident after a neck ift](https://hortonnew.b-cdn.net/wp-content/uploads/2025/01/necklift-model-1-horton.webp) A neck lift can be an extremely rewarding and empowering experience, but it should be done at the right time and for the right reasons by a [Board-Certified Plastic Surgeon](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/). Candidates for neck lift surgery should be emotionally stable, have the support of their surrounding friends and/or family members, and be fully educated about the procedure they are contemplating. Visit our [Preoperative](https://www.drkarenhorton.com/patient-information/preparing-surgery/) section to learn more. ## What Are the Different Types of Neck Lifts? The effect of a neck lift is the reversal of the effects of aging, loss of elasticity and gravity on the neck, recreation of a well-defined jawline, and repositioning the neck’s soft tissues to a more youthful and smooth contour. ### Lower Facelift / Neck Lift A lower facelift focuses on rejuvenating the lower face and neck by addressing sagging jowls, loose neck skin, and fat deposits beneath the chin in the submental area. This procedure combines traditional facelift and neck lift elements to improve the jawline and mid-face. Unlike brow lifts or eyelid procedures, a lower facelift targets the cheeks, jawline, and neck without altering the upper face. This cosmetic surgery procedure tightens underlying structures and redrapes the face and neck skin, creating a smoother, more youthful appearance in the lower face. Most lower facelift or neck lift procedures lift or manipulate the SMAS to some degree, either staying superficial to the SMAS (to protect the important facial nerve and avoids nerve injury which can cause facial paralysis), whereas other facelift procedures dive deep to the SMAS (called “deep plane facelifts”) – which can put the facial nerve at risk. ### Liposuction of the Neck and Chin Neck and chin [liposuction](https://www.drkarenhorton.com/body/liposuction/) removes excess fat to enhance the jawline and neck contour. Using a small incision hidden beneath the chin, a blunt-ended cannula is used to suction fat cells permanently. This technique is ideal for patients with good neck skin elasticity who want to reduce fat deposits without addressing sagging skin or severe jowl formation. Liposuction can be performed on its own or combined with a neck lift or lower facelift to achieve more comprehensive facial rejuvenation. [Back to Top](https://www.drkarenhorton.com/face/neck-lift#) ### MACS Lift The MACS (Minimal Access Cranial Suspension) lift is our preferred facial rejuvenation technique that provides natural-looking results with minimal scarring, and lifts the SMAS in a superficial plane. Dr. Horton’s expertise spans several facelift and neck lift methods, including deep plane lifts, SMAS excision and plication techniques, and small-incision approaches. The [MACS lift](https://www.drkarenhorton.com/face/lower-face-neck-macs-lift/) is often preferred for its ability to correct age-related changes in the lower face, jowls, and neck while offering a quicker recovery and lower complication risk. This advanced procedure targets sagging neck skin and jowling to restore youthful contours without the “overdone” look often associated with traditional facelifts. [Learn more about MACS surgery here.](https://www.drkarenhorton.com/face/lower-face-neck-macs-lift/) ![](https://hortonnew.b-cdn.net/wp-content/uploads/2018/10/MACS-Lift2.jpg)MACS lift scar at 3 months after surgery ## What to Expect During a Neck Lift Procedure A neck lift procedure is typically performed under general anesthesia for maximum comfort and safety. Incisions are made in front of the ear and under the sideburn region, occasionally extending and behind the ears, following natural creases to minimize visible scarring. Local anesthesia is also injected to constrict the tiny blood vessels in the skin and minimize bruising, although some bruising can be expected. Surgery begins with submental liposuction to remove excess fat from the neck and under the chin, if present. Next, the cheek skin is carefully lifted to access deeper structures in the lower face and neck. The platysma muscle is tightened and sculpted to correct jowling and restore a youthful jawline contour, lifting this tissue in a vertical vector upwards. Loose skin is redraped and trimmed, and dissolving sutures are used to secure the skin. If the incision is extended into hair-bearing areas, surgical staples may be placed for easy removal within a week or two. After the neck lift, soft dressings are applied, followed by a compressive chin strap. Most patients experience minimal discomfort, with some pressure sensation in the jaw and temporary numbness. Pain medication is prescribed as needed. A small drain may be used to remove excess fluid for 1 to 3 days. Patients are usually seen on postoperative day one for drain removal and a check of healing. Neck lift scars are permanent, but generally well-concealed along natural contours in natural skin creases, under the sideburn, behind the ears, or in the hairline. With proper care, scars mature over several months to a year. As a component of [Scar Therapy](https://www.drkarenhorton.com/patient-information/postoperative-instructions/#scar), it is important to minimize direct sun exposure to the face and neck not only during healing, but as a life-long behavior to help maintain your rejuvenated appearance and to minimize future “photo-aging” (sun damage). Sun protection is essential during healing to prevent sun damage and maintain long-term results. The final outcome of a neck lift is a natural, rejuvenated neck with improved contour and a more youthful appearance that reflects your vibrant energy and personality. Please see our [Preparing for Surgery](https://www.drkarenhorton.com/patient-information/preparing-surgery/) section to learn about what happens in the operating room on the day of surgery. [Back to Top](https://www.drkarenhorton.com/face/neck-lift#) ## What is the Recovery After Neck Lift Surgery? Swelling and bruising are normal after facial surgery,3 with some initial asymmetry or uneven skin appearance. These effects typically resolve within the first two to four weeks of the recovery period, as puffiness and discoloration fade. Sleeping with your head elevated can help reduce swelling. Strict sun avoidance and daily use of SPF 30+ sunblock are essential to prevent hyperpigmentation or sunburn of healing skin and incisions. Makeup can be applied over sunblock after the first weeks upon permission by our office. We also offer medical-grade skin care products as part of a Physician-recommended regimen to protect and nourish your skin during aesthetic surgery recovery. ![Happy woman looking in the mirror after a neck lift procedure](https://hortonnew.b-cdn.net/wp-content/uploads/2025/01/necklift-model-2-horton.webp) Patients may grow their hair longer pre-surgery to help conceal healing incisions, or wear glasses for a new look while they are still bruised and swollen. Hair coloring should be avoided for at least one month post-surgery. Many patients opt for a salon visit before surgery to feel prepared and refreshed – and to compliment their surgical results! Any sutures or staples that do not dissolve on their own will be painlessly removed in the office within a week or two. Please see our [Postoperative Instructions](https://www.drkarenhorton.com/patient-information/postoperative-instructions/) section and [Special Instructions for Facial Surgery](https://www.drkarenhorton.com/patient-information/postoperative-instructions/#facial) for additional information about recovery from a neck lift. # Procedure FAQs How Long Will the Results of a Neck Lift Last? A neck lift provides long-lasting results, creating a smoother, more youthful neck contour that endures over time. While the natural aging process will continue following any facial Plastic Surgery, you will maintain a more refreshed appearance than if the procedure had not been performed. The outcome is intended to look natural, never tight or overdone, ensuring a balanced, harmonious result as you age gracefully.Maintaining excellent [Skin Care](https://www.drkarenhorton.com/non-surgical/skin-care/), smart sun avoidance, and consideration of [Non-Surgical Rejuvenation](https://www.drkarenhorton.com/non-surgical/face-rejuvenation/) can often