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# Dr Karen Horton

Dr Karen Horton

## Sitemaps

- [XML Sitemap](https://www.drkarenhorton.com/sitemap.xml): Contains all public & indexable URLs for this website.

## Posts

- [Blog](https://www.drkarenhorton.com/blog/) - Read the updated Blog from our Female Plastic Surgeon in the San Francisco Bay Area. Dr. Horton brings you the latest in cosmetic enhancement and our upcoming events.
- [Emotional Readiness and Plastic Surgery: More Than Skin Deep](https://www.drkarenhorton.com/dr-hortons-blog/emotional-readiness-and-plastic-surgery-more-than-skin-deep/) - Learn why emotional readiness is an important part of the Plastic Surgery journey and how surgeons help patients set healthy expectations.
- [Breast Surgery Recovery: How to Prepare, Heal, and Set Realistic Expectations](https://www.drkarenhorton.com/dr-hortons-blog/breast-surgery-recovery-how-to/) - Learn how to prepare for breast surgery recovery, avoid common setbacks, and support optimal healing with guidance from Dr. Karen Horton.
- [Confidence vs. Comparison in Plastic Surgery](https://www.drkarenhorton.com/dr-hortons-blog/confidence-vs-comparison-in-plastic-surgery/) - Explore how social media influences confidence, comparison, and Plastic Surgery decisions with insight from Dr. Karen Horton.
- [Your Questions, Answered](https://www.drkarenhorton.com/dr-hortons-blog/your-questions-answered/) - Dr. Karen Horton, Board-Certified Plastic Surgeon in San Francisco, answers your most common questions about surgery prep, recovery, GLP-1s, and more.
- [Revealing the Secrets to Scar Revision: Dr. Karen Horton Shares Insights](https://www.drkarenhorton.com/dr-hortons-blog/revealing-the-secrets-to-scar-revision-dr-karen-horton-shares-insights/) - Discover expert advice from Dr. Karen Horton and Emily Sespaniak, NP, on effective surgical and non-surgical scar revision treatments for improved aesthetic results.
- [Returning to Work After Plastic Surgery in an RTO World](https://www.drkarenhorton.com/dr-hortons-blog/returning-to-work-after-plastic-surgery-in-an-rto-world/) - Planning Plastic Surgery while working in person? Learn recovery tips, realistic timelines, and return-to-work strategies from Dr. Karen Horton.
- [Planning Plastic Surgery Before Summer: What Patients Need to Know](https://www.drkarenhorton.com/dr-hortons-blog/planning-plastic-surgery-before-summer-what-patients-need-to-know/) - Thinking about Plastic Surgery before summer? Dr. Karen Horton shares how to plan your timeline for recovery, results, and key events.
- [Maintaining the Undereye Area: Daily Habits That Make a Difference](https://www.drkarenhorton.com/emily-sespaniak-nps-blog/skin-care-emily-sespaniak-nps-blog/maintaining-the-undereye-area-daily-habits-that-make-a-difference/) - Learn expert tips to maintain the undereye area, from skincare and lifestyle habits to treatment planning, according to ASPS guidance.
- [Meet Our Team: Erica](https://www.drkarenhorton.com/dr-hortons-blog/meet-our-team-erica/) - Even though Erica works remotely, she still feels like a true part of Dr. Karen Horton's San Francisco team—and that she is! As a Project Manager at SILVR Agency who collaborates closely with the practice, she loves how welcoming, supportive, and open everyone is. Despite working remotely, she feels deeply connected to the team—a testament
- [Preventative Aesthetics: Meeting the Next Generation of Patients](https://www.drkarenhorton.com/dr-hortons-blog/preventative-aesthetics-meeting-the-next-generation-of-patients/) - Discover how preventative aesthetics helps younger patients maintain natural results and long-term skin health through subtle, customized treatments.
- [A Look Back at 2025: Milestones, Growth, and Gratitude](https://www.drkarenhorton.com/dr-hortons-blog/a-look-back-at-2025/) - From awards and national press to team growth and surgical milestones, explore the moments that defined 2025 at Dr. Karen Horton’s practice.
- [Plastic Surgery Trends to Watch in 2026](https://www.drkarenhorton.com/dr-hortons-blog/plastic-surgery-trends-to-watch-in-2026/) - Discover the top Plastic Surgery trends shaping 2026, from subtle facial rejuvenation to post–weight-loss contouring. Insights from Dr. Karen Horton.
- [Why Hyaluronic Acid Fillers Are Still on the Rise—and What’s Shaping Their Future](https://www.drkarenhorton.com/dr-hortons-blog/why-hyaluronic-acid-fillers-are-still-on-the-rise-and-whats-shaping-their-future/) - Explore what’s driving demand for hyaluronic acid fillers, from natural results to advanced techniques—and what’s shaping their future.
- [Medical Spa Safety: What Patients Should Know](https://www.drkarenhorton.com/dr-hortons-blog/medical-spa-safety-what-patients-should-know/) - Learn how to choose a safe, qualified medical spa and avoid common pitfalls. Tips from ASPS help patients make informed decisions and protect their health.
- [Meet Our Team: Dr. Horton](https://www.drkarenhorton.com/dr-hortons-blog/meet-our-team-dr-horton/) - Get to know Dr. Karen Horton, a Board-Certified Plastic Surgeon in San Francisco known for her compassionate care, artistic skill, and dedication to patients.
- [What NOT to Do After Getting BOTOX® or Filler Injections](https://www.drkarenhorton.com/dr-hortons-blog/what-not-to-do-after-getting-botox-or-filler-injections/) - Learn what to avoid after BOTOX or filler injections to reduce swelling, bruising, and complications while supporting smooth, natural-looking results.
- [Meet Our Team: Emily](https://www.drkarenhorton.com/dr-hortons-blog/meet-our-team-emily/) - Meet Emily, Nurse Practitioner at Dr. Karen Horton’s San Francisco office, known for artistic injections, advanced skincare insight, and personalized care.
- [Injectables Coming in 2026 and Beyond: What’s Next in Aesthetic Medicine](https://www.drkarenhorton.com/dr-hortons-blog/injectables-coming-in-2026-and-beyond-whats-next-in-aesthetic-medicine/) - Explore new neurotoxins and fillers expected in 2026 and how they may compare to today’s injectables in safety, duration, and results.
- [Meet Our Team: Rachel](https://www.drkarenhorton.com/dr-hortons-blog/meet-our-team-rachel/) - Meet Rachel from Dr. Karen Horton’s San Francisco office, a Registered Nurse who loves her team, great skincare, and supporting every patient she meets.
- [Estrogen-Based Medical Skincare: A New Approach to Hormonal Skin Changes](https://www.drkarenhorton.com/dr-hortons-blog/estrogen-based-medical-skincare/) - Discover how estrogen-based medical skincare may support skin health during perimenopause and menopause, according to ASPS experts.
- [Meet Our Team: Sharron](https://www.drkarenhorton.com/dr-hortons-blog/meet-our-team-sharron/) - Meet Sharron from Dr. Karen Horton’s San Francisco office, known for her love of teamwork, interest in forensic science, and grounded approach to patient care.
- [Meet Our Team: Rose](https://www.drkarenhorton.com/dr-hortons-blog/meet-our-team-rose/) - Meet Rose from Dr. Karen Horton’s San Francisco office, a supportive team member who loves breast augmentation and helping patients feel confident.
- [How to Talk to Your Partner About Plastic Surgery](https://www.drkarenhorton.com/dr-hortons-blog/how-to-talk-to-your-partner-about-plastic-surgery/) - Learn respectful and effective ways to discuss Plastic Surgery with a partner, including communication tips and questions to ask together.
- [Meet Our Team: Nurse Rebecca](https://www.drkarenhorton.com/dr-hortons-blog/meet-our-team-nurse-rebecca/) - Meet Nurse Rebecca from Dr. Karen Horton’s San Francisco office, a supportive and creative nurse who enjoys dramatic surgical transformations and patient-focused care.
- [Bright Eyes for the New Year: Understanding Your Undereye Rejuvenation Options](https://www.drkarenhorton.com/dr-hortons-blog/bright-eyes-for-the-new-year-understanding-your-undereye-rejuvenation-options/) - As a new year begins, many people look for subtle ways to refresh their appearance. The undereye area is often one of the first places patients notice changes. Dark circles, hollowness, fine lines, and puffiness can make someone look tired, even when they feel well rested. A recent educational article published by the American Society
- [Meet Our Team: Autumn - Non-Surgical Front Office Coordinator](https://www.drkarenhorton.com/dr-hortons-blog/meet-our-team-autumn-non-surgical-front-office-coordinator/) - Meet Autumn from Dr. Karen Horton’s San Francisco office, known for her compassion, love of microneedling for acne scars, and warm approach to patient care.
- [Meet Our Team: Mary - Patient Coordinator](https://www.drkarenhorton.com/dr-hortons-blog/meet-our-team-mary/) - Meet Mary from Dr. Karen Horton’s San Francisco office, where she loves her work family, liposuction days, and helping patients feel confident.
- [Meet Our Team: Niloo - Front Office Coordinator](https://www.drkarenhorton.com/dr-hortons-blog/meet-our-team-niloo/) - Get to know Niloo from Dr. Karen Horton’s San Francisco team—known for her warmth, love of eyelid surgery, and passion for helping patients feel their best.
- [“Ozempic Vulva”: How Rapid Weight Loss May Affect the Vulvar Area](https://www.drkarenhorton.com/body-procedures/ozempic-vulva-how-rapid-weight-loss-may-affect-the-vulvar-area/) - Board-Certified Plastic Surgeon Dr. Karen Horton explains “Ozempic vulva,” why it occurs after rapid weight loss, and how labiaplasty may help.
- [Finding Credible Medical Voices on Social Media](https://www.drkarenhorton.com/dr-hortons-blog/finding-credible-medical-voices-on-social-media/) - Learn why following Board-Certified doctors, including Dr. Karen Horton, matters when getting health information on social media.
- [How to Combat Winter Dryness with Professional Skin Treatments](https://www.drkarenhorton.com/dr-hortons-blog/how-to-combat-winter-dryness-with-professional-skin-treatments/) - Learn why winter dries out the skin and which professional treatments can help restore hydration, barrier health, and radiance.
- [Plastic Surgery Inspiration: Finding Ideas That Actually Make Sense](https://www.drkarenhorton.com/dr-hortons-blog/plastic-surgery-inspiration-finding-ideas-that-actually-make-sense/) - Learn where to look for Plastic Surgery inspiration—and why realistic expectations matter—according to ASPS experts, including Dr. Karen Horton
- [Facelift or Neck Lift After Thread Lifting: What Patients Should Know](https://www.drkarenhorton.com/dr-hortons-blog/facelift-or-neck-lift-after-thread-lifting-what-patients-should-know/) - Learn why prior thread lifting can complicate facelift or neck lift surgery and what patients should know before choosing threads.
- [Compression Bras and Post-Surgical Garments After Breast Surgery: What Patients Should Know](https://www.drkarenhorton.com/dr-hortons-blog/compression-bras-and-post-surgical-garments-after-breast-surgery-what-patients-should-know/) - Learn why compression bras matter after breast surgery, how to stay comfortable during recovery, and when it’s safe to return to regular bras.
- [What Plastic Surgery Patients Most Commonly Choose at Every Age](https://www.drkarenhorton.com/dr-hortons-blog/what-plastic-surgery-patients-most-commonly-choose-at-every-age/) - Discover which Plastic Surgery procedures are most popular at every age—from breast surgery to facial rejuvenation—and what trends reveal.
- [How to Treat “Turkey Neck”: Dr. Horton Shares Expert Advice](https://www.drkarenhorton.com/dr-hortons-blog/how-to-treat-turkey-neck-dr-horton-shares-expert-advice/) - Discover how a neck lift restores definition and treats “turkey neck,” with expert insights from Dr. Karen Horton, Board-Certified Plastic Surgeon.
- [The Psychological Health Benefits of Aesthetic Plastic Surgery: Evidence-Based Insights on Mental Wellness and Quality of Life](https://www.drkarenhorton.com/dr-hortons-blog/the-psychological-health-benefits-of-aesthetic-plastic-surgery-evidence-based-insights-on-mental-wellness-and-quality-of-life/) - Discover the evidence-based psychological health benefits of aesthetic surgery, including reduced depression, enhanced self-esteem, and improved quality of life.
- [Compression Garments After Plastic Surgery: Why They're Essential to Your Recovery and Results](https://www.drkarenhorton.com/dr-hortons-blog/compression-garments-after-plastic-surgery-why-theyre-essential-to-your-recovery-and-results/) - Learn why compression garments are essential after Plastic Surgery. Discover how they reduce swelling, support healing, and optimize your surgical results.
- [Your Plastic Surgery Consultation: A Complete Guide to Preparation, Questions, and What to Expect](https://www.drkarenhorton.com/dr-hortons-blog/your-plastic-surgery-consultation-a-complete-guide-to-preparation-questions-and-what-to-expect/) - Expert guide to Plastic Surgery consultations: what to bring, questions to ask, and how to choose a Board-Certified Plastic Surgeon. By Dr. Karen Horton.
- [AI in Plastic Surgery: What Technology Can — and Can’t — Replace](https://www.drkarenhorton.com/dr-hortons-blog/ai-in-plastic-surgery-what-technology-can-and-cant-replace/) - Board-Certified Plastic Surgeon Dr. Karen Horton shares her expert insights on how AI is transforming Plastic Surgery—without replacing the human touch.
- [Small-volume breast augmentation: A natural and subtle enhancement](https://www.drkarenhorton.com/dr-hortons-blog/small-volume-breast-augmentation-a-natural-and-subtle-enhancement/) - Discover why small-volume breast augmentation is trending. Dr. Karen Horton, Board-Certified Plastic Surgeon, shares expert insights on achieving natural results.
- [The Impact of Labiaplasty on Self-Image, Sexual Health, and Well-Being](https://www.drkarenhorton.com/dr-hortons-blog/the-impact-of-labiaplasty-on-self-image-sexual-health-and-well-being/) - New research shows labiaplasty improves confidence, sexual function, and quality of life. Learn key findings from a Board-Certified Plastic Surgeon.
- [We’ve Gone Digital with Symplast!](https://www.drkarenhorton.com/practice-news/weve-gone-digital-with-symplast/) - Dr. Karen Horton is proud to announce the addition of Symplast to our practice. This digital charting system will make communication with our patients even better.
- [Dr. Karen Horton Shares Her Personal Breast Augmentation Journey](https://www.drkarenhorton.com/dr-hortons-blog/dr-karen-horton-shares-her-personal-breast-augmentation-journey/) - Board-Certified Plastic Surgeon Dr. Karen Horton opens up about her own breast augmentation experience, recovery, and natural results.
- [The Health Benefits of Aesthetic Breast Surgery: Beyond Cosmetic Enhancement](https://www.drkarenhorton.com/breast-procedures/augmentation/the-health-benefits-of-aesthetic-breast-surgery-beyond-cosmetic-enhancement/) - Explore the proven health benefits of breast surgery beyond cosmetic enhancements. Evidence-based research shows significant physical & psychological improvements.
- [Understanding & Treating Poland Syndrome: Insights from Dr. Karen Horton](https://www.drkarenhorton.com/breast-procedures/reconstruction/understanding-treating-poland-syndrome-insights-from-dr-karen-horton/) - Discover Dr. Karen Horton’s expert insights on surgical treatments for Poland Syndrome, from fat grafting to modern breast and chest wall reconstruction.
- [The Health Benefits of Aesthetic Facial Surgery: Beyond Beauty to Better Living](https://www.drkarenhorton.com/facial-procedures/the-health-benefits-of-aesthetic-facial-surgery-beyond-beauty-to-better-living/) - Discover how facial plastic surgery like facelift and blepharoplasty improve not just appearance but also vision, breathing, comfort, and overall well-being.
- [The Life-Changing Health Benefits of Aesthetic Body Surgery: Beyond Beauty to Better Living](https://www.drkarenhorton.com/body-procedures/the-life-changing-health-benefits-of-aesthetic-body-surgery-beyond-beauty-to-better-living/) - Explore the proven health benefits of aesthetic body surgery beyond cosmetic enhancements. From pain relief to improved mobility—evidence-based medical insights.
- [Dr. Karen Horton Featured on The Confidence Doc Podcast](https://www.drkarenhorton.com/dr-hortons-blog/dr-karen-horton-featured-on-the-confidence-doc-podcast/) - Listen to Dr. Karen Horton on The Confidence Doc Podcast as she discusses modern plastic surgery, natural results, and empowering patient care.
- [Allergan textured breast implants pulled from the U.S. market](https://www.drkarenhorton.com/dr-hortons-blog/allergan-textured-breast-implants-pulled-from-the-u-s-market/) - Dr. Karen Horton, San Francisco Plastic Surgeon, shares bia-ALCL information and news of Allergan textured breast implants being pulled from the U.S. market today.
- [Noninvasive Aesthetic Procedures for Back-to-School Season](https://www.drkarenhorton.com/dr-hortons-blog/noninvasive-aesthetic-procedures-for-back-to-school-season/) - Refresh your skin this back-to-school season with noninvasive aesthetic treatments from Dr. Karen Horton and Emily Sespaniak, NP in San Francisco.
- [The Life-Changing Benefits of Abdominoplasty: Beyond Cosmetic Enhancement](https://www.drkarenhorton.com/body-procedures/abdominoplasty-body-procedures/the-life-changing-benefits-of-abdominoplasty-beyond-cosmetic-enhancement/) - Discover the medical and emotional benefits of abdominoplasty - from back pain relief to improved core strength and confidence. Learn more.
- [2024 ASPS Procedural Statistics](https://www.drkarenhorton.com/practice-news/2024-asps-procedural-statistics/) - Explore the top plastic surgery trends of 2024, including liposuction, breast lifts, and the rise of post-weight-loss procedures like the Ozempic® makeover.
- [Dr. Karen Horton Featured in Vogue as One of San Francisco’s Influential Women](https://www.drkarenhorton.com/practice-news/dr-karen-horton-featured-in-vogue-as-one-of-san-franciscos-influential-women/) - Discover how San Francisco Plastic Surgeon Dr. Karen Horton is empowering women through compassionate care and innovation in her recent Vogue feature. Learn more.
- [Discover Dr. Karen Horton’s Plastic Surgery Center in San Francisco’s Premier Medical Building](https://www.drkarenhorton.com/practice-news/discover-dr-karen-hortons-plastic-surgery-center-in-san-franciscos-premier-medical-building/) - Explore Dr. Horton’s in-office surgery center in San Francisco’s Pacific Heights. Learn what makes our practice unique and view the new patient resource page.
- [Dr. Karen Horton Featured by Castle Connolly for Her Patient-First Philosophy](https://www.drkarenhorton.com/practice-news/dr-karen-horton-featured-by-castle-connolly-for-her-patient-first-philosophy/) - Dr. Karen Horton shares her patient-first philosophy in a Castle Connolly feature, highlighting her dedication to relationships, education, and personalized care.
- [Advancements in Skincare: Expert Insights from Dr. Karen Horton and Emily Sespaniak, NP](https://www.drkarenhorton.com/practice-news/advancements-in-skincare-expert-insights-from-dr-karen-horton-and-emily-sespaniak-np/) - Dr. Karen Horton and Emily Sespaniak, NP were recently interviewed by the American Society of Plastic Surgeons about advances in skincare. Read the article here.
- [Embracing Your Unique Aesthetic Journey: Dr. Karen Horton on Supporting, Not Comparing, Plastic Surgery Experiences](https://www.drkarenhorton.com/dr-hortons-blog/embracing-your-unique-aesthetic-journey-dr-karen-horton-on-supporting-not-comparing-plastic-surgery-experiences/) - Dr. Karen Horton shares why Plastic Surgery recovery is unique for everyone and how to avoid harmful comparisons.
- [Mammograms with breast implants – Q & A with Dr. Horton](https://www.drkarenhorton.com/dr-hortons-blog/mammograms-with-breast-implants/) - Dr. Horton recently had her annual mammogram at the CPMC Breast Health Center and was inspired to share some important information about breast health and breast cancer screening with breast implants, as she is a breast augmentation patient herself. Here are some common questions and important answers regarding getting mammograms after a breast augmentation: Does
- [Gynecomastia Surgery: Dr. Karen Horton’s Expert Insights](https://www.drkarenhorton.com/dr-hortons-blog/gynecomastia-surgery-dr-karen-hortons-expert-insights/) - Dr. Karen Horton shares expert insights on gynecomastia surgery and how it helps men regain confidence.
- [Dr. Karen Horton Shares Practical Tips for Maintaining Your Plastic Surgery Results During the Holiday Season](https://www.drkarenhorton.com/dr-hortons-blog/dr-karen-horton-shares-practical-tips-for-maintaining-your-plastic-surgery-results-during-the-holiday-season/) - Discover Dr. Karen Horton’s expert tips in ASPS for preserving liposuction and body contouring results during the holidays. Enjoy the season while staying balanced.
- [Dr. Karen Horton’s Insights on the Benefits of Combination Eye and Brow Lifts](https://www.drkarenhorton.com/dr-hortons-blog/dr-karen-hortons-insights-on-the-benefits-of-combination-eye-and-brow-lifts/) - Discover how eye and brow lifts offer long-lasting solutions to signs of aging, eliminating the need for frequent injectables in ASPS from Dr. Karen Horton.
- [Dr. Karen Horton Offers Insightful Expertise in ASPS Feature on Plastic Surgery Inspiration](https://www.drkarenhorton.com/practice-news/dr-karen-horton-offers-insightful-expertise-in-asps-feature-on-plastic-surgery-inspiration/) - San Francisco plastic surgeon Dr. Karen Horton discusses finding real-life inspiration for plastic surgery with the American Society of Plastic Surgeons.
- [2023 Aesthetic Plastic Surgery Statistics - Insights and Trends](https://www.drkarenhorton.com/practice-news/2023-aesthetic-plastic-surgery-statistics-insights-and-trends/) - Discover the latest trends in aesthetic plastic surgery from The Aesthetic Society's 2023 report. Learn about the most popular procedures and demographic insights.
- [How Dr. Karen Horton Cultivates Team Synergy: Insights from Her Latest Haute Living SF Article](https://www.drkarenhorton.com/practice-news/how-dr-karen-horton-cultivates-team-synergy-insights-from-her-latest-haute-living-sf-article/) - Discover how Dr. Karen Horton fosters team synergy and happiness through retreats. Read her insights in Haute Living SF to strengthen your workplace culture.
- [ALCL and breast implants? The rare incidence of Anaplastic Large Cell Lymphoma](https://www.drkarenhorton.com/dr-hortons-blog/alcl-and-breast-implants-the-rare-incidence-of-anaplastic-large-cell-lymphoma/) - ALCL, anaplastic large cell lymphoma, is an extremely rare subtype of lymphoma that has been identified in late seroma (>10 years) fluid around TEXTURED breast implants.
- [Considering a Facelift in Your 30s? Here's What You NEED to Know](https://www.drkarenhorton.com/practice-news/considering-a-facelift-in-your-30s-heres-what-you-need-to-know/) - Learn the long-term implications of getting a facelift in your 30s. Dr. Horton, a San Francisco plastic surgeon, offers expert insights for younger patients in ASPS.
- [Embrace Wellness at Farmhouse Inn: Dr. Karen Horton’s Restorative Getaway](https://www.drkarenhorton.com/dr-hortons-blog/embrace-wellness-at-farmhouse-inn-dr-karen-hortons-restorative-getaway/) - Discover Dr. Karen Horton’s rejuvenating experience at Farmhouse Inn. Learn about luxury spa treatments, serene suites, and gourmet dining in Sonoma’s wine country.
- [Discover the Secret to a Youthful Neck with Dr. Karen Horton](https://www.drkarenhorton.com/dr-hortons-blog/discover-the-secret-to-a-youthful-neck-with-dr-karen-horton/) - Discover Dr. Karen Horton's recommendations and preferred neck lift technique for a youthful appearance. Learn how combining procedures can optimize results.
- [Dr. Karen Horton Shares Her Personal Cosmetic Choices in ASPS Feature](https://www.drkarenhorton.com/dr-hortons-blog/dr-karen-horton-shares-her-personal-cosmetic-choices-in-asps-feature/) - San Francisco plastic surgeon Dr. Karen Horton recently discussed her own cosmetic surgery choices with the American Society of Plastic Surgeons. Learn more.
- [Get Summer Swimwear-Ready with Insights from Dr. Karen Horton in ASPS Interview](https://www.drkarenhorton.com/practice-news/get-summer-swimwear-ready-with-insights-from-dr-karen-horton-in-asps-interview/) - Discover quick, effective body contouring tips from Dr. Karen Horton to feel confident in your swimwear this summer. Schedule your consultation today!
- [Learn About Lip Enhancement with Emily Sespaniak, NP](https://www.drkarenhorton.com/dr-hortons-blog/lip-enhancement/) - Explore lip enhancement techniques with Emily Sespaniak, NP, at Dr. Karen Horton's Plastic Surgery practice, specializing in natural-looking lip augmentation.
- [Dr. Karen Horton & Emily Sespaniak, NP on How to Achieve Fresh Glowing Skin This Spring](https://www.drkarenhorton.com/dr-hortons-blog/glowing-spring/) - Discover Dr. Karen Horton's tips for fresh, glowing skin this spring. Read her latest article in Haute Living San Francisco for expert advice on skin rejuvenation.
- [San Francisco’s Pacific Professional Building: Why Dr. Karen Horton is Honored to Host her Plastic Surgery Practice Here](https://www.drkarenhorton.com/dr-hortons-blog/pacific-professional-building-san-francisco/) - Plastic Surgeon Dr. Karen Horton is located in San Francisco’s Pacific Professional Building, a green space newly updated for energy efficiency and modern medical technology.
- [Dr. Karen Horton's Insights On Advancing Gender Parity in Plastic Surgery](https://www.drkarenhorton.com/dr-hortons-blog/dr-karen-hortons-insights-on-advancing-gender-parity-in-plastic-surgery/) - Learn about gender parity in Plastic Surgery, and discover the challenges, initiatives, and the transformative impact of women like Dr. Horton in the field.
- [Dr. Horton's Insights Illuminate Parenthood and Professionalism in Plastic Surgery](https://www.drkarenhorton.com/dr-hortons-blog/dr-hortons-insights-illuminate-parenthood-and-professionalism-in-plastic-surgery/) - Gain valuable insights on navigating the challenges of parenthood and professionalism in plastic surgery from Dr. Karen Horton's recent article in ASPS.
- [Dr. Karen Horton: Plastic Surgery Insights on YouTube](https://www.drkarenhorton.com/dr-hortons-blog/dr-karen-horton-plastic-surgery-insights-on-youtube/) - Explore Plastic Surgery topics like post-op fatigue, optimal timing, and more with Board-Certified Plastic Surgeon Dr. Karen Horton on her YouTube channel.
- [Dr. Horton’s Breast Augmentation Journey Part VII – "BYOD":  Bring Your Own Drains](https://www.drkarenhorton.com/dr-hortons-blog/dr-hortons-breast-augmentation-journey-part-vii/) - I am a firm believer in surgical drains after breast augmentation. So much so, that I brought my OWN drains to my breast augmentation surgery ("BYOD" = bring your own drains). ;) During breast augmentation surgery, regardless of whether the implant is subglandular (on top of the muscle) or subpectoral/dual plane (completely or partially under
- [Explore the Magic of Barre Workouts with Dr. Karen Horton](https://www.drkarenhorton.com/dr-hortons-blog/explore-the-magic-of-barre-workouts-with-dr-karen-horton/) - Discover the many benefits of barre workouts with Dr. Horton in Haute Living Magazine. Unlock the secrets to strength, flexibility, and mind-body balance.
- [New Year's Resolutions & Personal Goals](https://www.drkarenhorton.com/dr-hortons-blog/new-years-resolutions-personal-goals/) - New Year's Resolutions. Have you made any? I try not to set traditional New Year's resolutions, as I strive to live every single day as my best self. You see, I believe that it's essential to maintain a healthy lifestyle, get enough rest, eat nourishing foods, and prioritize quality time with my family. Being present
- [Dr. Horton Featured on KRON4 News San Francisco](https://www.drkarenhorton.com/dr-hortons-blog/dr-horton-featured-on-kron4-news-san-francisco/) - For Breast Cancer Awareness Month, Dr. Horton was interviewed about thermogram screenings and how they are less useful in detecting breast cancer than digital mammograms on KRON4 News San Francisco. Watch the video below. Additionally, in the Q&A below, she shares proactive steps women can take to lower their risk for breast cancer. Dr. Horton
- [New Year, New Bod? Words of advice for Plastic Surgery patients on Ozempic](https://www.drkarenhorton.com/dr-hortons-blog/new-year-new-bod/) - 2023 brought with it many medical advances, including the "skinny shot" for weight loss, known in its various formulations as the brand names Ozempic, Wegovy, Mounjaro and others. Popularized by celebrities (it seems everyone is admitting to losing weight because of these drugs), semaglutide medications (GLP-1 agonists) were designed to help lower blood sugar in
- [Dr. Karen Horton Featured in ASPS on Tailoring Plastic Surgery to Different Ages](https://www.drkarenhorton.com/dr-hortons-blog/dr-karen-horton-featured-in-asps-on-tailoring-plastic-surgery-to-different-ages/) - Discover Dr. Horton's expertise in ASPS as she shares age-specific Plastic Surgery insights and the importance of tailoring procedures to individual needs.
- [We aim to be a GLIMMER to our patients - every single day](https://www.drkarenhorton.com/dr-hortons-blog/glimmer-to-our-patients/) - What is a glimmer? A glimmer is the opposite of a trigger. We all have our triggers - words, sounds, thoughts, smells, memories or events that spur negative energy and cast a mental or emotional shadow on an otherwise enjoyable situation. But glimmers also exist! Glimmers are small moments of joy that can bring light to
- [Dr. Horton Shares Her Top Ten Anti-Aging Tips](https://www.drkarenhorton.com/dr-hortons-blog/dr-horton-shares-her-top-ten-anti-aging-tips/) - Dr. Karen Horton shares her expert anti-aging tips in Haute Living. Read to learn which products and procedures restore youthful look
- [Dr. Karen Horton Featured in American Society of Plastic Surgeons’ Trend Watch on Explant Surgery](https://www.drkarenhorton.com/dr-hortons-blog/dr-karen-horton-featured-in-american-society-of-plastic-surgeons-trend-watch-on-explant-surgery/) - Explore Dr. Horton's insights in ASPS on the rising trend of breast explant surgery, the reasons behind it, and a possible shift toward natural aesthetics.
- [Relational vs Transactional - How we interact with our patients](https://www.drkarenhorton.com/dr-hortons-blog/relational-vs-transactional/) - I was told by a new patient at the end of our consultation "I wish I could interact with my clients more like you just did with me. You are relational, rather than transactional". This patient worked in the financial world, where she indeed coordinates several hundreds of transactions a day, but what she was
- [Dr. Karen Horton and Emily Sespaniak, NP, Featured by American Society of Plastic Surgeons](https://www.drkarenhorton.com/dr-hortons-blog/the-busy-moms-guide-to-self-care/) - Dr. Karen Horton and Emily Sespaniak, NP, Featured by American Society of Plastic Surgeons to discuss surgical and non-surgical aesthetic care for busy mothers.
- [Dr. Karen Horton Shares the Secrets to Her Successful Team at San Francisco Plastic Surgery](https://www.drkarenhorton.com/practice-news/dr-karen-horton-shares-the-secrets-to-her-successful-team-at-san-francisco-plastic-surgery/) - San Francisco Plastic Surgeon Dr. Karen Horton authored an article sharing tips for a happy and successful team.
- [Dr. Karen Horton & Aesthetic Nurse Practitioner Emily Sespaniak Discuss How to Get Ready For A Spring & Summer Reset](https://www.drkarenhorton.com/practice-news/dr-karen-horton-aesthetic-nurse-practitioner-emily-sespaniak-discuss-how-to-get-ready-for-a-spring-summer-reset/) - With the arrival of spring and summer comes a great opportunity for personal evaluations and rejuvenation. With this in mind, Board Certified Plastic Surgeon, Dr. Karen Horton, interviewed Aesthetic Nurse Practitioner, Emily Sespaniak, for the March/April 2023 issue of Haute Living San Francisco and shared her answers in a piece she authored titled, Ready For
- [Explantation (breast implant removal) surgery, step-by-step](https://www.drkarenhorton.com/dr-hortons-blog/explantation-step-by-step/) - Breast implant removal, called explantation, has become increasingly popular over the last decade. Styles and preferences change, there is a trend to more natural looking breasts, and with menopause or weight gain, the breast can naturally increase in volume. Even with a ten pound increase, fat will be deposited in the breast, negating the need
- [Explantation:  What happens when breast implants are removed?](https://www.drkarenhorton.com/dr-hortons-blog/explantation-what-happens-when-breast-implants-are-removed/) - Dr. Karen Horton-San Francisco Board Certified Plastic Surgeon- discusses explantation-breast implant removal & how breasts bounce back to their normal state
- [Opinion of an experienced Plastic Surgery Patient Coordinator:  Why we charge for new patient consults](https://www.drkarenhorton.com/dr-hortons-blog/why-charge-for-patient-consults/) - Patient Coordinator Mary Pasache, experienced in Plastic Surgery, provides her thoughts on why a Board Certified Plastic Surgeon should charge for consultations
- [Breast Implant Massage - Why it's done and why it's important!](https://www.drkarenhorton.com/dr-hortons-blog/breast-implant-massage-why-its-done-and-important/) - Dr. Karen Horton, San Francisco Board Certified Plastic Surgeon, describes breast implant massage and its importance after breast augmentation
- [Breast Revision for Implant-Related Complications](https://www.drkarenhorton.com/dr-hortons-blog/breast-revision-for-implant-related-complications/) - Experiencing breast complications related to implants? Our San Francisco plastic surgeon discusses how breast revision should be approached in this case.
- [What Is Capsular Contracture and How Can It Be Prevented?](https://www.drkarenhorton.com/dr-hortons-blog/procedural-information/what-is-capsular-contracture-and-how-can-it-be-prevented/) - Our San Francisco plastic surgeon discusses how capsular contracture forms after breast augmentation and what can be done to help prevent it. Learn more.
- [How Is Capsular Contracture Treated?](https://www.drkarenhorton.com/practice-news/how-is-capsular-contracture-treated/) - Researching capsular contracture treatment in San Francisco? Our plastic surgeon explains various options based on the severity of the concern.
- [Labiaplasty is an EMPOWERING procedure for women - NOT mutilation!](https://www.drkarenhorton.com/dr-hortons-blog/labiaplasty-is-empowering-not-mutilation/) - Dr. Karen Horton, San Francisco Plastic Surgeon, discusses labiaplasty as an empowering procedure for women rather than genital mutilation or vaginal surgery
- [Dr. Karen Horton Shares Her Guide to Summer Self-Care](https://www.drkarenhorton.com/dr-hortons-blog/dr-horton-guide-to-summer-self-care/) - Get tips to look and feel your best this summer from San Francisco's Dr. Karen Horton and Haute Living
- [2023 2nd Annual San Francisco Plastic Surgery Team-Building Retreat!](https://www.drkarenhorton.com/dr-hortons-blog/2023-2nd-annual-san-francisco-plastic-surgery-team-building-retreat/) - My office and operating room team is AMAZING. They deserve to be honored and pampered, and this is exactly what we did! I hosted the second annual San Francisco Plastic Surgery (SFPS) team-building retreat recently in Healdsburg, California. As a sequel to last year's first-ever weekend retreat at the Sonoma Mission Inn that featured swag
- [Update on BII & "En Bloc" Capsulectomy (spoiler alert - it's not needed or recommended)](https://www.drkarenhorton.com/dr-hortons-blog/update-on-bii-en-bloc-capsulectomy/) - The following is a joint statement from several of my professional societies - The Aesthetic Society (formerly ASAPS), the Aesthetic Society Education and Research Foundation (ASERF), and the International Society of Aesthetic Plastic Surgery (ISAPS). It covers what we know to date about "breast implant illness" (BII), what types of treatments are recommended for women
- [What Are the Costs and Benefits of Labiaplasty?](https://www.drkarenhorton.com/body-procedures/what-are-the-costs-and-benefits-of-labiaplasty/) - Researching Costs and Benefits of Labiaplasty? Our San Francisco cosmetic surgeon, Dr. Karen Horton, discusses the procedure in our blog. Learn more.
- [Dr. Karen Horton Featured in Haute Living San Francisco’s 2023 Home & Design Issue](https://www.drkarenhorton.com/dr-hortons-blog/dr-karen-horton-featured-in-haute-living-home-design/) - Dr. Karen Horton shared her personal daily practices along with tips for a healthy and happy 2023 in Haute Living’s Home & Design Issue.
- [Dr. Karen Horton Featured in Haute Living SF Cover Story](https://www.drkarenhorton.com/dr-hortons-blog/dr-karen-horton-featured-in-haute-living-sf-cover-story/) - San Francisco Plastic Surgeon Dr. Horton discusses her path to Plastic Surgery, her philosophy on beauty, and her family.
- [New Year 2023 - Meaningful Questions to Ask Yourself](https://www.drkarenhorton.com/dr-hortons-blog/new-year-2023/) - Happy New Year! Each January 1st, most people reflect on their failures, brainstorm what they'd like to do better, and make a list of resolutions for the new year. Rather than make New Year's resolutions, I think it's helpful to ask meaningful and honest questions of yourself to really nail down what's important to you
- [Dr. Horton on Entrepreneurship in Focus](https://www.drkarenhorton.com/dr-hortons-blog/dr-horton-on-entrepreneurship-in-focus/) - San Francisco Plastic Surgeon shared motivation and advice for people starting their own businesses in this video interview
- [Dr. Karen Horton Conducts Clinical Study for New Breast Reconstruction Technology](https://www.drkarenhorton.com/practice-news/dr-karen-horton-conducts-clinical-study-for-new-breast-reconstruction-technology/) - San Francisco Plastic Surgeon Dr. Karen Horton is a Study Investigator for this new nipple reconstruction option from BioAesthetics
- [Dr. Karen Horton Discusses Blepharoplasty in Allure Magazine](https://www.drkarenhorton.com/dr-hortons-blog/dr-karen-horton-discusses-blepharoplasty-in-allure-magazine/) - San Francisco Plastic Surgeon Dr. Karen Horton shares details about recovery after cosmetic eyelid surgery.
- [Dr. Horton and Her Team Discuss Breast Reconstruction for BRA Day 2022](https://www.drkarenhorton.com/dr-hortons-blog/dr-horton-and-her-team-discuss-breast-reconstruction-for-bra-day-2022/) - Breast Reconstruction Surgeon Dr. Karen Horton and her team discuss what breast reconstruction means to them in honor of Breast Reconstruction Awareness Day.
- [Dr. Karen Horton Shares Her Tips for Staffing a Plastic Surgery Practice](https://www.drkarenhorton.com/dr-hortons-blog/dr-karen-horton-shares-her-tips-for-staffing-a-plastic-surgery-practice/) - San Francisco Plastic Surgeon Dr. Karen Horton talks to Prime Journal about finding and maintaining her team of talented staff.
- [Dr. Horton Named Castle Connolly Exceptional Woman in Medicine](https://www.drkarenhorton.com/dr-hortons-blog/dr-horton-named-castle-connolly-exceptional-woman-in-medicine/) - San Francisco Plastic Surgeon Dr. Horton has been named a 2022 Castle Connolly Exceptional Women in Medicine award winner.
- [BIA-SCC:  Rare reports of breast implant-associated squamous cell carcinoma](https://www.drkarenhorton.com/dr-hortons-blog/bia-scc-breast-implant-associated-squamous-cell-carcinoma/) - In September 2022, the Food and Drug Administration (FDA) posted a Safety Communication on their website informing healthcare practitioners and consumers about a number of reports received of squamous cell carcinoma and various lymphomas (not including BIA-ALCL) detected in the capsule surrounding breast implants. While this announcement took us all by surprise, it's important to
- [Dr. Karen Horton Authors Breast Lift Feature in Haute Living Magazine](https://www.drkarenhorton.com/dr-hortons-blog/dr-karen-horton-authors-breast-lift-feature-in-haute-living-magazine/) - Dr. Karen Horton Authors Breast Lift Feature in Haute Living, sharing everything you need to know about breast lift surgery in San Francisco
- [Dr. Horton Discusses Breastfeeding With Implants](https://www.drkarenhorton.com/breast-procedures/augmentation/dr-horton-discusses-breastfeeding-with-implants/) - Dr. Horton was the featured plastic surgeon in Verywell Family, discussing the implications of breastfeeding with breast implants.