prolong the results of your neck lift. Long-term follow-up with Dr. Horton will enable ongoing assessment of your results in the short term and over many years to come. Can I Combine Other Surgical and Non-Surgical Procedures with a Neck Lift? Yes, neck lift surgery can be combined with other surgical and non-surgical treatments to achieve more comprehensive facial rejuvenation. While a neck lift enhances the neck contour and jawline, it does not address the mid-face, eyes, or forehead. Common complementary procedures include a [facelift](https://www.drkarenhorton.com/face/lift/) to smooth wrinkles and lift the cheeks, a [brow lift](https://www.drkarenhorton.com/face/brow-lift/) to refresh the forehead and eye area, and [blepharoplasty (eyelid surgery)](https://www.drkarenhorton.com/face/eyelid-lift/) to remove excess eyelid skin and reduce puffiness, while [earlobe repair](https://www.drkarenhorton.com/face/earlobe-repair/) helps rejuvenate stretched or aged earlobes, providing balance and harmony to the overall appearance. [Non-surgical treatments](https://www.drkarenhorton.com/non-surgical/) like [Botox](https://www.drkarenhorton.com/non-surgical/botox/) and [fillers](https://www.drkarenhorton.com/non-surgical/injectables/) and laser-based treatments to the skin can further enhance results. What Are Potential Risks and Complications of Neck Lift Surgery? You should be fully educated about potential risks and complications when considering any type of surgery. Please see our [Preparing for Surgery](https://www.drkarenhorton.com/patient-information/preparing-surgery/) section to learn about general risks and potential complications, [Special Considerations for Facial Plastic Surgery](https://www.drkarenhorton.com/patient-information/preparing-surgery/#facial), and [Postoperative Instructions](https://www.drkarenhorton.com/patient-information/postoperative-instructions/) section for additional information on neck lift surgery. Where Can I See Before and After Photographs of Neck Lift Surgery? Before and after neck lift surgery results can be viewed in [our gallery](https://www.drkarenhorton.com/gallery/face-and-neck/neckmacs-lift/) and during your consultation. Where Can I Find Neck Lift Surgery Near Me? If you’re in the San Francisco Bay Area seeking a Board-Certified Plastic Surgeon experienced in neck lift surgery, Dr. Karen Horton offers expert care and customized treatment plans at her surgery center. [Contact us](https://www.drkarenhorton.com/contact-us/) today to schedule a consultation and explore options for rejuvenating your neckline. [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? 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Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). 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We can provide a financial quote for what anticipated surgical fees will be after your consultation. ## Accreditations Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/face/neck-lift#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Tummy Tuck Surgery Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Tummy Tuck (Abdominoplasty) [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") Page Updated: December 31, 2024 As a Board-Certified Plastic Surgeon in the San Francisco Bay Area, [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) understands how life changes, such as weight loss, pregnancy, and aging, can affect the midsection. If you’re struggling with loose skin, stretch marks, a distorted belly button, weakened abdominal muscles, or stubborn fat deposits, tummy tuck surgery (abdominoplasty) may be your solution. Designed to restore a firmer, more contoured midsection, abdominoplasty is one of the most transformative body contouring procedures available. Whether you’re considering a tummy tuck as part of a [Mommy Makeover](https://www.drkarenhorton.com/body/mommy-makeover/) or on its own, Dr. Horton and her [all-female team](https://www.drkarenhorton.com/about/staff/) can guide you through the process with personalized care and expertise. [What is an Abdominoplasty (Tummy Tuck)?](https://www.drkarenhorton.com/body/tummy-tuck#what) [Benefits of Tummy Tuck Surgery](https://www.drkarenhorton.com/body/tummy-tuck#benefits) [Types of Tummy Tuck Procedures](https://www.drkarenhorton.com/body/tummy-tuck#types) [Preparing for Tummy Tuck Surgery](https://www.drkarenhorton.com/body/tummy-tuck#preparing) [What to Expect During Abdominoplasty](https://www.drkarenhorton.com/body/tummy-tuck#expect) [Recovery After Tummy Tuck](https://www.drkarenhorton.com/body/tummy-tuck#recovery) [Planning Your San Francisco Tummy Tuck](https://www.drkarenhorton.com/body/tummy-tuck#planning) [FAQs About Tummy Tuck](https://www.drkarenhorton.com/body/tummy-tuck#faq) ## What is an Abdominoplasty (Tummy Tuck)? Abdominoplasty, commonly referred to as a tummy tuck, is a surgical procedure that removes excess skin and fat from the abdominal area while tightening weakened or separated abdominal muscles (a condition called rectus diastasis or “diastasis recti”).1 The result is a smoother, firmer midsection and a more defined waistline. Depending on your unique concerns, a tummy tuck procedure can also address laxity in the lower abdomen, stretch marks, and the belly button’s position and appearance. **To learn more about Dr. Horton’s approach and philosophy to abdominoplasty, [check out her blog](https://www.drkarenhorton.com/category/body-procedures/abdominoplasty-body-procedures/).** [Back to Top](https://www.drkarenhorton.com/body/tummy-tuck#) What Are the Benefits of a Tummy Tuck Surgery? \| Karen Horton, MD - YouTube Dr. Karen Horton 871 subscribers [What Are the Benefits of a Tummy Tuck Surgery? \| Karen Horton, MD](https://www.youtube.com/watch?v=9-Akgz9v2PA) Dr. Karen Horton Search Watch later Share Copy link Info Shopping Tap to unmute If playback doesn't begin shortly, try restarting your device. More videos ## More videos You're signed out Videos you watch may be added to the TV's watch history and influence TV recommendations. To avoid this, cancel and sign in to YouTube on your computer. 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[Watch on](https://www.youtube.com/watch?v=9-Akgz9v2PA&embeds_referring_euri=https%3A%2F%2Fwww.drkarenhorton.com%2F) 0:00 0:00 / 1:08•Live • [Watch on YouTube](https://www.youtube.com/watch?v=9-Akgz9v2PA "Watch on YouTube") # Featured Case [View Our Patient Gallery](https://www.drkarenhorton.com/gallery/body/abdominoplasty/) Previous ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG0896793101-10609-b/original.jpeg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG0896794028-10609-a/original.jpeg) Drag the slider to see transformation ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG5147488059-9628-b/original.jpeg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG5147488088-9628-a/original.jpeg) Drag the slider to see transformation ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3354262055-9585-b/original.jpeg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3354262080-9585-a/original.jpeg) Drag the slider to see transformation ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/) ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/) Drag the slider to see transformation Next ## Benefits of Tummy Tuck Surgery - Tummy tuck patients often choose this procedure to: - Remove excess skin and extra fat after significant weight loss. - Tighten abdominal muscles for improved core strength and stability. - Enhance the appearance of the waistline and overall body contour. - Address excess abdominal skin and laxity caused by pregnancy or aging. - Improve confidence when wearing fitted clothing or bathing suits. - Complement other body contouring procedures, such as [liposuction](https://www.drkarenhorton.com/body/liposuction/) or [breast augmentation](https://www.drkarenhorton.com/breast/). [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/ "Contact Us") “ _After giving birth to two children via c-section and then years of self-loathing, I finally made the difficult decision to meet with a plastic surgeon. My husband and I researched local surgeons and concluded that we needed to look out the area. I came across Dr. Horton’s website, read every review, good and bad. She seemed like a nice fit and I was interested in meeting her. My husband and I met with Dr. Horton and