- [Update on Breast Implant Illness (BII) Clinical Research](https://www.drkarenhorton.com/dr-hortons-blog/procedural-information/update-on-breast-implant-illness-bii-clinical-research/) - Plastic Surgeons have always been at the forefront of clinical research. We are also under the scrutiny of the media - reality television, social media, YouTube, TikTok, you name it. Breast implant surgery (putting them in AND taking them out), facial cosmetic surgery and non-surgical aesthetic treatments are promoted by millions of non-Plastic Surgeon "influencers"
- [Dr. Horton Featured In ASPS Roundtable: Plastic Surgery for Men](https://www.drkarenhorton.com/dr-hortons-blog/dr-horton-featured-in-asps-roundtable-plastic-surgery-for-men/) - Dr. Karen Horton was one of three industry-leading plastic surgeons featured in the ASPS roundtable discussion on plastic surgery trends for men.
- [BMI and Plastic Surgery - Does weight matter?](https://www.drkarenhorton.com/dr-hortons-blog/bmi-and-plastic-surgery-does-weight-matter/) - Does weight matter when you're considering Plastic Surgery? Yes and no. This is not a straightforward issue for any elective surgical procedure. Ideally, patients should be as close as possible to their ideal weight before any elective cosmetic Plastic Surgery procedure such as body contouring, breast surgery or facial aesthetic surgery. Weight and body mass
- [Labiaplasty - What's new in 2022?](https://www.drkarenhorton.com/dr-hortons-blog/procedural-information/labiaplasty-whats-new-in-2022/) - Labiaplasty has been very popular in our office since we started to offer this cosmetic surgery procedure in 2006. Although traditional Plastic Surgery procedures tend not to change dramatically over time, there are a few changes we've made to our labiaplasty approach since COVID. Read on to learn what and why: We now offer labiaplasty
- [Dr. Horton Featured as a Plastic Surgery Social Media Influencer](https://www.drkarenhorton.com/dr-hortons-blog/dr-horton-featured-as-a-plastic-surgery-social-media-influencer/) - San Francisco Plastic Surgeon Dr. Karen Horton was recently featured as a Top Plastic Surgery Social Media Influencer
- [5 Traits of a Successful Plastic Surgeon (Plus My Two Cents)](https://www.drkarenhorton.com/dr-hortons-blog/5-traits-of-a-successful-plastic-surgeon-plus-my-two-cents/) - I came across this article by a colleague I don't know personally. It really spoke to me as it summarized the traits I instinctively know that most Plastic Surgeons possess inherently. However, not everyone knows what it takes to become certified and practice successfully as a Board Certified Plastic Surgeon (certified by the American Board
- [Dr. Karen Horton and Emily Sespaniak, NP Featured in Marin Living](https://www.drkarenhorton.com/practice-news/dr-karen-horton-and-emily-sespaniak-np-featured-in-marin-living/) - San Francisco Plastic Surgeon Dr. Karen Horton was featured as a groundbreaking woman for her all women Plastic Surgery practice in the Bay Area.
- [Non-Surgical Treatments: Our Top Picks for Spring](https://www.drkarenhorton.com/practice-news/non-surgical-treatments-our-top-picks-for-spring/) - San Francisco Plastic Surgeon Dr. Karen Horton interviews Emily Sespaniak, NP about top treatments for Spring, including skincare and pain-free Botox.
- [Dr. Karen Horton Featured as a Panel Speaker at The Aesthetic Meeting](https://www.drkarenhorton.com/dr-hortons-blog/dr-karen-horton-featured-as-a-panel-speaker-at-the-aesthetic-meeting/) - Dr. Karen Horton was a featured panel speaker on Social Media Tips for Plastic Surgeons at The Aesthetic Meeting 2022
- [Botox for Hyperhidrosis](https://www.drkarenhorton.com/emily-sespaniak-nps-blog/botox-for-hyperhidrosis/) - Excessive underarm sweating, known as hyperhidrosis, can be treated with Botox injections at our San Francisco office.
- [Dr. Karen Horton Featured in Haute Living San Francisco](https://www.drkarenhorton.com/practice-news/dr-karen-horton-featured-in-haute-living-san-francisco/) - In a recent interview in Haute Living San Francisco, Dr. Karen Horton discusses plastic surgery trends and why she loves the Bay Area.
- [Dr. Karen Horton and Emily Sespaniak, NP, Featured in Nob Hill Gazette](https://www.drkarenhorton.com/body-procedures/dr-karen-horton-and-emily-sespaniak-np-featured-in-nob-hill-gazette/) - Dr. Horton and Emily Sespaniak, NP share their yearly beauty routines and discuss popular aesthetic treatments in the Nob Hill Gazette
- [Nurse Mari's Retirement Celebration](https://www.drkarenhorton.com/practice-news/nurse-maris-retirement-celebration/) - Nurse Mari has retired! We are sad to see Nurse Mari retire, but so excited for her next chapter in life. Marianne Haughey, R.N. was an integral member our practice family since 2003. Every single surgical patient met Nurse Mari at their preoperative visit. She named herself "Nurse Mari" early on in her Nursing career
- [Dr. Karen Horton Featured in Marin Magazine](https://www.drkarenhorton.com/dr-hortons-blog/dr-horton-featured-in-marin-magazine/) - Board-Certified Plastic Surgeon Dr. Karen Horton profiled in Marin Magazine’s Celebrating Women feature for her cosmetic and reconstructive surgical experience.
- [Breast Implant Illness (BII) treatment: "En Bloc" capsulectomy not necessary for explantation](https://www.drkarenhorton.com/dr-hortons-blog/procedural-information/breast-implant-illness-bii-treatment/) - What is "breast implant illness" (BII)? BII is a controversial current term born from social media, and is a poorly understood phenomenon of wide-ranging and non–organ-specific range of symptoms that can develop after breast implant reconstruction or cosmetic breast augmentation; however, BII is not clearly defined as an official medical diagnosis. Symptoms include fatigue, brain
- [Dr. Karen Horton Speaks on Plastic Surgery Trends in Yahoo! Finance Article](https://www.drkarenhorton.com/dr-hortons-blog/dr-karen-horton-speaks-on-plastic-surgery-trends-in-yahoo-finance-article/) - In a recent Yahoo! Finance article, Dr. Karen Horton spoke on what she sees as a growing trend in Plastic Surgery. Read more.
- [Office Reopening & New COVID Policies](https://www.drkarenhorton.com/practice-news/office-reopening-new-covid-policies/) - We want to take this opportunity to provide an office update in light of the current COVID-19 health crisis. First, we want to thank you for your patience and understanding during this unprecedented time. Our community has been through a lot, and we are all looking forward to resuming our normal routines. While many things
- [2021 Virtual BRA Benefit](https://www.drkarenhorton.com/practice-news/2021-virtual-bra-benefit/) - Dr. Karen Horton, Chair San Francisco BRA Committee is interviewed on KRON about 2021 Virtual BRA Benefit for breast cancer reconstruction patients.
- [Treatment of the "Double Chin": Surgical & Non-Surgical Options](https://www.drkarenhorton.com/dr-hortons-blog/treatment-of-the-double-chin/) - Dr. Karen Horton & Emily Sespaniak, NP compare surgical treatment of neck fat using liposuction to injectible Kybella treatment for neck contour
- [Improve Surgical Scars With Scar Therapy](https://www.drkarenhorton.com/dr-hortons-blog/improve-surgical-scars-with-scar-therapy/) - San Francisco Plastic Surgeon Dr. Karen Horton shares her favorite topical treatment for surgical scars as well as other scar therapy options.
- [Dr. Horton’s Liposuction and Breast Reduction Patient Featured in ASPS Video](https://www.drkarenhorton.com/practice-news/dr-hortons-patient-featured-in-asps-video/) - Kym had breast reduction surgery with Board Certified Plastic Surgeon Dr. Karen Horton. Learn about her experience and her tips for women interested in Plastic Surgery.
- [Dr. Horton Featured In The New York Times On The Rise of Plastic Surgery For Men](https://www.drkarenhorton.com/dr-hortons-blog/dr-horton-featured-in-the-new-york-times-on-the-rise-of-plastic-surgery-for-men/) - Dr. Horton was recently featured in a New York Times article on the rise in male Plastic Surgery procedures during the pandemic.
- [Is Breast Augmentation Right For Me?](https://www.drkarenhorton.com/breast-procedures/augmentation/is-breast-augmentation-right-for-me/) - Use this helpful Breast Augmentation Decision Making Guide to find out if breast augmentation is right for you.
- [First Time BOTOX®](https://www.drkarenhorton.com/emily-sespaniak-nps-blog/first-time-botox/) - What You Should Know Before Getting Botox For The First Time
- [Hyperhidrosis (excessive sweating) can be treated with Botox!](https://www.drkarenhorton.com/dr-hortons-blog/procedural-information/hyperhidrosis-excessive-sweating-can-be-treated-with-botox/) - Emily Sespaniak, NP discusses treatment of hyperhidrosis (excessive underarm sweating) using Botox.
- [What You Need To Know About Hyaluron Pen and At-Home Lip Fillers](https://www.drkarenhorton.com/horton-spa/what-you-need-to-know-about-hyaluron-pen-and-at-home-lip-fillers/) - The Hyaluron Pen and at-home lip fillers have not been approved by the FDA and lack clinical research with respect to their safety and efficacy. Here’s what you need to know.
- [Dr. Karen Horton Featured On InspiHER’d Podcast](https://www.drkarenhorton.com/dr-hortons-blog/dr-karen-horton-featured-on-inspiherd-podcast/) - Dr. Karen Horton shares about her own journey with Plastic Surgery on the InspiHER’d podcast. Listen now!
- [Liposuction of armpit fat (axillary rolls) - a VITAL complement to Plastic Surgery of the breasts](https://www.drkarenhorton.com/breast-procedures/reconstruction/liposuction-of-armpit-fat/) - In all types of Plastic Surgery, the entire "aesthetic unit" of that region of the body should be addressed. If there is additional contouring of excess UNWANTED fat needed to enhance the cosmetic results of surgery, it should be sucked out with liposuction! For abdominoplasty (tummy tuck) surgery, this includes the upper and lower abdomen,
- [Dr. Horton Discusses Plastic Surgery for Men](https://www.drkarenhorton.com/dr-hortons-blog/dr-horton-discusses-plastic-surgery-for-men/) - San Francisco Plastic Surgeon Dr. Karen Horton discusses current practices in Plastic Surgery for male patients, including liposuction and BOTOX, in this ASPS video.
- [Labiaplasty Procedure](https://www.drkarenhorton.com/body-procedures/labiaplasty-procedure/) - Everything You Want To Know About Labiaplasty Watch the video below to hear Dr. Karen Horton discuss labiaplasty surgery, a procedure that removes excess tissue from the female external genitalia, specifically the inner and/or outer labia on occasion. Most women who desire labiaplasty are looking to feel more comfortable, both physically and emotionally. In addition
- [Q&A with Dr. Horton & Dr. Haws: Choosing the Right Plastic Surgeon for Your Breast Augmentation](https://www.drkarenhorton.com/breast-procedures/augmentation/qa-with-dr-horton-dr-haws-choosing-the-right-plastic-surgeon-for-your-breast-augmentation/) - What should you look for in a Plastic Surgeon when planning a breast augmentation? Dr. Horton shares her personal experience and the criteria by which she selected her own surgeon.
- [Dr. Horton’s Breast Augmentation Journey Part X – One Year Later:  Final Results](https://www.drkarenhorton.com/dr-hortons-blog/dr-hortons-breast-augmentation-journey-part-x/) - I waited over a year to write this blog series so I could best reflect on my experience and share the full patient experience with you. I am very comfortable in my body and happy with my decision to have a breast augmentation. I no longer feel “surgical”. I just feel like me. My body
- [Dr. Horton’s Breast Augmentation Journey Part IX – Body Image Adjustment:  "The Enemy of Good is Better"](https://www.drkarenhorton.com/dr-hortons-blog/dr-hortons-breast-augmentation-journey-part-ix/) - Any change in your body, especially when immediate, like in a breast augmentation, will affect your body image. Everything you know about your body is suddenly different. And even if the change is a great one, and exactly what you wanted, it will feel strange and foreign for a period of time. Add to that
- [Dr. Horton’s Breast Augmentation Journey Part VIII – Recovery Period](https://www.drkarenhorton.com/dr-hortons-blog/dr-hortons-breast-augmentation-journey-part-viii/) - After my breast augmentation, I took one week off performing surgery and just saw a few patients in the office. The hardest day I had was actually self-inflected. I had wrapped my chest so tightly with an ACE wrap, worried I would swell with increased activity. Just that one day, I felt overwhelmed and sore,
- [Dr. Horton’s Breast Augmentation Journey Part VI – The Surgical Experience](https://www.drkarenhorton.com/dr-hortons-blog/dr-hortons-breast-augmentation-journey-part-vi/) - On the night before of any Plastic Surgery procedure, I recommend that my patients take an anti-anxiety medication called Lorazepam (Ativan) to calm their nerves and help them get to sleep. And also the day of surgery, when they are in the car on the way to the hospital or surgery center, I recommend a
- [Dr. Horton’s Breast Augmentation Journey Part V – The Preoperative Visit](https://www.drkarenhorton.com/dr-hortons-blog/dr-hortons-breast-augmentation-journey-part-v/) - At my preop visit, the day before my breast augmentation procedure, I met first with Dr. Haws’ Nurse who educated me about what to expect the day of surgery, reviewed my recovery and postoperative restrictions, and took preoperative photographs. In my San Francisco Plastic Surgery practice, I don’t use morphing
- [Dr. Horton’s Breast Augmentation Journey Part IV – Taking the Plunge](https://www.drkarenhorton.com/dr-hortons-blog/dr-hortons-breast-augmentation-journey-part-iv/) - I took this selfie the morning of my trip to Nashville and captioned it “What am I thinking?” The responses were cute. Little did anyone know I was thinking how my body would look in this tank top after my surgery... I was excited. Not nervous at all – especially about having general anesthesia, as
- [Dr. Horton’s Breast Augmentation Journey Part III – Selecting a Plastic Surgeon](https://www.drkarenhorton.com/dr-hortons-blog/dr-hortons-breast-augmentation-journey-part-iii/) - I have a large network of other women Plastic Surgeons, and we frequently converse online. I put it out there that I was in the contemplation/planning phase for my breast augmentation, and inquired “who wants to do my surgery?!?” EEK! Exciting! Several colleagues offered to be my Plastic Surgeon, but many of them were not
- [Dr. Horton’s Breast Augmentation Journey Part II – Soul Searching:  Goals of Surgery](https://www.drkarenhorton.com/dr-hortons-blog/dr-hortons-breast-augmentation-journey-part-ii/) - What were my goals for my breast augmentation procedure? I did NOT want to look fake. I wanted a natural looking and proportional result, just as I create for my beloved Plastic Surgery patients. I didn’t necessarily WANT anyone to know I’d had surgery, unless I chose to tell them. I didn’t want to have
- [Dr. Horton’s Breast Augmentation Journey Part I – Introduction](https://www.drkarenhorton.com/dr-hortons-blog/dr-hortons-breast-augmentation-journey-i/) - Welcome to my OWN breast augmentation experience! It’s been over a year since I had MY very first Plastic Surgery procedure, aside from non-surgical aesthetic treatments such as Botox and fillers with our very own Emily Sespaniak, NP. My 10-part blog series will detail my experience as a patient, a woman and a Plastic Surgeon
- [Breast Reconstruction Q&A with a San Francisco Breast Cancer Survivor](https://www.drkarenhorton.com/breast-procedures/reconstruction/breast-reconstruction-qa-with-a-san-francisco-breast-cancer-survivor/) - Board-Certified Plastic Surgeon, Dr. Karen Horton, sits down with breast cancer survivor and former breast reconstruction patient, Allison, to discuss her experience.
- [Dr. Horton and Emily Sespaniak, NP Featured in Marin Living Magazine](https://www.drkarenhorton.com/dr-hortons-blog/about-dr-horton/marin-living-feature/) - Read an interview with Dr. Horton, San Francisco Plastic Surgeon and Emily Sespaniak, NP, where they are honored as innovators by Marin Living Magazine.
- [Dr. Horton Discusses Her Bartending Skills in Plastic Surgery News](https://www.drkarenhorton.com/dr-hortons-blog/dr-horton-discusses-her-bartending-skills-in-plastic-surgery-news/) - San Francisco’s leading Plastic Surgeon Dr. Karen Horton talks to Plastic Surgery News about working as a bartender during college and shares martini making secrets.
- [Dr. Horton Featured in Marin Magazine](https://www.drkarenhorton.com/dr-hortons-blog/dr-horton-in-marin-magazine/) - Dr. Horton was recently featured in Marin Magazine’s “Best of the County” issue. Learn more about our Bay Area plastic surgeon.
- [Dr. Karen Horton Featured in Marin Living Magazine](https://www.drkarenhorton.com/dr-hortons-blog/dr-horton-in-marin-living-magazine/) - Read an interview with Dr. Horton, a leading San Francisco Plastic Surgeon, in which she discusses her approach to Plastic Surgery in Marin Living Magazine.
- [Dr. Horton Weighs In On Breast Augmentation Without Implants Via Fat Transfer](https://www.drkarenhorton.com/dr-hortons-blog/breast-augmentation-fat-transfer/) - San Francisco Board-Certified Plastic Surgeon Dr. Karen Horton featured in RealSelf discussing natural breast augmentation via fat transfer.
- [Dr. Karen Horton Featured in Marin Magazine for Charitable Work](https://www.drkarenhorton.com/dr-hortons-blog/dr-karen-horton-featured-in-marin-magazine-for-charitable-work/) - San Francisco Plastic Surgeon Dr. Horton Supports the Sparkle Foundation, which aligns with her mission to empower women in the Bay Area.
- [Plastic Surgery Trends: Why Breast Implant Removal is Popular Right Now](https://www.drkarenhorton.com/dr-hortons-blog/plastic-surgery-trends-why-breast-implant-removal-is-popular-right-now/) - Board-Certified Plastic Surgeon, Dr. Karen Horton, discusses the popular cosmetic trend of breast implant removal with women today.
- [A Note to Our Patients Regarding Coronavirus Safety](https://www.drkarenhorton.com/practice-news/coronavirus-safety-update/) - Dear Patients, Regarding the COVID-19 situation, we would like to inform you of the following: We are open virtually by telephone, email and text to continue to provide care for existing patients during our normal business hours. We are pleased to offer virtual consultations with Dr. Horton via ZOOM or telephone. Please call our office
- [Enter to Win $250 OFF Breast Implants!](https://www.drkarenhorton.com/breast-procedures/augmentation/enter-to-win-250-off-breast-implants/) - Enter to win $250 towards Allergan brand breast implants. A total of 10 winners will be chosen and receive $250 each! For details on how to enter, head to our Instagram post using the button below and follow the instructions. ENTER GIVEAWAY ON INSTAGRAM
- [Breast Cancer & COVID-19 Live Chat Recap](https://www.drkarenhorton.com/dr-hortons-blog/breast-cancer-covid-19-live-chat-recap/) - Board-Certified Plastic Surgeon, Dr. Karen Horton, discusses the challenges breast cancer patients and the reconstructive surgery community face during COVID-19.
- [Mommy Makeover Q&A with San Francisco Beauty Blogger Morgan Celeste](https://www.drkarenhorton.com/dr-hortons-blog/mommy-makeover-qa-with-beauty-blogger/) - Learn about the Mommy Makeover experience and results from a San Francisco-area patient of Dr. Karen Horton, beauty blogger Morgan Celeste.
- [A San Francisco Breast Reconstruction Patient’s Story](https://www.drkarenhorton.com/breast-cancer-awareness/breast-reconstruction-patient-story/) - San Francisco Plastic Surgeon Dr. Karen Horton shares a video from a breast reconstruction patient and explains DIEP Flap Reconstruction surgery.
- [Dr. Horton Discusses Nonessential Surgery During the COVID-19 Response](https://www.drkarenhorton.com/dr-hortons-blog/nonessential-surgery-covid-19/) - Learn about the difference between essential and nonessential surgery during the coronavirus pandemic from San Francisco Plastic Surgeon Dr. Karen Horton.
- [Dr. Karen Horton Answers Cosmetic Surgery FAQs and Shares Patient Videos](https://www.drkarenhorton.com/dr-hortons-blog/dr-horton-answers-faq-and-shares-patient-videos/) - San Francisco Plastic Surgeon Dr. Karen Horton shares videos of her and her actual patients answering frequently asked questions about plastic surgery.
- [Virtual Consultations with San Francisco Plastic Surgeon Dr. Karen Horton](https://www.drkarenhorton.com/practice-news/virtual-consultations-with-san-francisco-plastic-surgeon-dr-karen-horton/) - San Francisco plastic surgeon Dr. Horton now offers virtual consultations. New patients can ask questions, get recommendations, and more via ZOOM or phone!
- [Dr. Karen Horton Shares Personal Aesthetics Routine in “Ask A Plastic” video series by Spotlyte](https://www.drkarenhorton.com/dr-hortons-blog/dr-horton-shares-personal-aesthetics-routine/) - Dr. Karen Horton discusses questions about her personal aesthetics routine and more with the Spotlyte team.
- [Dr. Karen Horton Discusses Plastic Surgeons Getting Plastic Surgery](https://www.drkarenhorton.com/dr-hortons-blog/about-dr-horton/plastic-surgeons-getting-plastic-surgery/) - San Francisco Plastic Surgeon Dr. Karen Horton talks to RealSelf about what it is like for plastic surgeons to consider plastic surgery for themselves.
- [San Francisco Plastic Surgeon Dr. Karen Horton Featured in ASPS Vlog](https://www.drkarenhorton.com/dr-hortons-blog/about-dr-horton/dr-horton-featured-in-asps-vlog/) - American Society of Plastic Surgeons Vlog follows Dr. Karen Horton on consultation appointments and patient follow-ups at her San Francisco office. See the Video here!
- [BRA Day Giveaway Winners!](https://www.drkarenhorton.com/practice-news/bra-day-giveaway-winners/) - Congratulations to our BRA Day giveaway winners! Thank you to everyone who entered and helped to raise awareness of Breast Cancer Reconstruction options. Congratulations to our winner of the Collective Hearts necklace: @diepcfoundation, and the winners of the Neocutis Skincare Packages: @daina_dardano, @nelson_sj, @lindshight, @hawaiik! Please email info@drkarenhorton.com to arrange getting your prize!
- [RealSelf Consults Dr. Karen Horton on Breast Reconstruction](https://www.drkarenhorton.com/dr-hortons-blog/procedural-information/realself-consults-dr-horton/) - Dr. Karen Horton, a board-certified Plastic Surgeon and Reconstructive Microsurgeon in San Francisco, California, on Breast Reconstruction with RealSelf.
- [Dr. Karen Horton Featured as an Everviolet “Surgeon We Love”](https://www.drkarenhorton.com/dr-hortons-blog/dr-horton-featured-in-everviolet/) - Plastic Surgeon Dr. Karen Horton was named a “Surgeon We Love” by Everviolet in honor of her dedication to breast cancer reconstruction surgery and advocacy.
- [Dr. Karen Horton Participates in BRA Day 2019 to Raise Awareness of Breast Reconstruction for an 8th Successive Year](https://www.drkarenhorton.com/events/bra-day-2019/) - San Francisco Plastic Surgeon Dr. Karen Horton helps raise awareness of reconstructive breast surgery options for Breast Reconstruction Awareness Day 2019
- [Dr. Karen Horton Authors Breast Reconstruction Featured Article](https://www.drkarenhorton.com/breast-cancer-awareness/dr-horton-authors-breast-reconstruction-article/) - Dr. Karen Horton authors an article on Breast Reconstruction to explain a reconstructive breast surgeon’s perspective and the benefits of breast reconstruction.
- [Dr. Karen Horton Featured in 7x7 Magazine](https://www.drkarenhorton.com/dr-hortons-blog/dr-horton-featured-in-7x7-magazine/) - Bay Area lifestyle guide 7x7 profiles Dr. Karen Horton, a Board-Certified Plastic Surgeon dedicated to helping women look and feel better in the San Francisco Bay Area.
- [The First Annual Breast Cancer Healthline Meet-Up in San Francisco](https://www.drkarenhorton.com/events/breast-cancer-healthline-meetup-san-francisco/) - San Francisco Plastic Surgeon and Breast Reconstruction Specialist Dr. Karen Horton participates in the The First Annual Breast Cancer Healthline Meet-Up.
- [Spotlyte Consults Dr. Karen Horton on Injectable Wrinkle Reducers](https://www.drkarenhorton.com/dr-hortons-blog/spotlyte-consults-dr-horton/) - Dr. Karen Horton, San Francisco Board-Certified Plastic Surgeon, Consulted by Spotlyte on the recommended frequency for injectable wrinkle reducers such as BOTOX.
- [Fall Specials & Featured Procedures](https://www.drkarenhorton.com/practice-news/fall-specials-featured-procedures/) - Treat yourself at our San Francisco Plastic Surgery office with fall offers for $100 off injectable dermal fillers and featured procedures including mommy makeover surgery.
- [Dr. Karen Horton Co-Authors Pillars of Practice Book](https://www.drkarenhorton.com/dr-hortons-blog/dr-karen-horton-co-authors-pillars-of-practice-book/) - Download Pillars of Practice by San Francisco Plastic Surgeon Dr. Karen Horton to learn how to use digital marketing to grow a successful medical practice.
- [Dr. Horton Featured in Marin Magazine as “The Face of Woman-Focused Plastic Surgery”](https://www.drkarenhorton.com/dr-hortons-blog/marin-magazine-faces-of-marin/) - Dr. Karen Horton is recognized by Marin Magazine as The Face of Woman-Focused Plastic Surgery for offering breast surgery, mommy makeovers, and more in San Francisco.
- [Dr. Karen Horton Talks Social Media for Plastic Surgeons](https://www.drkarenhorton.com/dr-hortons-blog/social-media-focus-asps/) - San Francisco Plastic Surgeon Dr. Karen Horton shares social media tips in an article published by The American Society of Plastic Surgeons (ASPS)
- [Summer 2019 Prep: Our Favorite Treatments to Help You Get Your Summer Glow On!](https://www.drkarenhorton.com/emily-sespaniak-nps-blog/summer-is-here-are-you-ready/) - Summer is here! Learn about non-surgical treatments at our Bay Area office that can get you photo-ready for vacations and events all throughout the season.
- [Bro-tox???](https://www.drkarenhorton.com/horton-spa/bro-tox/) - Men get Botox too! How Botox is increasing in popularity among men.
- [Dr. Karen Horton Reveals the 5 Best Cosmetic Procedures (and 2 Worst!) on The Holistic Plastic Surgery Show](https://www.drkarenhorton.com/dr-hortons-blog/holistic-plastic-surgery-show-top-5-procedures/) - San Francisco Plastic Surgeon Dr. Karen Horton talks about her 5 favorite cosmetic procedures and the 2 worst on The Holistic Plastic Surgery Show podcast. Learn about tummy tuck, BOTOX, and more!
- [Refinery 29 Consults Dr. Karen Horton on Cardi B’s Plastic Surgery Announcement](https://www.drkarenhorton.com/dr-hortons-blog/refinery-29-consults-dr-karen-horton-on-cardi-bs-plastic-surgery-announcement/) - Refinery 29 recently reported on singer and rapper Cardi B’s announcement that she will no longer pursue plastic surgery as part of her beauty routine. Cardi has previously been very open about her cosmetic procedures, including breast augmentation and liposuction. The star, who is well-known for sharing personal details with fans, has said that it
- [Mondor's Bands after Plastic Surgery of the breast - What are they? How are they treated?](https://www.drkarenhorton.com/dr-hortons-blog/mondors-bands-after-plastic-surgery/) - Dr. Karen Horton, San Francisco Board Certified Plastic Surgeon, explains Mondor's bands after reconstructive or cosmetic breast plastic surgery.
- [Selling Used Breast Implants!? Dr. Karen Horton Tells Allure Why This is a Bad Idea](https://www.drkarenhorton.com/dr-hortons-blog/selling-used-breast-implants-dr-karen-horton-tells-allure-why-this-is-a-bad-idea/) - Dr. Karen Horton, a Board certified plastic surgeon in San Francisco, speaks to Allure about the bizarre story of a woman reselling used breast implants on Facebook and explains why this would not be a good idea.
- [Dr. Karen Horton Featured in Refinery 29 Report on Cardi B’s Plastic Surgery Complications](https://www.drkarenhorton.com/dr-hortons-blog/dr-karen-horton-featured-in-refinery-29-report-on-cardi-bs-plastic-surgery-complications/) - Dr. Karen Horton, a Board Certified Plastic Surgeon in San Francisco, talks to Refinery 29 about Cardi B’s recent cancellations due to Plastic Surgery recovery. Learn more about Cardi B and recovery after liposuction or breast augmentation.
- [New Beauty Consults Dr. Karen Horton on Breast Surgery](https://www.drkarenhorton.com/breast-procedures/new-beauty-consults-dr-karen-horton-on-breast-surgery/) - Dr. Karen Horton, experienced San Francisco Plastic Surgeon, shares information on breast surgery and answers frequently asked questions about breast implants, breast lift, and breast reduction in New Beauty Magazine.
- [Now that the kids are back in school, it's time to take care of YOU!](https://www.drkarenhorton.com/dr-hortons-blog/kids-are-back-in-school/) - Dr. Karen Horton's Bay Area SF Plastic Surgery office treats both women & men, offering CoolSculpting, Botox, fillers, liposuction, breast surgery & face lifts
- [Non-Surgical Options for Midfacial Rejuvenation](https://www.drkarenhorton.com/horton-spa/midfacial-rejuvenation/) - Our Bay Area medical spa offers several injectable dermal fillers specifically intended to lift and augment the cheeks and midface. Learn more.
- [Step-by-step DIEP flap & nipple-areola reconstruction](https://www.drkarenhorton.com/dr-hortons-blog/diep-flap-nipple-areola-reconstruction/) - How do we make a new breast using tummy skin and fat? The DIEP flap is a microsurgical transplant from one part of the body to another - in this instance, from the lower abdomen (ranging from the belly button upwards to where the pubic hair starts below) - to the chest in women who
- [Welcome to the new Dr. Karen Horton Website!](https://www.drkarenhorton.com/dr-hortons-blog/welcome-to-the-new-dr-karen-horton-website/) - Learn more about Dr. Karen Horton and stay in touch with plastic surgery news and events at her San Francisco plastic surgery practice.
- [Cosmopolitan Consults Dr. Karen Horton on Dark-Circle Creams and Under-Eye Treatments](https://www.drkarenhorton.com/dr-hortons-blog/cosmopolitan-consults-dr-karen-horton-on-dark-circle-creams-and-under-eye-treatments/) - Dark circles under the eyes are such a common beauty concern that there are thousands of skincare products dedicated to this small, delicate area. Cosmopolitan recently reached out to Dr. Horton as a Plastic Surgery expert to give readers a better understanding of what causes under-eye circles. Some people may experience temporary under-eye trouble after
- [How Mommy Makeover surgery benefits Moms psychologically!](https://www.drkarenhorton.com/dr-hortons-blog/how-mommy-makeover-surgery-benefits-moms-psychologically/) - Dr. Karen Horton, San Francisco Plastic Surgeon, discusses psychological benefits of Mommy Makeover Plastic Surgery in her most recent Plastic Surgery blog post
- [Is the Clear + Brilliant™ Laser Treatment Right for Me?](https://www.drkarenhorton.com/emily-sespaniak-nps-blog/is-the-clear-brilliant-laser-treatment-right-for-me/) - The Clear and Brilliant laser treatment is ideal for candidates with early signs of skin aging and/or melasma-type hyperpigmentation. Read if it’s right for you.
- [Today I am thankful for...](https://www.drkarenhorton.com/dr-hortons-blog/today-i-am-thankful-for/) - Taking care of Plastic Surgery patients involves a TEAM. In advance of Thanksgiving, I give thanks to my incredible office team who make Dr. Karen Horton a success!
- [Are There Any Risks Associated with Labiaplasty?](https://www.drkarenhorton.com/dr-hortons-blog/risks-associated-with-labiaplasty/) - Wondering if there are any risks associated with labiaplasty? Our San Francisco plastic surgeon discusses possible issues and how she avoids them. Click here.
- [What Are the Benefits of Labiaplasty?](https://www.drkarenhorton.com/dr-hortons-blog/what-are-the-benefits-of-labiaplasty/) - What are the benefits of labiaplasty? Our San Francisco plastic surgeon highlights the numerous advantages of this rewarding procedure. Learn more here.
- [Dr. Karen Horton Shares Knowledge with The Luxury Spot](https://www.drkarenhorton.com/dr-hortons-blog/dr-karen-horton-shares-knowledge-with-the-luxury-spot/) - Dr. Karen Horton shares information on calf implant surgery with The Luxury Spot. Dr. Horton is dedicated to educating patients and providing advanced cosmetic and reconstructive surgery options in San Francisco.
- [What Aftercare Is Involved in the Clear + Brilliant™ Recovery?](https://www.drkarenhorton.com/dr-hortons-blog/procedural-information/what-aftercare-is-involved-in-the-clear-brilliant-recovery/) - Learn how to care for your skin after Clear and Brilliant laser skin rejuvenation from our San Francisco plastic surgeon to ensure you receive optimal results.
- [Can Clear + Brilliant™ Laser Treatment Be Paired with BOTOX® Cosmetic?](https://www.drkarenhorton.com/dr-hortons-blog/procedural-information/can-clear-brilliant-laser-treatment-be-paired-with-botox-cosmetic/) - The Clear and Brilliant laser treatment from our San Francisco medispa can be paired with BOTOX injections for an even more rejuvenated outcome. Learn more.
- [Capsular contracture, breast implant removal and a lift - one patient's story](https://www.drkarenhorton.com/dr-hortons-blog/capsular-contracture-breast-implant-removal-and-a-lift-one-patients-story/) - Dr. Karen Horton, San Francisco Plastic Surgeon, described explantation for capsular contracture, nipple lift & areola reduction in her Plastic Surgery office.
- [Skin-only mastopexy as a straightforward Plastic Surgery office procedure](https://www.drkarenhorton.com/dr-hortons-blog/step-by-step-skin-only-mastopexy/) - Skin-only mastopexy is a straightforward office procedure performed under local anesthesia in the office. Learn more in Dr. Karen Horton's Plastic Surgery blog!
- [Plastic Surgeon in San Francisco Highlights Popular Non-Surgical Procedures for Men](https://www.drkarenhorton.com/practice-news/plastic-surgeon-in-san-francisco-highlights-popular-non-surgical-procedures-for-men/) - San Francisco plastic surgeon Dr. Karen Horton discusses several popular cosmetic procedures for men. Learn about BOTOX and other non-surgical treatments.
- [Bay Area Plastic Surgeon Reveals All about Liposuction for Men](https://www.drkarenhorton.com/dr-hortons-blog/bay-area-plastic-surgeon-reveals-all-about-liposuction-for-men/) - San Francisco plastic surgeon Karen Horton, MD explains why liposuction remains a popular option for males seeking localized fat reduction. Learn more.
- [Plastic Surgeon in San Francisco Reveals All About Earlobe Repair Surgery](https://www.drkarenhorton.com/dr-hortons-blog/plastic-surgeon-in-san-francisco-reveals-all-about-earlobe-repair-surgery/) - Bay Area plastic surgeon Dr. Karen Horton describes the earlobe repair process and discusses typical expectations. Learn about gauged earlobe repair and more.
- [San Francisco Plastic Surgeon Highlights Benefits of Mastopexy with and Without Implants](https://www.drkarenhorton.com/practice-news/san-francisco-plastic-surgeon-highlights-benefits-of-mastopexy-with-and-without-implants/) - Plastic surgeon in San Francisco explains how she helps patients determine if breast lift with or without implants is best for addressing their concerns.
- [San Francisco Plastic Surgeon Reveals Truths and Benefits of a Mommy Makeover](https://www.drkarenhorton.com/practice-news/san-francisco-plastic-surgeon-reveals-truths-and-benefits-of-a-mommy-makeover/) - Dr. Karen Horton, a plastic surgeon in San Francisco, highlights how a mommy makeover can help women rejuvenate their figure after pregnancy.
- [ASAPS 2014 - Seeing our favorite vendors in the exhibit hall & learning about vaginal rejuvenation](https://www.drkarenhorton.com/dr-hortons-blog/asaps-seeing-vendors-learning-about-vaginal-rejuvenation/) - Dr. Karen Horton, San Francisco Plastic Surgeon visited ASAPS 2014 vendors, live tweeted during presentations and learned about vaginal plastic surgery.
- [Barcelona Breast Meeting 2015](https://www.drkarenhorton.com/dr-hortons-blog/barcelona-breast-meeting/) - Dr. Karen Horton, San Francisco Plastic Surgeon, was invited Faculty at the 2015 Barcelona Breast Meeting in Spain for reconstructive & cosmetic surgery of the breast
- [San Francisco Plastic Surgeon Discusses The Benefits Of Different Liposuction Techniques](https://www.drkarenhorton.com/practice-news/san-francisco-plastic-surgeon-discusses-the-benefits-of-different-liposuction-techniques/) - Interested in Liposuction? Click here to learn about benefits of two different techniques from San Francisco Plastic Surgeon Karen Horton, MD.
- [Dr. Karen Horton to Host Only BRA Day Event in San Francisco and Bay Area](https://www.drkarenhorton.com/practice-news/dr-karen-horton-to-host-only-bra-day-event-in-san-francisco-and-bay-area/) - San Francisco Plastic Surgeon Karen Horton, MD will be hosting the only Breast Reconstruction Awareness (BRA) Day event in the Bay area. Learn more here.
- [San Francisco Plastic Surgeon Reveals Her New Nonsurgical Fat Reduction Technique](https://www.drkarenhorton.com/dr-hortons-blog/san-francisco-plastic-surgeon-reveals-her-new-nonsurgical-fat-reduction-technique/) - Interested in nonsurgical fat reduction in San Francisco? Dr. Karen Horton now offers CoolSculpting as a liposuction alternative. Learn more.
- [Labiaplasty - San Francisco Plastic Surgeon Discusses Improving a Woman’s Discomfort and Self-Confidence](https://www.drkarenhorton.com/practice-news/labiaplasty-san-francisco-plastic-surgeon-discusses-improving-a-womans-discomfort-and-self-confidence/) - Dr. Karen Horton, San Francisco plastic surgeon, recently drafted a three-part blog series about labiaplasty to answer questions about the procedure. Read more.
- [Dr. Horton is attending the ASAPS 2014 San Francisco Aesthetic Plastic Surgery Meeting](https://www.drkarenhorton.com/dr-hortons-blog/dr-horton-attending-asaps-2014-san-francisco/) - Dr. Karen Horton is attending the 2014 ASAPS meeting in San Francisco. She comments on advances in aesthetic Plastic Surgery & be live tweeting and blogging.
- [Plastic Surgeon in San Francisco Highlights Solution for Inverted Nipples](https://www.drkarenhorton.com/practice-news/plastic-surgeon-in-san-francisco-highlights-solution-for-inverted-nipples/) - Inverted nipple repair offered by plastic surgeon in San Francisco. Learn more about the condition and treatment available at the practice of Dr. Karen Horton.
- [Only BRA Day Event in San Francisco and Bay Area to Be Hosted by Dr. Karen Horton](https://www.drkarenhorton.com/practice-news/only-bra-day-event-in-san-francisco-and-bay-area-to-be-hosted-by-dr-karen-horton/) - Dr. Karen Horton, a plastic surgeon in San Francisco, is hosting the Bay Area’s only Breast Cancer Reconstruction Awareness Day event. Find details here.
- [San Francisco Plastic Surgery Practice Now Offering Non-Surgical Aesthetic Treatments](https://www.drkarenhorton.com/dr-hortons-blog/san-francisco-plastic-surgery-practice-now-offering-non-surgical-aesthetic-treatments/) - Dr. Karen Horton, a plastic surgeon in San Francisco, has announced she will be offering non-surgical aesthetic treatment at her practice.
- [How are YOUR eyes aging?](https://www.drkarenhorton.com/horton-spa/how-are-your-eyes-aging/) - Courtney McSpadden, Aesthetic Nurse Practitioner at Horton SPA, describes Latisse eyelash lengthening treatment, Botox & fillers for under-eye rejuvenation
- [The benefits of subglandular implants for breast augmentation](https://www.drkarenhorton.com/dr-hortons-blog/the-benefits-of-subglandular-implants-for-breast-augmentation/) - In my practice, I prefer to place breast implants ON TOP of the muscle, both for breast augmentation and breast reconstruction after mastectomy for breast cancer. Why keep implants on top of the muscle? Let me count the ways: Implants placed on top of the muscle have a more natural look in most cases. Placing implants on top
- [Social Media and Plastic Surgery: ASPS Members Facebook LIVE Webinar](https://www.drkarenhorton.com/dr-hortons-blog/social-media-and-plastic-surgery-asps-members-facebook-live-webinar/) - It was an honor to be asked by the American Society of Plastic Surgeons (ASPS) this summer to speak about social media use by Plastic Surgeons. In this Facebook Live event, I specifically spoke about the importance of VIDEO in communicating with the public, future, present and past patients, and other colleagues. Specifically, VIDEO is
- [2017 was a busy year educating about Plastic Surgery.. What will 2018 bring?](https://www.drkarenhorton.com/dr-hortons-blog/2017-was-a-busy-year-what-will-2018-bring/) - Dr. Karen Horton, San Francisco Plastic Surgeon, had a whirlwind 2017 educating Plastic Surgery. Here\'s a summary of the fun!
- ["Goldilocks" 8th generation breast implants:  Not too ripply, not too firm, just right.](https://www.drkarenhorton.com/dr-hortons-blog/goldilocks-8th-generation-breast-implants/) - The last year has seen several new types of silicone breast implants available. San Francisco Plastic Surgeon Dr. Karen Horton details their differences and her opinions on each's utility in breast reconstruction & augmentation.
- [10 things to know before having Mommy Makeover Plastic Surgery](https://www.drkarenhorton.com/dr-hortons-blog/10-things-to-know-before-having-mommy-makeover-plastic-surgery/) - This is a WONDERFUL article written by a woman who has had “Mommy Makeover” surgery. Although this is not MY patient, the author is an excellent writer. I believe she sums up her experience in a lighthearted and sincere manner. Anyone considering a Mommy Makeover can benefit from reading this blog to help prepare for their surgery! “10 Things
- [Can Different Cosmetic Injectables Be Combined for Better Results?](https://www.drkarenhorton.com/horton-spa/can-different-cosmetic-injectables-be-combined-for-better-results/) - Combining cosmetic injectables like BOTOX and fillers may help you achieve a better rejuvenative outcome. Visit our San Francisco practice’s blog for more details.
- [Which Cosmetic Injectable Is Right for Me?](https://www.drkarenhorton.com/horton-spa/which-cosmetic-injectable-is-right-for-me/) - BOTOX vs. dermal fillers, which Cosmetic Injectable do I need? Read our San Francisco plastic surgeon’s blog to learn when each type of option is appropriate.
- [In a breast reconstruction patient's words...](https://www.drkarenhorton.com/dr-hortons-blog/in-a-breast-reconstruction-patients-words/) - Dr. Karen Horton, San Francisco Plastic Surgeon, shares a patient\'s story of breast cancer reconstruction, chemotherapy and radiation therapy - in the patient\'s own words. Learn from her!
- [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/) - Dr. Karen Horton was interviewed by Women's Health Magazine about different types of nipples and areolas that naturally occur, and types of Plastic Surgery procedures women seek to modify their nipples to feel more comfortable.
- [HOW MUCH fat can be removed during liposuction?](https://www.drkarenhorton.com/dr-hortons-blog/how-much-fat-can-be-removed-during-liposuction/) - Liposuction is a procedure that I do just about EVERY day I am in the operating room, which is 3-4 days per week. And every time I do a case where a significant amount of fat is removed, I am amazed at HOW MUCH fat that liposuction can truly, permanently, irreversibly remove! The image above
- [Why Not Augment the Breasts with Fat?  Free Fat Grafting to the Breasts – A Warning](https://www.drkarenhorton.com/dr-hortons-blog/why-not-augment-breasts-with-fat/) - Free fat grafting to the breasts (lipo-filling) can create permanent changes in the breast, obscuring future breast cancer screening, explains Dr. Karen Horton
- [From a patient: "It took decades to get the breasts I wanted". (I'm so happy I could help!)](https://www.drkarenhorton.com/dr-hortons-blog/it-took-decades-to-get-the-breasts-i-wanted/) - The following is an excerpt from an article written by my patient about her breast reduction in The Cut section of New York Magazine. She'll tell you her story in her words, but I wanted to add my comments. I met this patient in consultation for a breast reduction last year. She had been thinking
- [Brachioplasty (arm lift) surgery - What's actually removed?](https://www.drkarenhorton.com/dr-hortons-blog/brachioplasty-arm-lift-surgery/) - An arm lift (brachioplasty) is no small procedure. While it has dramatic results and is the ONLY Plastic Surgery procedure that can achieve the results shown below, it is not without long scars that are visible from some views. Knowing the details of a surgical procedure BEFORE you commit to it is vital to ensure
- [Why do I offer breast reconstruction? Hear why, in a patient’s words.](https://www.drkarenhorton.com/dr-hortons-blog/why-do-i-offer-breast-reconstruction-hear-why-in-a-patients-words/) - The following is a message from one of my patients who underwent bilateral skin-sparing mastectomies and immediate microsurgical breast reconstruction with DIEP flaps. Words like hers are the exact reason why performing breast reconstruction (even though insurance reimbursements are SO poor it is not financially smart to do reconstruction surgery in California) – but helping patients in this special
- [Angela Jolie, BRCA genes and saving nipples](https://www.drkarenhorton.com/dr-hortons-blog/angela-jolie-brca-genes-and-saving-nipples/) - Like everyone, I was surprised to hear the recent news of movie star Angelina Jolie's recent surgery, but very pleased to hear she took a proactive approach to her health and chose to undergo "risk reduction" surgery and breast reconstruction. The BRCA gene does not always have to be a death sentence or result in
- [BRA Day 2013 in San Francisco](https://www.drkarenhorton.com/dr-hortons-blog/bra-day-2013-in-san-francisco/) - San Francisco plastic surgeon Karen Horton, MD is set to host BRA Day 2013 at her plastic and reconstructive surgery practice. Read her blog to learn more.
- ["New Year, New You"?  Could there be something to this phrase often used by Plastic Surgeons?](https://www.drkarenhorton.com/dr-hortons-blog/new-year-new-you-could-there-be-something-to-this-phrase-often-used-by-plastic-surgeons/) - Happy New Year from Dr. Karen Horton, Courtney McSpadden and HORTON SPA! Many Plastic Surgeons capitalize on the New Year to help lure people into their practices with the slogan "New Year, New YOU!". While this is a phrase I always try to stay away from, there may in fact be something to it.. We
- [Why I enjoy teaching Medical Students about Plastic Surgery](https://www.drkarenhorton.com/dr-hortons-blog/i-love-to-teach-medical-students/) - Dr. Karen Horton, Board Certified San Francisco Plastic Surgeon, describes why she enjoys teaching and mentoring Medical Students about Plastic Surgery.
- [Nipple-Sparing Mastectomies:  Why we love our Breast Surgeons!](https://www.drkarenhorton.com/dr-hortons-blog/why-we-love-our-breast-surgeons/) - Dr. Karen Horton, San Francisco Plastic Surgeon specializing in breast reconstruction, describes nipple-sparing mastectomy & importance of breast surgeons.
- [Ask Us: Which are the best eye creams?](https://www.drkarenhorton.com/horton-spa/ask-us-best-eye-creams/) - An Aesthetic Nurse Practitioner details which are the best eye creams, and what you can expect from using them
- [EDUCATIONAL VIDEO:  Smooth, round silicone gel breast implants](https://www.drkarenhorton.com/dr-hortons-blog/educational-video-smooth-round-silicone-gel-breast-implants/) - Dr. Karen Horton, San Francisco Board Certified woman Plastic Surgeon, presents an educational video about silicone gel breast implants and their safety.
- [Advanced Breast Reconstruction Techniques in San Francisco, by a Woman Plastic Surgeon](https://www.drkarenhorton.com/dr-hortons-blog/advanced-breast-reconstruction-techniques-in-san-francisco-by-a-woman-plastic-surgeon/) - Thinking about tomorrow's National BRA Day, or Breast Reconstruction Awareness Day, I am reminded that most Plastic Surgeons unfortunately do not offer all the available techniques of breast reconstruction. In fact, many Plastic Surgeons do not offer reconstructive surgery as part of their practice. As a woman and a Plastic Surgeon who entered this profession
- [Plastic Surgery Myth #7:  Breast implants are not safe](https://www.drkarenhorton.com/dr-hortons-blog/plastic-surgery-myth-breast-implant-safety/) - Dr. Karen Horton, Board Certified Plastic Surgeon dispels common myths about Plastic Surgery. Breast implants are indeed safe and studied by the FDA.
- [Plastic Surgery Myth #10:  It's Just for Women](https://www.drkarenhorton.com/dr-hortons-blog/plastic-surgery-myth-for-men/) - Dr. Karen Horton, Board Certified San Francisco Plastic Surgeon, explains that cosmetic surgery is for men too, maintaining masculine results.
- [Dr. Horton Outlines Breast Augmentation From Consultation to Recovery](https://www.drkarenhorton.com/dr-hortons-blog/dr-horton-outlines-breast-augmentation-from-consultation-to-recovery/) - San Francisco Plastic Surgeon Dr. Karen Horton details a Breast Augmentation procedure from consultation to postoperative care. Read more on our Blog.
- [Plastic Surgery Myth #8:  Implants affect breast feeding](https://www.drkarenhorton.com/dr-hortons-blog/plastic-surgery-myth-implants-affect-breast-feeding/) - Dr. Karen Horton, Board Certified female Plastic Surgeon in San Francisco, dispels the myth that breast feeding is not possible after breast augmentation.
- [What’s the difference between saline and silicone breast implants?](https://www.drkarenhorton.com/dr-hortons-blog/whats-the-difference-between-saline-and-silicone-breast-implants/) - Dr. Karen Horton, San Francisco Board Certified Plastic Surgeon explains differences between saline & silicone breast implants, advantages, disadvantages & more
- [What are some of our staff members' favorite Horton SPA products?](https://www.drkarenhorton.com/dr-hortons-blog/what-are-some-of-our-staff-members-favorite-horton-spa-products/) - Office team members from Dr. Karen Horton\'s Plastic Surgery practice describe their favorite products offered at Horton SPA
- [2013:  It's going to be a BEAUTIFUL New Year!](https://www.drkarenhorton.com/dr-hortons-blog/2013-its-going-to-be-a-beautiful-new-year/) - Let our skilled Aesthetic Nurse Practitioner, Courtney ("The Gentle Injector") and medical-grade skin care expert, help you make the New Year the most beautiful year ever! Our office is now offering laser therapy for reduction of pigmentation on the face, changes related to sun damage and aging, and optimization of surgical scars. Call today for
- [What Can Men Expect from an IPL Treatment?](https://www.drkarenhorton.com/horton-spa/what-can-men-expect-from-an-ipl-treatment/) - Intense Pulse Light (IPL) therapy can be a great option for men who are seeking photorejuvenation for the face, neck, chest, or even the hands. This is not a laser treatment, but a very effective light treatment that targets brown and red pigmentation. IPL treatments help lighten or get rid of brown spots that occur
- [Men Are Getting on the Anti-Aging Bandwagon Too!](https://www.drkarenhorton.com/horton-spa/botox-horton-spa/men-are-getting-on-the-anti-aging-bandwagon-too/) - IPL, BOTOX® injections, fillers and other nonsurgical skincare treatments at our Bay Area practice can help men keep their skin looking fresh. Learn more.
- [IPL Treatments - How many, how often, and why??](https://www.drkarenhorton.com/dr-hortons-blog/procedural-information/ipl-treatments-how-many-how-often-and-why/) - Courtney McSpadden, Aesthetic Nurse Practitioner from Horton SPA, discusses benefits of IPL to reduce brown pigmentation spots and red areas of the skin.
- [A Female Plastic Surgeon’s Message to Breast Cancer Survivors](https://www.drkarenhorton.com/dr-hortons-blog/a-female-plastic-surgeons-message-to-breast-cancer-survivors/) - San Francisco Plastic Surgeon Karen Horton, MD Gives a Message to Survivors in honor of Breast Cancer Awareness month. Read it here in her latest blog post.
- [Turn Back the Hands of Time](https://www.drkarenhorton.com/dr-hortons-blog/procedural-information/turn-back-the-hands-of-time/) - Our hands go through a lot on a daily basis. Frequent washing, sun exposure and exposure to chemicals are just some of the things that can dry out your hands and ruin a perfect manicure. I wash my hands so frequently as a part of my job (and a mild case of germaphobia) that my
- [2013 ASPS Plastic Surgery Statistics Announced Today!](https://www.drkarenhorton.com/dr-hortons-blog/2013-asps-plastic-surgery-statistics-announced-today/) - 2013 brought steady growth in the Plastic Surgery world. Today, ASPS (the American Society of Plastic Surgeons, of which I am a member) announces that 15.1 million total cosmetic procedures were performed in the United States in 2013, up 3% over compared to 2012. Both minimally-invasive and surgical Plastic Surgery procedures were analyzed. Excitingly, 2% more reconstructive surgery procedures
- ["Evening of Beauty" with Dr. Karen Horton & Courtney McSpadden at Horton SPA!](https://www.drkarenhorton.com/dr-hortons-blog/evening-of-beauty-with-dr-karen-horton-courtney-mcspadden-at-horton-spa/) - Yesterday evening, we hosted our spring "Evening of Beauty"! We were honored to invite our patients and members of the Bay Area community to learn about the latest & greatest non-surgical beauty treatments offered right here at Horton SPA! From 5:00 to 7:00 p.m., we featured a live demo of CoolSculpting! See images from the
- [Tips for Moms & Kids for Reducing Sun Damage this Spring & Summer](https://www.drkarenhorton.com/dr-hortons-blog/tips-for-reducing-sun-damage/) - Dr. Karen Horton, Board Certified Plastic Surgeon & mother of twins, discusses ways to reduce sun damage and treat effects of aging on the skin.
- [Favorite medical-grade skin care - from Mary Pasache, veteran Plastic Surgery Coordinator](https://www.drkarenhorton.com/dr-hortons-blog/favorite-skin-care/) - Dr. Karen Horton's Plastic Surgery veteran Patient Coordinator discusses her favorite medical grade skin care products at Horton SPA & their benefits, actions
- [End-of-summer means ongoing sun protection!](https://www.drkarenhorton.com/dr-hortons-blog/end-of-summer-means-ongoing-sun-protection/) - Dr. Karen Horton discusses the need for ongoing sun protection at the end of summer and treatments offered at Horton SPA that help treat sun damage and aging.
- [It's Autumn!  Time to take care of YOU & repair sun damage](https://www.drkarenhorton.com/dr-hortons-blog/its-autumn-take-care-of-yourself/) - In this blog post we discuss IPL treatments to address sun damage, IPL photofacials & correcting brown spots on the skin without downtime.
- [Bonus for silicone gel breast augmentation patients - Botox or Latisse as a gift from Allergan!](https://www.drkarenhorton.com/dr-hortons-blog/bonus-for-silicone-gel-breast-augmentation-patients-botox-or-latisse-as-a-gift-from-allergan/) - Karen Horton MD, San Francisco Bay Area Plastic Surgeon, offers her patients Allergan Natrelle silicone gel breast implants and a bonus of Botox or Latisse!
- [Plastic Surgery Myth #2:   It's too expensive](https://www.drkarenhorton.com/dr-hortons-blog/plastic-surgery-myth-too-expensive/) - Board Certified Plastic Surgeon Dr. Karen Horton from San Francisco dispels myths about costs of Plastic Surgery
- [We Love Brilliant Distinctions®!](https://www.drkarenhorton.com/practice-news/we-love-brilliant-distinctions/) - Our Nurse Practitioner discusses Allergan\'s Brilliant Distinctions program and how to earn and redeem points for Botox, Juvederm, Voluma, and Latisse
- [Plastic Surgery Myth #3:  You'll have unsightly scars](https://www.drkarenhorton.com/dr-hortons-blog/plastic-surgery-myth-unsightly-scars/) - Dr. Karen Horton, San Francisco Board Certified Plastic Surgeon, dispels myths that Plastic Surgery results in unsightly scars and educates about scar therapy.
- [The Art of Multitasking: How I Juggle Balls and Remain Successful](https://www.drkarenhorton.com/dr-hortons-blog/the-art-of-multitasking-how-i-juggle-balls-and-remain-successful/) - Dr. Karen Horton, San Francisco Board Certified Plastic Surgeon, shares her ASPS Aesthetica presentation on work-life balance & successfully multitasking.
- [October is National Breast Cancer Awareness Month!](https://www.drkarenhorton.com/dr-hortons-blog/october-is-national-breast-cancer-awareness-month/) - Dr. Karen Horton, Board Certified San Francisco Plastic Surgeon discussed breast cancer reconstruction options, saving nipples, DIEP flaps, TUG flaps & BRA Day
- [Breast Reconstruction:  Using Your Own Tissue To Rebuild Your Breast](https://www.drkarenhorton.com/dr-hortons-blog/breast-reconstruction-using-your-own-tissue/) - Dr. Karen Horton San Francisco Plastic Surgeon & Microsurgeon gave a live webinar using the body's tissue for DIEP, SIEA or TUG inner thigh flap reconstruction
- [Plastic Surgery for Men](https://www.drkarenhorton.com/dr-hortons-blog/plastic-surgery-for-men/) - San Francisco Plastic Surgeon Dr. Karen Horton describes the increase in Plastic Surgery procedures for men and cosmetic non-surgical procedures in males
- [BRA Day 2012 - National Breast Cancer Reconstruction Awareness Day](https://www.drkarenhorton.com/dr-hortons-blog/bra-day-2012-national-breast-cancer-reconstruction-awareness-day/) - National Breast Cancer Reconstruction Awareness "BRA Day" 2012 It is my honor and pleasure to announce that I will be hosting the San Francisco/Bay Area's first-ever National Breast Cancer Reconstruction Awareness Day! On Wednesday, October 17th, 2012, from 3:00 - 6:00 p.m., the lobby of my office building (2100 Webster Street (at Clay), San
- [Establishing Expectations for Breast Reduction: Part I](https://www.drkarenhorton.com/dr-hortons-blog/establishing-expectations-for-breast-reduction-part-i/) - Interested in breast reduction surgery? Our San Francisco plastic surgeon highlights the importance of establishing expectations prior to the procedure.
- [Skin Health & Sun Damage:  Is Your Commute Aging You?](https://www.drkarenhorton.com/practice-news/is-your-commute-aging-you/) - Our Aesthetic Nurse Practitioner at Horton SPA discusses sun damage experienced during our commute to work and how we can prevent/treat these changes.
- [Lip Filler: Everything You Need to Know!](https://www.drkarenhorton.com/horton-spa/lip-filler-everything-you-need-to-know/) - Aesthetic Nurse Practitioner Emily Sespaniak explains lip augmentation.
- [Benefits of JUVÉDERM® Ultra and Restylane® Silk for Lip Augmentation](https://www.drkarenhorton.com/horton-spa/juvederm-ultra-restylane-silk/) - Interested in non-surgical Lip Augmentation in San Francisco? Learn about the many Benefits of Juvederm Ultra and Restylane Silk here.
- [What Is the Best Anti-Aging Skincare Regimen?](https://www.drkarenhorton.com/horton-spa/skin-care/best-anti-aging-skincare/) - Our San Francisco Nurse Practitioner details the Best Anti-Aging Skincare Regimen for keeping your skin youthful and radiant. Learn more.
- [Nurse Mari: A LATISSE believer!](https://www.drkarenhorton.com/dr-hortons-blog/nurse-mari-latisse/) - Nurse Mari, from San Francisco Plastic Surgery office of Dr. Karen Horton, describes her success with LATISSE eyelash lengthening treatment at Horton SPA.
- [The psyche of cosmetic surgery - expected ups & downs](https://www.drkarenhorton.com/dr-hortons-blog/psyche-of-cosmetic-surgery/) - Dr. Karen Horton, San Francisco Plastic Surgeon, describes the psyche of cosmetic Plastic Surgery & expected ups and downs experienced by patients after surgery
- [Plastic Surgery Myth #4:  Liposuction = Weight Loss](https://www.drkarenhorton.com/dr-hortons-blog/myth-liposuction/) - Dr. Karen Horton, Board Certified Plastic Surgeon San Francisco educates that liposuction does not equal weight loss & describes best candidates for liposuction
- [What is Recovery from Earlobe Repair Like?](https://www.drkarenhorton.com/dr-hortons-blog/recovery-from-earlobe-repair/) - Our San Francisco Plastic Surgeon Dr. Karen Horton discusses what patients can generally expect in regard to recovery from earlobe repair. Learn more here.
- [Words of thanks from a #PlasticSurgery patient](https://www.drkarenhorton.com/dr-hortons-blog/words-of-thanks-from-a-plasticsurgery-patient/) - A heartfelt review of Dr. Karen Horton: A patient's experience having Plastic Surgery and Dr. Horton's office staff care after scar revision and a neck lift
- [ASPS Plastic Surgery Update August 2012](https://www.drkarenhorton.com/dr-hortons-blog/plastic-surgery-update-august-2012/) - See the video from the American Society of Plastic Surgeons that discusses the following topics: Liposuction - Dismissing unsubstantiated myths about fat coming back in other places after having liposuction. To learn more about this extensively studies and proven procedure, visit the Liposuction pages of my website and the Before/After Liposuction Gallery. Eyelid surgery (Blepharoplasty)
- [Why Horton SPA?](https://www.drkarenhorton.com/practice-news/why-horton-spa/) - In an era of mass retail coupons inundating our email inbox, hawking everything from food to skydiving to medical treatments, people might wonder- why would I go to Courtney McSpadden, an Aesthetic Nurse Practitioner at Horton Spa, instead of a dermatologist or a med-spa for cosmetic treatments?? Here’s why… My Personal Touch: I spend a
- [BRA (Breast Reconstruction Awareness) Day 2015 in San Francisco!](https://www.drkarenhorton.com/dr-hortons-blog/bra-day-2015-san-francisco/) - BRA Day 2015 in San Francisco, hosted by Dr. Karen Horton, increased awareness about breast reconstruction options & hosted a Pure Barre class in San Rafael!
- [IPL (Intense Puled Light): Treats Sunspots, Rosacea and more!](https://www.drkarenhorton.com/body-procedures/ipl-treats-sunspots-rosacea-and-more/) - Our San Francisco Nurse Practitioner reveals why fall can be the best time of year to receive Intense Pulsed Light (IPL) therapy for skin rejuvenation. Learn more.
- ["Battle Scars from Birth":  New Moms and Post-Partum Changes in Their Bodies](https://www.drkarenhorton.com/dr-hortons-blog/battle-scars-from-birth-new-moms-and-post-partum-changes-in-their-bodies/) - INTERVIEW WITH DR. HEIDI WITTENBERG – OB-GYN AND GYNECOLOGIC SURGEON PART I - PERMANENT CHANGES IN A WOMAN'S BODY WITH PREGNANCIES: WHAT TO EXPECT? What type of permanent changes in their bodies can new Moms expect following their first pregnancy? I interviewed my colleague Dr. Heidi Wittenberg, an OB & GYN surgeon, about her experience
- [Dr. Horton Discusses Post-Baby Bodies & Mommy Makeovers in Multiplicity Magazine](https://www.drkarenhorton.com/dr-hortons-blog/multiplicty-magazine/) - Having a baby, especially multiple babies, can drastically alter a woman\'s body. San Francisco cosmetic surgeon Karen Horton MD discusses treatment options
- [In a breast cancer patient's words - Nipple-sparing mastectomy and immediate implant reconstruction experience](https://www.drkarenhorton.com/dr-hortons-blog/in-a-breast-cancer-patients-words-nipple-sparing-mastectomy-and-immediate-implant-reconstruction-experience/) - Preserving nipples at mastectomy for breast cancer, implants on top of the muscle (pre-pectoral breast reconstruction) has been offered by Dr. Karen Horton for 12 years!
- [IPL:  Perhaps the BEST skin rejuvenation procedure there is!](https://www.drkarenhorton.com/horton-spa/skin-care/ipl-perhaps-the-best-skin-rejuvenation-procedure-there-is/) - Emily Sespaniak, NP describes IPL (intense pulsed light) for treating sunspots and rosacea in her San Francisco office.
- [Candid shots from our office staff photo shoot!](https://www.drkarenhorton.com/dr-hortons-blog/candid-shots-from-our-photo-shoot/) - Karen Horton MD and Emily Sespaniak NP in San Francisco share candid behind-the-scenes images from a recent photo shoot for website/brochure updates
- [Additional photos of our amazing office team!](https://www.drkarenhorton.com/dr-hortons-blog/additional-photos-of-amazing-office-team/) - Additional images from a recent photo shoot of Dr. Karen Horton, Board Certified Plastic Surgeon and Emily Sespaniak NP and office staff by Emma Hopkins photographer
- [How Can I Avoid Bruises from Injectables?](https://www.drkarenhorton.com/horton-spa/skin-care/how-can-i-avoid-bruises-from-injectables/) - Emily Sespaniak, NP-C discusses ways to decrease your risk of bruising prior to cosmetic injections.
- [Common Misconceptions About Labiaplasty: Part 2](https://www.drkarenhorton.com/body-procedures/labiaplasty-surgery/common-misconceptions-part-2/) - Labiaplasty is surrounded by many misbeliefs and misunderstandings. Our San Francisco plastic surgeon reveals the truth about several myths here.
- [Common Misconceptions About Labiaplasty: Part 1](https://www.drkarenhorton.com/body-procedures/labiaplasty-surgery/common-misconceptions-about-labiaplasty-part-1/) - San Francisco plastic surgeon Karen Horton, MD sets the record straight on four common misconceptions about labiaplasty. Learn more here.
- [Will I Wish I Had Gone Bigger with My Breast Augmentation?](https://www.drkarenhorton.com/practice-news/will-i-wish-i-had-gone-bigger-with-my-breast-augmentation/) - Our San Francisco plastic surgeon discusses how she helps ensure patients don’t wish they had gone bigger with their breast augmentation following surgery.
- [Are New Breast Implants Needed Every 10 Years?](https://www.drkarenhorton.com/practice-news/are-new-breast-implants-needed-every-10-years/) - Wondering if you’ll have to get new implants each decade after breast augmentation? Learn the truth from our San Francisco plastic surgeon.
- [3 Common Breast Augmentation Concerns that Shouldn’t Have You So Concerned](https://www.drkarenhorton.com/dr-hortons-blog/3-common-breast-augmentation-concerns/) - Our San Francisco plastic surgeon highlights three common concerns about breast augmentation and explains why each shouldn’t be so concerning after all.
- [Dr. Horton Named a 2017 Top Doctor in Plastic Surgery](https://www.drkarenhorton.com/dr-hortons-blog/dr-horton-named-a-2017-top-doctor-in-plastic-surgery/) - San Francisco Plastic Surgeon Karen Horton, MD was recognized as Top Doctor in Plastic and Aesthetic Surgery for 2017. Learn more here.
- [How Do I Select the Right Breast Implants?](https://www.drkarenhorton.com/dr-hortons-blog/how-do-i-select-the-right-breast-implants/) - Choosing the right implants is vital to achieving exceptional breast augmentation results. Discover how our San Francisco plastic surgeon helps patients decide.
- [Eyelids too?  When Is More than a Neck Lift Recommended for Men?](https://www.drkarenhorton.com/procedures-for-men/when-is-more-than-a-neck-lift-recommended-for-men/) - Our San Francisco Plastic Surgeon reveals when blepharoplasty (eyelid surgery) may be recommended in addition to a neck lift for men seeking facial rejuvenation.
- [7th generation breast implants: softer, safer, less ripply!](https://www.drkarenhorton.com/dr-hortons-blog/7th-generation-breast-implants-softer-safer/) - Dr. Karen Horton describes the new 7th generation of silicone implants now available with the advantages of higher fill, less rippling and highly cohesive gel.
- [Dr. Horton Reveals All about Lower Facelifts in ‘Cosmetic Town Journal’](https://www.drkarenhorton.com/dr-hortons-blog/dr-horton-reveals-all-about-lower-facelifts-in-cosmetic-town-journal/) - Dr. Karen Horton, San Francisco Board Certified Plastic Surgeon, discusses the MACS lift (lower face lift or neck lift) in her exclusive Cosmetic Town interview
- [What Procedures Are Included in a Mommy Makeover?](https://www.drkarenhorton.com/dr-hortons-blog/what-procedures-are-included-in-a-mommy-makeover/) - San Francisco & Bay Area Plastic Surgeon Dr. Karen Horton, a Mom of twins herself, highlights how a Mommy Makeover is customized based on unique needs & goals.
- [Women In Plastic Surgery: Pregnancy Issues - Dr. Karen Horton shares her experience](https://www.drkarenhorton.com/dr-hortons-blog/women-in-plastic-surgery-pregnancy-issues-dr-karen-horton-shares-her-experience/) - Dr. Karen Horton is interviewed by the Plastic & Reconstructive Surgery Journal about her experience being a woman, a Plastic Surgeon and pregnancy with twins.
- [Merry Christmas & Happy Holidays from Dr. Horton and our Plastic Surgery office team!](https://www.drkarenhorton.com/dr-hortons-blog/merry-christmas-happy-holidays-from-dr-horton/) - We wish you a Merry Christmas and Happy Holiday season, from Dr. Karen Horton, Emily Sespaniak & their San Francisco Plastic Surgery office team
- [Most Common Reasons for Breast Revision Surgery](https://www.drkarenhorton.com/breast-procedures/revision/most-common-reasons-for-breast-revision-surgery/) - What are the most common reasons to receive revision breast surgery? Our San Francisco plastic surgeon reveals why many choose this rewarding procedure.
- [What You Need to Know About Breast Revision Surgery](https://www.drkarenhorton.com/dr-hortons-blog/procedural-information/what-you-need-to-know-breast-revision/) - Our San Francisco Plastic Surgeon discusses what should know about revision breast surgery & the importance of doing your homework! Read her blog post here.
- [Dr. Horton Featured in Article Regarding the Scarcity of Female Plastic Surgeons](https://www.drkarenhorton.com/dr-hortons-blog/dr-horton-featured-in-article-regarding-the-scarcity-of-female-plastic-surgeons/) - Dr. Karen Horton was recently featured in a Zwivel article that discusses the lack of female plastic surgeons in the cosmetic enhancement industry. Learn more.
- [BRA (Breast Reconstruction Awareness) Day 2016 in San Francisco!](https://www.drkarenhorton.com/dr-hortons-blog/bra-breast-reconstruction-awareness-day-2016-in-san-francisco/) - 2016 marks the 5th time Dr. Karen Horton has hosted the San Francisco Breast Reconstruction Awareness (BRA) Day event. Here, she shares photos from BRA Day SF!
- [Hyperpigmentation (Part 2): Treatment Options](https://www.drkarenhorton.com/horton-spa/skin-care/hyperpigmentation-part-2-treatment-options/) - In the previous blog post, we explored the definition of hyperpigmentation as well as how to prevent it. In this post, we'll discuss how to treat it. Treating Hyperpigmentation: Lasers: IPL is an effective, non-invasive, no-downtime solution that over a course of treatments will fade or in many cases completely eliminate brown spots (however, this is not
- [Hyperpigmentation (Part 1): What It Is and How to Treat It!](https://www.drkarenhorton.com/horton-spa/skin-care/hyperpigmentation-part-1-what-it-is-and-how-to-treat-it/) - Hyperpigmentation, also known as sun spots, age spots, dark spots, and ‘the mask of pregnancy’ (melasma), is one of the most common skin complaints I receive from patients (even more so than wrinkles!). It's incredibly common because it's really easy to get. The main cause of hyperpigmentation is sun exposure. UV rays stimulate the pigment-forming cells
- [Candidates for Mommy Makeover in San Francisco CA](https://www.drkarenhorton.com/mommy-makeover-procedure/candidates-for-mommy-makeover-in-san-francisco-ca/) - Considering a Mommy Makeover? Our Bay Area plastic surgeon discusses what makes a good candidate for this comprehensive procedure. Learn more.
- [Important Information About Mommy Makeovers](https://www.drkarenhorton.com/mommy-makeover-procedure/important-information-about-mommy-makeovers/) - Considering a Mommy Makeover in San Francisco? Learn about our plastic surgeon’s unique approach to this exceptionally rewarding procedure.
- [What to Consider Prior to Mommy Makeover](https://www.drkarenhorton.com/breast-procedures/augmentation/what-to-consider-prior-to-mommy-makeover/) - Interested in a Mommy Makeover? Our San Francisco plastic surgeon highlights various things to consider before proceeding with surgery. Learn more.
- [Mommy Makeover Recovery](https://www.drkarenhorton.com/body-procedures/coolsculpting/mommy-makeover-recovery/) - Our San Francisco Bay Area plastic surgeon reveals what to expect in regard to recovery and downtime following a mommy makeover. Learn more here.
- [Dr. Horton Discusses Breast Augmentation Trends & Controversies](https://www.drkarenhorton.com/dr-hortons-blog/dr-horton-discusses-breast-augmentation-trends-controversies/) - Our San Francisco plastic surgeon highlights the results of a recent breast augmentation publication and touches on her approach for each finding.
- [Breast implant revision - changing implants to on TOP of the muscle](https://www.drkarenhorton.com/dr-hortons-blog/breast-implant-revision-changing-implants-to-on-top-of-the-muscle/) - Dr. Karen Horton, San Francisco Plastic Surgeon, discusses reasons for changing implants from under the muscle to on top in cosmetic or reconstructive surgery
- [Why Liposuction Is Often Combined with Mastopexy](https://www.drkarenhorton.com/dr-hortons-blog/liposuction-with-mastopexy/) - Our San Francisco plastic surgeon discusses why liposuction can often be an excellent complementary procedure for mastopexy. Learn more.
- [Is a Breast Lift Without Implants Right for Me?](https://www.drkarenhorton.com/dr-hortons-blog/breast-lift-without-implants/) - Our San Francisco Plastic Surgeon Dr. Karen Horton highlights good candidates for a breast lift without implants. Learn more here.
- [Am I a Candidate for a Mastopexy with Breast Implants?](https://www.drkarenhorton.com/dr-hortons-blog/mastopexy-with-implants-candidate/) - Wondering if a Breast Lift with Implants is right for you? Our Bay Area plastic surgeons reveals good candidates for a Mastopexy-Augmentation.
- [To Receive or Not to Receive Implants with Your Mastopexy, That Is the Question!](https://www.drkarenhorton.com/dr-hortons-blog/receive-implants-with-your-mastopexy/) - Our Bay Area Plastic Surgeon Dr. Karen Horton explains how she helps patients decide whether or not to receive a mastopexy with or without breast implants.
- [Women in Microsurgery – Inspirational remarks from up-and-coming Microsurgeons](https://www.drkarenhorton.com/dr-hortons-blog/women-in-microsurgery-inspirational-remarks/) - Dr. Karen Horton, San Francisco Plastic Surgeon reflects on Reconstructive Microsurgery & shares comments from Women's Microsurgery Group scholarship applicants
- [What Is Baby BOTOX®?](https://www.drkarenhorton.com/horton-spa/what-is-baby-botox/) - Interested in BOTOX Cosmetic but worried about a frozen facial appearance? Learn how Baby BOTOX at our San Francisco practice can benefit you.
- ["Bro-tox" (Botox for Men): Addressing the Myths](https://www.drkarenhorton.com/horton-spa/botox-horton-spa/bro-tox-botox-for-men-addressing-the-myths/) - As mentioned in a previous blog post, research is showing that more men are seeking out nonsurgical cosmetic procedures. They want to stay looking good as they age too! I'm finding that many of my female patients are starting to inquire about cosmetic options on behalf of the men in their life. They want to know whether men
- [Plastic Surgery results should be NATURAL!](https://www.drkarenhorton.com/dr-hortons-blog/plastic-surgery-results-natural/) - Plastic Surgery procedures by Dr. Karen Horton, Board Certified San Francisco Plastic Surgeon & Horton SPA have natural results. No one wants to look overdone!
- [Labiaplasty reasons, how much tissue is removed, incision location & results!](https://www.drkarenhorton.com/dr-hortons-blog/labiaplasty-reasons-tissue-removed-incision-locations-results/) - Dr. Karen Horton, San Francisco Plastic Surgeon, describes reasons why women seek a labiaplasty, incision location, tissue removed and post-surgery results
- [Natural-Looking Lip Augmentation: Does It Exist?](https://www.drkarenhorton.com/horton-spa/natural-looking-lip-augmentation/) - Natural Lip Filler Results
- [Can I Wear Earrings After Earlobe Repair Surgery?](https://www.drkarenhorton.com/dr-hortons-blog/earrings-after-earlobe-repair/) - Our Bay Area Plastic Surgeon Dr. Karen Horton discusses what types of earrings are recommended after earlobe correction surgery, and why. Learn more here.
- [Earlobe Repair: A Brief Overview](https://www.drkarenhorton.com/dr-hortons-blog/overview-earlobe-repair/) - Our Bay Area plastic surgeon details what patients can generally expect regarding the treatment process for earlobe correction surgery. Learn more.
- [Common Reasons to Consider Earlobe Repair](https://www.drkarenhorton.com/dr-hortons-blog/reasons-to-consider-earlobe-repair/) - Our San Francisco Plastic Surgeon highlights various reasons people may desire to receive earlobe repair surgery. Read her blog post here to learn more.
- [What makes the Plastic Surgery practice of Dr. Karen Horton unique?](https://www.drkarenhorton.com/dr-hortons-blog/what-makes-dr-karen-horton-unique/) - Dr. Karen Horton, San Francisco Board Certified Plastic Surgeon, hosts the only all-woman office offering breast reconstruction & cosmetic procedures for women.
- [Labiaplasty - a uniquely personal procedure with amazing, permanent results](https://www.drkarenhorton.com/dr-hortons-blog/labiaplasty-uniquely-personal-procedure-amazing-permanent-results/) - Dr. Karen Horton, San Francisco Board Certified Plastic Surgeon, discusses reasons why women seek labiaplasty surgery and how results are permanent.
- [How Is In-Office Liposuction of the Neck Performed in Men?](https://www.drkarenhorton.com/dr-hortons-blog/how-is-in-office-liposuction-of-the-neck-performed-in-men/) - Our Bay Area plastic surgeon highlights how neck liposuction is performed for males. Learn more about the operation and recovery for this procedure here.
- [What Happens If a Man Gains Weight after Liposuction?](https://www.drkarenhorton.com/body-procedures/liposuction-2/what-happens-if-a-man-gains-weight-after-liposuction/) - Our San Francisco plastic surgeon reveals how weight changes following liposuction and other body contouring procedures affects results. Learn more.
- [Which Men Are NOT Good Candidates for Liposuction?](https://www.drkarenhorton.com/dr-hortons-blog/which-men-not-good-candidates-for-liposuction/) - Our San Francisco Plastic Surgeon describes what factors make men either good or bad candidates for liposuction. Read her blog post here to learn more.
- [From a woman Plastic Surgeon - is there sexism in surgery?](https://www.drkarenhorton.com/dr-hortons-blog/from-a-woman-plastic-surgeon-is-there-sexism/) - Dr. Karen Horton, San Francisco Plastic Surgeon, discusses being female during surgical training and reflects on sexism in medicine and surgery.
- [ When Is Neck Lift a Better Option than Neck Liposuction for Men?](https://www.drkarenhorton.com/body-procedures/liposuction-2/when-is-neck-lift-a-better-option-than-neck-liposuction-for-men/) - Bay Area Plastic Surgeon Dr. Karen Horton discusses when a neck lift may be more beneficial than liposuction of the neck for men. Read her blog post here.
- [What Makes Liposuction so Popular for Men?](https://www.drkarenhorton.com/body-procedures/liposuction-2/what-makes-liposuction-so-popular-for-men/) - Our Bay Area Plastic Surgeon discusses why liposuction is the most popular procedure for men. Read Dr. Karen Horton's blog post to learn more.
- [Why women love their Mommy Makeovers!](https://www.drkarenhorton.com/dr-hortons-blog/why-women-love-their-mommy-makeovers/) - Dr. Karen Horton, San Francisco Board Certified Plastic Surgeon & mother of twins discusses Mommy Makeover surgery and why women find this surgery so satisfying
- [My Approach to Plastic Surgery for Men vs. Women](https://www.drkarenhorton.com/body-procedures/plastic-surgery-for-men-vs-women/) - Our San Francisco Plastic Surgeon explains how she approach Plastic Surgery for men versus women at our practice. Read her blog post here.
- [Hyperhidrosis - What is it and how can I get rid of it?](https://www.drkarenhorton.com/dr-hortons-blog/procedural-information/hyperhidrosis-what-is-it-and-how-can-i-get-rid-of-it/) - Courtney McSpadden, Nurse Practitioner for Bay Area plastic surgeon Dr. Karen Horton, discusses treatment for excessive underarm sweat also known as hyperhidrosis.