immediately felt comfortable and at ease. We instantly took a liking to her. She was compassionate and sensitive to my feeling and situation. We left with a lot of information and a huge decision to make.For years, I spent every morning crying in my closet, kicking my husband out of the bathroom, not wanting to be looked at. I was not comfortable in my own skin. I’d spend hours in the gym working my butt off and still could not get rid of my mid-section. I hated looking at myself in the mirror. I hated shopping for clothes, and I LOVE TO SHOP. With the support of my amazing husband and family, I decided to go through with surgery.I had an abdominoplasty and liposuction. I am now 8 weeks post-op and I have never been happier. I’m finally at the point in my life where I feel on the outside like I feel on the inside. I feel strong, sexy, and confident. I finally have my life back. Thank you Dr. Horton._ „ ## Types of Tummy Tuck Procedures Each tummy tuck procedure is tailored to address your unique needs. The types of tummy tucks include: - **Traditional Tummy Tuck**: Ideal for patients with a significant amount of loose skin, excess fat, and weakened abdominal muscles. Also known as a full tummy tuck, this procedure involves a horizontal incision and may reposition the belly button. - **Mini Tummy Tuck**: Best for addressing laxity and excess skin in the lower abdomen. A smaller incision is used during the mini abdominoplasty procedure, and abdominal muscle repair may not be necessary. - **Extended Tummy Tuck**: Also known as a vertical tummy tuck, this procedure is ideal for patients with extra skin and fat extending to the flanks or lower back, often following weight loss surgery or multiple pregnancies. - **Liposuction Add-On**: Combining [liposuction](https://www.drkarenhorton.com/body/liposuction/) with a tummy tuck can remove fat deposits in the abdominal area, pubic region, flanks/midsection and upper inner thighs, to enhance the overall result. [Back to Top](https://www.drkarenhorton.com/body/tummy-tuck#) # Preparing for Tummy Tuck Surgery The first step is scheduling your abdominoplasty consultation with Dr. Horton, who will spend time getting to know you personally and take a complete medical history. During this initial meeting, we’ll explore your reasons for seeking a tummy tuck, examine your abdomen, determine if you are an appropriate candidate, and discuss the type of tummy tuck that’s right for you. Additional preparation is essential for a safe and successful abdominoplasty procedure. To ensure the best outcome: - Maintain a stable weight and healthy lifestyle. - Be off any weight loss/diabetic GLP-1 medications such as semaglutide for one month before surgery. Learn more [here](https://www.drkarenhorton.com/dr-hortons-blog/new-year-new-bod/). - Avoid smoking for at least 6 weeks before and after surgery. - Arrange for a recovery period where you can focus on healing. [Back to Top](https://www.drkarenhorton.com/body/tummy-tuck#) # What to Expect During Abdominoplasty Tummy tuck surgery is typically performed under general anesthesia in our [accredited surgical facility in San Francisco’s Professional Building](https://www.drkarenhorton.com/dr-hortons-blog/pacific-professional-building-san-francisco/) in Pacific Heights. The procedure may take 2-4 hours, depending on the type of tummy tuck. After making the necessary incisions, Dr. Horton will remove excess skin and fat, tighten the abdominal wall, and reposition the belly button if needed. Sutures will be placed to secure the repaired tissues. [Back to Top](https://www.drkarenhorton.com/body/tummy-tuck#) ## Recovery After Tummy Tuck Mild to moderate swelling and discomfort are expected during the first few days after abdominoplasty surgery. To help manage this, you’ll be prescribed oral pain medications for the initial recovery period, typically one to two weeks. To support circulation and reduce the risk of complications, gentle walking, and deep breathing exercises are recommended as soon as possible following the procedure. After tummy tuck surgery, drains may remain in place for up to two weeks to help remove excess fluid and support a smooth, contoured result during healing. Temporary numbness, bruising, and fatigue are typical in the first 2-4 weeks. While initial improvements are noticeable early on, it may take 3 months to a year for all swelling to resolve completely, revealing the full results of your tummy tuck.2 **Other aspects of the healing process include:** - Wearing a compression garment to minimize swelling and support the abdominal area. - Avoiding strenuous activities during the recovery period, typically 4-6 weeks. - Attending follow-up visits to monitor your progress. Dear Dr. Horton, you've given me my life back ... your unparalleled attention to detail, care and warmth have made me so grateful to have had you as a surgeon. Now looking in the mirror I see promise of a greater future. Vacations and bathing suits! ## FAQs About Tummy Tuck ### How do I know if I’m a good candidate for a tummy tuck? Ideal candidates are at a stable weight, have realistic expectations, and are in good overall health. 3 ### What is the cost of a tummy tuck in San Francisco? Tummy tuck cost varies based on the type of tummy tuck and whether additional procedures, such as [liposuction](https://www.drkarenhorton.com/body/liposuction/), are included. Our team will provide detailed pricing during your consultation. ### Will a tummy tuck help with stretch marks? A tummy tuck can remove stretch marks located on the extra skin that is excised. ### What kind of scars will I have after tummy tuck surgery? The type of scars you’ll have after tummy tuck surgery depends on the technique used. A traditional tummy tuck typically leaves a horizontal scar low on the abdomen, usually concealed by underwear or bathing suits. A mini tummy tuck results in a shorter scar, also positioned low on the lower abdomen, ideal for patients with minimal excess skin. A vertical tummy tuck, used in specific cases, adds a vertical scar extending upward from the horizontal incision to address more extensive laxity. Over time, scars generally fade and can often be minimized with proper care and treatments. ### Can I combine a tummy tuck with other procedures? Yes, tummy tuck surgery can be combined with other Plastic Surgery procedures, such as a [breast lift](https://www.drkarenhorton.com/breast/lift/) or [Mommy Makeover](https://www.drkarenhorton.com/body/mommy-makeover/), for comprehensive body contouring. ### What are the potential risks and complications of abdominoplasty? Please see our [Preparing for Surgery](https://www.drkarenhorton.com/patient-information/preparing-surgery/) section to learn about risks and potential complications related to surgery and [Postoperative Instructions](https://www.drkarenhorton.com/patient-information/postoperative-instructions/#abdominal) for additional information on abdominoplasty. ### How do I find a tummy tuck Surgeon near me? If you’re looking for a highly experienced Board-Certified tummy tuck Surgeon in the San Francisco Bay Area, contact Dr. Karen Horton today to learn how abdominoplasty can help you achieve your goals. [Back to Top](https://www.drkarenhorton.com/body/tummy-tuck#) [View Our Patient Gallery](https://www.drkarenhorton.com/gallery/body/abdominoplasty/) “ I am a 38 year old mother of two. I had two gigantic babies via C-section, that turned my stomach into a very sad place. I work out, I eat well, but no matter what I did, there it was. The crumpled-up skin and shelf I knew as my body. I hid it well. REAL well. Nobody knew, but I was dying inside. Finally, in January I scheduled my surgery. Dr. Horton was first on my list. Why? Because she gets it. She is a mom, a businesswoman and a person that I knew when I spoke of my struggles, she got it. We spent hours chatting about expectations, what was going to happen and the recovery. June 20th I went in. 6 am I arrived... checked in, get in a robe, lay down, IV in, pass out - wake up 4.5 hours later.. to a new BOD… that’s when the FUN STARTED. Did it hurt? Not at first. I stayed overnight and was pretty drugged up the first 48 hours. After about 72 hours you start coming back to life and it feels a little weird. You can’t stand up straight and things like moving are a challenge. I was lucky enough to have my mother here to take care of me for a week. Mostly the first 10 days I slept, and rested. Pain scale overall harder than a C-section, but not something you can’t handle. It is about 10 days of difficult then just sore. Week 2-3 were healing time lots of naps and resting. By week 4 you round the corner and now 6 weeks out I feel like a million bucks. The feeling of difference is immediate. The results are exactly as Dr. Horton described. She told me what would hurt where and how long this would take to heal etc. Dr. Horton as a woman is amazing. As a surgeon she is brilliant. I went to sleep with her holding my hand, I woke up with her smiling at me. I went to sleep night one with her coming to visit and when I awoke the next day, she was there checking in on me. Would I do it again. YES. Would I recommend Dr. Horton 1000x YES!!! She is a real woman who understands our bodies and sets real expectations. My journey has been a long and hard one. I am so proud to say I am on the other side now. If you are thinking about this surgery, my only advice is to really select the right doctor that actually hears what you want, and take a month off.. you will need it! „ ## Planning Your Tummy Tuck Procedure - **Average Cost:** $20,000-$30,000 _(surgical fee)_ - **Average Procedure Time:** 4 hours - **Average Recovery Time:** 6-8 weeks _Please note that pricing will vary, and all information provided represents an average of typical costs and time and does not guarantee pricing or availability. Your individual treatment plan will be personalized to meet your needs, and we recommend scheduling a consultation to receive a more accurate breakdown of pricing and recovery expectations._ ![Planning Your Procedure](https://hortonnew.b-cdn.net/wp-content/uploads/2019/08/Horton-Plan-Your-Procedure.jpg) 1 Mayo Clinic. Tummy Tuck. [https://www.mayoclinic.org/tests-procedures/tummy-tuck/about/pac-20384892](https://www.mayoclinic.org/tests-procedures/tummy-tuck/about/pac-20384892). Accessed November 20, 2024. 2 ASPS. What you need to know about your tummy tuck recovery. [https://www.plasticsurgery.org/news/blog/what-you-need-to-know-about-your-tummy-tuck-recovery](https://www.plasticsurgery.org/news/blog/what-you-need-to-know-about-your-tummy-tuck-recovery). Accessed November 20, 2024. 3 ASPS. Tummy Tuck Candidates. [https://www.plasticsurgery.org/cosmetic-procedures/tummy-tuck/candidates](https://www.plasticsurgery.org/cosmetic-procedures/tummy-tuck/candidates). Accessed November 20, 2024. [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/body/tummy-tuck#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Umbilicoplasty Surgery Gallery Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Belly Button Surgery (Umbilicoplasty) Gallery ### Patient 1 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG4562633099-13421-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-1) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG4562634032-13421-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-1) [Click To View Details](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-1) ### Patient 2 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG7475078058-28970-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-2) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG7475078071-28970-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-2) [Click To View Details](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-2) ### Patient 3 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG7476136030-28975-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-3) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG7476136042-28975-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-3) [Click To View Details](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-3) ### Patient 4 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG0623483095-14136-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-4) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG0623484028-14136-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-4) [Click To View Details](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-4) ### Patient 5 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG2080113036-10692-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-5) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG2080113095-10692-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-5) [Click To View Details](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-5) ### Patient 6 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3031325058-14417-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-6) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG3031325089-14417-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-6) [Click To View Details](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-6) ### Patient 7 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG5695472107-17596-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-7) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG5695473077-17596-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-7) [Click To View Details](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-7) ### Patient 8 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG9827628087-18102-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-8) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG9827629018-18102-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-8) [Click To View Details](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-8) ### Patient 9 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG1907297008-18417-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-9) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG1907297037-18417-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-9) [Click To View Details](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-9) ### Patient 10 [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG5375506049-31770-b/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-10) [![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG5375506062-31770-a/medium.jpeg)](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-10) [Click To View Details](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-10) ### Patient 11 [![]()](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-11) [![]()](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-11) [Click To View Details](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-11) ### Patient 12 [![]()](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-12) [![]()](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-12) [Click To View Details](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/patient-12) #### View More Cases [Schedule a Consultation](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St #506 San Francisco, CA 94115 Phone: [415.570.7352](tel:+14155707352) ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## Hours **Monday-Friday:** 8am - 5pm **Saturday-Sunday:** Closed Monday: 8 AM to 5 PM Tuesday: 8 AM to 5 PM Wednesday: 8 AM to 5 PM Thursday: 8 AM to 5 PM Friday: 8 AM to 5 PM Saturday: 8 AM to 5 PM Sunday: 8 AM to 5 PM ## Address Dr. Karen M. Horton 2100 Webster St #506 San Francisco, CA 94115 Phone: [415.570.7352](tel:) ## Accreditations Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/gallery/body/umbilicoplasty) [Back To Top](https://www.drkarenhorton.com/gallery/body/umbilicoplasty#) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Mommy Makeover Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Mommy Makeover [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") ## Mommy Makeover Procedures [Breast Augmentation, Lift or Reduction](https://www.drkarenhorton.com/body/mommy-makeover#breast) [Abdominoplasty (Tummy Tuck)](https://www.drkarenhorton.com/body/mommy-makeover#tummy_tuck) [Liposuction](https://www.drkarenhorton.com/body/mommy-makeover#liposuction) [Labiaplasty](https://www.drkarenhorton.com/body/mommy-makeover#labiaplasty) [Non-Surgical Aesthetic Treatments](https://www.drkarenhorton.com/body/mommy-makeover#treatments) [Medical-Grade Skin Care](https://www.drkarenhorton.com/body/mommy-makeover#skin) “ _Dr. Horton has truly changed my life. After having three children and losing my figure to pregnancies and years of breastfeeding, I finally feel sexy, young and like the vital woman I am on the inside. Having my Mommy Makeover was the best decision I could have made for myself, my marriage and my family. Thank you!