- [New Uses Cause Rise in BOTOX Injections Says San Francisco Plastic Surgeon](https://www.drkarenhorton.com/practice-news/new-uses-cause-rise-in-botox-injections-says-san-francisco-plastic-surgeon/) - Interested in BOTOX in San Francisco? Plastic surgeon Dr. Karen Horton uses the treatment for facial rejuvenation, hyperhidrosis, and more. Learn how.
- [How Are More Extensive Deposits of Fat Ideally Treated in Men?](https://www.drkarenhorton.com/procedures-for-men/male-breast-reduction/deposits-of-fat-ideally-treated-in-men/) - Our Bay Area Plastic Surgeon highlights how more extensive deposits of fat are ideally treatment for male patients. Read her blog post here.
- [Happy 2013! New Year, New You](https://www.drkarenhorton.com/dr-hortons-blog/happy-2013-new-year-new-you/) - Happy New Year from Horton SPA! We all have our “New Year’s Resolutions”, or things we’d like to improve about ourselves as we see the calendar change to a new year. For many people, this involves starting a new healthy habit, or quitting an old bad habit. Some may choose to join a gym (or
- [Horton SPA Cult Favorites!](https://www.drkarenhorton.com/horton-spa/horton-spa-cult-favorites/) - People always ask me “Courtney, what’s the best _____?” Whether it’s sunscreen, makeup, facial cleanser or anti-aging treatment, one of the really cool perks of being in this business is that I get to be “in the know” about products and treatments people are crazy about! The cool thing about these products is that while
- [Why you should use your favorite cosmetics TODAY](https://www.drkarenhorton.com/horton-spa/why-you-should-use-your-favorite-cosmetics-today/) - Why do we, as consumers, purchase cosmetics to make us look and feel better, yet we "save" the best products we have for a "special occasion"? Use them today, and here's why.
- [My new favorite treatment area is…](https://www.drkarenhorton.com/facial-procedures/my-new-favorite-treatment-area-is/) - Earlobes! Most people don’t think about the appearance of their earlobes as they age, but as someone who looks at faces for a living, I notice many signs of aging at the periphery of the face. This tends to be an area of the face that receives a lot of sun exposure over time and
- [Use your Brilliant Distinctions Points for Latisse!](https://www.drkarenhorton.com/horton-spa/bd-points-for-latisse/) - Earn points with Latisse and redeem them for cash savings on Botox, Juvederm, Voluma and future Latisse purchases!
- [Plastic Surgery Myth #6:  All Botox is the same](https://www.drkarenhorton.com/dr-hortons-blog/plastic-surgery-myth-botox/) - Dr. Karen Horton, San Francisco Board Certified Plastic Surgeon dispels myths that all Botox is the same & educates about neuromodulators for wrinkle reduction.
- [Belotero - What it is and why I love it!](https://www.drkarenhorton.com/practice-news/belotero-what-it-is-and-why-i-love-it/) - Our Aesthetic Nurse Practitioner at Horton SPA, describes Belotero, dermal filler for fine lines at the office of Dr. Karen Horton, Plastic Surgeon.
- [IPL treatments:  Perfect for fall skin rejuvenation!](https://www.drkarenhorton.com/dr-hortons-blog/procedural-information/ipl-fall-skin-rejuvenation/) - Intense Pulsed Light IPL treatments reverse sun damage, aging, red & brown spots after summer sun exposure. Dr. Karen Horton and Horton SPA discuss IPL.
- [THIS is why I love doing breast reconstruction!](https://www.drkarenhorton.com/dr-hortons-blog/this-is-why-i-love-breast-reconstruction/) - Dr. Karen Horton, San Francisco Plastic Surgeon & Microsurgeon, details a patient's journey having bilateral DIEP flap breast reconstruction, nipple & areola creation
- [A Brief Overview of Surgical Treatment for Gynecomastia ](https://www.drkarenhorton.com/procedures-for-men/male-breast-reduction/surgical-treatment-for-gynecomastia/) - Among the Plastic Surgery options for men offered at my practice, one of the most popular treatments includes contouring of the chest region. Gynecomastia, or male breast tissue development, can occur for many reasons, including genetics, hormonal imbalances, excessive use of marijuana, and other rare situations related to overproduction of female hormones such as a
- [What Factors are Considered When Treating the Male Forehead?](https://www.drkarenhorton.com/horton-spa/what-factors-are-considered-when-treating-the-male-forehead/) - Our Bay Area Plastic Surgeon discusses several factors that are considered when rejuvenating the male forehead with BOTOX injections. Learn more here.
- [Labiaplasty - Reasons why women seek this procedure](https://www.drkarenhorton.com/dr-hortons-blog/labiaplasty-reasons-why-women-seek-it/) - Dr. Karen Horton, San Francisco Plastic Surgeon discusses reasons why women seek labiaplasty to improve physical comfort and improve cosmetic appearance of this area
- [Why Chemical Peels for Men?](https://www.drkarenhorton.com/horton-spa/why-chemical-peels-for-men/) - Our San Francisco Plastic Surgeon highlights why Chemical Peels are considered an excellent facial rejuvenation treatment for men. Learn more.
- [In 2014 and beyond, breast augmentation reins supreme!](https://www.drkarenhorton.com/dr-hortons-blog/breast-augmentation-reins-supreme/) - Dr. Karen Horton, Bay Area Plastic Surgeon and Mommy Makeover expert, discusses breast augmentation's popularity in the 2014 ASPS annual statistics report.
- [Vatican criticism of Plastic Surgery - It is REALLY like "wearing a skin burqa"?](https://www.drkarenhorton.com/dr-hortons-blog/vatican-criticism-plastic-surgery/) - Dr. Karen Horton, San Francisco Plastic Surgeon, refutes the Vatican's statement that women seeking cosmetic surgery is akin to wearing a burqa made of flesh
- [Fat Reduction for Men: CoolSculpting® or Liposuction?](https://www.drkarenhorton.com/dr-hortons-blog/fat-reduction-for-men-coolsculpting-or-liposuction/) - Interested in fat reduction techniques for men? Our San Francisco Plastic Surgeon reveals when Liposuction or CoolSculpting is more beneficial.
- [Merry Christmas from Dr. Karen Horton & Horton SPA!](https://www.drkarenhorton.com/dr-hortons-blog/merry-christmas-from-dr-karen-horton-spa/) - Dr. Karen Horton, Board Certified San Francisco Plastic Surgeon & her staff at Horton SPA wish the Bay Area Merry Christmas & Happy Holidays!
- [Be good & do good!](https://www.drkarenhorton.com/dr-hortons-blog/be-good-do-good/) - Dr. Karen Horton, San Francisco Plastic Surgeon, treats her patients with the utmost respect, providing exceptional results & caring for patients like family
- [Causes of Inverted Nipples](https://www.drkarenhorton.com/dr-hortons-blog/causes-of-inverted-nipples/) - Did you know the development of inverted nipples is actually quite normal? Our San Francisco plastic surgeon highlights some of the most common causes.
- [What Does Inverted Nipple Correction Entail?](https://www.drkarenhorton.com/dr-hortons-blog/what-does-inverted-nipple-correction-entail/) - Interested in Inverted Nipple Correction in the San Francisco Bay Area? Our female Plastic Surgeon highlights what the procedure entails. Learn more here.
- [Common Concerns Regarding Inverted Nipple Repair](https://www.drkarenhorton.com/dr-hortons-blog/common-concerns-regarding-inverted-nipple-repair/) - Our San Francisco Plastic Surgeon helps alleviate two common concerns prospective patients often have about inverted nipple correction surgery.
- [Can I Still Breastfeed After Inverted Nipple Repair?](https://www.drkarenhorton.com/dr-hortons-blog/can-i-still-breastfeed-after-inverted-nipple-repair/) - Wondering if breastfeeding is still possible after inverted nipple correction surgery? Our San Francisco plastic surgeon addresses this concern here.
- [Dr. Horton Featured in Bay Area Media - Breast Reconstruction Options](https://www.drkarenhorton.com/dr-hortons-blog/dr-horton-breast-reconstruction-options/) - San Francisco plastic surgeon Karen Horton, MD, talks about breast cancer awareness and reconstruction after cancer with Bay Area News Group.
- [For our patients and people in general:  A great infographic about ways to reduce STRESS!](https://www.drkarenhorton.com/dr-hortons-blog/ways-to-reduce-stress/) - Dr. Karen Horton, Board Certified San Francisco Plastic Surgeon, presents an infographic about ways to decrease stress & promote a healthy, happy lifestyle.
- [Why it's a HONOR as a Plastic Surgeon to treat children of my patients](https://www.drkarenhorton.com/dr-hortons-blog/honor-to-treat-children-of-my-patients/) - Dr. Karen Horton, San Francisco Plastic Surgeon, describes the honor of treating the children of her patients in her practice after a labiaplasty consultation.
- [Should Moms feel guilt when considering a Mommy Makeover?](https://www.drkarenhorton.com/dr-hortons-blog/guilt-when-considering-mommy-makeover/) - Dr. Karen Horton, San Francisco Plastic Surgeon, discusses Mommy Makeovers and encourages mothers to not feel guilty about wanting to look and feel their best.
- [BRA Day 2014! Photos from Dr. Karen Horton's Bay Area San Francisco event ](https://www.drkarenhorton.com/dr-hortons-blog/bra-day-2014/) - Dr. Karen Horton, San Francisco Plastic Surgeon, hosted the Bay Area's 3rd annual BRA Day, which increases awareness about breast cancer reconstruction options
- [Body image and breast cancer - an intimate link](https://www.drkarenhorton.com/dr-hortons-blog/body-image-and-breast-cancer/) - Dr. Karen Horton, San Francisco Plastic Surgeon, discusses the link between breast cancer & body image, how breast reconstruction can help women move forward.
- [Why is a whole month dedicated to Breast Cancer Awareness?](https://www.drkarenhorton.com/dr-hortons-blog/breast-cancer-awareness/) - Dr. Karen Horton, Bay Area Plastic Surgeon, discusses National Breast Cancer Awareness Month, BRA Day, pink campaigns and breast cancer reconstruction.
- [Mommy Makeover details:  Breasts, tummies, unwanted fat and more!](https://www.drkarenhorton.com/dr-hortons-blog/mommy-makeover-details/) - Mommy Makeover expert Dr. Karen Horton discusses breast augmentation, lifts, reductions, tummy tucks, liposuction and CoolSculpting for Moms in the Bay Area
- [What sets Dr. Karen Horton apart as a Mommy Makeover expert](https://www.drkarenhorton.com/dr-hortons-blog/what-sets-dr-karen-horton-apart/) - Dr. Karen Horton, Mommy Makeover expert & Board Certified Plastic Surgeon, is a Bay Area specialist in breast augmentation, tummy tucks and cosmetic procedures
- [MOMS:  It's all about YOU! (and if it's not, why it SHOULD be!)](https://www.drkarenhorton.com/dr-hortons-blog/moms-its-all-about-you-and-if-its-not-why-it-should-be/) - On this Mother's Day, Moms should take a moment to think about THEMSELVES and to take a break from caring for others! Mothers are innately selfless, and often put everyone else first (children, spouses, pets, parents, friends, coworkers, other mundane tasks for other people) usually before considering themselves. Many of my patients are Moms, and
- [Breast Augmentation - The goal is always a NATURAL result](https://www.drkarenhorton.com/dr-hortons-blog/breast-augmentation-the-goal-is-always-a-natural-result/) - Breast augmentation by Dr. Karen Horton, woman Plastic Surgeon in San Francisco, achieves a natural result using silicone gel or saline breast implants.
- [For Women, by Women Surgeons](https://www.drkarenhorton.com/dr-hortons-blog/for-women-by-women-surgeons/) - One of the things that makes our practice unique is that we are the ONLY ALL-WOMAN Plastic Surgery Practice and Reconstructive Microsurgery specialists in San Francisco, the Bay Area, Northern California and possibly the United States! When I joined this practice in 2006, an all-woman Plastic Surgery practice was nearly unheard of in the medical
- [San Francisco Plastic Surgeon on Increase in Mommy Makeovers](https://www.drkarenhorton.com/dr-hortons-blog/san-francisco-plastic-surgeon-on-increase-in-mommy-makeovers/) - Dr. Karen M. Horton, a plastic surgeon in San Francisco, discusses the Mommy Makeover procedure and how its popularity has increased at her practice. Read more.
- [San Francisco Plastic Surgeon Participates In BRA Day](https://www.drkarenhorton.com/practice-news/san-francisco-plastic-surgeon-participates-in-bra-day/) - Dr. Karen Horton, a plastic surgeon in San Francisco, is set to participate in the upcoming Breast Reconstruction Awareness Day. Learn more about the event here.
- [San Francisco Plastic Surgeon Gives Breast Augmentation A Woman’s Touch](https://www.drkarenhorton.com/dr-hortons-blog/san-francisco-plastic-surgeon-gives-breast-augmentation-a-womans-touch/) - Interested in breast augmentation in San Francisco? Dr. Karen Horton provides a comprehensive overview of the breast enhancement procedure here. Learn more.
- [Tummy Tuck Overview From Dr. Karen Horton](https://www.drkarenhorton.com/dr-hortons-blog/tummy-tuck-overview-from-dr-karen-horton/) - San Francisco Plastic Surgeon Karen Horton, MD details a Tummy Tuck surgery from consultation to recovery. Read more about abdominoplasty on our Blog.
- [San Francisco Plastic Surgeon Specializes In Tummy Tuck Treatments For Women](https://www.drkarenhorton.com/dr-hortons-blog/san-francisco-plastic-surgeon-specializes-in-tummy-tuck-treatments-for-women/) - Interested in tummy tuck surgery? Learn about the benefits of this popular procedure from experienced San Francisco plastic surgeon, Dr. Karen Horton.
- [San Francisco Plastic Surgeon Provides Personalized Care For Tummy Tuck Patients](https://www.drkarenhorton.com/dr-hortons-blog/san-francisco-plastic-surgeon-provides-personalized-care-for-tummy-tuck-patients/) - Researching tummy tuck in San Francisco? Plastic Surgeon Dr. Karen Horton highlights what patients need to know about recovery from abdominoplasty. Learn more.
- ["The best Plastic Surgery is walking all around us, but you would never know..."](https://www.drkarenhorton.com/dr-hortons-blog/the-best-plastic-surgery-is-walking-all-around-us-but-you-would-never-know/) - As I often say to new patients (and established patients, as a reminder), the best Plastic Surgery results actually surround us, but YOU WOULD NEVER KNOW! Many patients I see are extremely concerned about having a procedure done, for fear that they will look "fake", "overdone" or unusual. We can all think of individuals from
- [San Francisco Plastic Surgeon Describes a Variety of Liposuction Benefits](https://www.drkarenhorton.com/dr-hortons-blog/what-can-liposuction-do-for-me/) - Wonder what Liposuction can do for you? San Francisco Plastic Surgeon Karen Horton, MD highlights the benefits of liposuction here.
- [What I Find Rewarding About Performing Breast Reconstruction](https://www.drkarenhorton.com/dr-hortons-blog/what-i-find-rewarding-about-performing-breast-reconstruction/) - San Francisco Plastic Surgeon Karen Horton, MD highlights What she Finds Rewarding About performing Breast Reconstruction. Read her blog post here.
- [My Unique Breast Reconstruction Offering](https://www.drkarenhorton.com/dr-hortons-blog/my-unique-breast-reconstruction-offering/) - San Francisco Plastic Surgeon Karen Horton, MD describes her Unique Breast Reconstruction Offering in her latest blog post. Read it here.
- [Happy Valentine's Day from Dr. Karen Horton, Courtney McSpadden & Horton SPA](https://www.drkarenhorton.com/dr-hortons-blog/happy-valentines-day-from-dr-karen-horton-courtney-mcspadden-horton-spa/) - Wishing everyone a Happy Valentine's Day! Call your Mom! Smile at a stranger. Contact your loved ones to tell them you love them. Do something special for yourself! Enjoy the long weekend! LOVE, Mary Pasache, Dr. Karen Horton, Courtney McSpadden FNP, Nurse Mari & Sharron Wong
- [Plastic Surgery Myth #5: Cosmetic Surgeon = Plastic Surgeon:  NOT always so!](https://www.drkarenhorton.com/dr-hortons-blog/plastic-surgery-myth-cosmetic-surgeon/) - Dr. Karen Horton, San Francisco woman Plastic Surgeon, dispels the myth that all cosmetic surgeons are board certified Plastic Surgeons by ABPS.
- [A Mother's Day "THANKS to my MOM"!](https://www.drkarenhorton.com/dr-hortons-blog/mothers-day-thanks-to-my-mom/) - Dr. Karen Horton, Board Certified Plastic Surgeon, describes how her mother inspired her to become a woman Plastic Surgeon & not consider gender of importance.
- [Do Plastic Surgery results have to look 'plastic'?](https://www.drkarenhorton.com/dr-hortons-blog/do-plastic-surgery-results-look-plastic/) - Does all Plastic Surgery have to look 'plastic'? OF COURSE NOT. The Bay Area, and San Francisco in particular, has a natural, conservative aesthetic and most patients we see in the office do NOT want to look different, 'done', 'frozen', startled, or 'plastic'! An immobile, strange-looking face that is immediately visible from across the room
- [It's National "Time Out" in the O.R. Day: Safety during Plastic Surgery](https://www.drkarenhorton.com/dr-hortons-blog/national-time-out-day/) - Dr. Karen Horton, San Francisco Board Certified Plastic Surgeon, describes the "Time Out\' procedure in the O.R. for Plastic Surgery
- [My thoughts and commentary on the E! reality show "Botched"](https://www.drkarenhorton.com/dr-hortons-blog/commentary-reality-show-botched/) - Dr. Karen Horton, San Francisco Plastic Surgeon comments on E! reality show Botched, about cosmetic surgery disasters and revision Plastic Surgery challenges.
- [Why Mommy Makeovers are so rewarding](https://www.drkarenhorton.com/dr-hortons-blog/mommy-makeovers-so-rewarding/) - Dr. Karen Horton, Board Certified woman Plastic Surgeon & mother of twins, explains Mommy Makeover surgery options to women after pregnancy.
- [Our patients love us on Yelp!](https://www.drkarenhorton.com/dr-hortons-blog/patients-love-us-on-yelp/) - Dr. Karen Horton, San Francisco Board Certified Plastic Surgeon, discusses online review sites and why patients love us on Yelp!
- ["Mini-abdominoplasty" - a "mini" job?](https://www.drkarenhorton.com/dr-hortons-blog/mini-abdominoplasty/) - Dr. Karen Horton, San Francisco Plastic Surgeon describes tummy tuck options including the mini-abdominoplasty, rectus diastasis correction and liposuction.
- [Treatment Review:  Medical-Grade glycolic peel for facial refreshing](https://www.drkarenhorton.com/dr-hortons-blog/medical-grade-glycolic-peel/) - Sharron Wong, Billing Specialist at the office of Dr. Karen Horton, describes her experience with a Glytone medical grade facial peel at Horton SPA
- [Why is smoking so bad for Plastic Surgery?](https://www.drkarenhorton.com/dr-hortons-blog/why-is-smoking-so-bad-for-plastic-surgery/) - Dr. Karen Horton, Board Certified San Francisco Plastic Surgeon, discusses the dangers of smoking and how nicotine increases complication risk with surgery.
- [Breast Reduction Techniques](https://www.drkarenhorton.com/dr-hortons-blog/breast-reduction-techniques/) - Our San Francisco plastic surgeon offers three breast reduction techniques at our practice. Learn about her anchor, lollipop and short scar methods here.
- [Breast Reduction Incisions and Scarring](https://www.drkarenhorton.com/dr-hortons-blog/breast-reduction-incisions-and-scarring/) - Our board certified plastic surgeon in San Francisco highlights various incisions and potential scarring for breast reduction surgery. Learn more here.
- [Candidacy for Breast Reduction](https://www.drkarenhorton.com/dr-hortons-blog/candidacy-for-breast-reduction/) - Considering breast reduction surgery? Learn all about candidacy for this beneficial procedure from our board certified plastic surgeon in San Francisco.
- [Breast Reduction: Things to Consider](https://www.drkarenhorton.com/dr-hortons-blog/breast-reduction-things-to-consider/) - Breast reduction surgery is one of most satisfying and rewarding plastic surgery procedure performed. Learn some key things to consider prior to your operation.
- [Establishing Expectations for Breast Reduction: Part II](https://www.drkarenhorton.com/dr-hortons-blog/establishing-expectations-for-breast-reduction-part-ii/) - Our San Francisco plastic surgeon reveals what to expect for breast reduction results, as well as obtaining insurance coverage prior to surgery. Learn more.
- [When to Consider Breast Reduction](https://www.drkarenhorton.com/breast-procedures/reduction/when-to-consider-breast-reduction/) - Interested in breast reduction surgery? Our San Francisco plastic surgeon details when to consider this rewarding procedure. Read her blog post to learn more.
- [Video:  Breast Lifts Up 70% Since 2000](https://www.drkarenhorton.com/dr-hortons-blog/video-breast-lifts-up-70-since-2000/) - Statistics from the American Society of Plastic Surgeons in 2013 show that breast lift procedures are growing at twice the rate of breast implant surgeries. While breast implants are still the most popular choice among women, breast lifts have grown by 70% since 2000, outpacing breast implants two-to-one. https://www.youtube.com/watch?feature=player_embedded&v=NdbnlHsHDDY WHY ARE BREAST LIFTS SO POPULAR?
- [Plastic Surgery MYTHS!   A series of 10 common misconceptions, debunked](https://www.drkarenhorton.com/dr-hortons-blog/plastic-surgery-myths-a-series-of-10-common-misconceptions-debunked/) - Dr. Karen Horton, Board Certified San Francisco Plastic Surgeon, dispels common myths and reviews the history of reconstructive and cosmetic Plastic Surgery.
- [Labiaplasty](https://www.drkarenhorton.com/dr-hortons-blog/labiaplasty/) - Labiaplasty is a very personal and private procedure, and one that is increasingly requested by women I see in my Bay Area Plastic Surgery practice. Interested patients sometimes are Moms who are exploring a labiaplasty as part of their Mommy Makeover, or they can be single women, partnered women or other women who have noticed
- [Two Common Breast Reconstruction Techniques](https://www.drkarenhorton.com/dr-hortons-blog/two-common-breast-reconstruction-techniques/) - San Francisco Plastic Surgeon Karen Horton, MD highlights Two Common Breast Reconstruction Techniques in her latest blog post. Read it here.
- [Implant Vs. Tissue Flap Reconstruction: Part I](https://www.drkarenhorton.com/dr-hortons-blog/implant-vs-tissue-flap-reconstruction-part-i/) - San Francisco plastic surgeon Karen Horton, MD initiates an Implant Vs. Flap Breast Reconstruction comparison in the first post of her blog series. Read it here.
- [Implant Vs. Tissue Flap Reconstruction: Part II](https://www.drkarenhorton.com/dr-hortons-blog/implant-vs-tissue-flap-reconstruction-part-ii/) - San Francisco Plastic Surgeon Karen Horton, MD highlights the Advantages And Disadvantages of Breast Reconstruction With Implants. Read her blog post here.
- [Implant Vs. Tissue Flap Reconstruction: Part III](https://www.drkarenhorton.com/dr-hortons-blog/implant-vs-tissue-flap-reconstruction-part-iii/) - San Francisco Plastic Surgeon Karen Horton, MD covers the Advantages And Disadvantages of Tissue Flap Breast Reconstruction. Read her blog post here.
- [Post from an anonymous patient:  "10 things I wish I'd known before my Mommy Makeover"](https://www.drkarenhorton.com/dr-hortons-blog/post-from-an-anonymous-patient-10-things-i-wish-id-known-before-my-mommy-makeover/) - This is a WONDERFUL article written by a woman who has had a "Mommy Makeover" procedure.Disclosure: This is not a patient that I have treated. This mother summarizes her experience eloquently, in a lighthearted, painfully honest and sincere manner. I believe that any woman considering a Mommy Makeover can benefit from the article below. Her words of wisdom
- [Liposuction Myths Debunked](https://www.drkarenhorton.com/dr-hortons-blog/liposuction-myths-debunked/) - Board certified San Francisco CA plastic surgeon Dr Karen Horton discusses information on liposuction and other procedures presented by ASPS. Watch video
- [Dr. Horton Spotlights Liposuction in Q&A Interview](https://www.drkarenhorton.com/dr-hortons-blog/dr-horton-spotlights-liposuction-in-qa-interview/) - San Francisco Plastic Surgeon Karen Horton, MD provides an in-depth Overview of Liposuction at her practice. Learn about the body-contouring procedure here.
- [Overview of Liposuction Techniques](https://www.drkarenhorton.com/dr-hortons-blog/overview-of-liposuction-techniques/) - Interested in body contouring in San Francisco? Dr. Karen Horton provides an Overview of her Liposuction Techniques in our latest blog. Read more here.
- [Plastic Surgery Myth #9:  It's too risky](https://www.drkarenhorton.com/dr-hortons-blog/plastic-surgery-myth-too-risky/) - San Francisco Plastic Surgeon Dr. Karen Horton dispels myths that Plastic Surgery is too risky. Board Certification by ABPS is vital to avoiding complications.
- [What is a "Nana Makeover"?](https://www.drkarenhorton.com/dr-hortons-blog/nana-makeover/) - Dr, Karen Horton, San Francisco Plastic Surgeon and Mommy Makeover expert, discusses breast and body rejuvenation in grandmothers, known as a Nana Makeover.
- [Labiaplasty: Why do some Plastic Surgeons call it "Vaginal Surgery"?](https://www.drkarenhorton.com/dr-hortons-blog/labiaplasty-why-do-some-call-it-vaginal-surgery/) - Dr. Karen Horton, Board Certified Plastic Surgeon in San Francisco, discusses labiaplasty and questions why the use of terminology including vagina is used.
- [Is Labiaplasty Painful?](https://www.drkarenhorton.com/body-procedures/is-labiaplasty-painful/) - Is Labiaplasty (Vaginal Recontouring) Painful? Our San Francisco plastic surgeon answers this question and shares what to expect from recovery in our latest blog.
- [Is Labiaplasty For Me?](https://www.drkarenhorton.com/body-procedures/is-labiaplasty-for-me/) - Our San Francisco plastic surgeon, Dr. Karen Horton, offers Labiaplasty to alleviate discomfort due to excess labial tissue. Learn more in our blog series.
- [Plan for up to 6 weeks off exercise and sex after a labiaplasty procedure](https://www.drkarenhorton.com/dr-hortons-blog/plan-for-up-to-6-weeks-off-exercise-and-sex-after-a-labiaplasty-procedure/) - Following a labiaplasty procedure, you need to let your body heal! It is a very sensitive area and physical activities such as exercise, travel and having sex create increased heart rate and blood pressure. At least a week off work is recommended, with gradual return to regular physical activities. Some women find that reclining in

## Pages

- [Home](https://www.drkarenhorton.com/) - Dr. Karen M. Horton is an Internationally Board Certified Plastic Surgeon in San Francisco, CA specializing in procedures for women including breast augmentation and tummy tuck.
- [Meet Dr. Karen Horton](https://www.drkarenhorton.com/about/plastic-surgeon-san-francisco-ca/) - Board-Certified Plastic Surgeon in San Francisco specializing in breast surgery, body contouring & facial rejuvenation. Dual certifications, 19+ years experience.
- [Specials](https://www.drkarenhorton.com/about/specials/)
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- [Breast Surgery](https://www.drkarenhorton.com/breast/) - Breast Surgery options from our San Francisco Bay Area plastic surgeon include breast augmentation, lift, reduction, and reconstruction procedures. Learn more.
- [Receive Special Offers](https://www.drkarenhorton.com/receive-special-offers/) - By joining our email list, you will be the first to know about special offers, upcoming events and much more. VIEW OUR CURRENT SPECIALS
- [Contact Us](https://www.drkarenhorton.com/contact-us/) - Contact our Plastic Cosmetic Surgeon in the San Francisco Bay Area for more information on breast, body, facial, and skin enhancement options. Karen Horton, MD can help.
- [Links: Emily Sespaniak, NP](https://www.drkarenhorton.com/links-emily-sespaniak-np/) - Emily Sespaniak, MSN, NP-C is a board-certified Nurse Practitioner at our Bay Area office. Learn about her unique approach to non-surgical cosmetic enhancement.
- [Postoperative Instructions](https://www.drkarenhorton.com/patient-information/postoperative-instructions/) - These Post-Operative Instructions from our San Francisco Bay Area plastic surgeon should be followed closely to ensure the best possible recovery. Learn more.
- [Revision After Breast Reconstruction](https://www.drkarenhorton.com/breast/reconstruction/) - Revision after breast reconstruction near you in San Francisco. Improve symmetry and results with Board-Certified Plastic Surgeon Dr. Karen Horton.
- [Procedures for Men](https://www.drkarenhorton.com/male-plastic-surgery/) - Male Plastic Surgery in San Francisco by a Board-Certified Plastic Surgeon. Procedures for face, chest, and body tailored to men.
- [Breast Implant Removal (Explantation)](https://www.drkarenhorton.com/breast/implant-removal/) - Leading breast implant removal specialist near you in San Francisco. Dr. Horton offers office-based explantation with faster recovery. Schedule a consult today.
- [Liposuction](https://www.drkarenhorton.com/body/liposuction/) - Achieve a slimmer physique with liposuction in San Francisco by Board-Certified Plastic Surgeon Dr. Karen Horton. Specializing in advanced body contouring for natural-looking results in the Bay Area.
- [Breast Augmentation in San Francisco<br /><span style="font-size:0.6em;"> with Board-Certified Plastic Surgeon Dr. Karen Horton</span>](https://www.drkarenhorton.com/breast/augmentation/) - Breast augmentation near you in San Francisco. Board-Certified Plastic Surgeon Dr. Horton offers natural results with 20+ years experience. Schedule today.
- [Privacy Policy](https://www.drkarenhorton.com/privacy-policy/) - 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
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- [Contact Us](https://www.drkarenhorton.com/contact-us-today/) - Contact our Plastic Cosmetic Surgeon in the San Francisco Bay Area for more information on breast, body, facial, and skin enhancement options. Karen Horton, MD can help.
- [About Us](https://www.drkarenhorton.com/about/) - Offering advanced Cosmetic Enhancement and Plastic Surgery options in the San Francisco Bay Area, Dr. Horton and our team can give you beautiful results. Read more.
- [Neck Lift](https://www.drkarenhorton.com/face/neck-lift/) - Discover neck lift near me in San Francisco. Dr. Karen Horton offers Bay Area patients neck contouring surgery to achieve a youthful, defined neckline with natural results.
- [Eyelid Surgery (Blepharoplasty)](https://www.drkarenhorton.com/face/eyelid-lift/) - Revitalize your eyes with blepharoplasty near me in San Francisco. Personalized eyelid surgery procedures can address droopy lids, puffiness, and undereye bags.
- [Facelift](https://www.drkarenhorton.com/face/lift/) - Tighten loose skin and jowls and improve wrinkles for a more youthful appearance with facelift surgery near you in San Francisco with Dr. Karen Horton.
- [Post Weight Loss Surgery](https://www.drkarenhorton.com/body/post-weight-loss/) - Interested in Post Bariatric and After Weight Loss Surgery? Our San Francisco Bay Area surgeon can reduce loose, excess skin for a more contoured and toned appearance.
- [Labiaplasty](https://www.drkarenhorton.com/body/labiaplasty/) - Explore labiaplasty options near you with Dr. Karen Horton, a Board-Certified Plastic Surgeon in the San Francisco Bay Area. Learn about benefits, recovery and more.
- [Mommy Makeover](https://www.drkarenhorton.com/body/mommy-makeover/) - Discover Mommy Makeover surgery near me in San Francisco, CA. Restore your body with breast and body contouring by an experienced Board-Certified Plastic Surgeon.
- [Male Breast Reduction (Gynecomastia Correction)](https://www.drkarenhorton.com/breast/male-reduction/) - Explore gynecomastia surgery near you in San Francisco with Dr. Karen Horton. Expert care for male breast reduction to restore confidence.
- [Cosmetic Nipple Surgery](https://www.drkarenhorton.com/breast/nipple-surgery/) - Discover cosmetic nipple surgery near me in San Francisco, CA. Dr. Horton offers inverted nipple correction and nipple reduction procedures with natural results.
- [Tubular Breast Correction](https://www.drkarenhorton.com/breast/tubular/) - Explore tubular breast correction near you in San Francisco. Learn about treatment options, recovery, and what to expect from a Board-Certified Plastic Surgeon.
- [Fat Grafting to the Breasts](https://www.drkarenhorton.com/breast/reconstruction/fat-grafting/) - Discover fat grafting to the breasts near me in San Francisco. Dr. Karen Horton offers breast reconstruction with fat transfer for Bay Area patients.
- [Revision Breast Surgery](https://www.drkarenhorton.com/breast/augmentation-revision/) - Expert breast revision surgery near you in San Francisco. Dr. Karen Horton specializes in correcting implant complications and aesthetic concerns.
- [Breast Reduction Surgery](https://www.drkarenhorton.com/breast/reduction/) - Elite breast reduction surgeon near you in San Francisco. Dr. Karen Horton offers personalized breast reduction surgery to relieve pain and improve proportions.
- [Breast Lift with Augmentation in San Francisco](https://www.drkarenhorton.com/breast/lift-with-augmentation/) - Restore volume and lift with a breast lift with augmentation near you in San Francisco. Dr. Karen Horton offers natural-looking results for a youthful contour.
- [Breast Lift (Mastopexy)](https://www.drkarenhorton.com/breast/lift/) - Expert breast lift surgery near you in San Francisco with Board-Certified Plastic Surgeon Dr. Karen Horton. Natural results, personalized care.
- [Meet Our Team](https://www.drkarenhorton.com/about/staff/) - Meet our Aesthetic Surgery Office Staff in the San Francisco Bay Area. Dr. Horton’s team is committed to giving you compassionate care and the most pleasant experience possible.
- [Medical Grade Skin Care](https://www.drkarenhorton.com/non-surgical/skin-care/) - Learn about our Medical Grade Professional Skin Care Products. Our Bay Area practice provides an array of top-of-the-line treatment options.
- [Clear + Brilliant™ Laser Skin Rejuvenation](https://www.drkarenhorton.com/non-surgical/laser-skin-resurfacing/) - Clear + Brilliant laser skin resurfacing at our San Francisco Bay Area practice can diminish early signs of aging for many women and men. Learn more here.
- [Lip Filler](https://www.drkarenhorton.com/non-surgical/lip-fillers/) - At San Francisco Plastic Surgery, Nurse Practitioners Emily Sespaniak performs lip filler treatment to help you achieve the plump pout you desire.
- [Botox® Lip Flip](https://www.drkarenhorton.com/non-surgical/lip-flip/) - At Dr. Karen M. Horton’s San Francisco Bay Area practice, Botox® Lip Flip treatments create the appearance of a fuller upper lip. Schedule a consultation today.
- [BOTOX® for Severe Underarm Sweating (Hyperhidrosis)](https://www.drkarenhorton.com/non-surgical/treatment-for-severe-underarm-sweating-hyperhidrosis/) - Emily Sespaniak, NP offers a variety of treatment options for excessive underarm sweating (hyperhidrosis). Click here to learn more.
- [BOTOX®  for Bruxism](https://www.drkarenhorton.com/non-surgical/botox-for-teeth-grinding/) - Emily Sespaniak, NP describes Botox injections for bruxism (chronic teeth grinding and/or clenching).
- [Microneedling](https://www.drkarenhorton.com/non-surgical/microneedling/) - Minimize the look of scars, fine lines, and wrinkles with SkinPen microneedling treatments in the San Francisco Bay Area.
- [Injectable Dermal Fillers in San Francisco](https://www.drkarenhorton.com/non-surgical/injectables/) - Injectable Dermal Fillers from our SF Bay Area Plastic Surgery practice can plump up the lips, reduce signs of aging, and add volume and contour.
- [BOTOX & Dysport](https://www.drkarenhorton.com/non-surgical/botox/) - BOTOX & Dysport treatments in San Francisco by Board-Certified Nurse Practitioners. 15+ years experience, natural results, advanced techniques.
- [Non-Surgical Procedures](https://www.drkarenhorton.com/non-surgical/) - Explore non-surgical treatments near you in San Francisco under the direction of Board-Certified Plastic Surgeon Dr. Karen Horton.
- [Tummy Tuck (Abdominoplasty)](https://www.drkarenhorton.com/body/tummy-tuck/) - Looking for a tummy tuck near you in San Francisco? Double Board-Certified Plastic Surgeon Dr. Karen Horton offers expert abdominoplasty for a flatter abdomen.
- [MACS Lift](https://www.drkarenhorton.com/face/lower-face-neck-macs-lift/) - Interested in the MACS (short scar) facelift? Our San Francisco plastic surgeon is experienced in this conservative form of facial rejuvenation. Learn more.
- [Preparing for Surgery](https://www.drkarenhorton.com/patient-information/preparing-surgery/) - Learn more about Preparing for Surgery with these helpful instructions. Our San Francisco Bay Area cosmetic surgeon will be happy to answer your questions.
- [Meet Emily Sespaniak, NP](https://www.drkarenhorton.com/about/emily-sespaniak-nurse-practitioner-san-francisco-ca/) - Emily Sespaniak, MSN, NP-C is a board-certified Nurse Practitioner at our Bay Area office. Learn about her unique approach to non-surgical cosmetic enhancement.
- [Your Consultation](https://www.drkarenhorton.com/patient-information/your-consultation/) - Schedule your Aesthetic Enhancement and Plastic Surgery Consultation with our San Francisco Bay Area surgeon. We will be happy to answer your questions.
- [Patient Information](https://www.drkarenhorton.com/patient-information/) - This helpful Patient Information guide from our San Francisco Bay Area plastic surgeon can help you know what to expect. Contact Dr. Horton to schedule a consultation.
- [Drain Log](https://www.drkarenhorton.com/patient-information/drain-log/) - Patients who are sent home with drainage tubes during recovery can download this Drain Log pdf from our San Francisco Bay Area practice. Contact Dr. Horton for information.
- [Gift Certificates](https://www.drkarenhorton.com/gift-certificates/) - Dr. Karen M. Horton, MD in San Francisco offers Gift Certificates available for all non-surgical cosmetic procedures with Emily Sespaniak, NP. Click here to learn more.
- [Non-Surgical to Surgical Nurturing Campaign Emily](https://www.drkarenhorton.com/emily-responder/) - [aform name="emily-responder"]
- [National Breast Cancer Reconstruction Awareness in San Francisco](https://www.drkarenhorton.com/bra-day/) - San Francisco, Plastic Surgeon, Dr. Karen Horton is inviting her breast reconstruction patients, their families & friends to share their breast reconstruction experiences.
- [In the Media](https://www.drkarenhorton.com/media/) - Read about Dr. Horton in the Media and contact our San Francisco Bay Area practice. Our plastic surgeon has been featured in an array of news and magazine articles.
- [Earlobe Repair & Cosmetic Ear Surgery](https://www.drkarenhorton.com/face/earlobe-repair/) - Dr. Horton offers Earlobe Repair surgery for our San Francisco Bay Area patients. This procedure can improve the appearance of rips, tears, gauges, and other issues.
- [Poland Syndrome](https://www.drkarenhorton.com/breast/poland-syndrome/) - Poland Syndrome and Breast Asymmetry can be improved by our San Francisco Bay Area Plastic Surgeon. Dr. Horton offers effective treatment for these congenital conditions.
- [Face Surgery](https://www.drkarenhorton.com/face/) - Our San Francisco Bay Area plastic surgeon offers Facial Cosmetic Surgery options such as face lift, eyelid surgery, rhinoplasty, and more. Find out about our effective treatments.
- [Nipple Reconstruction After Breast Cancer](https://www.drkarenhorton.com/breast/reconstruction/nipple-surgery/) - San Francisco plastic surgeon Dr. Karen M. Horton specializes in breast and nipple reconstruction. Patients who have had breast reconstruction surgery after cancer may require nipple and areola reconstruction. Learn about nipple and areola reconstruction options.
- [Cookie Policy](https://www.drkarenhorton.com/cookie-policy/)
- [Scar Therapy](https://www.drkarenhorton.com/non-surgical/scar-therapy/) - Scar Therapy at our San Francisco Plastic Surgery practice can help reduce the appearance of long-term scarring following your surgical procedure. Learn more.
- [Breast Reconstruction by Reduction or Lift](https://www.drkarenhorton.com/breast/reconstruction/reduction-lift/) - Breast Reconstruction Reduction of Lift from our San Francisco Bay Area surgeon can help patients save as much breast tissue as possible after a lumpectomy. Read more.
- [TUG Flap](https://www.drkarenhorton.com/breast/reconstruction/tug-flap/) - TUG Flap Reconstruction from our San Francisco Bay Area surgeon takes skin, fat, and non-essential muscle from the inner thigh to create a new breast. Read more.