_ „ ## Breast Augmentation, Lift or Reduction Breast rejuvenation after having children corrects changes in the breasts that inevitably occur with pregnancy, regardless of whether a mother breast fed or not! Most women wish to address breast deflation or sagging and to regain their former perkier and youthful breasts. [Breast augmentation](https://www.drkarenhorton.com/breast/augmentation/), breast lift (mastopexy), combination lift and implant, or breast reduction are procedures commonly sought by moms to rejuvenate their breasts. [Learn more about Breast Rejuvenation in the Mommy Makeover.](https://www.drkarenhorton.com/body/mommy-makeover/surgery/#breasts) ## Abdominoplasty (Tummy Tuck) A [tummy tuck](https://www.drkarenhorton.com/body/tummy-tuck/) is often the foundation of a Mommy Makeover. Pregnancy creates permanent changes in most Moms’ tummies: excess abdominal skin, stretch marks, persistent tummy fat, separated and stretched out abdominal muscles with loss of tone, and a bulging tummy contour. Abdominoplasty surgery creates a firmer, flatter belly, removes stretch marks, corrects abdominal laxity, and creates a slimmer silhouette. A tummy tuck also can improve posture, strength, muscle tone and ergonomics, enabling mothers to feel comfortable wearing their bikinis again! [Learn more about Abdominoplasty as part of a Mommy Makeover.](https://www.drkarenhorton.com/body/mommy-makeover/surgery/#tummy_tuck) ## Liposuction [Liposuction](https://www.drkarenhorton.com/body/liposuction/) is a body contouring procedure that eliminates stubborn fat deposits from specific areas of the body. With less downtime than more invasive surgical procedures, liposuction is a simple and effective way for Moms to treat persistent fat stores once they have achieved their optimal weight and become physically fit after they have finished having children. Liposuction can be performed on multiple areas of the body at one time, and can be added as a complimentary procedure to surgery of the breasts, tummy, body or face. [Learn more about Liposuction as part of a Mommy Makeover.](https://www.drkarenhorton.com/body/mommy-makeover/surgery/#body) ## Labiaplasty After repeated vaginal deliveries, with age or for congenital reasons, the labia minora (inner lips of the vulva) can hang lower and develop redundancy. Moms interested in [labiaplasty](https://www.drkarenhorton.com/body/labiaplasty/) seek cosmetic or functional improvement to this area. Labiaplasty creates a more neat and tidy appearance to the external genitalia; occasionally excess tissue around the clitoral hood is also carefully trimmed as part of the procedure. [Learn more about Labiaplasty as part of a Mommy Makeover.](https://www.drkarenhorton.com/body/mommy-makeover/#labiaplasty) “ _I'm so happy with the surgery, and now 1 year later, I'm so physically active with my kids and I have YOU to thank! You are the best, Dr. Superstar!_ „ ## Non-Surgical Aesthetic Treatments Some lucky mothers may not need an extensive surgical procedure to feel rejuvenated after pregnancy, but they may want to treat skin changes from aging or sun damage. Non-surgical aesthetic treatments include [BOTOX](https://www.drkarenhorton.com/non-surgical/botox/) ® Cosmetic and alternatives to correct wrinkles, injectable fillers, lasers and other skin rejuvenation treatments for the face, neck and chest. For Moms who are not quite ready for surgery or who wish to have less downtime, non-surgical aesthetic treatments can be a great option. Other Mommy Makeover patients compliment their surgical procedure with non-surgical cosmetic treatments. [Learn more about Non-Surgical Aesthetic Treatments.](https://www.drkarenhorton.com/non-surgical/) ## Medical-Grade Skin Care “Medical-grade” [skin care](https://www.drkarenhorton.com/non-surgical/skin-care/) refers to professional skin care products that contain the highest possible concentration of the active ingredients and are only available through your Physician’s office. We offer only FDA-approved, scientifically based and clinically proven products that rejuvenate the skin, help to correct aging and sun damage, prepare the face and body for other non-surgical rejuvenation, and optimize the skin when facial cosmetic procedures are being considered. [Learn more about Medical-Grade Skin Care.](https://www.drkarenhorton.com/non-surgical/skin-care/) [View Our Patient Gallery](https://www.drkarenhorton.com/gallery/body/mommy-makeover/) [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/body/mommy-makeover#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Men's Plastic Surgery Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Procedures for Men [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") Men take pride in their appearance. Men want to look as good as possible and maintain a youthful and healthy physique as they age, just as much as women do. [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) and our team offer procedures and products specifically tailored to men, recognizing that men have a different facial aesthetic and body habits than women. We tailor cosmetic treatments for men specifically to the male aesthetic, considering men’s anatomy and their goals for treatment, all the while maintaining a masculine appearance. ![](https://hortonnew.b-cdn.net/wp-content/uploads/2014/02/dkh_gallery_landing_page_rnd3b_12.jpg)\*Model ## Watch as Dr. Horton weighs in on the stigma surrounding Plastic Surgery for men in this ASPS Roundtable discussion. ASPS Roundtable: Plastic Surgery for Men from PlasticSurgeryASPS on Vimeo ![video thumbnail](https://i.vimeocdn.com/video/1683584726-cc04ad047a489cf617bb3ba95ad8c0d4f89e7aae35d872c22037115ae063d5ab-d?mw=80&q=85) Playing in picture-in-picture Like Add to Watch Later Share Play 00:00 26:01 CC/Subtitles Off English CC Customize TranscriptSettings QualityAuto SpeedNormal Picture-in-PictureFullscreen [Watch on Vimeo](https://vimeo.com/733287017) ## Liposuction Liposuction is a surgical outpatient procedure that involves general anesthesia and takes 1-2 hours. Liposuction produces more dramatic results than non-surgical options for fat reduction but involves approximately 1-2 weeks of surgical recovery (no exercise). However, work can be resumed in a few days. Through tiny incisions hidden in natural creases, a small cannula is inserted into localized fat deposits in the abdomen, flanks, back, neck or other areas, permanently removing fat and contouring the body for a more chiseled physique and a fitter, more slender appearance. Though liposuction permanently removes fat, an ongoing healthy diet and regular exercise are recommended to maintain the improved body contour. Learn more about [Liposuction](https://www.drkarenhorton.com/body/liposuction/). # Featured Case [View Our Patient Gallery](https://www.drkarenhorton.com/male-plastic-surgery) ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG2188258078-6975-b/original.jpeg) ![](https://hortonnew.b-cdn.net/wp-content/uploads/rmgallery2/RMG2188258107-6975-a/original.jpeg) Drag the slider to see transformation _Dear Dr. Horton and Team,Thank you all for making me look and feel so amazing! Though I'm still recovering I don't doubt that the work that you and the surgical team have done is absolutely fantastic.I've never felt this good about the shape of my body, how I perceive my body to look and how I fit into my clothes now!!I really needed this step to maintain a healthier lifestyle and will always be grateful for what you've done. Thank you so much and keep up the great work!