- [DIEP/SIEA Flap](https://www.drkarenhorton.com/breast/reconstruction/flap/) - DIEP and SIEA Flap Breast Reconstruction procedures from our San Francisco Bay Area surgeon utilize tissue from the abdominal region to create a natural-looking breast.
- [Prepectoral Single-Stage Implant Reconstruction](https://www.drkarenhorton.com/breast/reconstruction/implants/) - Learn about Prepectoral Single Stage Breast Implant Reconstruction in our San Francisco Bay Area practice. This breast reconstruction procedure is performed without painful tissue expanders.
- [Notice of Open Payments Database](https://www.drkarenhorton.com/notice-of-open-payments-database/) - For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and
- [LATISSE® Eyelash Lengthening Treatment](https://www.drkarenhorton.com/non-surgical/latisse/) - Facilitate eyelash growth with LATISSE™. Our San Francisco Bay Area practice offers this FDA-approved treatment.
- [Sitemap](https://www.drkarenhorton.com/sitemap/)
- [Subscription](https://www.drkarenhorton.com/subscription/)
- [Intense Pulsed Light (IPL)](https://www.drkarenhorton.com/non-surgical/intense-pulsed-light/) - Learn about Laser Skin Resurfacing Intense Pulse Light Therapy from our San Francisco Bay Area practice. Emily Sespaniak NP can renew your skin for a more youthful appearance.
- [Non-Surgical Facial Rejuvenation](https://www.drkarenhorton.com/non-surgical/face-rejuvenation/) - Learn about Non-Surgical Facial Rejuvenation options from our San Francisco Bay Area practice.
- [Mommy Makeover Surgery](https://www.drkarenhorton.com/body/mommy-makeover/surgery/) - Learn about Mommy Makeover Surgery, Candidacy, and what you can expect from our San Francisco Bay Area surgeon. Dr. Horton can help you renew your appearance.
- [A Private Note to Mothers](https://www.drkarenhorton.com/body/mommy-makeover/note-to-mothers/) - As a mother of twins, a wife and a woman, I can intimately relate to Moms seeking rejuvenation of their bodies in a "Mommy Makeover". I have experienced firsthand the changes that pregnancy can create in even a physically fit and slender body, and intimately understand both the joy of being blessed with children but
- [Umbilicoplasty (Belly Button or Navel Surgery)](https://www.drkarenhorton.com/body/belly-button-surgery/) - Umbilicoplasty or Belly Button/Navel Surgery with Dr. Karen Horton in San Francisco is designed to make the belly button look more aesthetically pleasing.
- [Sorry to See You Go](https://www.drkarenhorton.com/sorry-to-see-you-go/)
- [CoolSculpting®](https://www.drkarenhorton.com/non-surgical/coolsculpting/) - CoolSculpting at our San Francisco practice is a non-surgical Fat Reduction technique that can eliminate excess fat around the midsection and thighs.
- [Brow Lift](https://www.drkarenhorton.com/face/brow-lift/) - Learn about Brow (Forehead) Lift surgery from our San Francisco Bay Area plastic surgeon. Dr. Horton can reduce signs of age and stress in the upper face.
- [Body Contouring](https://www.drkarenhorton.com/body/) - Body Contouring options at our San Francisco Bay Area include liposuction, abdominoplasty, after-weight loss Surgery, and more. Learn how you can achieve your goals.
- [Skin Rejuvenation Procedures](https://www.drkarenhorton.com/skin-rejuvenation-procedures/)
- [Your feedback means a LOT to us.](https://www.drkarenhorton.com/emily-sespaniak-np-reviews/)
- [Your feedback means a LOT to us.](https://www.drkarenhorton.com/dr-horton-reviews/)
- [Patient Testimonials](https://www.drkarenhorton.com/about/testimonials/) - Read Patient Testimonials and Plastic Cosmetic Surgery Online Reviews from our San Francisco Bay Area practice. Dr. Horton can help you achieve your goals.
- [We're Hiring: Front Office Administrative Assistant](https://www.drkarenhorton.com/administrative-assistant/) - To apply for this position, submit your resume to: info@drkarenhorton.com.
- [Virtual Consultation](https://www.drkarenhorton.com/virtual-consultation/) - [aform name="virtual-consult"] *Communications through our 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. We will not sell your contact information to a third party.
- [Emily's Patient Reviews](https://www.drkarenhorton.com/about/emily-patient-reviews/) - View Ratings and Online Reviews from Non-Surgical Patients of Emily Sespaniak, Board-Certified Nurse Practitioner and cosmetic injector in San Francisco
- [Dr. Horton's Patient Reviews](https://www.drkarenhorton.com/about/patient-reviews/) - View Ratings and Online Reviews from Plastic Surgery patients of Karen Horton, MD, FACS, a Board-Certified Plastic Surgeon in the San Francisco Bay Area.
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- [Patient Reviews](https://www.drkarenhorton.com/patient-reviews/)
- [Thank You](https://www.drkarenhorton.com/contact-us/thank-you/) - Thank you for taking the time to contact us. You should receive an email shortly confirming we have received your information. If you do not receive an email, please call our office at 415.570.7352.
- [Before & After Gallery](https://www.drkarenhorton.com/gallery/) - View Plastic Surgery and Cosmetic Enhancement results in our Before-and-After Photo Gallery. Our San Francisco Bay Area surgeon is committed to natural-looking results.
- [Specialty](https://www.drkarenhorton.com/specialty/)

## Medication Checker

- [Naltrexone-bupropion extended-release](https://www.drkarenhorton.com/medication_checker/naltrexone-bupropion-extended-release/)
- [Phentermine-topiramate extended-release](https://www.drkarenhorton.com/medication_checker/phentermine-topiramate-extended-release/)
- [Empagliflozin (Jardiance)](https://www.drkarenhorton.com/medication_checker/empagliflozin-jardiance-2/)
- [Compounded weight loss medications](https://www.drkarenhorton.com/medication_checker/compounded-weight-loss-medications/)
- [Exenatide (Byetta, Bydureon BCise)](https://www.drkarenhorton.com/medication_checker/exenatide-byetta-bydureon-bcise/)
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- [Semaglutide (Wegovy, Ozempic, Rybelsus)](https://www.drkarenhorton.com/medication_checker/semaglutide-wegovy-ozempic-rybelsus/)
- [Naproxen (Aleve, Anaprox, Naprosyn)](https://www.drkarenhorton.com/medication_checker/naproxen-aleve-anaprox-naprosyn/)
- [Ibuprofen/Hydrocodone (Vicoprofen)](https://www.drkarenhorton.com/medication_checker/ibuprofen-hydrocodone-vicoprofen/)
- [Ibuprofen/Oxycodone (Combunox)](https://www.drkarenhorton.com/medication_checker/ibuprofen-oxycodone-combunox/)
- [Ibuprofen (Advil, Motrin)](https://www.drkarenhorton.com/medication_checker/ibuprofen-advil-motrin/)
- [Fish Oil](https://www.drkarenhorton.com/medication_checker/fish-oil/)
- [Bilberry (vaccinium myrtillus)](https://www.drkarenhorton.com/medication_checker/bilberry-vaccinium-myrtillus/)
- [Cayenne (capsicum annuum)](https://www.drkarenhorton.com/medication_checker/cayenne-capsicum-annuum/)
- [Dalteparin (Fragmin) - Therapeutic Dosing](https://www.drkarenhorton.com/medication_checker/dalteparin-fragmin-therapeutic-dosing/)
- [Enoxaparin (Lovenox) - Therapeutic Dosing](https://www.drkarenhorton.com/medication_checker/enoxaparin-lovenox-therapeutic-dosing/)
- [Dalteparin (Fragmin) - Prophylactic Dosing](https://www.drkarenhorton.com/medication_checker/dalteparin-fragmin-prophylactic-dosing/)
- [Enoxaparin (Lovenox) - Prophylactic Dosing](https://www.drkarenhorton.com/medication_checker/enoxaparin-lovenox-prophylactic-dosing/)
- [Acetazolamide (Diamox)](https://www.drkarenhorton.com/medication_checker/acetazolamide-diamox/)
- [Digoxin (Lanoxin)](https://www.drkarenhorton.com/medication_checker/digoxin-lanoxin/)
- [Clonidine (Catapres)](https://www.drkarenhorton.com/medication_checker/clonidine-catapres/)
- [Tolbutamide (Orinase)](https://www.drkarenhorton.com/medication_checker/tolbutamide-orinase/)
- [Pioglitazone (Actos)](https://www.drkarenhorton.com/medication_checker/pioglitazone-actos/)
- [Nateglinide (Starlix)](https://www.drkarenhorton.com/medication_checker/nateglinide-starlix/)
- [Miglitol (Glyset)](https://www.drkarenhorton.com/medication_checker/miglitol-glyset/)
- [Simvastatin (Zocor)](https://www.drkarenhorton.com/medication_checker/simvastatin-zocor/)
- [Rosuvastatin (Crestor)](https://www.drkarenhorton.com/medication_checker/rosuvastatin-crestor/)
- [Pravastatin (Pravachol)](https://www.drkarenhorton.com/medication_checker/pravastatin-pravachol/)
- [Pitavastatin (Livalo)](https://www.drkarenhorton.com/medication_checker/pitavastatin-livalo/)
- [Lovastatin (Mevacor)](https://www.drkarenhorton.com/medication_checker/lovastatin-mevacor/)
- [Fluvastatin (Lescol)](https://www.drkarenhorton.com/medication_checker/fluvastatin-lescol/)
- [Atorvastatin (Lipitor)](https://www.drkarenhorton.com/medication_checker/atorvastatin-lipitor/)
- [Aliskiren/Amlodipine/HCTZ (Amturnide)](https://www.drkarenhorton.com/medication_checker/aliskiren-amlodipine-hctz-amturnide/)
- [Aliskiren/Amlodipine (Tekamlo)](https://www.drkarenhorton.com/medication_checker/aliskiren-amlodipine-tekamlo/)
- [Aliskiren (Tekturna)](https://www.drkarenhorton.com/medication_checker/aliskiren-tekturna/)
- [Triamterene / HCTZ (Dyazide, Maxzide)](https://www.drkarenhorton.com/medication_checker/triamterene-hctz-dyazide-maxzide/)
- [Triamterene (Dyrenium)](https://www.drkarenhorton.com/medication_checker/triamterene-dyrenium/)
- [Torsemide (Demadex)](https://www.drkarenhorton.com/medication_checker/torsemide-demadex/)
- [Spironolactone/HCTZ (Aldactazide)](https://www.drkarenhorton.com/medication_checker/spironolactone-hctz-aldactazide/)
- [Spironolactone (Aldactone)](https://www.drkarenhorton.com/medication_checker/spironolactone-aldactone/)
- [Methazolamide Metolazone (Zaroxoxlyn)](https://www.drkarenhorton.com/medication_checker/methazolamide-metolazone-zaroxoxlyn/)
- [Metolazone (Zaroxolyn)](https://www.drkarenhorton.com/medication_checker/metolazone-zaroxolyn/)
- [Indapamide (Lozol)](https://www.drkarenhorton.com/medication_checker/indapamide-lozol/)
- [Hydrochlorothiazide (HCTZ, Microzide)](https://www.drkarenhorton.com/medication_checker/hydrochlorothiazide-hctz-microzide/)
- [Furosemide (Lasix)](https://www.drkarenhorton.com/medication_checker/furosemide-lasix/)
- [Ethacrynic acid (Edecrin)](https://www.drkarenhorton.com/medication_checker/ethacrynic-acid-edecrin/)
- [Eplerenone (Inspra)](https://www.drkarenhorton.com/medication_checker/eplerenone-inspra/)
- [Chlorthalidone (Thalitone)](https://www.drkarenhorton.com/medication_checker/chlorthalidone-thalitone/)
- [Chlorothiazide (Diuril)](https://www.drkarenhorton.com/medication_checker/chlorothiazide-diuril/)
- [Bumetanide (Bumex)](https://www.drkarenhorton.com/medication_checker/bumetanide-bumex/)
- [Amiloride Amiloride/Hydrochlorothiazide (Moduretic)](https://www.drkarenhorton.com/medication_checker/amiloride-amiloride-hydrochlorothiazide-moduretic/)
- [Yohimbe (corynanthe yohimbe)](https://www.drkarenhorton.com/medication_checker/yohimbe-corynanthe-yohimbe/)
- [Vitamin E](https://www.drkarenhorton.com/medication_checker/vitamin-e/)
- [Valerian (valeriana officinalis)](https://www.drkarenhorton.com/medication_checker/valerian-valeriana-officinalis/)
- [St. John’s Wort (hypericum perforatum)](https://www.drkarenhorton.com/medication_checker/st-johns-wort-hypericum-perforatum/)
- [Red Clover (trifolium pretense)](https://www.drkarenhorton.com/medication_checker/red-clover-trifolium-pretense/)
- [Melatonin](https://www.drkarenhorton.com/medication_checker/melatonin/)
- [Ma Huang (ephedra sinica)](https://www.drkarenhorton.com/medication_checker/ma-huang-ephedra-sinica/)
- [Licorice Root (glycyrrhiza glabra)](https://www.drkarenhorton.com/medication_checker/licorice-root-glycyrrhiza-glabra/)
- [Kava Kava (piper methysticum)](https://www.drkarenhorton.com/medication_checker/kava-kava-piper-methysticum/)
- [Hawthorne (crataegus laevigata)](https://www.drkarenhorton.com/medication_checker/hawthorne-crataegus-laevigata/)
- [Ginseng (panax ginseng/panax quinquefolium)](https://www.drkarenhorton.com/medication_checker/ginseng-panax-ginseng-panax-quinquefolium/)
- [Ginkgo Biloba (ginkgo biloba)](https://www.drkarenhorton.com/medication_checker/ginkgo-biloba-ginkgo-biloba/)
- [Garlic (allium sativum)](https://www.drkarenhorton.com/medication_checker/garlic-allium-sativum/)
- [Feverfew (tanacetum parthenium)](https://www.drkarenhorton.com/medication_checker/feverfew-tanacetum-parthenium/)
- [Echinacea (Echinacea augustfolia)](https://www.drkarenhorton.com/medication_checker/echinacea-echinacea-augustfolia/)
- [Dong Quai (angelica sinensis)](https://www.drkarenhorton.com/medication_checker/dong-quai-angelica-sinensis/)
- [Ginger (zingiber officinale)](https://www.drkarenhorton.com/medication_checker/ginger-zingiber-officinale/)
- [Verapamil (Calan, Covera-HS, Verelan)](https://www.drkarenhorton.com/medication_checker/verapamil-calan-covera-hs-verelan/)
- [Nimodipine (Nimotop)](https://www.drkarenhorton.com/medication_checker/nimodipine-nimotop/)
- [Nifedipine (Procardia, Adalat)](https://www.drkarenhorton.com/medication_checker/nifedipine-procardia-adalat/)
- [Nicardipine (Cardene)](https://www.drkarenhorton.com/medication_checker/nicardipine-cardene/)
- [Isradipine (Dynacirc)](https://www.drkarenhorton.com/medication_checker/isradipine-dynacirc/)
- [Felodipine (Plendil)](https://www.drkarenhorton.com/medication_checker/felodipine-plendil/)
- [Diltiazem (Cardizem)](https://www.drkarenhorton.com/medication_checker/diltiazem-cardizem/)
- [Clevipidine (Cleviprex)](https://www.drkarenhorton.com/medication_checker/clevipidine-cleviprex/)
- [Amlodipine (Norvasc)](https://www.drkarenhorton.com/medication_checker/amlodipine-norvasc/)
- [Metoprolol/HCTZ (Lopressor HCT)](https://www.drkarenhorton.com/medication_checker/metoprolol-hctz-lopressor-hct/)
- [Propranolol/ hydrochlorothiazide (Inderide)](https://www.drkarenhorton.com/medication_checker/propranolol-hydrochlorothiazide-inderide/)
- [Bisoprolol/hydrochlorothiazide (Ziac)](https://www.drkarenhorton.com/medication_checker/bisoprolol-hydrochlorothiazide-ziac/)
- [Nadolol/bendroflumethiazide (Corzide)](https://www.drkarenhorton.com/medication_checker/nadolol-bendroflumethiazide-corzide/)
- [Atenolol/chlorthalidone (Tenoretic)](https://www.drkarenhorton.com/medication_checker/atenolol-chlorthalidone-tenoretic/)
- [Propranolol (Inderal)](https://www.drkarenhorton.com/medication_checker/propranolol-inderal/)
- [Pindolol (Visken)](https://www.drkarenhorton.com/medication_checker/pindolol-visken/)
- [Penbutolol (Levatol)](https://www.drkarenhorton.com/medication_checker/penbutolol-levatol/)
- [Nebivolol (Bystolic)](https://www.drkarenhorton.com/medication_checker/nebivolol-bystolic/)
- [Nadolol (Corgard)](https://www.drkarenhorton.com/medication_checker/nadolol-corgard/)
- [Metoprolol (Lopressor, Toprol XL)](https://www.drkarenhorton.com/medication_checker/metoprolol-lopressor-toprol-xl/)
- [Carvedilol (Coreg)](https://www.drkarenhorton.com/medication_checker/carvedilol-coreg/)
- [Bisoprolol (Zebeta)](https://www.drkarenhorton.com/medication_checker/bisoprolol-zebeta/)
- [Betaxolol (Kerlone)](https://www.drkarenhorton.com/medication_checker/betaxolol-kerlone/)
- [Atenolol (Tenormin)](https://www.drkarenhorton.com/medication_checker/atenolol-tenormin/)
- [Sotalol (Betapace)](https://www.drkarenhorton.com/medication_checker/sotalol-betapace/)
- [Acebutolol (Sectral)](https://www.drkarenhorton.com/medication_checker/acebutolol-sectral/)
- [Valsartan / HCTZ (Diovan HCT)](https://www.drkarenhorton.com/medication_checker/valsartan-hctz-diovan-hct/)
- [Valsartan (Diovan)](https://www.drkarenhorton.com/medication_checker/valsartan-diovan/)
- [Telmisartan + HCTZ (Micardis HCT)](https://www.drkarenhorton.com/medication_checker/telmisartan-hctz-micardis-hct/)
- [Telmisartan (Micardis)](https://www.drkarenhorton.com/medication_checker/telmisartan-micardis/)
- [Olmesartan + HCTZ (Benicar HCT)](https://www.drkarenhorton.com/medication_checker/olmesartan-hctz-benicar-hct/)
- [Olmesartan (Benicar)](https://www.drkarenhorton.com/medication_checker/olmesartan-benicar/)
- [Losartan + HCTZ (Hyzaar)](https://www.drkarenhorton.com/medication_checker/losartan-hctz-hyzaar/)
- [Losartan (Cozaar)](https://www.drkarenhorton.com/medication_checker/losartan-cozaar/)
- [Irbesartan + HCTZ (Avalide)](https://www.drkarenhorton.com/medication_checker/irbesartan-hctz-avalide/)
- [Irbesartan (Avapro)](https://www.drkarenhorton.com/medication_checker/irbesartan-avapro/)
- [Eprosartan + HCTZ (Teveten HCT)](https://www.drkarenhorton.com/medication_checker/eprosartan-hctz-teveten-hct/)
- [Eprosartan (Teveten)](https://www.drkarenhorton.com/medication_checker/eprosartan-teveten/)
- [Candesartan + HCTZ (Atacand HCT)](https://www.drkarenhorton.com/medication_checker/candesartan-hctz-atacand-hct/)
- [Candesartan (Atacand)](https://www.drkarenhorton.com/medication_checker/candesartan-atacand/)
- [Azilsartan (Edarbi)](https://www.drkarenhorton.com/medication_checker/azilsartan-edarbi/)
- [Trandolapril + verapamil (Tarka)](https://www.drkarenhorton.com/medication_checker/trandolapril-verapamil-tarka/)
- [Trandolapril (Mavik)](https://www.drkarenhorton.com/medication_checker/trandolapril-mavik/)
- [Moexipril + HCTZ (Uniretic)](https://www.drkarenhorton.com/medication_checker/moexipril-hctz-uniretic/)
- [Ramipril (Altace)](https://www.drkarenhorton.com/medication_checker/ramipril-altace/)
- [Quinapril + HCTZ (Accuretic)](https://www.drkarenhorton.com/medication_checker/quinapril-hctz-accuretic/)
- [Quinapril (Accupril)](https://www.drkarenhorton.com/medication_checker/quinapril-accupril/)
- [Perindopril (Aceon)](https://www.drkarenhorton.com/medication_checker/perindopril-aceon/)
- [Moexipril (Univasc)](https://www.drkarenhorton.com/medication_checker/moexipril-univasc/)
- [Lisinopril + HCTZ (Prinzide or Zestoretic)](https://www.drkarenhorton.com/medication_checker/lisinopril-hctz-prinzide-or-zestoretic/)
- [Captopril + HCTZ (Capozide)](https://www.drkarenhorton.com/medication_checker/captopril-hctz-capozide/)
- [Enalapril (Vasotec)](https://www.drkarenhorton.com/medication_checker/enalapril-vasotec/)
- [Enalapril + HCTZ (Vaseretic)](https://www.drkarenhorton.com/medication_checker/enalapril-hctz-vaseretic/)
- [Fosinopril (Monopril)](https://www.drkarenhorton.com/medication_checker/fosinopril-monopril/)
- [Fosinopril + HCTZ (Monopril HCT)](https://www.drkarenhorton.com/medication_checker/fosinopril-hctz-monopril-hct/)
- [Lisinopril (Prinivil, Zestril)](https://www.drkarenhorton.com/medication_checker/lisinopril-prinivil-zestril/)
- [Benazepril + amlodipine (Lotrel)](https://www.drkarenhorton.com/medication_checker/benazepril-amlodipine-lotrel/)
- [Captopril (Capoten)](https://www.drkarenhorton.com/medication_checker/captopril-capoten/)
- [Benazepril + HCTZ (Lotensin HCT)](https://www.drkarenhorton.com/medication_checker/benazepril-hctz-lotensin-hct/)
- [Benazepril (Lotensin)](https://www.drkarenhorton.com/medication_checker/benazepril-lotensin/)
- [Prasugrel (Effient)](https://www.drkarenhorton.com/medication_checker/prasugrel-effient/)
- [Ticagrelor (Brilinta)](https://www.drkarenhorton.com/medication_checker/ticagrelor-brilinta/)
- [Ticlopidine (Ticlid)](https://www.drkarenhorton.com/medication_checker/ticlopidine-ticlid/)
- [Clopidogrel (Plavix)](https://www.drkarenhorton.com/medication_checker/clopidogrel-plavix/)
- [Apixaban (Eliquis)](https://www.drkarenhorton.com/medication_checker/apixaban-eliquis/)
- [Pramlintide acetate (Symlin)](https://www.drkarenhorton.com/medication_checker/pramlintide-acetate-symlin/)
- [Liraglutide (Victoza)](https://www.drkarenhorton.com/medication_checker/liraglutide-victoza/)
- [Exenatide (Bydureon, Byetta)](https://www.drkarenhorton.com/medication_checker/exenatide-bydureon-byetta/)
- [Dulaglutide (Trulicity)](https://www.drkarenhorton.com/medication_checker/dulaglutide-trulicity/)
- [Albiglutide (Tanzeum)](https://www.drkarenhorton.com/medication_checker/albiglutide-tanzeum/)
- [Regular Insulin, inhaled (Afrezza)](https://www.drkarenhorton.com/medication_checker/regular-insulin-inhaled-afrezza/)
- [NPH (Humulin N, Novolin N)](https://www.drkarenhorton.com/medication_checker/nph-humulin-n-novolin-n/)
- [Regular insulin (Humulin R, Novolin R)](https://www.drkarenhorton.com/medication_checker/regular-insulin-humulin-r-novolin-r/)
- [Lispro insulin (HumaLog)](https://www.drkarenhorton.com/medication_checker/lispro-insulin-humalog/)
- [Glulisine insulin (Apidra)](https://www.drkarenhorton.com/medication_checker/glulisine-insulin-apidra/)
- [Aspart insulin (NovoLog)](https://www.drkarenhorton.com/medication_checker/aspart-insulin-novolog/)
- [Glargine insulin (Toujeo)](https://www.drkarenhorton.com/medication_checker/glargine-insulin-toujeo/)
- [Glargine insulin (Lantus)](https://www.drkarenhorton.com/medication_checker/glargine-insulin-lantus/)
- [Detemir insulin (Levemir)](https://www.drkarenhorton.com/medication_checker/detemir-insulin-levemir/)
- [Aspart protamine 70%/Aspart 30% (NovoLog Mix 70/30)](https://www.drkarenhorton.com/medication_checker/aspart-protamine-70-aspart-30-novolog-mix-70-30/)
- [Lispro protamine 75%/Lispro 25% (HumaLog Mix 75/25)](https://www.drkarenhorton.com/medication_checker/lispro-protamine-75-lispro-25-humalog-mix-75-25/)
- [NPH 70%/Regular 30% (Humulin/Novolin Mix 70/30)](https://www.drkarenhorton.com/medication_checker/nph-70-regular-30-humulin-novolin-mix-70-30/)
- [Celecoxib (Celebrex)](https://www.drkarenhorton.com/medication_checker/celecoxib-celebrex/)
- [Tolazamide (Tolinase)](https://www.drkarenhorton.com/medication_checker/tolazamide-tolinase/)
- [Sitagliptin (Januvia)](https://www.drkarenhorton.com/medication_checker/sitagliptin-januvia/)
- [Saxagliptin (Onglyza)](https://www.drkarenhorton.com/medication_checker/saxagliptin-onglyza/)
- [Rosiglitazone (Avandia)](https://www.drkarenhorton.com/medication_checker/rosiglitazone-avandia/)
- [Repaglinide (Prandin)](https://www.drkarenhorton.com/medication_checker/repaglinide-prandin/)
- [Metformin-containing products](https://www.drkarenhorton.com/medication_checker/metformin-containing-products/)
- [Metformin (Glucophage)](https://www.drkarenhorton.com/medication_checker/metformin-glucophage/)
- [Linagliptin (Tradjenta)](https://www.drkarenhorton.com/medication_checker/linagliptin-tradjenta/)
- [Glyburide/Metformin (Glucovance)](https://www.drkarenhorton.com/medication_checker/glyburide-metformin-glucovance/)
- [Glyburide (Micronase,Diabeta)](https://www.drkarenhorton.com/medication_checker/glyburide-micronasediabeta/)
- [Glipizide/Metformin (Metaglip)](https://www.drkarenhorton.com/medication_checker/glipizide-metformin-metaglip/)
- [Glipizide (Glucotrol)](https://www.drkarenhorton.com/medication_checker/glipizide-glucotrol/)
- [Glimepiride (Amaryl)](https://www.drkarenhorton.com/medication_checker/glimepiride-amaryl/)
- [Empagliflozin (Jardiance)](https://www.drkarenhorton.com/medication_checker/empagliflozin-jardiance/)
- [Dapagliflozin (Farxiga)](https://www.drkarenhorton.com/medication_checker/dapagliflozin-farxiga/)
- [Chlorpropamide (Diabinese)](https://www.drkarenhorton.com/medication_checker/chlorpropamide-diabinese/)
- [Canagliflozin (Invokana)](https://www.drkarenhorton.com/medication_checker/canagliflozin-invokana/)
- [Alogliptin (Nesina)](https://www.drkarenhorton.com/medication_checker/alogliptin-nesina/)
- [Acetohexamide (Dymelor)](https://www.drkarenhorton.com/medication_checker/acetohexamide-dymelor/)
- [Acarbose (Precose)](https://www.drkarenhorton.com/medication_checker/acarbose-precose/)
- [Piroxicam (Feldene)](https://www.drkarenhorton.com/medication_checker/piroxicam-feldene/)
- [Oxaprozin (Daypro)](https://www.drkarenhorton.com/medication_checker/oxaprozin-daypro/)
- [Nabumetone (Relafen)](https://www.drkarenhorton.com/medication_checker/nabumetone-relafen/)
- [Sulindac](https://www.drkarenhorton.com/medication_checker/sulindac/)
- [Meloxicam (Mobic)](https://www.drkarenhorton.com/medication_checker/meloxicam-mobic/)
- [Flurbiprofen](https://www.drkarenhorton.com/medication_checker/flurbiprofen/)
- [Indomethacin (Indocin)](https://www.drkarenhorton.com/medication_checker/indomethacin-indocin/)
- [Etodolac (Lodine)](https://www.drkarenhorton.com/medication_checker/etodolac-lodine/)
- [Diflunisal](https://www.drkarenhorton.com/medication_checker/diflunisal/)
- [Tolmetin](https://www.drkarenhorton.com/medication_checker/tolmetin/)
- [Mefenamic Acid](https://www.drkarenhorton.com/medication_checker/mefenamic-acid/)
- [Meclofenamate](https://www.drkarenhorton.com/medication_checker/meclofenamate/)
- [Ketorolac (Toradol)](https://www.drkarenhorton.com/medication_checker/ketorolac-toradol/)
- [Ketoprofen](https://www.drkarenhorton.com/medication_checker/ketoprofen/)
- [Fenoprofen (Nalfon)](https://www.drkarenhorton.com/medication_checker/fenoprofen-nalfon/)
- [Diclofenac (Cataflam, Voltaren)](https://www.drkarenhorton.com/medication_checker/diclofenac-cataflam-voltaren/)
- [Tirofiban (Aggrastat)](https://www.drkarenhorton.com/medication_checker/tirofiban-aggrastat/)
- [Eptifibatide (integrilin)](https://www.drkarenhorton.com/medication_checker/eptifibatide-integrilin/)
- [Abciximab (Reopro)](https://www.drkarenhorton.com/medication_checker/abciximab-reopro/)
- [Aspirin/dipyridamole (Aggrenox)](https://www.drkarenhorton.com/medication_checker/aspirin-dipyridamole-aggrenox/)
- [Dipyridamole (Persantine)](https://www.drkarenhorton.com/medication_checker/dipyridamole-persantine/)
- [Cilostazol (Pletal)](https://www.drkarenhorton.com/medication_checker/cilostazol-pletal/)
- [Aspirin containing products (Excedrin, Fiorinal, Soma, Norgesic, Percodan)](https://www.drkarenhorton.com/medication_checker/aspirin-containing-products-excedrin-fiorinal-soma-norgesic-percodan/)
- [Aspirin](https://www.drkarenhorton.com/medication_checker/aspirin/)
- [Warfarin (Coumadin)](https://www.drkarenhorton.com/medication_checker/warfarin-coumadin/)
- [Heparin subQ](https://www.drkarenhorton.com/medication_checker/heparin-subq/)
- [Heparin IV](https://www.drkarenhorton.com/medication_checker/heparin-iv/)
- [Rivaroxaban (Xarelto)](https://www.drkarenhorton.com/medication_checker/rivaroxaban-xarelto/)
- [Fondaparinux (Arixtra)](https://www.drkarenhorton.com/medication_checker/fondaparinux-arixtra/)
- [Edoxaban (Savayssa)](https://www.drkarenhorton.com/medication_checker/edoxaban-savayssa/)
- [Dabigatran (Pradaxa)](https://www.drkarenhorton.com/medication_checker/dabigatran-pradaxa/)
- [Bivalrudin (Angiomax)](https://www.drkarenhorton.com/medication_checker/bivalrudin-angiomax/)
- [Argatroban](https://www.drkarenhorton.com/medication_checker/argatroban/)

## MailPoet Page

- [MailPoet Page](https://www.drkarenhorton.com/) - [mailpoet_page]
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## Media Entries

- [Post-pregnancy plastic surgery: What can you do now, and what needs to wait](https://www.drkarenhorton.com/media-entry/post-pregnancy-plastic-surgery-what-can-you-do-now-and-what-needs-to-wait/) - New moms often feel pressure to "bounce back" right after giving birth. Dr. Karen Horton, a board-certified plastic surgeon featured in this ASPS article, explains why the postpartum body keeps changing for up to a full year after delivery. She shares her guidance on which treatments are safe to start now, from facials to injectables,
- [How surgeons assess emotional readiness for plastic surgery](https://www.drkarenhorton.com/media-entry/how-surgeons-assess-emotional-readiness-for-plastic-surgery/) - Dr. Karen Horton was recently featured in the American Society of Plastic Surgeons' official publication. The article covers how plastic surgeons assess emotional readiness before surgery. Dr. Horton shared her approach to comprehensive patient evaluation, including getting to know patients personally during the initial consultation. She emphasized the importance of identifying life stressors, past trauma,
- [Mental health in the age of cosmetic change](https://www.drkarenhorton.com/media-entry/mental-health-in-the-age-of-cosmetic-change/) - Dr. Karen Horton spends up to an hour with every patient before recommending a procedure. She wants to know why they're considering treatment and what they genuinely hope to achieve. Her advice is simple: start with honest self-reflection. When goals are rooted in personal confidence rather than outside comparison, that is when results make a
- [Meet Dr. Karen Horton: Surgeon, Innovator, and Board Member](https://www.drkarenhorton.com/media-entry/meet-dr-karen-horton-surgeon-innovator-and-board-member/) - In this feature, Dr. Karen Horton—founder of San Francisco Plastic Surgery and a member of Pan Med’s Board of Directors—shares her journey into plastic surgery, her passion for helping patients, and the philosophy behind her practice. From advanced reconstructive techniques to natural-looking aesthetic results, Dr. Horton reflects on what continues to inspire her nearly two
- [How to talk to your partner about plastic surgery](https://www.drkarenhorton.com/media-entry/how-to-talk-to-your-partner-about-plastic-surgery/) - If you are ready to take the plastic surgery plunge, but aren't sure if your partner is going to be on board, it's time to hone your communication skills and have a conversation with your loved one about your plastic surgery choice.
- [Ozempic vulva? What you need to know](https://www.drkarenhorton.com/media-entry/ozempic-vulva-what-you-need-to-know/) - As more people turn to GLP-1 medications to help them achieve their weight loss goals, more people are coming to realize the significant side effects of rapid weight loss, which can affect nearly every part of their bodies.
- [Skin treatments to combat winter dryness](https://www.drkarenhorton.com/media-entry/skin-treatments-to-combat-winter-dryness/) - As temperatures drop and humidity plummets, many people will notice a sudden shift in the appearance and feel of their skin.
- [Looking into the future: Plastic surgery trends for 2026](https://www.drkarenhorton.com/media-entry/looking-into-the-future-plastic-surgery-trends-for-2026/) - The end of the year is approaching, and that means it is time to pull out the crystal ball, peer into the abyss and predict the plastic surgery trends that will dominate 2026.
- [Plastic surgery inspiration: Where should you look for fresh ideas?](https://www.drkarenhorton.com/media-entry/plastic-surgery-inspiration-where-should-you-look-for-fresh-ideas/) - There was a time when flipping through a fashion magazine or seeing your favorite celebrity on a silver screen was the inspiration for cosmetic procedures.
- [The innovation of estrogen-based medical skincare](https://www.drkarenhorton.com/media-entry/the-innovation-of-estrogen-based-medical-skincare/) - In recent years, we've seen a new category of skincare emerge that has enraptured plastic surgeons, dermatologists, beauty editors, and everyday women seeking solutions to age-related skin changes – estrogen-based skincare.
- [Finding comfort after breast surgery: A guide to compression bras and postsurgical garments](https://www.drkarenhorton.com/media-entry/finding-comfort-after-breast-surgery-a-guide-to-compression-bras-and-postsurgical-garments/) - The words "comfort" and "surgery" do not necessarily go together in the same sentence. It seems like an oxymoron to talk about being comfortable after a surgical procedure.
- [Say goodbye to turkey neck: Reclaiming your neckline with plastic surgery](https://www.drkarenhorton.com/media-entry/say-goodbye-to-turkey-neck-reclaiming-your-neckline-with-plastic-surgery/) - "Turkey neck refers to loss of skin tone and texture with aging, sun damage and lifestyle-related changes to the skin and soft tissues of the neck, resulting in a loose 'turkey waddle,' excess fat and loss of definition of the jawline," said Karen Horton, MD, MSc, FACS.
- [AI-supported plastic surgery planning: Is technology changing the plastic surgery landscape?](https://www.drkarenhorton.com/media-entry/ai-supported-plastic-surgery-planning-is-technology-changing-the-plastic-surgery-landscape/) - Artificial intelligence is making its way into plastic surgery by helping streamline workflows, enhance patient education, and personalize aftercare—though it’s not replacing the surgeon’s expertise. Dr. Karen Horton cautions that AI-generated before‑and‑after images can set unrealistic expectations, and she stresses the importance of maintaining confidentiality, informed consent, and the irreplaceable human touch in patient care.
- [Small-volume breast augmentation: A natural and subtle enhancement](https://www.drkarenhorton.com/media-entry/small-volume-breast-augmentation-a-natural-and-subtle-enhancement/) - Thinking about breast augmentation but want a more natural look? Small-volume breast enhancements are becoming increasingly popular for their subtle, proportional results. As Dr. Karen Horton explains, many of her patients opt for implants in the 220–375cc range, achieving a beautiful boost without looking overly “done.”
- [Vogue Magazine Features Dr. Karen Horton - Influential Women of San Francisco 2025](https://www.drkarenhorton.com/media-entry/vogue-magazine-features-dr-karen-horton-influential-women-of-san-francisco-2025/) - Discover Dr. Karen Horton’s groundbreaking, all-female plastic surgery practice in San Francisco’s Pacific Heights, a QuadA-accredited sanctuary blending innovation, sisterhood, and expert care. Learn how Dr. Horton and her "Dream Team" empower women through transformative procedures that uplift confidence, break glass ceilings, and redefine beauty standards.
- [Treatment Options for Poland Syndrome: Insights from Dr. Karen Horton](https://www.drkarenhorton.com/media-entry/treatment-options-for-poland-syndrome-insights-from-dr-karen-horton/) - Learn about the latest surgical approaches for Poland syndrome, including implants, fat grafting, and reconstructive techniques. In this American Society of Plastic Surgeons feature, Dr. Karen Horton shares her experience helping women and men achieve improved chest symmetry and confidence.
- [Dr. Karen Horton Explains Noninvasive procedures for back-to-school season at PlasticySurgery.org](https://www.drkarenhorton.com/media-entry/asps-member-surgeon-dr-karen-horton-explains-noninvasive-procedures-for-back-to-school-season-at-plasticysurgery-org/) - As the school year approaches, Dr. Karen Horton, board-certified plastic surgeon and ASPS member in San Francisco, shares her go-to noninvasive procedures to help young adults revitalize sun-damaged skin with minimal downtime. From the gentle, introductory Clear + Brilliant laser—ideal for improving texture and tone without skin removal—to tailored options like DiamondGlow facials, light peels, and microneedling with radiofrequency,
- [Castle Connolly Article: Changing the conversation around Plastic Surgery: Dr. Karen Horton’s patient-first approach](https://www.drkarenhorton.com/media-entry/castle-connolly-article-changing-the-conversation-around-plastic-surgery-dr-karen-hortons-patient-first-approach/) - Dr. Karen Horton shares her philosophy on plastic surgery: build relationships, offer impartial advice, and know your patients inside and out.
- [ASPS Article: How Plastic Surgeons Help Men with Gynecomastia](https://www.drkarenhorton.com/media-entry/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.
- [An Exploration of Scar Revision Surgery Applications](https://www.drkarenhorton.com/media-entry/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.
- [Maintaining Liposuction and Body Contouring Results During the Holidays](https://www.drkarenhorton.com/media-entry/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.
- [ASPS Article Feature: Combination Eye and Brow Lifts](https://www.drkarenhorton.com/media-entry/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.
- [ASPS Article - Plastic surgery inspiration: Where should you look for fresh ideas?](https://www.drkarenhorton.com/media-entry/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.
- [Creating Synergy: The Anatomy of a Successful Team Retreat](https://www.drkarenhorton.com/media-entry/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!
- [ASPS Article: Your face isn't giving away your age, it's your neck.](https://www.drkarenhorton.com/media-entry/asps-article-your-face-isnt-giving-away-your-age-its-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.
- [What Cosmetic Procedures Do Plastic Surgeons Choose for Themselves?](https://www.drkarenhorton.com/media-entry/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.
- [Procedures That Will Have You Swimwear-Ready Fast](https://www.drkarenhorton.com/media-entry/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!
- [Say Hello to a Refreshed, Glowing YOU this Spring](https://www.drkarenhorton.com/media-entry/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.
- [All about the lips: An insider overview of lip augmentation procedures](https://www.drkarenhorton.com/media-entry/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.
- [V Foundation for Cancer Research Sonoma Epicurean Weekend Raises Over $3.4 Million](https://www.drkarenhorton.com/media-entry/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!
- [Dr. Karen Horton Contributes to ASPS Article on Achieving Gender Parity in Plastic Surgery](https://www.drkarenhorton.com/media-entry/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.