_ ~ A gentleman patient ## Post-Weight Loss Body Contouring Following significant weight loss ‘naturally’ (through hard work, a healthy diet and exercise) or after bariatric surgery, men can have excess, hanging skin or residual fatty deposits that remain. Post-weight loss body contouring can address the chest (male breast reduction or gynecomastia correction), the abdomen (liposuction or abdominoplasty), the flanks, back, thighs or other areas. Following major weight loss, the face also undergoes transformation, with a more aged appearance in many cases. A facelift, neck lift or non-surgical procedures at Horton SPA can help rejuvenate the face, neck, jowls and skin of men following major weight loss. Learn more about [post-weight loss body contouring surgery](https://www.drkarenhorton.com/body/post-weight-loss/). ## Umbilicoplasty Umbilicoplasty, or belly button surgery, can create a more subtle or pleasing appearance to the navel. Many of Dr. Horton’s male patients who wish to feel more confident going without a shirt at the gym, beach, or elsewhere undergo this procedure to remedy a small umbilical hernia that can cause a bulge around the navel or other perceived flaws such as an “outie” belly button. Dr. Horton also often combines umbilicoplasty with abdominal liposuction, tummy tuck, or post-weight loss body contouring for her male patients. Learn more about cosmetic [belly button surgery](https://www.drkarenhorton.com/body/belly-button-surgery/). # Gynecomastia Correction (Male Breast Reduction) Men want to have a masculine chest and to feel comfortable with their shirt off at the beach, when swimming or playing sports. Weight gain, aging, genetics and some medications can create ‘gynecomastia’ (male breast development), which can create self-consciousness for men. Male breast reduction is performed as a short, safe outpatient procedure where ultrasonic-assisted liposuction removes excess male breast tissue and fat from the male breast area, creating a smoother and more masculine chest contour. Depending on the severity of gynecomastia, additional incisions may be used to lift the nipples and remove excess skin, maintaining a masculine chest contour. Learn more about [gynecomastia correction (male breast reduction)](https://www.drkarenhorton.com/breast/male-reduction/). # Poland Syndrome Correction in Men Poland syndrome is a developmental anomaly that is not inherited, but is in fact an error of development of the chest wall during growth in utero. The chest is underdeveloped on one side, with absence of the pectoralis major muscle and often differences in the nipple and areola and/or other chest muscles and upper extremity. Chest wall deformities from Poland syndrome in men can be corrected by placement of a specially-designed implant, by free fat grafting or Microsurgical transplantation of fat from the lower abdomen (known as the [DIEP flap](https://www.drkarenhorton.com/breast/reconstruction/flap/)) to create symmetry of the chest wall. Learn more about [Poland Syndrome correction](https://www.drkarenhorton.com/breast/poland-syndrome/). ## Male Facelift, Eyelid Surgery and Neck Lift Facial cosmetic surgery in men has a different approach than in women because of the unique anatomy of men and the goal of maintaining a masculine, rugged appearance. [Facelift](https://www.drkarenhorton.com/face/lift/), [eyelid surgery](https://www.drkarenhorton.com/face/eyelid-lift/), [neck lift](https://www.drkarenhorton.com/face/neck-lift/) and neck liposuction are popular procedures in men that will rejuvenate a man’s face and neck but will avoid a feminized look or obvious results. Results of facial Plastic Surgery in men should be “subtle, but significant”, maintaining a masculine appearance but creating a refreshed and more youthful result. Performed under general anesthesia in the operating room for absolute control and safety, recovery is often about 2-4 weeks, and results are permanent. Learn more about [facial cosmetic surgery](https://www.drkarenhorton.com/face/). BOTOX® Cosmetic is an excellent method for men to rejuvenate their looks and achieve a refreshed, natural-looking appearance without surgery or downtime. ## BOTOX® Cosmetic and Dysport® ![](https://hortonnew.b-cdn.net/wp-content/uploads/2018/10/male-botox-bna.jpg) Men have thicker skin and stronger facial muscles than women, forming deep brow creases that can become permanent with time. Horton SPA specializes in natural-looking results without a telltale ‘frozen’ expression. We have extensive experience in treating men and recognize that BOTOX® Cosmetic and Dysport® injection sites in men are different than in women to preserve a masculine appearance. Results are natural and typically last for 3-4 months. Learn more about [BOTOX® Cosmetic](https://www.drkarenhorton.com/non-surgical/botox/). # Dermal Fillers Loss of facial volume and deep creases in specific areas of men’s faces and skin can often be corrected by injection of semi-permanent dermal fillers, natural gel-like substances that instantly create a refreshed and rejuvenated appearance. The approach to fillers in men is vastly different from that in women, in order to maintain a masculine facial form. We tailor dermal filler treatment to each man individually, based on their anatomy and the effects of aging. Results are natural-looking and last for about 6 months to 2 years or more. Learn more about [injectable dermal fillers](https://www.drkarenhorton.com/non-surgical/injectables/). # Hyperhidrosis Treatment (excessive underarm sweating) Hyperhidrosis, or excessive sweating, can occur in the hands, feet or underarm areas and can often be embarrassing in social settings. Hyperhidrosis treatment can reduce stress-related perspiration and enable greater comfort shaking hands, wearing shoes and wearing shirts that show underarm sweat. Hyperhidrosis treatment is multi-factorial and can include topical therapies and BOTOX® injections. Learn more about [hyperhidrosis treatment](https://www.drkarenhorton.com/non-surgical/treatment-for-severe-underarm-sweating-hyperhidrosis/). ## IPL Treatments Intense Pulsed Light (IPL) is a non-ablative, non-surgical office ‘laser’ treatment that uses light energy to photo-rejuvenate men’s skin, correct sun damage, treat broken capillaries (‘telangiectasias’) from sun and wind damage (golfers, runners, windsurfers and sailors), and to treat abnormal pigmentation on the face, neck and hands. The appearance of red or brown scars from surgery or trauma can be optimized even years after surgery with IPL treatments. Downtime is zero and results are evident even after one treatment, though a series of IPL treatments are often recommended for men to achieve optimal results. Learn more about [IPL treatments](https://www.drkarenhorton.com/non-surgical/laser-treatments/). ## Medical-Grade Skin Care A skin care regimen does not need to be complicated to be effective, particularly when the regimen is for men!  ‘Medical grade’ skin care products can treat and prevent sun damage as well as signs of aging, and they are clinically studied, based in science, FDA-approved and are generally only available at Physicians’ offices. Products contain the highest concentrations of the active ingredients and are not heavily packaged, scented or marketed to the public. At [Horton SPA](https://www.drkarenhorton.com/non-surgical/), men work together with our Aesthetic Nurse Practitioner [Emily](https://www.drkarenhorton.com/about/emily-sespaniak-nurse-practitioner-san-francisco-ca/) to create a plan that works for them. Our patients are provided with a simple but effective skin care regimen, including all products they need and a written treatment plan that instructs how and when to use the products. Learn more about [medical-grade skin care](https://www.drkarenhorton.com/non-surgical/skin-care/). ![](https://hortonnew.b-cdn.net/wp-content/uploads/2018/10/shutterstock_358161968-2-e1540858288181.jpg)\*Model To learn more about cosmetic treatments for men and rejuvenative procedures specifically designed for and tailored to men, read our [related blog posts](https://www.drkarenhorton.com/category/procedures-for-men/). \*Individual Results May Vary [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/male-plastic-surgery#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Nipple Surgery Services Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Cosmetic Nipple Surgery [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") ## Cosmetic Nipple Surgery [Inverted Nipple Correction](https://www.drkarenhorton.com/breast/nipple-surgery#inverted) [Nipple Reduction](https://www.drkarenhorton.com/breast/nipple-surgery#reduction) ## Inverted Nipple Correction Inverted nipple correction can involve just one or both nipples. Women with inverted nipples may face embarrassment or self-consciousness, or can have functional difficulties with breast feeding or erogenous sensation. Some women note their nipples are increasingly inverted after they have finished having children; nipples correction can also be part of a [Mommy Makeover](https://www.drkarenhorton.com/body/mommy-makeover/). Inverted nipple correction can normalize nipple appearance and create better and more aesthetic nipple projection. During inverted nipple correction, congenitally tight bands that extend from the breast to the nipple base are divided. A small incision is made at the base of the nipple at its junction with the areola, the colored circle surrounding the nipple, and the tight bands are released. Milk ducts and nerve connections are preserved as much as possible. Depending on the degree of inversion, the procedure can take 20 minutes to an hour to perform. Dissolving internal sutures are used. Surgery takes place in the office under local anesthesia, and downtime is a few days. After surgery, a special waterproof dressing is placed, and a nipple shield may be recommended by your surgeon for a few weeks. ## Nipple Reduction Women with extremely large or elongated nipples seek nipple reduction to achieve a more normal, natural appearing nipple. Like inverted nipple correction, surgery is offered as an office outpatient procedure and takes up to an hour to perform. A small incision is made at the base of the nipple. Dissolving sutures are hidden beneath the nipple, and the nipple is made smaller and less prominent to suit your specific wishes. Sensation and the ability to breast feed should remain after surgery. ![](https://hortonnew.b-cdn.net/wp-content/uploads/2019/04/epi-foam-donuts-for-after-nipple-repair.jpg) After nipple correction (inverted repair or reduction), a soft foam “donut” is often worn over the nipple to protect it during healing. One will be placed over the nipple after surgery and patients are sent home with a few extras to wear as protection during the first week after repair. Nipple reduction can also be part of a Mommy Makeover. If additional pregnancies are planned, it is best to wait until after nursing is complete for nipple reduction surgery. For more information, please read our blog **[Nipples & Plastic Surgery – What is normal, what can be changed?](https://www.drkarenhorton.com/dr-hortons-blog/nipples-plastic-surgery-what-is-normal-what-can-be-changed/ "Nipples & Plastic Surgery – What is normal, what can be changed?")** [View Our Patient Gallery](https://www.drkarenhorton.com/gallery/breast/cosmetic-nipple-surgery/) [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/breast/nipple-surgery#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Special Offers Signup Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Receive Special Offers [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") By joining our email list, you will be the first to know about special offers, upcoming events and much more. do or do not , there is no try I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. * * * [VIEW OUR CURRENT SPECIALS](https://www.drkarenhorton.com/specials/) [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/receive-special-offers#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## Earlobe Repair Surgery Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # Earlobe Repair & Cosmetic Ear Surgery [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") Page Updated: March 18, 2025 ## Earlobe Repair & Cosmetic Ear Surgery [Types of Ear Correction](https://www.drkarenhorton.com/face/earlobe-repair#types) [Planning Your Earlobe Repair Procedure](https://www.drkarenhorton.com/face/earlobe-repair#planning) [Recovery After Earlobe Correction](https://www.drkarenhorton.com/face/earlobe-repair#recovery) [FAQs About Earlobe Correction Surgery](https://www.drkarenhorton.com/face/earlobe-repair#faq) [![](https://hortonnew.b-cdn.net/wp-content/uploads/2011/12/earlobe-bna.jpg)Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/), a Board-Certified Plastic Surgeon in the San Francisco Bay Area, offers a range of cosmetic ear surgery procedures, including earlobe reduction, split lobule repair and repiercing, and earlobe reconstruction after removal of gauges. Dr. Horton provides surgical and non-surgical options, whether you are looking for correction of split earlobes or rejuvenation for aging earlobes. ## Types of Ear Correction: ![](https://hortonnew.b-cdn.net/wp-content/uploads/2015/08/small-hoop-earlobe1.jpg) ### Earlobe Repair Earlobes can tear due to wearing heavy earrings for many years, trauma, or accidents. Dr. Horton specializes in surgical procedures to repair torn earlobes, restoring their natural shape and allowing patients to re-pierce their ears if desired. Often, the earlobe is not completely split—the elongated piercing is often reconstructed as for a complete tear to allow for the most aesthetic earlobe outcome. The earlobe repair procedure, performed under loupe magnification, takes about an hour to perform. Surgery is offered under local anesthetic with inhaled laughing gas if desired. Patients should bring small, hypoallergenic earrings (gold, sterling silver or surgical steel—ideally the size of a dime or smaller) to wear post-surgery to maintain the piercing while healing for up to three months. Dissolving sutures are used, exercise should be avoided for two weeks, and heavy earrings should be avoided to prevent future stretching. * * * [![ear lobe repair results before after](https://hortonnew.b-cdn.net/wp-content/uploads/2025/03/ear-lobe-repair-results-before-after.webp)](https://www.drkarenhorton.com/gallery/face-and-neck/earlobe-repair/) **[View More Earlobe Repair Cases in Our Gallery](https://www.drkarenhorton.com/gallery/face-and-neck/earlobe-repair/ "Earlobe Repair")** * * * ### Earlobe Rejuvenation Over time, the external ear experiences “photo-aging,” and like other parts of the body, earlobes lose collagen and elastin, resulting in a droopy and deflated lobule. Surgical earlobe reduction can correct elongated and stretched-out earlobes or past piercing holes that have assumed a more oblong or vertical shape, forming a permanent crease in the earlobe that can accentuate one’s age. Like torn earlobe repair, earlobe rejuvenation is done in the office as an outpatient procedure under local anesthesia and takes approximately an hour. Drooping or malpositioned earlobes are “lifted” by making tiny incisions in front or behind the earlobe’s natural fold. Occasionally, the old ear piercing is so low on the earlobe that the prior piercing is obliterated altogether, the earlobe is reconstructed, and a new piercing is performed in a higher and more aesthetic location. Earlobe rejuvenation surgery can make the lobule look plumper, rounded, and smaller for a more youthful-looking appearance. ### Non-Surgical Earlobe Rejuvenation For those seeking a non-surgical solution, a “Liquid Earlobe Lift” offers a minimally invasive way to restore volume and smooth out creases. Injectable dermal fillers can add fullness to deflated or sagging earlobes, reducing the appearance of wrinkles and stretched piercing holes. This treatment is particularly beneficial for individuals who wear earrings, as it may help support the earlobe and prevent further elongation. Unlike facial filler injections, which break down more quickly due to constant movement, fillers in the external ear tend to last longer since the area remains relatively static. Additionally, a chemical peel can be applied to the earlobes to enhance skin texture, complementing treatments for the face, neck, and décolletage. These non-surgical options help maintain a youthful, refreshed appearance without cosmetic surgery. ## Planning Your Earlobe Repair Procedure - **Average Cost:** $5,000-$8,000 - **Average Procedure Time:** 1 hour - **Average Recovery Time:** 1-2 weeks _Please note that pricing will vary, and all information provided represents an average of typical costs and time and does not guarantee pricing or availability. Your individual treatment plan will be personalized to meet your needs, and we recommend [scheduling an in-person consultation](https://www.drkarenhorton.com/contact-us/) to receive a more accurate breakdown of pricing and recovery expectations._ [Contact Us](https://www.drkarenhorton.com/contact-us/) ![Planning Your Procedure](https://hortonnew.b-cdn.net/wp-content/uploads/2019/08/Horton-Plan-Your-Procedure.jpg) ## Recovery After Earlobe Correction Torn earlobe repair is a minor procedure with very little downtime. Exercise should be avoided for approximately two weeks. Showering can resume the day after surgery, and stitches are self-dissolving. After earlobe rejuvenation, restrictions are the same as for earlobe repair. During