- [Dr. Horton Quoted in Article by ASPS on Balancing Parenthood and Professionalism](https://www.drkarenhorton.com/media-entry/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.
- [Dr. Horton's New eBook Is Now Available for Purchase on Amazon!](https://www.drkarenhorton.com/media-entry/dr-hortons-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.
- [Young Survival Coalition](https://www.drkarenhorton.com/media-entry/young-survival-coalition/) - Dr. Karen Horton presents 'Breast Cancer : Exploring Your Options' at the 8th Annual Conference for Young Women Effected By Breast Cancer.
- [The Complete Guide to Breast Reconstruction: Choosing the Best Options After Your Mastectomy](https://www.drkarenhorton.com/media-entry/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.
- [Dr. Horton on the Many Benefits of Barre Workouts](https://www.drkarenhorton.com/media-entry/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.
- [Plastic Surgery At All Ages - ASPS Article](https://www.drkarenhorton.com/media-entry/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.
- [Dr. Horton on Anti-Aging Tips for a Youthful Appearance](https://www.drkarenhorton.com/media-entry/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!
- [ASPS Article: Are more patients getting explants and returning to a more natural look?](https://www.drkarenhorton.com/media-entry/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.
- [Dr. Horton and Emily Sespaniak, NP on "The Busy Mom's Guide to Self-Care"](https://www.drkarenhorton.com/media-entry/dr-horton-and-emily-sespaniak-np-on-the-busy-moms-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.
- [Unlocking Your Team's Full Potential](https://www.drkarenhorton.com/media-entry/unlocking-your-teams-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.
- [Dr. Horton and Emily Sespaniak, NP Featured in Haute Living San Francisco Magazine](https://www.drkarenhorton.com/media-entry/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".
- [Dr. Karen Horton Shares Her Tips for Summer Self-Care](https://www.drkarenhorton.com/media-entry/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.
- [A Woman's Health - 84 Reconstruction Advances](https://www.drkarenhorton.com/media-entry/a-womans-health-2/) - 84 Reconstruction Advances - The latest advances in implants and autogenous tissue breast reconstruction offer women more options as they face mastectomy and reconstruction choices.
- [Dr. Horton’s Plan for a Healthy and Happy 2023](https://www.drkarenhorton.com/media-entry/dr-hortons-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.
- [Dr. Horton Attends the Haute Living San Francisco Holiday Issue Launch Party](https://www.drkarenhorton.com/media-entry/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.
- [Dr. Horton Featured in Entrepreneurship In Focus Video Series](https://www.drkarenhorton.com/media-entry/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.
- [Dr. Horton Featured on Cover of Haute Living Magazine](https://www.drkarenhorton.com/media-entry/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.
- [Dr. Horton Featured in Allure Magazine Article on Blepharoplasty (Eyelid Lift)](https://www.drkarenhorton.com/media-entry/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.
- [Breast Reconstruction Awareness (BRA) Day - 2022](https://www.drkarenhorton.com/media-entry/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.
- [Dr. Horton on Building & Keeping Her Dream Team](https://www.drkarenhorton.com/media-entry/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".
- [The Art & Science of Breast Lifts](https://www.drkarenhorton.com/media-entry/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.
- [Dr. Horton's Plastic Surgery Practice Featured in the Nob Hill Gazette](https://www.drkarenhorton.com/media-entry/dr-horton-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!
- [Dr. Horton on "Prejuvenation" in the Nob Hill Gazette](https://www.drkarenhorton.com/media-entry/dr-horton-on-prejuvenation/) - 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!
- [Haute Living San Francisco Article: Best Non-Surgical Treatments for Spring](https://www.drkarenhorton.com/media-entry/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.
- [Dr. Horton Featured in Real Estate & Design Magazine](https://www.drkarenhorton.com/media-entry/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.
- [Dr. Horton and Emily Sespaniak, NP Featured in Marin Living Magazine](https://www.drkarenhorton.com/media-entry/dr-horton-and-emily-sespaniak-np-featured-in-marin-living-magazine-2/) - 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.
- [Dr. Horton a Featured Speaker at The Aesthetic Meeting 2022](https://www.drkarenhorton.com/media-entry/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.
- [Dr. Horton Shares What's Hot in Cosmetic Treatments - Haute Living San Francisco](https://www.drkarenhorton.com/media-entry/dr-horton-shares-whats-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.
- [Dr. Horton and Emily Sespaniak, NP Interviewed by the Nob Hill Gazette on Self-Care Goals for 2022](https://www.drkarenhorton.com/media-entry/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.
- [Dr. Horton Interviewed for Nob Hill Gazette Article on Breast Cancer Survivor Support](https://www.drkarenhorton.com/media-entry/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.
- [Dr. Horton Featured In North Bay Woman Article Highlighting Breast Cancer "Thrivers"](https://www.drkarenhorton.com/media-entry/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.
- [Dr. Horton's ASPS Video "Plastic Surgery for Men" Featured in New York Times Article](https://www.drkarenhorton.com/media-entry/dr-hortons-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.
- [Dr. Horton Featured on InspiHER’d Podcast](https://www.drkarenhorton.com/media-entry/dr-horton-featured-on-inspiherd-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!
- [Dr. Horton and Emily Sespaniak, NP Featured in Marin Living Magazine](https://www.drkarenhorton.com/media-entry/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.
- [Dr. Horton Featured in The Last Stitch](https://www.drkarenhorton.com/media-entry/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.
- [Dr. Horton Featured in Marin Magazine "Best of 2020" Issue](https://www.drkarenhorton.com/media-entry/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".
- [Marin Living Magazine "Celebrating Marin Visionaries"](https://www.drkarenhorton.com/media-entry/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.
- [Dr. Karen Horton Weighs In on Fat Transfer to the Breasts](https://www.drkarenhorton.com/media-entry/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.
- [Dr. Karen Horton Supports Sparkle Foundation With Her Own Sparkle](https://www.drkarenhorton.com/media-entry/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!
- [Dr. Horton Featured In Marin Magazine's 2020 Women In Business](https://www.drkarenhorton.com/media-entry/dr-horton-featured-in-marin-magazines-2020-women-in-business/) - Dr. Horton appears again this year in Marin Magazine's special feature titled "Celebrating Women in Business".
- [Dr. Horton Featured in "Women in Plastic Surgery: Empowering the Next Generation"](https://www.drkarenhorton.com/media-entry/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.
- [RealSelf Interviewed Dr. Horton and 13 Other Plastic Surgeons on Which Procedures They are Considering for Themselves](https://www.drkarenhorton.com/media-entry/realself-dr-horton-on-procedures-for-self/) - RealSelf 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.
- [A Day In the Office With Karen Horton, MD](https://www.drkarenhorton.com/media-entry/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.
- [Dr. Horton Interviewed by RealSelf on Breast Reconstruction Facts](https://www.drkarenhorton.com/media-entry/dr-horton-interviewed-by-realself-on-breast-reconstruction-facts/) - RealSelf consulted with Dr. Horton for their article titled Breast Reconstruction: What You Should Know.
- [Dr. Horton Featured in Everviolet Blog: BRA Day and Two Plastic Surgeons We Love](https://www.drkarenhorton.com/media-entry/dr-horton-featured-in-everviolet-blog-bra-day-and-two-plastic-surgeons-we-love/) - Dr. Horton was recently featured in Everviolet's online blog as a "plastic surgeon we love". Everviolet is an intimate apparel and loungewear collection designed for survivors of breast cancer.
- [Dr. Karen Horton is San Francisco’s Women-Focused Plastic Surgeon](https://www.drkarenhorton.com/media-entry/dr-horton-7-x-7-feature/) - Dr. Horton was recognized as "San Francisco's Women-Focused Plastic Surgeon" in a recent 7x7 article.
- [Marin Magazine Feature: Face of Woman-Focused Plastic Surgery](https://www.drkarenhorton.com/media-entry/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.
- [Finding Your Own Voice (and Amplifying It) on Social Media](https://www.drkarenhorton.com/media-entry/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.
- [Dr. Karen Horton on Cardi B's Recent Decision Regarding Plastic Surgery](https://www.drkarenhorton.com/media-entry/dr-karen-horton-on-cardi-bs-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.
- [Dr. Karen Horton: Innovative Woman-Focused Plastic Surgeon](https://www.drkarenhorton.com/media-entry/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".
- [Allure Magazine Speaks to Dr. Horton About Used Breast Implants for Sale](https://www.drkarenhorton.com/media-entry/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.
- [Dr. Horton Featured in Times Now Article About Cardi B's Reported Plastic Surgery Complications](https://www.drkarenhorton.com/media-entry/dr-horton-featured-in-times-now-article-about-cardi-bs-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.
- [Dr. Horton Featured in Refinery29 Article About Cardi B's Reported Plastic Surgery Complications](https://www.drkarenhorton.com/media-entry/dr-horton-featured-in-refinery29-article-about-cardi-bs-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.
- [Dr. Horton Featured in New Beauty Article About Breast Surgery](https://www.drkarenhorton.com/media-entry/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.
- [Dr. Karen Horton Featured on the Holistic Plastic Surgery Show with Anthony Youn, MD](https://www.drkarenhorton.com/media-entry/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.
- [Why Are My Nipples Hard? (And Other Nipple Phenomenons)](https://www.drkarenhorton.com/media-entry/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.
- [Dr. Karen Horton was interviewed by Terri Coutee](https://www.drkarenhorton.com/media-entry/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
- [Health Magazine](https://www.drkarenhorton.com/media-entry/health-magazine/) - In this Go-To Beauty Guide featured in Health Magazine, Dr. Karen Horton discusses the best anti-aging secrets.
- [A Guiding Hand: Medical Career Mentoring](https://www.drkarenhorton.com/media-entry/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!
- [PRS Journal](https://www.drkarenhorton.com/media-entry/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.
- [Women In Plastic Surgery: Pregnancy](https://www.drkarenhorton.com/media-entry/women-in-plastic-surgery-pregnancy/)
- [Vaginal Rejuvenation Overview with ASPS Member Surgeon Karen Horton, MD](https://www.drkarenhorton.com/media-entry/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.
- [Dr. Horton's Interview with Cosmopolitan.com About Under-Eye Dark Circles](https://www.drkarenhorton.com/media-entry/dr-hortons-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.
- [A Woman's Health](https://www.drkarenhorton.com/media-entry/a-womans-health/) - Dr. Karen Horton discusses how microsurgery offers women an exciting new option as they contemplate breast reconstruction.
- [8 Different Types of Vulvas - Illustrated](https://www.drkarenhorton.com/media-entry/10807/) - 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.
- [8 Nipple Symptoms That Are Totally Normal](https://www.drkarenhorton.com/media-entry/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.
- [6 Different Types Of Labia](https://www.drkarenhorton.com/media-entry/6-different-types-of-labia-illustrated/) - Dr. Horton was interviewed for this article on the different types of labia and the reasons why women seek labiaplasty surgery.
- [Living Beyond Breast Cancer – Women Who Rebuild Both Breasts With DIEP Flap Surgery See More Issues](https://www.drkarenhorton.com/media-entry/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.
- [Young Survival Coalition](https://www.drkarenhorton.com/media-entry/youngsurvival-org/) - 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.
- [Best of the Bay](https://www.drkarenhorton.com/media-entry/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.
- [Dr. Karen Horton on KRON-TV 4 "Body Beautiful" on October 21, 2008](https://www.drkarenhorton.com/media-entry/dr-karen-horton-on-kron-body-beautiful-10-28/) - Dr. Karen Horton was featured on a segment of "Body Beautiful" on KRON TV 4 on October 21, 2008. She talks about breast surgeries.
- [Dr. Karen Horton on KRON-TV 4 "Body Beautiful" on October 15, 2007](https://www.drkarenhorton.com/media-entry/kron-body-beautiful-10-15/) - Dr. Karen Horton was featured on a segment of "Body Beautiful" on KRON TV 4 on October 15, 2007.
- [Dr. Karen Horton on KRON TV-4 on January 7, 2008](https://www.drkarenhorton.com/media-entry/kron-body-beautiful-01-07/) - Karen Horton was featured on a segment of "Body Beautiful" on KRON TV 4 on January 7, 2008.
- [Cancer Connect](https://www.drkarenhorton.com/media-entry/cancer-connect/) - Dr. Karen Horton discusses microsurgery as an exciting new option in breast reconstruction.
- [Breast Lift Mom's](https://www.drkarenhorton.com/media-entry/breast-lift-moms/) - Dr. Karen Horton answers frequently asked questions about breast lift surgery.
- [Liposuction Mom's](https://www.drkarenhorton.com/media-entry/liposuction-moms/) - Dr. Karen Horton answers frequently asked questions about liposuction.
- [Breast Reduction Mom's](https://www.drkarenhorton.com/media-entry/breast-reduction-moms/) - Dr. Karen Horton discusses frequently asked questions about breast reduction.
- [Breast Augmentation Mom's](https://www.drkarenhorton.com/media-entry/breast-augmentation-moms/) - Dr. Karen Horton answers frequently asked questions about breast augmentation.
- [Tummy Tuck Mom's](https://www.drkarenhorton.com/media-entry/tummy-tuck-moms/) - Dr. Karen Horton answers frequently asked questions about tummy tuck.
- [Divine Caroline](https://www.drkarenhorton.com/media-entry/divine-caroline/) - Dr. Karen Horton contributed this article concerning mommy makeover surgery to the website, DivineCaroline.com.
- [Living Beyond Breast Cancer - Breast Reconstruction](https://www.drkarenhorton.com/media-entry/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.
- [Living Beyond Breast Cancer - Understanding Your Options](https://www.drkarenhorton.com/media-entry/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.
- [Living Beyond Breast Cancer - Exploring Your Options](https://www.drkarenhorton.com/media-entry/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.
- [Cosmetic Town Journal](https://www.drkarenhorton.com/media-entry/coolsculpting/) - Dr. Karen Horton was recently featured in Cosmetic Town Journal where she discusses the CoolSculpting applicator to treat arm fat, waistline and much more.
- [Bay Area Cancer Connections - Breast & Ovarian Cancer Information & Support](https://www.drkarenhorton.com/media-entry/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
- [ASPS Surgeon Spotlight](https://www.drkarenhorton.com/media-entry/the-last-stitch/) - "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."
- [PRS Journal Podcast](https://www.drkarenhorton.com/media-entry/prs-journal-podcast/) - Plastic Surgery Insider: Mommy Makeover Plastic Surgery, Private Practice and Proper Patient Selection
- [Bay Area's Premier Plastic Surgeon](https://www.drkarenhorton.com/media-entry/7031/)
- [Dreena on WiLD 94.9 features Dr. Karen Horton and the perks of a Mommy Makeover](https://www.drkarenhorton.com/media-entry/dreena-on-wild-94-9-features-dr-karen-horton-and-the-perks-of-a-mommy-makeover/) - Listen Online
- [Dr. Horton Discusses Breast Reconstruction In Webinar For Living Beyond Breast Cancer](https://www.drkarenhorton.com/media-entry/dr-horton-discusses-breast-reconstruction-in-webinar-for-living-beyond-breast-cancer/)
- [Bay Area News Group](https://www.drkarenhorton.com/media-entry/bay-area-news-group/) - In this special insert to Bay Area newspapers, Dr. Karen Horton discusses post-treatment surgical options for breast cancer patients.
- [Marin Parents of Multiples Newsletter](https://www.drkarenhorton.com/media-entry/marin-parents-of-multiples-newsletter/) - Dr. Horton shares sun safety tips & treatments for kids and parents.
- [Coping Magazine](https://www.drkarenhorton.com/media-entry/coping-magazine/) - Dr. Horton's article for coping magazine, entitled, "After Breast Cancer: What You Need to Know if You Choose Breast Reconstruction."
- [Coping with Cancer magazine](https://www.drkarenhorton.com/media-entry/horton-in-coping-with-cancer/) - Dr. Horton discusses 'What You Need to Know if You Choose Breast Reconstruction' in 'Coping with Cancer' magazine.
- [New Beauty Magazine](https://www.drkarenhorton.com/media-entry/new-beauty-magazine/) - Dr. Karen Horton is featured in New Beauty Magazine as a prominent female plastic surgeon in the San Francisco Bay area.
- [Breast Cancer Awareness ](https://www.drkarenhorton.com/media-entry/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.
- [Bay Area Mama](https://www.drkarenhorton.com/media-entry/bay-area-mama/) - Dr. Horton contributed this article to BayAreaMama.com regarding breast reconstruction after cancer: the latest and greatest techniques.
- [Neko Cheri and NC Mag Online](https://www.drkarenhorton.com/media-entry/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.
- [Jakarta Post](https://www.drkarenhorton.com/media-entry/jakarta-post/) - Dr. Karen Horton was featured in the Jakarta Post discussing the changing role of plastic surgery in society.
- [Fog Cutter](https://www.drkarenhorton.com/media-entry/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.
- [Crave](https://www.drkarenhorton.com/media-entry/crave/) - Dr. Karen Horton was featured in Crave discussing her work.
- [Neko](https://www.drkarenhorton.com/media-entry/neko/) - Dr. Karen Horton was interviewed by NC Mag about her study, practice, and career.

## RMG Cases

- [Case-39874](https://www.drkarenhorton.com/gallery/case/case-39874/) - Before and after bilateral breast reduction and liposuction of the axillary rolls in a 51-year-old woman. She was very physically active both at work and in her personal life, and her breasts did not reflect her active, sporty and healthy lifestyle! She was looking for a significant reduction in the size of her breasts and
- [Case-39873](https://www.drkarenhorton.com/gallery/case/case-39873/) - Before and after abdominoplasty and circumferential liposuction of the abdomen, flanks, pubic region and upper inner thighs in a 47-year-old woman. She had postpartum separation of her rectus abdominis muscles and stubborn excess fat and lower abdominal skin from having children - which she loved dearly, but disliked the appearance of her abdomen. A tummy
- [Case-39872](https://www.drkarenhorton.com/gallery/case/case-39872/) - Before and after bilateral breast reduction and liposuction of the axillary rolls in a 31-year-old woman. She wanted to be able to exercise and get more fit, but her heavy, pendulous breasts got in the way and necessitated her having to wear three sports bras even to do low-impact activities. A breast reduction removed nearly
- [Case-39871](https://www.drkarenhorton.com/gallery/case/case-39871/) - Before and after labiaplasty in a 37-year-old woman. At the same time as a liposuction procedure, she wanted to improve the appearance of her labia minora, which had asymmetry and redundant tissue that protruded downward when she stood up. A labiaplasty trimmed excess labia minora tissue and created improved symmetry. Follow up photos are shown
- [Case-39870](https://www.drkarenhorton.com/gallery/case/case-39870/) - Before and after liposuction of the arms and axillary rolls in a 37-year-old woman. She always had “bigger arms” like the women in her family and wanted to improve their contour. Liposuction permanently removed nearly two liters of fat from her upper arms, armpits and bra rolls through several tiny incisions, hidden in skin creases
- [Case-39865](https://www.drkarenhorton.com/gallery/case/case-39865/) - Before and after abdominoplasty with rectus diastasis correction in a 38-year-old mother of three, including a set of twins. She was very slender and physically active, but her abdominal muscle separation caused her back pain and a sense of core instability. She was looking to reconstruct her abdominal muscles and get back to doing planks,
- [Case-39866](https://www.drkarenhorton.com/gallery/case/case-39866/) - Before and after labiaplasty in a 38-year-old woman. At the same time as a mini-abdominoplasty (which is essentially a C-section scar revision with liposuction), she wanted to trim her long labia minora to have less friction and irritation during sex. Surgery was planned under local anesthesia. Together with an oral anti-anxiety medication and inhaled laughing
- [Case-39863](https://www.drkarenhorton.com/gallery/case/case-39863/) - Before and after bilateral breast revision consisting of removal of silicone breast implants, auto-augmentation mastopexy and liposuction of the axillary rolls in a 39-year-old woman. At the same time as planning liposuction in other regions of her body, she wanted to have smaller, lifted and more natural looking - but still youthful - breasts. Her
- [Case-39862](https://www.drkarenhorton.com/gallery/case/case-39862/) - Before and after liposuction of the abdomen, flanks, pubic region and inner thighs in a 39-year-old woman who was planning to have her breast implants removed and a breast lift. She had gained weight and then lost it, but some stubborn fat remained - and she needed a little help! Liposuction permanently removed excess fat
- [Case-39861](https://www.drkarenhorton.com/gallery/case/case-39861/) - Before and after labiaplasty in a 29-year-old woman with excess labia minora tissue that caused discomfort during exercise and walking. She was looking for a normal, natural looking result that would make her more comfortable and help her forget about her labia when she exercised or took her dogs for a walk. A labiaplasty trimmed
- [Case-39860](https://www.drkarenhorton.com/gallery/case/case-39860/) - Before and after left breast revision in a 41-year-old woman with congenital breast asymmetry and past implant reconstructions. Her left implant had developed capsular contracture and asymmetry. She wanted to leave the right breast alone and only correct the left side. Under local anesthesia, the previously placed left breast implant was removed and the implant
- [Case-39831](https://www.drkarenhorton.com/gallery/case/case-39831/) - Before and after liposuction of the abdomen, circumferential flanks, pubic region and upper inner thighs in a 57-year-old woman who was looking to improve her body contour without a more invasive procedure like a tummy tuck. She had tried one of the non-invasive machines in the past that was supposed to remove fat, but did
- [Case-39830](https://www.drkarenhorton.com/gallery/case/case-39830/) - Before and after bilateral breast augmentation with liposuction of the axillary rolls in a 48-year-old woman with postpartum deflation of her breast volume. She was looking for a subtle, natural looking result that suited her slender frame and wouldn’t be obvious to others. We ask our patients to find “wish pictures” that show the look,
- [Case-39829](https://www.drkarenhorton.com/gallery/case/case-39829/) - Before and after bilateral tubular breast correction via subglandular breast augmentation and liposuction of the axillary rolls in a 55-year-old woman. She had considered getting “her boobs done” forever, and now felt like the right time! Her breasts had a tubular shape, with a small size overall, a tight, constricted lower pole, high inframammary fold,
- [Case-35499](https://www.drkarenhorton.com/gallery/case/case-35499/) - Before and after left cheek scar revision in a 60-year-old woman who had prior Mohs surgery for skin cancer. Her past surgery had left an unusual looking bump on her left jawline that made her self-conscious. She was delighted that she could achieve improvement of this area via a scar revision. At the same time
- [Case-18048](https://www.drkarenhorton.com/gallery/case/case-18048/) - Before and after left inverted nipple correction in a 23 year old woman. She had always been self-conscious about her one-sided inverted nipple, especially when undressed, due to her asymmetry. She had not yet had kids yet and was relieved to know that future breast feeding would still likely be possible, as a conservative approach
- [Case-39826](https://www.drkarenhorton.com/gallery/case/case-39826/) - Before and after liposuction of the abdomen, anterior flanks and pubic region in a 50-year-old woman. At the same time as a breast reduction and liposuction of the axillary rolls, she wanted to improve the contour of her mid-section - as a birthday present to herself! Liposuction permanently removed excess fat from her upper and
- [Case-39825](https://www.drkarenhorton.com/gallery/case/case-39825/) - Before and after labiaplasty in a 31-year-old woman. She experienced discomfort when she exercised and had sex. She was looking for a very natural look to her vaginal region, and was thrilled she didn’t need to go to sleep for surgery! Labiaplasty is offered to our patients under local anesthesia in our Quad A-certified operating
- [Case-39746](https://www.drkarenhorton.com/gallery/case/case-39746/) - Results after one treatment of the Lumenis Stellar M22.
- [Case-39726](https://www.drkarenhorton.com/gallery/case/case-39726/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 43-year-old woman. In the past, she had actually had two past breast reductions - one as a teenager and another in her early twenties. She felt that her surgeons never made her as small as she wanted to be,
- [Case-39733](https://www.drkarenhorton.com/gallery/case/case-39733/) - Before and after bilateral breast implant revision in a 58-year-old woman. Her implants were placed twenty years previously under the muscle. While she did have a mild animation deformity (not shown), it did not bother her. She had always felt like “she was made too big” and following pregnancies and recent menopause, she felt her
- [Case-39732](https://www.drkarenhorton.com/gallery/case/case-39732/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 42-year-old woman. After having children, she felt her breasts dramatically increased in their size, weight and droop. She was looking for a major lift and moderate reduction to enable her to exercise without pain - and only one sports
- [Case-39731](https://www.drkarenhorton.com/gallery/case/case-39731/) - Before and after liposuction of the abdomen and anterior flanks in a 40-year-old woman. She initially thought she wanted/needed a tummy tuck, but since she had excellent skin tone and elasticity, but she did not have significant rectus diastasis/diastasis recti (separation of the rectus abdominis muscles that occurs after pregnancy in many women). Since most
- [Case-39730](https://www.drkarenhorton.com/gallery/case/case-39730/) - Before and after liposuction of the abdomen and anterior (front side) flanks in a 43-year-old woman. She was healthy, active and fit, but had some stubborn fat around her mid-section that she wanted to be rid of! She also had some fat around her back side (posterior flanks), but she was less interested in addressing
- [Case-39729](https://www.drkarenhorton.com/gallery/case/case-39729/) - Before and after liposuction of the abdomen and flanks in a 63-year-old woman. At the same time as she was planning a breast reduction and liposuction of her arms, she wanted to improve the contour of her mid-section. She knew she had some loose skin, but did not want the scars and downtime of a
- [Case-39728](https://www.drkarenhorton.com/gallery/case/case-39728/) - Before and after liposuction of the arms in a 63-year-old woman. At the same time as a breast reduction and liposuction of the axillary rolls and abdomen, she wished to improve the contour of her arms. She initially thought she needed skin removal, but was relieved to learn that she could achieve improvement using liposuction
- [Case-39727](https://www.drkarenhorton.com/gallery/case/case-39727/) - Before and after bilateral “secondary” (redo) breast reduction with liposuction of the axillary rolls in a 63-year-old woman who previously had a breast reductions over 25 years previously. Since that time, she had gone through menopause and her breasts had increased in size again. She wanted to have smaller, perkier breasts that felt “more like
- [Case-39713](https://www.drkarenhorton.com/gallery/case/case-39713/) - Before and after labiaplasty involving a 33-year-old woman who was experiencing discomfort from her long labia minora tissue. She had a physically demanding job and didn’t want to have to worry about this area or which underwear to wear on particularly strenuous days at work. A labiaplasty trimmed excess labia minora tissue using the “trim
- [Case-39712](https://www.drkarenhorton.com/gallery/case/case-39712/) - Before and after labiaplasty involving a subtle trim of excess labia minora in a 38-year-old woman. She had had one child and was contemplating another pregnancy. After the birth of her son, she found that the inner lips of her vagina hung lower and longer than the surrounding labia majora. She experienced discomfort and wanted
- [Case-39427](https://www.drkarenhorton.com/gallery/case/case-39427/) - Before and after bilateral upper and lower blepharoplasty in a 73-year-old woman. This patient presented with the complaint that her eyes looked much older than she felt - which was around forty! She had a moderate degree of excess upper and lower eyelid skin and was a candidate for a “pinch blepharoplasty”, which removed only
- [Case-39119](https://www.drkarenhorton.com/gallery/case/case-39119/) - Before and after liposuction of the neck in a 32-year-old woman. At the same time as a breast reduction and liposuction of her axillary rolls, she wanted to improve the contour of her neck. She had always had some “baby fat” here, despite being very physically fit and training to be a fitness instructor. Liposuction
- [Case-38980](https://www.drkarenhorton.com/gallery/case/case-38980/) - Before and after ultrasound-assisted liposuction of the body in a 36-year-old man. He had struggled with his weight and despite losing a significant number of pounds in the preceding year, he still had stubborn fat in his midsection. Fat in men is traditionally firmer and more fibrous than in women – thus, additional ultrasound energy
- [Case-38910](https://www.drkarenhorton.com/gallery/case/case-38910/) - Before and after bilateral inverted nipple correction in a 62-year-old woman. She had always felt self-conscious about her inverted nipples. Now that she was retired, she had time to recover from surgery and was excited to finally have her nipples be more prominent! Inverted nipple correction was performed in the office under local anesthesia, with
- [Case-38813](https://www.drkarenhorton.com/gallery/case/case-38813/) - This 47 year old patient shared that she was looking more tired compared to how she felt, especially around her undereyes. We used 5 syringes of Juvederm to gently restore volume in her cheeks, tear troughs, temples, and lip for a lifted, refreshed result that preserves her natural features. Patient treated by Agnes Wong, NP.
- [Case-38811](https://www.drkarenhorton.com/gallery/case/case-38811/) - This 39 year old patient felt she was looking more tired and less lifted, with new lines forming between the brows and a subtle bulk in the glabellar area. She also noticed thinning of the upper lip that became more apparent when smiling. Dysport was used to treat the glabella, crow’s feet, DAO muscles, orbicularis
- [Case-38805](https://www.drkarenhorton.com/gallery/case/case-38805/) - Before and after abdominoplasty and liposuction in a 23-year-old woman. She had several up and down weight fluctuations since her teen years, resulting in loss of lower abdominal skin tone and an overhanging section of skin and fat above her pubic region. She had not had any pregnancies yet, so she did not have rectus
- [Case-38804](https://www.drkarenhorton.com/gallery/case/case-38804/) - Before and after abdominoplasty and circumferential liposuction of the body in a 55-year-old woman. She had minimal abdominal muscle separation and was primarily focused on removing fat from her abdomen, flanks, inner and outer thighs and to improve her lower abdominal “shelf” above her C-section scar. An abdominoplasty without rectus abdominis muscle repair (often called
- [Case-38803](https://www.drkarenhorton.com/gallery/case/case-38803/) - Before and after bilateral breast revision in a 60-year-old woman with breast asymmetry from a prior mastopexy and breast augmentation. Her right nipple and areola sat significantly lower than the left, and she had mild bottoming-out of both lower poles. She wanted to minimize surgery but have better symmetry so that when she wore her
- [Case-38795](https://www.drkarenhorton.com/gallery/case/case-38795/) - Before and after right breast implant reconstruction and liposuction of the bilateral axillary rolls in a healthy 70-year-old woman with right Poland Syndrome. She only recently learned that her congenital chest wall and breast asymmetry had a name, and that it happened during her development in utero. Poland Syndrome affects development of the breast, chest
- [Case-38800](https://www.drkarenhorton.com/gallery/case/case-38800/) - Before and after breast revision in a 46-year-old breast cancer survivor. Following a different breast procedure elsewhere, she developed a hematoma (blood accumulation) around her left breast implant – resulting in excess scar tissue formation and capsular contracture, with the left implant sitting up too high on the chest wall. Her revision involved left capsulectomy
- [Case-38799](https://www.drkarenhorton.com/gallery/case/case-38799/) - Before and after umbilicoplasty in a 46-year-old woman who was having abdominal-based breast reconstruction. She had an umbilical hernia that was bulging into the right side of her belly button. She was excited that this would be corrected at the same time as her surgery. During DIEP flap harvest, an incision was made around her
- [Case-38798](https://www.drkarenhorton.com/gallery/case/case-38798/) - Before and after bilateral mastopexy-augmentation with liposuction of the axillary rolls in a 43-year-old woman who previously lost over one hundred pounds following gastric bypass surgery. She literally lost ALL the volume of her breasts, which were now empty skin hanging off her chest, with her nipples pointing to the floor. No one at work
- [Case-38797](https://www.drkarenhorton.com/gallery/case/case-38797/) - Before and after mini-abdominoplasty in a 68-year-old woman. At the same time as a breast procedure and a labiaplasty, she wanted to improve the contour of her lower abdomen. While she had not had children, her abdominal hysterectomy had left her with an indented scar and a lower abdominal “shelf.” Skin and fat from her
- [Case-38796](https://www.drkarenhorton.com/gallery/case/case-38796/) - Before and after liposuction of the neck in a 39-year-old woman. Together with a breast augmentation and liposuction elsewhere on her body, she wanted to remove the “baby fat” under her chin. Liposuction removed several tablespoons of fat through a single incision under the chin. After surgery, she wore a compressive chin strap for two
- [Case-38794](https://www.drkarenhorton.com/gallery/case/case-38794/) - Before and after bilateral mastopexy with liposuction of the axillary rolls in a 52-year-old woman. She wanted her breasts to look like they did in a bra, but not larger or smaller. A breast lift does just that – it lifts and reshapes the breasts via the auto-augmentation technique, so that the breasts sit higher
- [Case-38793](https://www.drkarenhorton.com/gallery/case/case-38793/) - Before and after bilateral delayed breast reconstruction with DIEP flaps in a 52-year-old breast cancer survivor. Following right breast cancer treated with several lumpectomies and radiation therapy and chemo, she learned she was a carrier of the BRCA gene. She had a second mastectomy on the left side, and placement of implants on each side.
- [Case-38792](https://www.drkarenhorton.com/gallery/case/case-38792/) - Before and after left unilateral inverted nipple correction in a 27-year-old woman. At the same time as a breast lift, this patient wanted to correct her inverted nipple so that it better matched the other side. Inverted nipple correction was performed in tandem with her other breast procedure. After surgery, her mastopexy recovery was a
- [Case-38791](https://www.drkarenhorton.com/gallery/case/case-38791/) - Before and after liposuction of the abdomen in a 38-year-old woman. She had always been athletic and lean but had an annoying accumulation of belly fat that did not go away, even when she was her thinnest. Liposuction permanently removed fat from her midsection during a two-hour outpatient surgery under general anesthesia at the same
- [Case-38790](https://www.drkarenhorton.com/gallery/case/case-38790/) - Before and after bilateral breast revision in a 49-year-old woman. Her former mastopexy-augmentation had developed painful capsular contracture, asymmetry of the breasts, superior malposition where the implants sat up too high, and a Snoopy deformity/waterfall deformity of the breast tissue droops and falls off the unnaturally high implant on the chest. Painful capsular contracture is
- [Case-38789](https://www.drkarenhorton.com/gallery/case/case-38789/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 21-year-old woman. She was obese, partly due to the large size, heavy weight and pendulous nature of her breasts. She had to wear several sports bras even to sleep. Her goal was to have very small breasts and to
- [Case-38788](https://www.drkarenhorton.com/gallery/case/case-38788/) - Before and after bilateral brachioplasty (upper arm lift) with liposuction of the arms and axillary rolls in a 61-year-old woman. She had previously lost a significant amount of weight, which left her upper arms empty and baggy. She wanted to wear a sleeveless dress at her granddaughter’s graduation ceremony in six months. A brachioplasty removed
- [Case-38787](https://www.drkarenhorton.com/gallery/case/case-38787/) - "Before and after labiaplasty in a 27-year-old woman. She was self-conscious about her long labia minora and wanted to have a cleaner look and more comfort while exercising. A labiaplasty trimmed excess length of her labia minora but left a natural look to her vulva. Follow up photos are shown 3 months after surgery.
- [Case-38786](https://www.drkarenhorton.com/gallery/case/case-38786/) - Before and after bilateral breast implant revision in a 67-year-old woman. She traveled to San Francisco from another state, as she could not find a local Plastic Surgeon who would convert her submuscular implants to on top of the muscle – she was told “you’re too thin,” “they won’t look good.” How about listening to
- [Case-38785](https://www.drkarenhorton.com/gallery/case/case-38785/) - Before and after abdominoplasty and liposuction of the abdomen in a 33-year-old mother of three. She was in great shape and naturally slender but had developed rectus diastasis after her pregnancies. She felt her core was not as strong and effective as it used to be and wanted to get her formerly flat belly back.
- [Case-38784](https://www.drkarenhorton.com/gallery/case/case-38784/) - Before and after bilateral explantation and redo mastopexy in a 49-year-old woman. Her implants were positioned wide on the chest and had a powerful animation deformity due to their submuscular placement and her powerful pectoralis major muscles. These are two reasons why we do not like or recommend implants placed under the muscle, ever! Other
- [Case-38783](https://www.drkarenhorton.com/gallery/case/case-38783/) - Before and after bilateral breast implant removal and breast revision in a 65-year-old woman. Her breast implants had been in place for over fifteen years. Although she had enjoyed them, after menopause she had gained weight and now felt too “matronly”. She was looking for a less heavy and more natural looking result. Bilateral explantation
- [Case-38782](https://www.drkarenhorton.com/gallery/case/case-38782/) - Before and after bilateral explantation in a 42-year-old woman with chronically contracted and painful breast implants. She had had them in for eight years and was sick of trying to conceal them in every outfit. As she entered perimenopause, she wanted to be less top-heavy and to go back to her “OG body.” Bilateral breast
- [Case-38731](https://www.drkarenhorton.com/gallery/case/case-38731/) - Before and after ultrasound-assisted liposuction of the abdomen, circumferential flanks, lower back rolls, pubic region and upper inner and outer thighs in a 49-year-old woman. She did not want to have a full tummy tuck and did not have any rectus diastasis since she had not had children. Instead, her goal was to improve her
- [Case-38730](https://www.drkarenhorton.com/gallery/case/case-38730/) - Before and after bilateral breast implant revision in a 55-year-old woman with ruptured submuscular breast implants and superior malposition. Both implants sat high up in their pockets, giving the appearance of breast droop – called “pseudoptosis.” She had developed painful and deforming capsular contracture on the left (Grade IV) and firm contracture on the right
- [Case-38706](https://www.drkarenhorton.com/gallery/case/case-38706/) - Before and after liposuction of the abdomen and flanks in a 35-year-old woman. She was looking for a “body refresh” while in her mid-thirties. At the same time, she chose to also have a breast reduction and liposuction of the neck to compliment her results. Via several tiny incisions hidden in skin creases, over two
- [Case-38705](https://www.drkarenhorton.com/gallery/case/case-38705/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 35-year-old woman with breast asymmetry. She didn’t want her breasts to be too small – she was mostly looking for a major lift and reshaping. A breast reduction removed a little less than a pound of breast tissue from
- [Case-38704](https://www.drkarenhorton.com/gallery/case/case-38704/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 51-year-old woman. She had deep shoulder grooves from decades of her heavy breasts pulling downward on her shoulder straps of her bra. She wanted a major reduction and lift, and was an excellent candidate for surgery, given that she
- [Case-38703](https://www.drkarenhorton.com/gallery/case/case-38703/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 22-year-old woman with “symptomatic macromastia” (pain, discomfort and loss of function with activities of daily living due to large, heavy and pendulous breasts). She also had congenital asymmetry of her breasts, with a size difference of about two hundred
- [Case-38702](https://www.drkarenhorton.com/gallery/case/case-38702/) - Before and after labiaplasty surgery in a 31-year-old woman. She came to our office with concerns regarding the appearance of her labia area. She wanted a “prettier look” to her vulva and more comfort when exercising or having sex. A labiaplasty was scheduled under local anesthesia. Inhaled laughing gas and an oral anti-anxiety medication helped
- [Case-38701](https://www.drkarenhorton.com/gallery/case/case-38701/) - Before and after right delayed breast implant reconstruction and left balancing breast reduction with liposuction of the axillary rolls in a healthy 71-year-old breast cancer survivor who was a triathlete and competitive tennis player at her local club. She was never offered breast reconstruction at the time of her breast cancer treatment over twenty years
- [Case-38700](https://www.drkarenhorton.com/gallery/case/case-38700/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 26-year-old woman with breast asymmetry and macromastia. She was starting to experience chronic pain in her neck, shoulders and upper back. Seeing a massage therapist and Chiropractor was no longer helping. Her Doctor recommended a breast reduction, which she
- [Case-38699](https://www.drkarenhorton.com/gallery/case/case-38699/) - Before and after right nipple-sparing mastectomy and immediate breast implant reconstruction in a 47-year-old woman with right breast cancer. She did not require any surgery on her left breast, so she chose to leave this breast alone. She wanted a very natural look, and to match her left natural breast size and shape. A combined
- [Case-38698](https://www.drkarenhorton.com/gallery/case/case-38698/) - Before and after abdominoplasty and ventral hernia repair in a 45-year-old woman. She had former emergency abdominal surgery as a teen and was left with a hernia in her central abdominal region and rectus diastasis, with very little fat. Her core felt “unstable” – she was looking for improved ergonomics of her abdomen and the
- [Case-38697](https://www.drkarenhorton.com/gallery/case/case-38697/) - Before and after bilateral breast augmentation revision in a 46-year-old woman. She presented with chronic pain and tightness of her breasts that limited her from doing the exercises she wanted at the gym and caused mental and physical stress at work, since she had a physically demanding profession. Her submuscular implants were tight and constantly
- [Case-38696](https://www.drkarenhorton.com/gallery/case/case-38696/) - Before and after labiaplasty in a 25-year-old woman. She found her labia got stuck to her inner thighs when she walked and hiked – she was looking for relief of these physical symptoms and an overall nicer look to her vagina. A labiaplasty trimmed excess labia minora tissue but left a normal amount of tissue
- [Case-38695](https://www.drkarenhorton.com/gallery/case/case-38695/) - Before and after labiaplasty in a 41-year-old woman. At the same time as liposuction of her mons pubis (termed “FUPA” by some), she wanted to trim excess length of her labia minora. The trim technique was used to remove excess labia minora, but to preserve a normal amount of labia to ensure normal function of
- [Case-38694](https://www.drkarenhorton.com/gallery/case/case-38694/) - Before and after post-weight loss abdominoplasty and liposuction in a 37-year-old woman who had lost over eighty pounds following gastric sleeve surgery. We recommend patients maintain a stable weight for at least two years before planning post-weight loss body contouring surgery to allow for the most stable and reliable results. Her weight had been stable
- [Case-38693](https://www.drkarenhorton.com/gallery/case/case-38693/) - Before and after bilateral medial thigh lift with liposuction of the inner and outer thighs in a 37-year-old woman who had lost over eighty pounds following gastric sleeve surgery. We recommend patients maintain a stable weight for at least two years before planning post-weight loss body contouring surgery to allow for the most stable and
- [Case-38692](https://www.drkarenhorton.com/gallery/case/case-38692/) - Before and after bilateral brachioplasty with liposuction of the arms in a 37-year-old woman who had lost over eighty pounds following gastric sleeve surgery. We recommend patients maintain a stable weight for at least two years before planning post-weight loss body contouring surgery to allow for the most stable and reliable results. Her weight had
- [Case-38691](https://www.drkarenhorton.com/gallery/case/case-38691/) - Before and after post-weight loss gynecomastia/chest contour correction in a 73-year-old man who lost over 150 pounds. He did not actually have true gynecomastia, which involves development of breast tissue in men. Instead, he had hanging empty breast skin and “ptosis” (droop) of his nipples and areolas. He wanted a more normal contour to his
- [Case-38690](https://www.drkarenhorton.com/gallery/case/case-38690/) - Before and after bilateral DIEP flap breast reconstructions in a 48-year-old breast cancer survivor. After undergoing a right lumpectomy and radiation therapy for breast cancer, she developed a new tumor in her right breast requiring a mastectomy. Gene testing revealed she was a carrier for the BRCA gene, so she chose a bilateral mastectomy and
- [Case-38679](https://www.drkarenhorton.com/gallery/case/case-38679/) - Before and after bilateral breast reduction and liposuction of the axillary rolls in a 20-year-old woman. She found clothes shopping frustrating, exercising painful and had to sleep with a bra on just to sleep through the night. A breast reduction removed two and a half pounds of excess breast tissue from each breast. Her remaining
- [Case-38678](https://www.drkarenhorton.com/gallery/case/case-38678/) - Before and after labiaplasty in a 35-year-old woman. She had started power lifting and felt discomfort when exercising. She had not had children yet and wanted to improve her physical comfort in the vulvar region. A labiaplasty trimmed a small amount of excess labia minora tissue. After surgery, she took three weeks off working out
- [Case-38635](https://www.drkarenhorton.com/gallery/case/case-38635/) - Before and after labiaplasty in a 45-year-old woman. She was unable to exercise or hike without discomfort – she was looking for a nicer appearance and more ease in doing activities of daily living. A labiaplasty trimmed excess labia minora tissue but left a normal amount of tissue behind. After surgery, she took one week
- [Case-38634](https://www.drkarenhorton.com/gallery/case/case-38634/) - Before and after bilateral upper lid blepharoplasty in a 68-year-old woman. She had thick skin creases in her face and eye region and did not want to look “plastic” or pulled too tight. She simply was looking for less hooding of her upper eyelids so that she could properly wear eye makeup. An upper eyelid
- [Case-38585](https://www.drkarenhorton.com/gallery/case/case-38585/) - Before and after abdominoplasty and circumferential liposuction of the abdomen and flanks (“lipo 360”) as part of a Mommy Makeover in a 46-year-old woman with moderate scoliosis – seen best from behind. At the same time as a breast lift, inverted nipple correction and liposuction of the armpits and bra rolls (axillary rolls), she wanted
- [Case-38581](https://www.drkarenhorton.com/gallery/case/case-38581/) - Before and after left inverted nipple correction as part of a Mommy Makeover in a 46-year-old woman. She wanted better symmetry to her nipples at the same time as a breast lift and liposuction. Inverted nipple correction was performed at the end of her breast lift procedure. An incision was made around the base of
- [Case-38580](https://www.drkarenhorton.com/gallery/case/case-38580/) - Before and after mini-abdominoplasty and umbilicoplasty with liposuction of the abdomen in a 37-year-old mother of twins. She had minimal separation of her abdominal muscles and did not want a full abdominoplasty, which involved rectus diastasis repair. Any procedure termed “mini” usually does not include all components of the “full” procedure – in this case,
- [Case-38537](https://www.drkarenhorton.com/gallery/case/case-38537/) - Before and after bilateral auto-augmentation mastopexy and liposuction of the axillary rolls as part of a Mommy Makeover in a 46-year-old woman. She did not want her breasts to be bigger, only lifted. At the same time as a tummy tuck and liposuction, a breast lift reshaped her breasts and lifted them. Liposuction removed excess
- [Case-38538](https://www.drkarenhorton.com/gallery/case/case-38538/) - Before and after labiaplasty in a 20-year-old woman. She was self-conscious about her long labia minora tissue and wanted a procedure that would help her feel more comfortable when undressing in front of others and to have less discomfort when exercising or hiking. A labiaplasty trimmed excess labia minora tissue but preserved a normal amount
- [Case-38536](https://www.drkarenhorton.com/gallery/case/case-38536/) - Before and after bilateral breast reconstruction revision in a 52-year-old breast cancer survivor who had previously undergone a bilateral mastectomy and implant reconstruction. Her submuscular implants had a painful animation deformity which accentuated her breast asymmetry. Her breasts were flat and low; she was looking for relief of physical symptoms and a more aesthetic breast
- [Case-38535](https://www.drkarenhorton.com/gallery/case/case-38535/) - Before and after left unilateral (single-sided) labiaplasty in a 26-year-old woman. She felt embarrassed that one of her labia always slipped out from her vulva when she stood up and got stuck to her thigh when she walked or ran. A labiaplasty trimmed excess labia minora on the left side only. Her right labia minora
- [Case-38534](https://www.drkarenhorton.com/gallery/case/case-38534/) - Before and after bilateral breast augmentation and liposuction of the axillary rolls in a 31-year-old woman with congenital breast asymmetry and mildly tubular breasts. She wanted much fuller breasts and better symmetry, like when she was breastfeeding. Smooth round silicone gel breast implants were placed on top of the muscle, in the subglandular position, through
- [Case-38513](https://www.drkarenhorton.com/gallery/case/case-38513/) - Before and after liposuction of the arms in a 30-year-old woman. In preparation for her wedding in a year, she wanted to start improving the contour of her arms. Together with working with her trainer, she wanted to remove excess fat from her upper arms. Liposuction permanently removed fat from her upper arms through several
- [Case-38512](https://www.drkarenhorton.com/gallery/case/case-38512/) - Before and after bilateral breast implant removal in a 31-year-old woman. She had had her breast implants in place for several years and experienced recurrent capsular contracture with related deformity. After several revision procedures, she elected to have her breast implants removed. Explantation surgery was performed under local anesthesia, using her existing inframammary fold incision.
- [Case-38511](https://www.drkarenhorton.com/gallery/case/case-38511/) - Before and after bilateral breast augmentation in a 27-year-old woman. She had a beautiful breast shape to begin with – she had lost some weight and found her breasts had lost much of their volume as well. She wished to keep her current weight but regain her former breast fullness. Smooth round silicone
- [Case-38510](https://www.drkarenhorton.com/gallery/case/case-38510/) - Before and after bilateral inverted nipple correction in a 32-year-old woman. She could not find a woman Plastic Surgeon in her home state, so she found us online and flew to San Francisco for surgery. Inverted nipple correction was performed as a simple in-office procedure under local anesthesia, with an oral anti-anxiety pill and inhaled
- [Case-38509](https://www.drkarenhorton.com/gallery/case/case-38509/) - Before and after right breast delayed TUG flap reconstruction and left balancing mastopexy in a 46-year-old breast cancer survivor. After a right mastectomy, chemotherapy and radiation therapy, her right implant became infected and required emergent removal. She was dissuaded from another implant for reconstruction, so she sought an autologous tissue option. She had little abdominal
- [Case-38508](https://www.drkarenhorton.com/gallery/case/case-38508/) - Before and after liposuction of the abdomen and circumferential flanks in a 50-year-old woman. She was in perimenopause and noticed she was starting to accumulate more fat in her mid-section. After being disappointed by non-surgical fat reduction machines, she wanted to improve her body contour with the least amount of downtime. Liposuction removed nearly
- [Case-38507](https://www.drkarenhorton.com/gallery/case/case-38507/) - Before and after labiaplasty in a 34-year-old woman with long labia minora tissue. She found exercise and having sex uncomfortable and wanted a more tucked-in appearance to her vulva. A labiaplasty trimmed length of her labia minora but left a normal amount of tissue behind, preserving a natural appearance. Follow up photos are shown 3
- [Case-38506](https://www.drkarenhorton.com/gallery/case/case-38506/) - Before and after bilateral breast augmentation and liposuction of the axillary rolls in a 40-year-old woman. After breastfeeding her children, she lost the former fullness of her breasts. She wanted a natural looking result, where it would not be obvious to others that she had had a “boob job.” Smooth round silicone gel breast implants
- [Case-38505](https://www.drkarenhorton.com/gallery/case/case-38505/) - Before and after liposuction of the arms in a 52-year-old woman. At the same time as a liposuction procedure of her abdomen, she wanted to improve the appearance of her arms. Liposuction removed over a full cup of fat from each upper arm through several tiny incisions hidden in skin creases around her elbow crease.
- [Case-38504](https://www.drkarenhorton.com/gallery/case/case-38504/) - Before and after bilateral mastopexy (breast lift) and breast augmentation with liposuction of the axillary rolls in a 31-year-old woman with breast ptosis (droop), loss of volume and breast asymmetry. Her breasts also had a tubular shape, including a constricted breast footprint, a wide space between them and a high breast fold. Her tubular breast
- [Case-38503](https://www.drkarenhorton.com/gallery/case/case-38503/) - Before and after bilateral inverted nipple correction in a 24-year-old woman. She was self-conscious about her nipples which never completely became erect due to their inversion. Inverted nipples are akin to a sink hole under a house, that causes the structure to fall inward. An inverted nipple correction was performed as a straightforward office surgery
- [Case-38502](https://www.drkarenhorton.com/gallery/case/case-38502/) - Before and after bilateral tubular breast correction using the auto-augmentation mastopexy technique with liposuction of the axillary rolls in a 25-year-old woman. She wanted her breasts to be reshaped – lifted and rounder – but she felt strongly that she did not want breast implants. Tubular breasts have a droopy, pendulous breast shape, enlarged areolas
- [Case-38474](https://www.drkarenhorton.com/gallery/case/case-38474/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 48-year-old woman with macromastia and breast asymmetry. Although she had not had children, her breasts grew significantly with hormonal changes and mild weight gain during perimenopause. She wanted to have lifted, rounder breasts that would still be proportional to
- [Case-38473](https://www.drkarenhorton.com/gallery/case/case-38473/) - Before and after labiaplasty in a 19-year-old woman. She wanted a very subtle, natural looking result but to have less labia minora tissue protruding outward from her labia majora when she stood upright. A labiaplasty trimmed excess length of her labia minora but kept a significant amount behind. A clitoral hood reduction is always done
- [Case-2695](https://www.drkarenhorton.com/gallery/case/case-2695/) - Before and after bilateral breast reconstruction revision with liposuction of the axillary rolls in a 67-year-old breast cancer survivor. Her previously placed saline implants as reconstruction after bilateral mastectomies were under the muscle and caused chronic tightness and deformity every time she moved her arms. The left implant has deflated, causing further deformity and asymmetry.
- [Case-38397](https://www.drkarenhorton.com/gallery/case/case-38397/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 38-year-old woman. She had neck pain, upper back pain and shoulder grooves from the weight of her breasts and needing to wear a bra most of the time. A breast reduction removed over a pound and a half of
- [Case-38396](https://www.drkarenhorton.com/gallery/case/case-38396/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 63-year-old woman. She wanted her breasts to stay proportional to the rest of her body, but to be more symmetric, a little smaller, rounder and lifted. A breast reduction removed a few hundred grams of excess breast tissue from
- [Case-38395](https://www.drkarenhorton.com/gallery/case/case-38395/) - Before and after bilateral saline breast implant deflation in a 49-year-old woman. She had had her breast implants for two years and was tired of them – she was unsure whether she wanted a lift in addition to removing her implants – so was excited to be able to see what her breasts looked like
- [Case-38394](https://www.drkarenhorton.com/gallery/case/case-38394/) - Before and after right lumpectomy and reconstruction using the breast reduction and auto-augmentation mastopexy technique with liposuction of the axillary rolls in a 39-year-old woman with breast cancer. She did not want a full mastectomy and opted for breast conservation treatment – namely, lumpectomy and radiation therapy. A combined oncologic and reconstructive procedure was scheduled
- [Case-38309](https://www.drkarenhorton.com/gallery/case/case-38309/) - Before and after liposuction of the arms as part of a Mommy Makeover in a 38-year-old woman. At the same time as a breast augmentation, tummy tuck, labiaplasty and liposuction in other parts of her body, she wanted to improve the contour of her arms. Liposuction permanently removed unwanted fat from her upper arms through
- [Case-38311](https://www.drkarenhorton.com/gallery/case/case-38311/) - Before and after abdominoplasty and liposuction of the abdomen and flanks as part of a Mommy Makeover in a 38-year-old mother – of six! – She earned this surgery! At the same time as a breast augmentation and labiaplasty, she wanted to regain her formerly flat belly. An abdominoplasty removed excess lower abdominal skin and
- [Case-38310](https://www.drkarenhorton.com/gallery/case/case-38310/) - Before and after labiaplasty involving both the labia majora and labia minora in a 3 8-year-old woman. As part of her Mommy Makeover which included a breast augmentation, tummy tuck and liposuction, she wanted a more “tucked and tidy” labia region. She specifically wanted less looseness to her labia majora and less length to her
- [Case-2746](https://www.drkarenhorton.com/gallery/case/case-2746/) - Before and after liposuction of the abdomen, flanks, inner and outer thighs in a 45-year-old woman. As part of her Mommy Makeover, she wanted to remove excess fat from her lower body. Liposuction permanently removed several liters of fat from her abdomen, circumferential flanks, inner and outer thighs. After surgery, she wore compression garments under
- [Case-38306](https://www.drkarenhorton.com/gallery/case/case-38306/) - Before and after bilateral prophylactic nipple-sparing mastectomies and immediate implant reconstruction in a 30-year-old BRCA gene-positive woman who had a very significant family history of early breast cancer. She sought risk-reduction and wanted to have a fuller, rounder and lifted breast reconstruction outcome. Bilateral nipple-sparing mastectomies were performed using a breast reduction and lift pattern.
- [Case-38305](https://www.drkarenhorton.com/gallery/case/case-38305/) - Before and after labiaplasty in a 25-year-old woman. She sought relief of her physical discomfort every time she wore tight jeans or exercised. A labiaplasty trimmed excess labia minora tissue but left a normal amount of labial tissue behind, so that her results looks normal and natural, without any sign of surgery. Follow up photos
- [Case-38256](https://www.drkarenhorton.com/gallery/case/case-38256/) - Before and after labiaplasty in a 23-year-old woman. She experienced physical discomfort every time she rode her spin bike or went for a hike. She wanted this part of her body to look “prettier” and more tidy when she stood upright or walked in front of a romantic partner. A labiaplasty trimmed excess labia minora
- [Case-38258](https://www.drkarenhorton.com/gallery/case/case-38258/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 39-year-old woman with macromastia. Her heavy, pendulous breasts caused chronic strain on her neck, shoulders and upper back. She wanted her breasts to be a little smaller and significantly lifted and reshaped. A breast reduction removed nearly a pound
- [Case-38257](https://www.drkarenhorton.com/gallery/case/case-38257/) - Before and after left unilateral (single-sided) breast reduction and liposuction of the bilateral axillary rolls in a 21-year-old woman with congenital breast asymmetry. Her left breast was three sizes larger and much more ptotic (droopy) than her right breast. She originally was considering breast implants on both sides, but a breast reduction on her left
- [Case-38255](https://www.drkarenhorton.com/gallery/case/case-38255/) - Before and after labiaplasty in a 43-year-old woman. She felt uncomfortable exercising and said she had to “move things out of the way” when she went pee or had sex. A labiaplasty trimmed excess labia minora but left a normal amount of labia tissue behind, preserving a normal and natural appearance to this part of
- [Case-38254](https://www.drkarenhorton.com/gallery/case/case-38254/) - Before and after liposuction of the neck in a 46-year-old woman. She had tried non-surgical methods to try to reduce the amount of submental fat under her chin, but they had not had any effect. She sought liposuction to remove this annoying fat collection and achieve a more defined jawline. Liposuction was performed awake, under
- [Case-38253](https://www.drkarenhorton.com/gallery/case/case-38253/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 45-year-old woman with dense, heavy breasts and minor breast asymmetry. A breast reduction removed over a pound and a half from each breast, with slightly more breast reissue removed from her right larger breast than the left. Her breasts
- [Case-38252](https://www.drkarenhorton.com/gallery/case/case-38252/) - Before and after bilateral breast augmentation and left mastopexy (breast lift) with liposuction of the axillary rolls in a 39-year-old woman. She experienced deflation of her breast volume on both sides after breastfeeding and weight loss and concurrent breast asymmetry. Her left breast sat lower than her right side and had an emptier, baggy lower
- [Case-2979](https://www.drkarenhorton.com/gallery/case/case-2979/) - Before and after bilateral breast augmentation and liposuction of the axillary rolls as part of a Mommy Makeover in a 38-year-old woman. After breastfeeding, she lost all the fullness of her breast. She was looking to restore her lost volume but to keep a natural looking result. Smooth round silicone gel breast implants were placed
- [Case-37935](https://www.drkarenhorton.com/gallery/case/case-37935/) - Before and after bilateral breast revision in a 28-year-old woman. She had developed capsular contracture years after her past breast surgery – possibly due to a flare of acne and picking her pimples. Her right implant developed capsular contracture, causing it to sit up higher, feel hard and feel painful. By definition, this is classified
- [Case-37934](https://www.drkarenhorton.com/gallery/case/case-37934/) - Before and after umbilicoplasty in a 68-year-old woman. At the age of four, she had a hernia repair that resulted in loss of her belly button. She was having a breast cancer reconstruction and was thrilled to learn that her belly button could be reconstructed at the same time. An umbilicoplasty created a “neo-umbilicus” (brand
- [Case-37933](https://www.drkarenhorton.com/gallery/case/case-37933/) - Before and after Mommy Makeover in a 38-year-old mother of three. Her breasts had lost all their volume after breastfeeding and her abdominal muscles had separated, making doing planks and pushups uncomfortable and with an unstable sensation – like her “guts were going to fall out.” She hated that her belly protruded further than her
- [Case-5794](https://www.drkarenhorton.com/gallery/case/case-5794/) - 2 year old hypertrophic and hyperpigmented scar after breast augmentation surgery. Scar therapy included steroid injection and 5 IPL treatments. Patient treated by Emily Sespaniak, NP.
- [Case-28207](https://www.drkarenhorton.com/gallery/case/case-28207/) - Before and after one treatment of IPL. After photos taken 3 weeks post-treatment. Patient treated by Emily Sespaniak, NP.
- [Case-7407](https://www.drkarenhorton.com/gallery/case/case-7407/) - Results after 3 treatments. Noticeable decrease in sunspots and improvement in texture. Patient treated by Emily Sespaniak, NP.
- [Case-6831](https://www.drkarenhorton.com/gallery/case/case-6831/) - Patient treated by Emily Sespaniak, NP.
- [Case-3689](https://www.drkarenhorton.com/gallery/case/case-3689/) - Patient before and after IPL treatment to the cheek that reduced brown pigmentation "age spots" and reduced dilated capillaries known as "telangiectasias". Patient treated by Emily Sespaniak, NP.
- [Case-3131](https://www.drkarenhorton.com/gallery/case/case-3131/) - Before and after treatment using IPL (intense pulsed light) to a patient's chest. A single IPL treatment reduced sun spots, age spots, brown discoloration from sun damage and aging, and improved overall skin tone for a more youthful appearance. Patient treated by Emily Sespaniak, NP.
- [Case-33369](https://www.drkarenhorton.com/gallery/case/case-33369/) - 1ml of Juvederm Ultra XC. Patient treated by Emily Sespaniak, NP.
- [Case-12963](https://www.drkarenhorton.com/gallery/case/case-12963/) - 1 syringe of Juvederm Ultra XC. Patient treated by Emily Sespaniak, NP.
- [Case-8246](https://www.drkarenhorton.com/gallery/case/case-8246/) - Restylane-L, 2 syringes used. Patient treated by Emily Sespaniak, NP.
- [Case-8247](https://www.drkarenhorton.com/gallery/case/case-8247/) - Juvederm Ultra XC, 1 syringe used. Patient treated by Emily Sespaniak, NP.
- [Case-6961](https://www.drkarenhorton.com/gallery/case/case-6961/) - Juvederm Ultra XC, 1 syringe used. Patient treated by Emily Sespaniak, NP.
- [Case-7119](https://www.drkarenhorton.com/gallery/case/case-7119/) - Restylane Silk, 1 syringe used. Patient treated by Emily Sespaniak, NP.
- [Case-8245](https://www.drkarenhorton.com/gallery/case/case-8245/) - Juvederm Ultra XC, 1 syringe used. Patient treated by Emily Sespaniak, NP.
- [Case-32618](https://www.drkarenhorton.com/gallery/case/case-32618/) - Patient treated by Emily Sespaniak, NP.
- [Case-32617](https://www.drkarenhorton.com/gallery/case/case-32617/) - Patient treated by Emily Sespaniak, NP.
- [Case-5797](https://www.drkarenhorton.com/gallery/case/case-5797/) - 1ml Juvederm to lips Patient treated by Emily Sespaniak, NP.
- [Case-5796](https://www.drkarenhorton.com/gallery/case/case-5796/) - 1ml Juvederm to lips Patient treated by Emily Sespaniak, NP.
- [Case-3906](https://www.drkarenhorton.com/gallery/case/case-3906/) - 1 mL Belotero to lines around mouth (Dermal Filler) Patient treated by Emily Sespaniak, NP.
- [Case-6830](https://www.drkarenhorton.com/gallery/case/case-6830/) - Patient treated by Emily Sespaniak, NP.
- [Case-5798](https://www.drkarenhorton.com/gallery/case/case-5798/) - 2 treatments of Sculptra (photos taken 1 year apart) Patient treated by Emily Sespaniak, NP.
- [Case-32657](https://www.drkarenhorton.com/gallery/case/case-32657/) - 1ml Juvederm Voluma XC injected into chin to create a more balanced side profile. Patient treated by Emily Sespaniak, NP.
- [Case-34326](https://www.drkarenhorton.com/gallery/case/case-34326/) - Botox was injected to crow's feet around the eyes as well as the horizontal forehead lines Patient treated by Emily Sespaniak, NP.
- [Case-34288](https://www.drkarenhorton.com/gallery/case/case-34288/) - After one treatment of Botox to scowl lines (11's) & crows feet around the eyes Patient treated by Emily Sespaniak, NP.
- [Case-32516](https://www.drkarenhorton.com/gallery/case/case-32516/) - After Botox treatment of the scowl lines/"11"s Patient treated by Emily Sespaniak, NP.
- [Case-8281](https://www.drkarenhorton.com/gallery/case/case-8281/) - Botox Cosmetic to soften crow's feet around the eyes. 'After' photos taken 2 weeks post-treatment. Patient treated by Emily Sespaniak, NP.
- [Case-8243](https://www.drkarenhorton.com/gallery/case/case-8243/) - Botox Cosmetic to address the "11's" between the brows. Result is a smoother, more refreshed appearance as well as a subtle brow lift. Patient treated by Emily Sespaniak, NP.
- [Case-8232](https://www.drkarenhorton.com/gallery/case/case-8232/) - This is our very own Dr. Horton showing the great results that Botox can achieve softening crows' feet at age 45! Patient treated by Emily Sespaniak, NP.
- [Case-6827](https://www.drkarenhorton.com/gallery/case/case-6827/) - Patient treated by Emily Sespaniak, NP.
- [Case-5795](https://www.drkarenhorton.com/gallery/case/case-5795/) - Top photos- at rest Bottom photos- smiling Botox for crow's feet Patient treated by Emily Sespaniak, NP.
- [Case-2859](https://www.drkarenhorton.com/gallery/case/case-2859/) - Patient treated by Emily Sespaniak, NP.
- [Case-2856](https://www.drkarenhorton.com/gallery/case/case-2856/) - Patient treated by Emily Sespaniak, NP.
- [Case-2855](https://www.drkarenhorton.com/gallery/case/case-2855/) - Patient treated by Emily Sespaniak, NP.
- [Case-8941](https://www.drkarenhorton.com/gallery/case/case-8941/) - A conservative amount of Botox Cosmetic was injected into the horizontal forehead lines and "scowl lines" between the brows. The result is a smoother, rejuvenated appearance with natural movement preserved. Results observed at 2 weeks post-injection. Patient treated by Emily Sespaniak, NP.
- [Case-33132](https://www.drkarenhorton.com/gallery/case/case-33132/) - Patient treated by Emily Sespaniak, NP.
- [Case-37638](https://www.drkarenhorton.com/gallery/case/case-37638/) - Before and after bilateral breast revision in a 48-year-old breast cancer survivor. She was several years out from a right mastectomy and implant reconstruction with a balancing breast augmentation and lift on the left. She had a significant animation deformity, seen when she flexed her muscles, and asymmetry that caused her to carefully plan which
- [Case-37332](https://www.drkarenhorton.com/gallery/case/case-37332/) - Before and after labiaplasty in a 19-year-old woman. She experienced discomfort with exercise and sex and wanted to be able to be as physically active as she wanted without thinking about her labia and needing to wear particular underwear to avoid pulling of her labia. A labiaplasty trimmed excess labia minora tissue - surgery was
- [Case-37324](https://www.drkarenhorton.com/gallery/case/case-37324/) - Before and after labiaplasty in a 39-year-old woman. She disliked the look of her long and dark labia minora and was hoping for a neater, tidier appearance to her external genitalia. She had recently been through a breakup and had some time for “self care” before going back out on the dating market. A labiaplasty
- [Case-37323](https://www.drkarenhorton.com/gallery/case/case-37323/) - Before and after labiaplasty in a 50-year-old woman. She was an avid runner and experienced pain every time she ran longer than ten minutes. A labiaplasty trimmed excess hanging, long labia minora tissue. After surgery, she took a full month off exercise and gradually increased her activity afterward. Follow up photos are shown a year
- [Case-37305](https://www.drkarenhorton.com/gallery/case/case-37305/) - Before and after liposuction of the body in a 50-year-old woman. She had accumulated excess fat in her belly region after having children. She did not want a fully tummy tuck – instead, just to have less fat there. At the same time as a breast revision procedure, liposuction permanently removed fat from her upper
- [Case-37304](https://www.drkarenhorton.com/gallery/case/case-37304/) - Before and after post-weight loss fleur-de-lis vertical abdominoplasty and liposuction in a 35-year-old woman who had lost 110 pounds prior to meeting us through major lifestyle changes and hard work – well before today’s GLP-1 medications and without undergoing other weight loss surgeries that are currently available. Her post-weight loss body contouring involved excision of
- [Case-37300](https://www.drkarenhorton.com/gallery/case/case-37300/) - Before and after umbilicoplasty in a 41-year-old woman. After a twin pregnancy and two additional pregnancies, she developed an abnormal appearance to her belly button. She did not want a fully tummy tuck, but instead to create a more normal appearance to her navel. An umbilicoplasty did just that – through an incision all the
- [Case-37299](https://www.drkarenhorton.com/gallery/case/case-37299/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 46-year-old woman. A breast reduction removed approximately three quarters of a pound of excess breast tissue from each breast, with slightly more removed from her right larger side. Her remaining breast tissue was lifted and reshaped using the auto-augmentation
- [Case-37298](https://www.drkarenhorton.com/gallery/case/case-37298/) - Before and after bilateral breast reduction and lift in a 26-year-old woman. Her breasts were out of proportion to her relatively small frame, and their size and weight limited her from being able to exercise without two or three sports bras and from shopping for clothes without frustration and embarrassment since she could never zip
- [Case-37297](https://www.drkarenhorton.com/gallery/case/case-37297/) - Before and after male abdominoplasty and ultrasound-assisted liposuction of the body in a 50-year-old man. He acknowledge that he had entered “MAN-opause,” where he gained weight and stored excess fat despite leading a healthy lifestyle and exercising twice a week. He had a combination of subcutaneous fat under his skin but outside the abdominal cavity
- [Case-37296](https://www.drkarenhorton.com/gallery/case/case-37296/) - Before and after bilateral delayed breast reconstruction with DIEP flaps in a 59-year-old breast cancer survivor. She had previously undergone bilateral non-nipple-sparing mastectomies, chemotherapy and right chest wall radiation for breast cancer. She was never offered breast reconstruction since she was “too fat.” She lived with the deformity you see for a decade before she
- [Case-37231](https://www.drkarenhorton.com/gallery/case/case-37231/) - Before and after bilateral breast augmentation and right mastopexy with liposuction of the axillary rolls in a 36-year-old woman. After breastfeeding her children, she found that her breasts were completely deflated and devoid of shape and volume. A breast augmentation helped to restore lost volume. Smooth round silicone gel breast implants were placed on top
- [Case-37230](https://www.drkarenhorton.com/gallery/case/case-37230/) - Before and after bilateral inverted nipple correction in a 36-year-old woman. She felt self-conscious about her nipple asymmetry and the fact that her right nipple never fully came out. She was relieved to learn that cosmetic nipple surgery can be done awake, under local anesthesia with only two weeks of downtime. Her nipples were brought
- [Case-37229](https://www.drkarenhorton.com/gallery/case/case-37229/) - Before and after bilateral breast implant reconstruction revision with liposuction of the axillary rolls in a 59-year-old breast cancer survivor. Her implants had a significant animation deformity due to their placement under the muscle. She wanted relief of her pain and tightness and sought us out due to our preference of always putting implants ON
- [Case-37228](https://www.drkarenhorton.com/gallery/case/case-37228/) - Before and after bilateral breast implant revision in a 27-year-old woman. Her submuscular implants had superior malposition (higher on her right dominant side due to muscle contraction), a severe animation deformity, breast asymmetry and physical symptoms including pain and tightness. She wanted to keep an implant but to have “normal looking boobs” and to be
- [Case-37227](https://www.drkarenhorton.com/gallery/case/case-37227/) - Before and after bilateral explantation and mastopexy in a 51-year-old patient. Her saline breast implants had been in place for over twenty years, and she was tired of them. She felt they made her look top-heavy and matronly. She wanted a lifted but natural look to her breasts. Explantation was performed in the office under
- [Case-37226](https://www.drkarenhorton.com/gallery/case/case-37226/) - Before and after bilateral implant reconstruction via breast augmentation and nipple reduction and liposuction of the axillary rolls in a 45-year-old breast cancer survivor. Following a large left lumpectomy, she had an indented and stiff left breast and obvious asymmetry between the breasts. Her reconstruction involved placement of smooth round silicone gel breast implants bilaterally
- [Case-37225](https://www.drkarenhorton.com/gallery/case/case-37225/) - Before and after bilateral breast revision with liposuction of the axillary rolls in a 41-year-old BRCA gene positive breast cancer “previvor”. She had previously undergone bilateral mastectomies with implant reconstruction in the submuscular position after surviving ovarian cancer and finding out she was BRCA+. She experienced chronic pain and tightness in her chest due to
- [Case-37224](https://www.drkarenhorton.com/gallery/case/case-37224/) - Before and after bilateral breast revision with liposuction of the axillary rolls in a 56-year-old woman. She had significant complications after past cosmetic breast surgery resulting in necrosis and loss of her left nipple, unsightly scarring and breast asymmetry. She felt ashamed of her breasts and found getting dressed and undressed a constant reminder of
- [Case-37214](https://www.drkarenhorton.com/gallery/case/case-37214/) - Before and after liposuction of the abdomen and flanks at the same time as a breast reduction and lift with liposuction of the axillary rolls in a 46-year-old woman. She had felt unable to exercise and be physically active due to the large size of her breasts. Liposuction removed three liters of fat from her
- [Case-37213](https://www.drkarenhorton.com/gallery/case/case-37213/) - Before and after liposuction of the neck in a 27-year-old woman. She was of normal weight and healthy but had an annoying collection of fat under her chin. She wanted a more sculpted jawline but did not want to “go under the knife.” While all Plastic Surgery procedures generally involve making some sort of incision,
- [Case-37212](https://www.drkarenhorton.com/gallery/case/case-37212/) - Before and after bilateral breast reconstruction revision in a 67-year-old breast cancer survivor. Her submuscular implants were contracted, painful and deformed. After having several breast implant revision surgeries with a worse outcome each time, she was elated to know that she had another option – using her body’s own tissue! The old saline implants were
- [Case-37211](https://www.drkarenhorton.com/gallery/case/case-37211/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 32-year-old woman. She had not yet had children and wanted to lose some weight, but her breasts were limiting her from exercising effectively. A breast reduction removed nearly two pounds of excess breast tissue from each side. Her breasts
- [Case-37210](https://www.drkarenhorton.com/gallery/case/case-37210/) - Before and after liposuction of the inner and outer thighs and buttock roll (banana roll) in a 35-year-old woman. She knew she was “pear-shaped,” and she embraced her curves, but she wanted to have a slightly less full area in the posterior hips and thighs. Liposuction permanently removed 2700 cc of fat from these areas
- [Case-37209](https://www.drkarenhorton.com/gallery/case/case-37209/) - Before and after bilateral breast augmentation in a 46-year-old woman. She had nicely shaped breasts that had lost volume after becoming a mother – she just wanted a little more upper pole fullness, but to still look natural. She usually wore a padded bra, and her goal was to have that look without needing to
- [Case-37149](https://www.drkarenhorton.com/gallery/case/case-37149/) - Before and after bilateral mastopexy with liposuction of the axillary rolls in a 43-year-old woman with congenital breast asymmetry. She had droopy breasts and was looking for a lifted and natural looking breast without being significantly larger or smaller. She was a candidate for an auto-augmentation breast lift. This technique removes skin and performs a
- [Case-37148](https://www.drkarenhorton.com/gallery/case/case-37148/) - Before and after bilateral breast reduction and lift as reconstruction in a 44-year-old woman with left breast cancer. She had been contemplating a breast reduction for years, and now with a recent diagnosis of breast cancer, she had two goals at once – treat her breast cancer and get smaller and lifted breasts! The preoperative
- [Case-37147](https://www.drkarenhorton.com/gallery/case/case-37147/) - Before and after right breast delayed DIEP flap reconstruction and left balancing mastopexy (breast lift) in a 57-year-old breast cancer survivor. Following several large lumpectomies on the right, chemotherapy and radiation therapy, she had an implant-based reconstruction which failed due to recurrent infection and implant extrusion (it came through the skin). She waited a couple
- [Case-37146](https://www.drkarenhorton.com/gallery/case/case-37146/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 44-year-old woman. Her breasts had been causing discomfort and strain in her shoulders, upper back and neck for over thirty years – she was DONE! A breast reduction removed nearly two pounds of excess breast tissue from each side.