recovery from any type of earlobe surgery, patients may experience temporary discomfort that is managed with oral pain medications. Mild headache, swelling, bruising, and numbness should subside in a few days. The earlobes can be distorted due to swelling—this will resolve within a few weeks. Any absorbable suture ends that have not dissolved on their own will be painlessly trimmed in the office at two weeks. Antibiotic ointment can be applied twice daily for approximately a week after surgery. Please see our [postoperative instructions](https://www.drkarenhorton.com/patient-information/postoperative-instructions/) section and [special instructions for facial surgery](https://www.drkarenhorton.com/patient-information/postoperative-instructions/#facial) for additional information pertaining to recovery from earlobe correction surgery. # Procedure FAQs What are potential risks and complications of earlobe correction surgery? When you are considering any type of Plastic Surgery, you should be fully educated about potential risks and complications. Please see our [Preparing for Surgery](https://www.drkarenhorton.com/patient-information/preparing-surgery/) section to learn about general risks and potential complications, special considerations for facial plastic surgery, and our section on [postoperative instructions](https://www.drkarenhorton.com/patient-information/postoperative-instructions/) for additional information about earlobe surgery. How do I know whether an earlobe correction is right for me? As a woman Plastic Surgeon, Dr. Horton intimately understands how an individual’s looks and their feelings about their appearance can influence self-image and self-esteem. At your earlobe correction consultation, she will spend time with you to get to know you personally and take a complete medical history. Dr. Karen Horton will explore in detail your reasons for seeking earlobe correction, and if you are an appropriate candidate for surgery, your options will be described in detail. Can I combine any other procedures with earlobe repair? Earlobe repair can be combined with other cosmetic procedures for more comprehensive facial rejuvenation. Many patients choose to pair their earlobe surgery with a [facelift](https://www.drkarenhorton.com/face/lift/) or [necklift](https://www.drkarenhorton.com/face/neck-lift/) to enhance overall facial harmony and address signs of aging in multiple areas. Additionally, [Botox](https://www.drkarenhorton.com/non-surgical/botox/) can smooth wrinkles around the face, while [facial filler](https://www.drkarenhorton.com/non-surgical/injectables/) can restore lost volume in the temples, cheeks, and [lips](https://www.drkarenhorton.com/non-surgical/lip-fillers/) for a more youthful appearance. Dr. Karen Horton will customize a treatment plan to help you achieve natural-looking, balanced results. Where can I find earlobe repair near me? If you’re in the San Francisco Bay Area and considering earlobe reduction, earlobe repair, or earlobe reconstruction, [contact us](https://www.drkarenhorton.com/contact-us/) today to schedule a consultation with Dr. Karen Horton. As a Board-Certified Plastic Surgeon, she performs earlobe repair surgery at her San Francisco Plastic Surgery Quad A-certified surgery center. [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/face/earlobe-repair#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!") ## LATISSE® Eyelash Treatment Sign-up for our New Digital Chart System [Here](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) # LATISSE® Eyelash Lengthening Treatment [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebuttonpink.svg)Shop Skin Care](http://shop.drkarenhorton.com/) Follow Dr. Karen Horton - [instagram](https://www.instagram.com/drkarenhorton/ "instagram") - [instagram Before and After](https://www.instagram.com/drkarenhortonbeforeandafters/ "instagram Before and After") - [facebook](https://www.facebook.com/drkarenhorton "facebook") - [facebook](https://www.facebook.com/drkarenhortonbeforeandafters/ "facebook") - [youtube](https://www.youtube.com/channel/UCYtq6AWTUGTJqi10EroZt7Q "youtube") - [twitter](https://twitter.com/drkarenhorton "twitter") - [yelp](https://www.yelp.com/biz/karen-m-horton-md-san-francisco "yelp") - [realself](https://www.realself.com/find/California/San-Francisco/Doctor/Karen-Horton "realself") Follow Emily Sespaniak, NP - [instagram](https://www.instagram.com/bayareainjector/ "instagram") - [facebook](https://www.facebook.com/Emily-Sespaniak-NP-1664947790401244/ "facebook") LATISSE® is the only FDA-approved, by prescription only eyelash-lengthening treatment. LATISSE® Solution (bimatoprost ophthalmic solution 0.03%) is the first and only prescription treatment approved by the FDA for inadequate or insufficient eyelashes, to grow eyelashes longer, fuller and darker. ![Before and after Latisse](https://hortonnew.b-cdn.net/wp-content/uploads/2023/05/before-after-latisse.webp) Before Latisse and after 3 months of nightly Latisse use. LATISSE® solution is a prescription treatment for eyelash “hypotrichosis” (inadequate or not enough eyelashes) used to grow eyelashes longer, thicker and darker. LATISSE® is a wonderful way to enhance and bring out your eyes simply, effectively and safely. It is easy to add this treatment to your overnight beauty regimen for long-lasting results. Many of our breast cancer patients have found it is useful during and while recovering from chemotherapy, for eyelash maintenance and lash regrowth, in addition to other areas (like the eyebrows!). [Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) has either authored or reviewed and approved this content. [Schedule a Consultation](https://www.drkarenhorton.com/contact-us/) ## Schedule a Consultation Give us a call or fill out form below to schedule online. do or do not , there is no try Name Email Phone Procedure of InterestSelect **+** Procedure(s) of Interest Abdominoplasty Body Contouring Brachioplasty Breast Augmentation Breast Implant Removal Breast Lift Breast Reconstruction Breast Reduction Eyelid Rejuvenation Earlobe Surgery Face/Neck Rejuvenation Fat Grafting Labiaplasty Liposuction Male Breast Reduction (Gynecomastia) Mommy Makeover Other Facial Surgery Polands Syndrome Correction Revision Breast Surgery Other Non-Surgical Procedures: Botox/Dysport Dermal Fillers Skin Care Clear + Brilliant Laser Intense Pulsed Light (IPL) Microneedling Medical-Grade Peels Bruxism (teeth grinding) Treatment Hyperhidrosis (excessive sweating) Treatment Other How did you hear about us?Select **+** How did you hear about us? Google Search Facebook Twitter Instagram Yelp Email Newsletter Friend Referral Physician Referral Internet Magazine Other Sign up for our newsletter I agree to the Terms of Use\* \*By submitting this form you consent to receive phone calls, text messages and emails from San Francisco Plastic Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) and [Terms of Use](https://www.drkarenhorton.com/terms-of-use/). Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. Dr. Karen M. Horton 2100 Webster St UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). ## Our Location [Get Directions](https://www.google.com/maps/place/Karen+M.+Horton,+MD/@37.7905247,-122.434316,17z/data=!3m1!4b1!4m5!3m4!1s0x808580c6f49c75db:0xbc65b6b49c8f91cd!8m2!3d37.7905247!4d-122.4321273) ## 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 UNIT 520 San Francisco, CA 94115 Phone: [415.923.3067](tel:+14159233067) We are located in the Pacific Heights District in the [Pacific Professional Building](https://2100webster.com/). [![SHOP SKIN CARE ICON](https://hortonnew.b-cdn.net/wp-content/themes/hortonhomevideo2/images/skincarebutton.svg)SHOP SKIN CARE](http://shop.drkarenhorton.com/) \*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 Previous ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![The Aesthetic Society Logo - ASAPS New Logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![Castle Connolly Exceptional Women in Medicine award]() ![Castle Connolly top doctors 2025 logo]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Next ## [About Dr. Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) [Back To Top](https://www.drkarenhorton.com/non-surgical/latisse#maincontent) [Dr Karen Horton](https://www.drkarenhorton.com/?blackhole=c706a73e5e "Do NOT follow this link or you will be banned from the site!")