- [Case-37145](https://www.drkarenhorton.com/gallery/case/case-37145/) - Before and after bilateral DIEP flap reconstructions in a 39-year-old breast cancer survivor. After being diagnosed with breast cancer at age 35 and having a right mastectomy and chemotherapy, she underwent genetic testing and found out she was BRCA gene positive. She chose to have a left risk-reducing prophylactic mastectomy and bilateral breast reconstruction. After
- [Case-37099](https://www.drkarenhorton.com/gallery/case/case-37099/) - Before and after bilateral inverted nipple correction in a 33-year-old woman. She felt self-conscious about her nipples and wanted them to “be more out”. An inverted nipple correction procedure was performed under local anesthesia with inhaled laughing gas and an oral anti-anxiety medication to help relax her. After surgery, she worked from home for a
- [Case-37098](https://www.drkarenhorton.com/gallery/case/case-37098/) - Before and after liposuction of the abdomen and flanks in a 42-year-old woman. At the same time as a breast reduction and liposuction of the axillary rolls, she wanted to improve the contour of her mid-section. Liposuction permanently removed over three liters of fat from her upper and lower abdomen, pubic region, and anterior flanks/love
- [Case-37097](https://www.drkarenhorton.com/gallery/case/case-37097/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 42-year-old woman with macromastia and congenital breast asymmetry. She wanted her breasts to be smaller, lifted and more symmetric. A breast reduction removed nearly two pounds of excess tissue from each breast, with more weight removed from her left
- [Case-37096](https://www.drkarenhorton.com/gallery/case/case-37096/) - Before and after bilateral breast revision in a 37-year-old BRCA gene-positive woman. She had previously undergone bilateral prophylactic nipple-sparing mastectomies and immediate implant reconstructions. Her implants were under the muscle and sitting abnormally high due to their submuscular placement. Her breast revision involved removal of her old textured implants, replacement of the pectoralis major muscles
- [Case-37095](https://www.drkarenhorton.com/gallery/case/case-37095/) - Before and after bilateral breast reconstruction revision in a 56-year-old woman who was a twenty-year breast cancer survivor. She had previously undergone bilateral mastectomies, chemotherapy and implant reconstruction, with removal of her right nipple due to her tumor details. She experienced chronic pain and tightness due to her under-the-muscle placement of implants for her breast
- [Case-36988](https://www.drkarenhorton.com/gallery/case/case-36988/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 33-year-old woman with significant macromastia and the highest degree of breast droop (Grade III ptosis). She wanted a significant reduction of her breast size and a more round and lifted breast shape. A breast reduction removed over 1000 grams
- [Case-36987](https://www.drkarenhorton.com/gallery/case/case-36987/) - Before and after bilateral nipple-sparing mastectomies and immediate breast implant reconstructions with a lift in a 41-year-old woman with breast cancer. Her cancer was not extensive and only on one side, but she chose to have a double mastectomy with immediate reconstruction based on her age and since she had young children, in order to
- [Case-36977](https://www.drkarenhorton.com/gallery/case/case-36977/) - Before and after bilateral mastectomies and DIEP flap breast reconstruction in a 45-year-old woman with invasive breast cancer. She had recently undergone a left lumpectomy which had positive margins for cancer cells and needed a completion mastectomy. She chose to have a bilateral mastectomy, given the details of her cancer diagnosis. She wanted to use
- [Case-36976](https://www.drkarenhorton.com/gallery/case/case-36976/) - Before and after MACS lift with liposuction of the neck in a 65-year-old woman. She not only felt like she had a double chin, she claimed she had three chins! She did not want to look pulled too tight or to change her appearance to look like someone else – instead, she wanted to sculpt
- [Case-36968](https://www.drkarenhorton.com/gallery/case/case-36968/) - Before and after bilateral breast revision with liposuction of the axillary rolls in a 69-year-old woman. Her previously placed breast implants had developed capsular contracture with associated pain and deformity. The right implant sat up much higher than the left, which made her embarrassed to wear normal shirts that showed her upper chest. She had
- [Case-36967](https://www.drkarenhorton.com/gallery/case/case-36967/) - Before and after liposuction of the neck in a 53-year-old woman. At the same time as a breast implant removal and breast lift surgery, she wanted to improve the appearance of her neck – but to minimize scars that would have been required for a full neck lift. Liposuction of the neck removed 75 cc
- [Case-36782](https://www.drkarenhorton.com/gallery/case/case-36782/) - Before and after abdominoplasty with liposuction of the body in a 36-year-old woman. After three pregnancies, she had developed rectus diastasis – permanent separation of the rectus abdominis muscles that caused an abdominal bulge and loss of definition of her waistline. An abdominoplasty removed excess lower abdominal skin and fat, repaired her muscles back together
- [Case-36769](https://www.drkarenhorton.com/gallery/case/case-36769/) - Before and after labiaplasty in a 34-year-old woman. Her long labia minora was causing discomfort, pulling and swelling to her genital region every time she exercised or wore tight pants. She wanted to reduce the length of her labia but maintain a normal and natural looking result. A labiaplasty using the “trim technique” removed much
- [Case-36661](https://www.drkarenhorton.com/gallery/case/case-36661/) - Before and after bilateral breast reconstruction revision using the DIEP flap in a 59-year-old breast cancer survivor. Her painful breast implant reconstructions were electively removed six months previously to give her body a break before she felt ready to proceed with free flap reconstruction. Skin and fat was microvascularly transplanted from her lower abdomen to
- [Case-31648](https://www.drkarenhorton.com/gallery/case/case-31648/) - Before and after breast reconstruction revision in a 58-year-old breast cancer survivor. She previously had a left non-nipple-sparing mastectomy, tissue expander reconstruction, chemotherapy and radiation to her left chest. Scar tissue had contracted around the expander, creating a pointy implant “knuckle” from a sharp fold created by scar around the device. Two years after her
- [Case-31430](https://www.drkarenhorton.com/gallery/case/case-31430/) - Before and after left non-nipple-sparing mastectomy and DIEP flap reconstruction in a 60-year-old woman with breast cancer. Her aesthetic goal was to be fuller than her preoperative breast volume. Therefore, a balancing breast augmentation was planned at the same time for the right breast. For the left breast, lower abdominal skin and fat were microsurgically
- [Case-30465](https://www.drkarenhorton.com/gallery/case/case-30465/) - Before and after DIEP flap breast reconstruction in a 48-year-old breast cancer survivor. She had significant scoliosis that accentuated her asymmetry after her non-skin sparing mastectomy. Her goal was to regain the former fullness of her breasts she had before having children. A DIEP flap designed to use nearly her entire abdominal tissue reconstructed her
- [Case-30463](https://www.drkarenhorton.com/gallery/case/case-30463/) - Before and after left delayed implant reconstruction in a 71-year-old breast cancer survivor. Unfortunately, she was not offered the option to have breast reconstruction nor to save her nipple when she was diagnosed with breast cancer over 30 years ago. Since that time, she learned about the pros and cons of implants and autogenous tissue
- [Case-30224](https://www.drkarenhorton.com/gallery/case/case-30224/) - Before and after bilateral mastectomies and autogenous tissue abreast reconstruction with a combination of bilateral DIEP flaps and secondary implants placed beneath the flaps in a 34-year-old breast cancer survivor who had positive margins after a large lumpectomy. She wanted to use her own tissue for her breast reconstruction and was an excellent candidate for
- [Case-29170](https://www.drkarenhorton.com/gallery/case/case-29170/) - Before and after bilateral DIEP flap breast reconstruction in a 59 year old breast cancer survivor. Her previous implant reconstructions had failed due to left nipple and areola necrosis and severe infection. Once her infection and edema (firm swelling and tissue engorgement) had resolved, she sought breast reconstruction using her own tissue. Skin and fat
- [Case-20455](https://www.drkarenhorton.com/gallery/case/case-20455/) - Before and after left delayed breast reconstruction with a DIEP flap in a 46-year-old breast cancer survivor who had previously had a breast reduction. She was not offered reconstruction at the time of her mastectomy, which is tragic but unfortunately happens more often than is acceptable. A DIEP flap reconstructed her left breast using skin
- [Case-19379](https://www.drkarenhorton.com/gallery/case/case-19379/) - Before and after bilateral breast reconstruction revision in a 52 year old breast cancer survivor who had previously undergone bilateral mastectomies, chemotherapy and right chest wall radiation. She had uncomfortable submuscular implants. The right implant had failed due to infection and required urgent removal. Her left breast implant had bottomed out and were creating pain
- [Case-19376](https://www.drkarenhorton.com/gallery/case/case-19376/) - Before and after left delayed DIEP flap breast reconstruction in a 49 year old breast cancer survivor. She had previously completed neoadjuvant chemotherapy and a non-nipple sparing mastectomy, to be followed by radiation to her axilla. She was not offered breast reconstruction!! Following completion of her radiation therapy, she waited 6 months before having breast
- [Case-18367](https://www.drkarenhorton.com/gallery/case/case-18367/) - Before and after bilateral DIEP flap breast reconstructions with postoperative radiation to the right chest in a 55 year old woman with right breast cancer. She wished to use her own body’s fat to reconstruct her breasts. She knew she likely needed radiation therapy postoperatively and chemotherapy based on her tumor details. When radiation is
- [Case-17635](https://www.drkarenhorton.com/gallery/case/case-17635/) - Before and after left DIEP flap breast reconstruction in a 55 year old breast cancer survivor. She previously had undergone two large left lumpectomies, radiation therapy and chemotherapy. She had attempted an implant reconstruction on the left but due to wound healing problems secondary to radiation, the implant required removal. She had enough lower abdominal
- [Case-15548](https://www.drkarenhorton.com/gallery/case/case-15548/) - Before and after breast reconstruction in a 59 year old breast cancer survivor. She had completed chemotherapy and radiation, and unfortunately was never offered breast reconstruction. She had an overabundance of lower abdominal fat and was a great candidate for the DIEP flap. Her left breast was heavy and pendulous, and her goal was to
- [Case-14904](https://www.drkarenhorton.com/gallery/case/case-14904/) - Before and after left sided mastectomy and immediate DIEP flap breast reconstruction in a 42 year old woman. Her nipple and areola was low and her breasts were pendulous, even more so on the left side where her breast cancer was located. Like many DIEP flap patients, she wanted a natural breast reconstruction without the
- [Case-14675](https://www.drkarenhorton.com/gallery/case/case-14675/) - Before and after bilateral delayed DIEP flap in a 54 year old woman who was treated surgically for breast cancer but was never offered breast reconstruction (which breaks our heart!). She did not require chemotherapy and radiation and she took it upon herself to learn about her reconstructive options. Two years later, she learned about
- [Case-14422](https://www.drkarenhorton.com/gallery/case/case-14422/) - Before and after left nipple sparing mastectomy and immediate DIEP flap in a 61 year old woman with breast cancer. Her goal was to be reconstructed slightly fuller than her current breast size. A balancing right augmentation was planned at the same time. Her mastectomy incision was hidden under her left breast. A DIEP
- [Case-13425](https://www.drkarenhorton.com/gallery/case/case-13425/) - Before and after bilateral DIEP flap in a 45 year old breast cancer survivor. She had previously undergone bilateral skin sparing mastectomies with removal of her nipples and tissue expander reconstruction. Although she had asked about using her own tissue for reconstruction, local surgeons did not perform this surgery and she was not encouraged to
- [Case-11398](https://www.drkarenhorton.com/gallery/case/case-11398/) - Before and after bilateral DIEP flap breast reconstruction in a 41 year old woman with an unrelated skin condition. She had previously had bilateral nipple sparing mastectomies and implant reconstructions for bilateral breast cancer. She also had a positive family history for breast cancer, with her mother passing away from breast cancer at age 39.
- [Case-11396](https://www.drkarenhorton.com/gallery/case/case-11396/) - Before and after left DIEP flap breast reconstruction in a 67 year old breast cancer survivor who previously had a lumpectomy and intense radiation to her left breast. She had a hard, contracted and deformed left breast, a hanging and oversized right breast and an overabundance of lower abdominal skin and fat to work with!
- [Case-36768](https://www.drkarenhorton.com/gallery/case/case-36768/) - Before and after bilateral DIEP flap breast reconstruction n a 64 year old woman. She previously had bilateral lumpectomies and radiation therapy, with significant radiation damage. She sought relief of her chronic pain from deep scar tissue and improvement of her breast deformity that prevented her from swimming with her grandchildren. She required bilateral completion
- [Case-11393](https://www.drkarenhorton.com/gallery/case/case-11393/) - Before and after bilateral DIEP flap breast reconstruction n a 64 year old woman. She previously had bilateral lumpectomies and radiation therapy, with significant radiation damage. She sought relief of her chronic pain from deep scar tissue and improvement of her breast deformity that prevented her from swimming with her grandchildren. She required bilateral completion
- [Case-36767](https://www.drkarenhorton.com/gallery/case/case-36767/) - Before and after breast reconstruction revision from a contracted implant to a DIEP flap. This 61 year old woman had breast cancer in her 40s and was now a 20 year breast cancer survivor. Her right implant for reconstruction had been operated on multiple times for recurrent contracture, as she was DONE. She had a
- [Case-11392](https://www.drkarenhorton.com/gallery/case/case-11392/) - Before and after breast reconstruction revision from a contracted implant to a DIEP flap. This 61 year old woman had breast cancer in her 40s and was now a 20 year breast cancer survivor. Her right implant for reconstruction had been operated on multiple times for recurrent contracture, as she was DONE. She had a
- [Case-10797](https://www.drkarenhorton.com/gallery/case/case-10797/) - Before and after delayed left DIEP flap breast reconstruction in a 46 year old breast cancer survivor. She had previously undergone left mastectomy and implant reconstruction which failed due to infection and required removal. She had chemotherapy and radiation therapy and was over one year from the end of her left chest wall radiation. She
- [Case-10783](https://www.drkarenhorton.com/gallery/case/case-10783/) - Before and after delayed left DIEP flap breast reconstruction and right breast reduction and lift in a 58 year old woman. She had recently completed chemotherapy and radiation to her left chest wall after a left non-skin sparing mastectomy for breast cancer. She had an oversized, heavy and pendulous right breast and had always wanted
- [Case-10817](https://www.drkarenhorton.com/gallery/case/case-10817/) - Before and after bilateral DIEP flap breast reconstruction in a 39 year old breast cancer survivor. She had previously been treated for a right breast cancer with a non-skin sparing mastectomy and chemotherapy. Despite a strong family history for breast cancer and a young age at diagnosis, she had not been offered genetic testing! We
- [Case-10744](https://www.drkarenhorton.com/gallery/case/case-10744/) - Before and after bilateral mastectomies and immediate breast reconstruction using the DIEP flap in a 32 year old woman with aggressive breast cancer. She had completed neoadjuvant chemotherapy for a large left breast cancer that was involving skin, and she knew she required radiation therapy. Flap surgery does not need to be delayed until after
- [Case-10741](https://www.drkarenhorton.com/gallery/case/case-10741/) - Before and after bilateral DIEP flap reconstruction in a 63 year old woman. She previously had a right lumpectomy and radiation and had a recurrent or new right breast cancer. She tested positive for the BRCA gene and chose to have bilateral mastectomies and immediate breast reconstruction using her own tissue. She was an ideal
- [Case-10718](https://www.drkarenhorton.com/gallery/case/case-10718/) - Before and after DIEP flap breast reconstruction in a 55 year old woman with a recurrent unusual breast growth called Phylloides tumor. She had failed breast conservation and required a mastectomy and reconstruction. She wished to be reconstructed smaller than her current breast size. A right mastectomy was designed through a breast reduction pattern. Her
- [Case-10703](https://www.drkarenhorton.com/gallery/case/case-10703/) - Before and after bilateral DIEP flap breast reconstruction in a 62 year old woman. She previously had a right mastectomy and tissue expander reconstruction and was unhappy with the outcome. She chose to have a left prophylactic mastectomy and bilateral reconstructions using her own tissue. A left nipple sparing mastectomy was done through a scar
- [Case-10699](https://www.drkarenhorton.com/gallery/case/case-10699/) - Before and after DIEP flap breast reconstruction in a 57 year old woman. She had a left breast cancer and required a skin sparing mastectomy. Unfortunately, her left nipple and areola required removal due to tumor involvement. She did not want an implant for reconstruction and wanted a “one and done” reconstruction as much as
- [Case-10593](https://www.drkarenhorton.com/gallery/case/case-10593/) - Before and after DIEP flap breast reconstruction in a 43 year old woman. She had an aggressive left breast cancer that was previously treated with non-nipple sparing mastectomy, chemotherapy and radiation. Unfortunately, she lost her left implant placed for reconstruction due to infection. She waited a year for all post-infection edema (swelling) to resolve and
- [Case-10619](https://www.drkarenhorton.com/gallery/case/case-10619/) - Before and after bilateral nipple sparing mastectomies and immediate breast reconstruction with the DIEP flap. This patient had an aggressive breast cancer and was diagnosed with the BRCA gene. She arranged to have a bilateral oophorectomy (ovary removal) at the same procedure. Her breast skin was preserved, and her breasts reconstructed using fat from her
- [Case-10547](https://www.drkarenhorton.com/gallery/case/case-10547/) - Before and after bilateral mastectomies and immediate breast reconstruction with the DIEP flap in a 50 year old woman. She had a right breast cancer close to the nipple and areola – a skin sparing mastectomy was planned. She chose to have a prophylactic mastectomy on the left side and a bilateral DIEP flap reconstruction. Before surgery,
- [Case-10535](https://www.drkarenhorton.com/gallery/case/case-10535/) - Before and after DIEP flap and TUG flap breast reconstruction in a 67 year old woman. She had previously undergone a right mastectomy followed by chemotherapy and radiation. She wanted to use her own tissue for reconstruction of her right breast and she chose the DIEP flap. A DIEP flap microsurgically transplanted skin and fat
- [Case-10510](https://www.drkarenhorton.com/gallery/case/case-10510/)
- [Case-10584](https://www.drkarenhorton.com/gallery/case/case-10584/) - Before and after left delayed DIEP flap breast reconstruction in a 49 year old breast cancer survivor. She previously had a left nipple sparing mastectomy and chemotherapy with a failed implant reconstruction. Her implant required removal due to infection. She waited a year before attempting another reconstruction. While she was a candidate for a reattempt
- [Case-10514](https://www.drkarenhorton.com/gallery/case/case-10514/) - Before and after bilateral DIEP flap in a 32 year old woman with an aggressive left breast cancer. She had already undergone neoadjuvant chemotherapy to help shrink the tumor and required a non-skin-sparing left mastectomy. She elected to have a right mastectomy at the same time and bilateral breast reconstruction using her abdominal skin and
- [Case-11150](https://www.drkarenhorton.com/gallery/case/case-11150/) - Before and after bilateral DIEP flap breast reconstruction in a 52 year old breast cancer survivor. She previously had undergone bilateral skin sparing mastectomy and tissue expander and implant reconstruction, followed by chemotherapy and radiation to her right chest wall. Unfortunately, her right implant failed and required removal due to implant infection and exposure, which
- [Case-10601](https://www.drkarenhorton.com/gallery/case/case-10601/) - Before and after left nipple sparing mastectomy and DIEP flap reconstruction in a 41 year old woman with breast cancer. She had preoperative asymmetry of her breasts following a left lumpectomy that had positive margins. She was a candidate for implant reconstruction but she preferred to use her own tissue. She didn’t mind losing some
- [Case-10622](https://www.drkarenhorton.com/gallery/case/case-10622/) - Before and after right breast delayed DIEP flap reconstruction in a 54 year old woman. She initially was not ready to make a decision about breast reconstruction at the time of her cancer diagnosis, 15 years prior. At age 39, she required a mastectomy and completed her cancer treatment and recovered for several years, raising
- [Case-10537](https://www.drkarenhorton.com/gallery/case/case-10537/) - Before and after DIEP flap breast reconstruction in a 41 year old woman with left breast cancer. She previously had a left lumpectomy but her margins were positive. She needed a completion mastectomy with removal of her left nipple and areola complex. She was a candidate for either an implant or a flap; she chose
- [Case-10533](https://www.drkarenhorton.com/gallery/case/case-10533/) - Before and after left delayed DIEP flap breast reconstruction in a 50 year old woman. She had previously had a left mastectomy without reconstruction for breast cancer. She had recently completed chemotherapy and did not need radiation. She was offered a latissimus dorsi flap for reconstruction but she was left handed and did not want
- [Case-9586](https://www.drkarenhorton.com/gallery/case/case-9586/) - Before and after delayed DIEP flap breast reconstruction in a 59 year old woman. She had previously had a mastectomy followed by chemotherapy in another state, and a breast reduction several years ago. In her home state she was only offered an implant for reconstruction or procedures that sacrificed major muscles from her abdomen or
- [Case-9584](https://www.drkarenhorton.com/gallery/case/case-9584/) - Before and after bilateral explantation of completely submuscular implants previously placed for breast reconstruction and replacement with deep inferior epigastric artery perforator (DIEP) flap microvascular transplants. This patient had a severe motion deformity whenever she used her chest muscles. The implants were removed, her pectoralis major muscles were replaced to her chest wall to reconstruct
- [Case-10331](https://www.drkarenhorton.com/gallery/case/case-10331/) - Before and after right skin and areola sparing mastectomy and immediate reconstruction using the deep inferior epigastric artery perforator (DIEP) flap in a 36 year old woman with aggressive breast cancer. She completed neoadjuvant chemotherapy prior to having her mastectomy. Her nipple was removed on the right but her areola was preserved. Her right breast
- [Case-9590](https://www.drkarenhorton.com/gallery/case/case-9590/) - Before and after delayed DIEP flap breast reconstruction in a 55 year old woman. She had previously undergone a left mastectomy and chemotherapy but was unfortunately offered any reconstruction! She did not wish to have an implant for reconstruction and she had more than enough abdominal skin and fat to make a new breast. She
- [Case-10332](https://www.drkarenhorton.com/gallery/case/case-10332/) - Before and after unilateral DIEP flap breast reconstruction in a 63 year old woman with left breast cancer. After a lumpectomy, chemotherapy and radiation, she required a completion mastectomy for an ongoing area of concern in her left breast. Her left breast was reconstructed by using skin and fat from her abdomen. The DIEP flap
- [Case-9511](https://www.drkarenhorton.com/gallery/case/case-9511/) - Before and after partial breast reconstruction with the DIEP flap. This 56 year old woman had a past partial mastectomy for breast cancer, followed by chemotherapy and radiation. She did not wish to have a completion mastectomy. Her before images show that the bottom half of the breast was essentially missing, creating deformity and contributing
- [Case-11397](https://www.drkarenhorton.com/gallery/case/case-11397/) - Before and after delayed breast reconstruction in a 61 year old woman. She had a history of right sided breast cancer, chemotherapy and radiation with a failed right implant reconstruction. After having a lumpectomy scare on the left side, she chose to have a left completion mastectomy and a bilateral reconstruction using her body’s own
- [Case-10550](https://www.drkarenhorton.com/gallery/case/case-10550/) - Before and after bilateral DIEP flap breast reconstruction in a 53 year old woman. She had previously had bilateral skin sparing mastectomies followed by chemotherapy and left chest wall radiation. Her tissue expander on the left had become infected and required removal. She wanted to use her own body tissue for breast reconstruction. She was
- [Case-10457](https://www.drkarenhorton.com/gallery/case/case-10457/) - Before and after combined DIEP flap, TUG flap and sub-flap breast implants in a 58 year old woman. She had previous mastectomies followed by chemotherapy, left sided radiation therapy and submuscular implant reconstructions. Her muscles were extremely tight over her implants and she was unable to exercise or perform many activities of daily living. She
- [Case-20453](https://www.drkarenhorton.com/gallery/case/case-20453/) - Before and after bilateral prophylactic mastectomies and immediate DIEP flap reconstructions in a 27-year-old woman with the BRCA gene. She had finished having her babies and wanted to have risk reduction surgery and a Mommy Makeover at the same time! Her breasts were pendulous and large, and she was also a candidate for a breast
- [Case-12968](https://www.drkarenhorton.com/gallery/case/case-12968/) - Before and after delayed DIEP flap breast reconstruction in a 47 year old breast cancer survivor. She previously had undergone a left mastectomy followed by chemotherapy and radiation. She unfortunately required removal of her left chest tissue expander due to infection. She waited several years before she felt ready to try breast reconstruction again. She
- [Case-11149](https://www.drkarenhorton.com/gallery/case/case-11149/) - Before and after left breast DIEP flap reconstruction and a right breast lift in a 39 year old woman with breast cancer. She had previously had a lumpectomy with positive margins and required a completion mastectomy. She had enough abdominal tissue for an autogenous (autologous, meaning using the body’s own tissue) reconstruction on one side.
- [Case-10732](https://www.drkarenhorton.com/gallery/case/case-10732/) - Before and after delayed breast reconstruction in a 74 year old woman. She had a previous implant reconstruction on the left that failed. She required her own tissue for reconstruction and wanted to match her left augmented breast. A DIEP flap taken from the lower abdomen reconstructed her left breast. A small skin paddle was
- [Case-18366](https://www.drkarenhorton.com/gallery/case/case-18366/) - Before and after left delayed DIEP flap breast reconstruction in a 45 year old breast cancer survivor. She had completed chemotherapy and radiation after a non-skin sparing mastectomy. She was unfortunately never offered breast reconstruction – which is a legal right in California and the entire United States! She learned about the DIEP flap through
- [Case-36766](https://www.drkarenhorton.com/gallery/case/case-36766/) - Before and after revision of a breast reconstruction by replacement of a submuscular implant with a DIEP flap. This 58 year old woman previously had a right mastectomy and reconstruction with a submuscular tissue expander and implant reconstruction. She had a previous attempt at right nipple reconstruction, but it was placed too low and too
- [Case-10746](https://www.drkarenhorton.com/gallery/case/case-10746/) - Before and after revision of a breast reconstruction by replacement of a submuscular implant with a DIEP flap. This 58 year old woman previously had a right mastectomy and reconstruction with a submuscular tissue expander and implant reconstruction. She had a previous attempt at right nipple reconstruction, but it was placed too low and too
- [Case-10606](https://www.drkarenhorton.com/gallery/case/case-10606/) - Before and after bilateral breast reconstruction with a DIEP flap and a later TUG flap after breast cancer diagnoses one year apart. This 52 year old woman had a right breast cancer treated with a non-skin sparing mastectomy, chemotherapy and radiation therapy. A submuscular tissue expander and implant reconstruction was performed elsewhere. She did not
- [Case-33435](https://www.drkarenhorton.com/gallery/case/case-33435/) - Before and after left breast delayed reconstruction with a DIEP flap and right balancing breast augmentation in a 53-year-old breast cancer survivor. Her cancer treatment included a left simple mastectomy without chemotherapy or radiation. She was not offered the option to save her nipple or breast skin, nor was breast reconstruction discussed with her at
- [Case-29945](https://www.drkarenhorton.com/gallery/case/case-29945/) - Before and after bilateral DIEP flap breast reconstructions in a 55-year-old breast cancer survivor. You can see from her breast scars that she had been treated with several lumpectomies for bilateral invasive breast cancer. Because she had positive margins after the last lumpectomies, she required additional breast tissue removal. She elected to have bilateral nipple
- [Case-10431](https://www.drkarenhorton.com/gallery/case/case-10431/) - Before and after bilateral prophylactic mastectomies and immediate breast reconstruction with the DIEP flap in a 45 year old BRCA gene positive woman. She was terrified of surgery but even more terrified of getting breast cancer, given her family history and gene positivity. She had large, pendulous breasts and significant asymmetry of her breasts preoperatively.
- [Case-36765](https://www.drkarenhorton.com/gallery/case/case-36765/) - Before and after composite DIEP flap and breast implant reconstruction in a 46-year-old breast cancer survivor. She had a prior right mastectomy, chemotherapy and radiation therapy. She wanted to use her abdominal tissue for reconstruction, and to regain her prior breast fullness that she had lost after breastfeeding her children. She had enough abdominal skin
- [Case-34498](https://www.drkarenhorton.com/gallery/case/case-34498/) - Before and after composite DIEP flap and breast implant reconstruction in a 46-year-old breast cancer survivor. She had a prior right mastectomy, chemotherapy and radiation therapy. She wanted to use her abdominal tissue for reconstruction, and to regain her prior breast fullness that she had lost after breastfeeding her children. She had enough abdominal skin
- [Case-36764](https://www.drkarenhorton.com/gallery/case/case-36764/) - Before and after bilateral breast reconstruction revision in a 45-year-old breast cancer survivor. She previously had bilateral non-nipple sparing mastectomies and submuscular implant reconstructions. Her implants were big and baggy, with rippling and an animation deformity. She was looking for a more natural reconstruction result and was delighted to learn she was a candidate for
- [Case-33981](https://www.drkarenhorton.com/gallery/case/case-33981/) - Before and after bilateral breast reconstruction revision in a 45-year-old breast cancer survivor. She previously had bilateral non-nipple sparing mastectomies and submuscular implant reconstructions. Her implants were big and baggy, with rippling and an animation deformity. She was looking for a more natural reconstruction result and was delighted to learn she was a candidate for
- [Case-36763](https://www.drkarenhorton.com/gallery/case/case-36763/) - Before and after bilateral breast reconstruction revision in a 49-year-old breast cancer survivor. Her previously placed implants for reconstruction were contracted and painful, and after several past implant revisions, she wanted to have an autogenous tissue reconstruction. Her implants were removed along with the surrounding capsular scar tissue. Skin and fat was microsurgically transplanted from
- [Case-36751](https://www.drkarenhorton.com/gallery/case/case-36751/) - Before and after bilateral breast reduction and lift in a 26-year-old woman with breast asymmetry. She had lost weight recently and developed loss of structure and droop of her breasts, as if she had breastfed – which she had not! She was looking for slightly smaller, much more symmetric and lifted breasts. Approximately 200 grams
- [Case-36750](https://www.drkarenhorton.com/gallery/case/case-36750/) - Before and after abdominoplasty and liposuction of the abdomen and flanks in a 42-year-old woman. She chose to do her Mommy Makeover procedure stepwise, with a mastopexy and augmentation first, and two years later, her tummy tuck. Her goal was to “still look like a Mom,” but to have an improved figure and abdominal contour.
- [Case-36749](https://www.drkarenhorton.com/gallery/case/case-36749/) - Before and after bilateral mastopexy and augmentation with liposuction of the axillary rolls in a 40-year-old woman with congenital breast asymmetry and tubular breasts. Like many women with this breast shape, she did not care what size her breasts were as much as for them to have a more natural and “pretty” shape. Her goal
- [Case-36748](https://www.drkarenhorton.com/gallery/case/case-36748/) - Before and after bilateral nipple-sparing mastectomies and immediate breast implant reconstruction in a 43-year-old woman with breast cancer. Her breasts had significant droop – it was safest to preserve her nipples and areolas by removing them as free grafts and reapplying them higher up on the chest as free grafts. A combined breast cancer removal
- [Case-36747](https://www.drkarenhorton.com/gallery/case/case-36747/) - Before and after liposuction of the lower abdomen, buttock rolls (also called the “banana rolls”), inner and outer thighs in a 46-year-old woman. She was slender and physically active, but as she entered perimenopause, noticed she was starting to accumulate more fat in some “trouble areas.” She also had significant asymmetry of her thighs, with
- [Case-36746](https://www.drkarenhorton.com/gallery/case/case-36746/) - Before and after labiaplasty in a 31-year-old woman. At the same time as a breast augmentation, she wanted to trim excess labia minora tissue to have better comfort when exercising, wearing yoga pants or having sex. The excess length of her labia minora was trimmed using the “trim technique” while she was asleep for her
- [Case-36745](https://www.drkarenhorton.com/gallery/case/case-36745/) - Before and after bilateral breast augmentation in a 31-year-old woman. She was looking to be significantly larger than her natural breast size and to have a round, full, “somewhat fake-looking boobs.” She wore a heavily padded bra all the time and wished to have the results that she was creating in her bra – without
- [Case-36695](https://www.drkarenhorton.com/gallery/case/case-36695/) - Before and after bilateral breast implant revision with liposuction of the axillary rolls in a 39-year-old woman. Her submuscular implants were hard, contracted, painful with deformity – classified as Grade IV capsular contracture. Her revision involved removal of the old implants – which were ruptured, as seen in the last image – reconstruction of her
- [Case-36694](https://www.drkarenhorton.com/gallery/case/case-36694/) - Before and after mini-abdominoplasty with liposuction of the abdomen, flanks, pubic region, inner and outer thighs in a 35-year-old woman. After having children, she had accumulated excess fat in her lower body, and her C-section had left an uneven shelf of tissue in the lower abdominal area. She wanted to get rid of her “pooch”
- [Case-36692](https://www.drkarenhorton.com/gallery/case/case-36692/) - Before and after liposuction of the abdomen and flanks in a 35-year-old woman. At the same time as a breast lift with liposuction of the axillary rolls, she wanted to improve the contour of her midsection. Liposuction was performed while she was asleep under general anesthesia. Nearly three liters of excess fat was permanently removed
- [Case-36689](https://www.drkarenhorton.com/gallery/case/case-36689/) - Before and after bilateral mastopexy and liposuction of the axillary rolls in a 35-year-old woman with significant breast ptosis (droop). Her goal was to be around the same breast size but to have a lifted breast with a teardrop shape, without an implant. A mastopexy using the auto-augmentation technique of breast lifting and reshaping was
- [Case-36688](https://www.drkarenhorton.com/gallery/case/case-36688/) - Before and after bilateral nipple-sparing mastectomies and immediate breast implant reconstruction in a 65-year-old woman. She previously had undergone several lumpectomies in the past and left breast radiation and recently was diagnosed with recurrent breast cancer. Given her past experience, she wanted to minimize the amount of surgery she needed for reconstruction as she was
- [Case-36684](https://www.drkarenhorton.com/gallery/case/case-36684/) - Before and after bilateral breast revision in a 48-year-old woman. Her old saline implants had visible rippling seen through the breast skin and were spaced very far apart and contracted, causing deformity and pain. She felt embarrassed by her breasts and felt the need to “hide them” in most outfits. Her revision involved removal of
- [Case-36680](https://www.drkarenhorton.com/gallery/case/case-36680/) - Before and after left nipple-sparing mastectomy and immediate DIEP flap breast reconstruction in a 54-year-old woman with breast cancer. Thanks to her five biological children, she had enough abdominal tissue for two breast reconstructions, but only her left breast was affected, and she chose to leave her right breast alone. She also had “pectus excavatum”
- [Case-36679](https://www.drkarenhorton.com/gallery/case/case-36679/) - Before and after bilateral breast revision in a 40-year-old woman. Over twenty years previously, she underwent augmentation to correct congenital breast asymmetry. She had developed new asymmetry and wished to have a revision procedure to improve her results. Her goal was to be a little bigger than her current breast size and to have better
- [Case-36678](https://www.drkarenhorton.com/gallery/case/case-36678/) - Before and after liposuction of the neck in a 41-year-old woman. She wanted to improve the contour of her neck but to minimize downtime. Liposuction of the neck is offered to patients as an awake surgery procedure, under local anesthesia with an oral anti-anxiety medication and inhaled laughing gas. After surgery, she wore a compressive
- [Case-36677](https://www.drkarenhorton.com/gallery/case/case-36677/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 40-year-old woman. She had finished having children, and felt that now was the best time for a breast reduction. She wanted to be able to exercise more easily and to buy dresses that fit on the top and bottom
- [Case-36675](https://www.drkarenhorton.com/gallery/case/case-36675/) - Before and after left delayed breast reconstruction with a DIEP flap in a 57-year-old breast cancer survivor. She had previously undergone a left non-nipple sparing mastectomy and chemotherapy but was not offered breast reconstruction! This is extremely disappointing, as reconstruction of the breast is not only a legal right to women facing breast cancer, but
- [Case-36674](https://www.drkarenhorton.com/gallery/case/case-36674/) - Before and after liposuction of the body in a 44-year-old woman. Liposuction removed nearly five liters of fat from her upper and lower abdomen, circumferential flanks (this is often called “lipo 360” since the body is turned so fat can be removed all the way around the body), inner and outer thighs, banana roll (the
- [Case-36673](https://www.drkarenhorton.com/gallery/case/case-36673/) - Before and after bilateral breast revision in a 37-year-old breast cancer survivor. She had previously undergone bilateral nipple-sparing mastectomies, left breast radiation and chemotherapy. She suffered several postoperative infections, causing Grade IV capsular contracture that was associated with pain and deformity. Her left nipple was pointing toward the floor, which accentuated her asymmetry. Her revision
- [Case-36672](https://www.drkarenhorton.com/gallery/case/case-36672/) - Before and after left breast revision in a 45-year-old breast cancer survivor. Following bilateral nipple-sparing mastectomies and implant reconstruction, her left implant had migrated downward, causing bottoming-out and an abnormally high position of her left nipple and areola. This can happen due to violation of the inframammary fold attachments during a mastectomy. Her revision was
- [Case-36671](https://www.drkarenhorton.com/gallery/case/case-36671/) - Before and after labiaplasty in a 59-year-old woman. At the same time as a breast procedure, she wanted to trim excess length of her labia minora. A labiaplasty used the “trim technique” to trim only the excess labia minora that hung outside her labia majora. After surgery, she was already taking time off work to
- [Case-36670](https://www.drkarenhorton.com/gallery/case/case-36670/) - Before and after right explantation and DIEP flap reconstruction with a left balancing breast reduction and liposuction of the axillary rolls in a 41-year-old breast cancer survivor. After undergoing several lumpectomies, radiation, chemotherapy, a completion mastectomy and implant reconstruction, she sought relief of pain and tightness from capsular contracture. Her revision involved removal of the
- [Case-36669](https://www.drkarenhorton.com/gallery/case/case-36669/) - Before and after abdominoplasty and liposuction of the abdomen, anterior flanks, pubic region and upper inner thighs in a 40-year-old woman. Follow up photos are shown 2 years after surgery. Her scars are mature, and she has full recovery of sensation to her abdomen.
- [Case-36668](https://www.drkarenhorton.com/gallery/case/case-36668/) - Before and after left DIEP flap breast reconstruction and right balancing breast reduction and lift in a 55-year-old breast cancer survivor. After having a mastectomy and chemotherapy, she sought breast reconstruction in another city, since it was not offered to her in her hometown. Skin and fat was microvascularly transplanted from her lower abdomen to
- [Case-36657](https://www.drkarenhorton.com/gallery/case/case-36657/) - Before and after bilateral mastopexy and liposuction of the axillary rolls in a 51-year-old woman. She wanted a natural looking lift to her breasts and improved symmetry but did not want an implant or to be significantly smaller or larger-breasted. A breast lift using the local tissue rearrangement auto-augmentation technique reshaped her breasts and created
- [Case-32780](https://www.drkarenhorton.com/gallery/case/case-32780/) - Before and after liposuction of the arms in a 27-year-old woman. After losing a significant amount of weight, her arms still had excess fat that made wearing short-sleeved shirts uncomfortable. Since she was planning other major body contouring surgery, she did not want to add on a full brachioplasty (upper arm lift) with its attendant
- [Case-36663](https://www.drkarenhorton.com/gallery/case/case-36663/) - Before and after bilateral breast reconstruction revision using the DIEP flap in a 59-year-old breast cancer survivor. Her painful breast implant reconstructions were electively removed six months previously to give her body a break before she felt ready to proceed with free flap reconstruction. Skin and fat was microvascularly transplanted from her lower abdomen to the
- [Case-36660](https://www.drkarenhorton.com/gallery/case/case-36660/) - Before and after left breast revision in a 40-year-old woman. She had developed left breast capsular contracture after forgetting to take prophylactic antibiotics before a root canal, causing the implant to sit up higher on the chest and to look smaller and more narrow. Once scar tissue develops around a breast implant, it hardens and
- [Case-36659](https://www.drkarenhorton.com/gallery/case/case-36659/) - Before and after bilateral breast reconstruction revision in a 45-year-old woman with breast cancer. After bilateral mastectomies and implant reconstruction, she developed painful capsular contracture and deformity. Her revision involved removal of the old implants, capsulectomy to remove excess scar tissue and implant exchange. Her nipples and areolas were lifted to a higher position by
- [Case-36658](https://www.drkarenhorton.com/gallery/case/case-36658/) - Before and after bilateral inverted nipple correction in a 30-year-old woman. Her left nipple was more severely inverted than the right, but both nipples bothered her enough to seek correction. Inverted nipple correction was performed in the office under local anesthetic. After surgery, she wore a protective nipple donut cover to avoid pressure on her
- [Case-36656](https://www.drkarenhorton.com/gallery/case/case-36656/) - Before and after umbilicoplasty in a 51-year-old woman. At the same time as a breast lift, this patient wanted to have a more normal looking belly button. She had always had some degree of an “outie” navel, but post-pregnancy, it bulged outward even more and stretched in its diameter. An umbilicoplasty corrected her belly button
- [Case-36655](https://www.drkarenhorton.com/gallery/case/case-36655/) - Before and after liposuction of the arms in a 35-year-old woman. At the same time as having liposuction of her thighs, abdomen and flanks, she wanted to improve the contour of her upper arms. Liposuction permanently removed nearly 500 cc of fat (two cups!) from each arm through tiny incisions hidden in skin creases. After
- [Case-36654](https://www.drkarenhorton.com/gallery/case/case-36654/) - Before and after liposuction of the arms in a 51-year-old woman. At the same time as a breast revision and liposuction elsewhere on her body, she wanted to improve the contour of her arms. She had a slender physique and exercised as much as she could, but her upper arms had a layer of fat
- [Case-36653](https://www.drkarenhorton.com/gallery/case/case-36653/) - Before and after liposuction of the neck in a 53-year-old woman. She was starting to notice some early signs of aging of the neck such as laxity of her soft tissues and a small accumulation of fat under her chin. She did not want a full neck lift yet but wanted to improve her submental
- [Case-36652](https://www.drkarenhorton.com/gallery/case/case-36652/) - Before and after liposuction of the abdomen and flanks in a 40-year-old woman. She was healthy, physically fit and very active but still had some persistent, stubborn fat in her midsection. At the same time as a breast procedure, she wanted to remove some excess fat from her tummy region and love handles. Liposuction removed
- [Case-36628](https://www.drkarenhorton.com/gallery/case/case-36628/) - Before and after bilateral breast reduction and lift in a 31-year-old woman. She wanted a significant reduction in the size of her breasts to alleviate strain on her neck, shoulders and upper back. Over two pounds of excess tissue was removed from each breast. The remainder of her breast was lifted and reshaped using the
- [Case-36627](https://www.drkarenhorton.com/gallery/case/case-36627/) - Before and after liposuction of the inner and outer thighs and “banana roll” in a 34-year-old woman. She wanted to improve the contour of her thighs and to have a more slender look overall. Liposuction was performed with her asleep under general anesthesia as an outpatient procedure. Over a liter and a half of fat
- [Case-36626](https://www.drkarenhorton.com/gallery/case/case-36626/) - Before and after mastopexy and liposuction in the axillary rolls in a 34-year-old woman. Her breasts had lost their shape and structure after breastfeeding her children. She was looking for a lifted look to her breasts without an implant, and to have a natural teardrop shape as her outcome. A breast lift using the auto-augmentation
- [Case-36620](https://www.drkarenhorton.com/gallery/case/case-36620/) - Before and after bilateral breast reconstruction revision in a 57-year-old BRCA gene-positive breast cancer survivor. She previously had undergone bilateral mastectomies and implant reconstruction, chemotherapy and bilateral breast radiation for bilateral prior breast cancer development. She disliked the look and feel of her submuscular implants due to pain, rippling and a constantly cold feeling to
- [Case-36619](https://www.drkarenhorton.com/gallery/case/case-36619/) - Before and after bilateral breast reconstruction revision in a 57-year-old BRCA gene-positive breast cancer survivor. She previously had undergone bilateral mastectomies and implant reconstruction, chemotherapy and bilateral breast radiation for bilateral prior breast cancer development. She disliked the look and feel of her submuscular implants due to pain, rippling and a constantly cold feeling to
- [Case-36622](https://www.drkarenhorton.com/gallery/case/case-36622/) - Before and after bilateral breast implant removal and redo mastopexy in a 47-year-old woman with chronically contracted and painful breast implants. Because they were saline-filled implants, she elected to have them deflated first to “test-drive” how she would feel without the extra 275 cc of volume in her breasts. Two months after removal of the
- [Case-36621](https://www.drkarenhorton.com/gallery/case/case-36621/) - Before and after bilateral delayed breast implant reconstruction via breast augmentation with liposuction of the axillary rolls in a 59-year-old breast cancer survivor. After having a left lumpectomy and radiation therapy, she had breast asymmetry that resulted in her bras pulling to the right larger side. Her reconstruction involved placement of smooth round silicone gel
- [Case-36605](https://www.drkarenhorton.com/gallery/case/case-36605/) - Before and after liposuction of the body in a 55-year-old woman. At the same time as a breast revision procedure, she wished to improve the contour of her hips and thighs. Liposuction permanently removed fat from her posterior flanks and lower back region. After this outpatient procedure, she wore compression garments under her clothes for
- [Case-36549](https://www.drkarenhorton.com/gallery/case/case-36549/) - Before and after liposuction of the body in a 34-year-old woman. She wanted to reduce the amount of fat she had in her upper and lower abdomen, pubic region, upper inner thighs, anterior flanks and armpits. Liposuction permanently removed over four liters of excess fat. After surgery, she wore compression garments under her clothes for
- [Case-36548](https://www.drkarenhorton.com/gallery/case/case-36548/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 42-year-old woman. She wanted a significant reduction in the size of her breasts and to be able to run, play tennis and golf without her breasts getting in the way. A breast reduction and lift removed over a pound
- [Case-36547](https://www.drkarenhorton.com/gallery/case/case-36547/) - Before and after bilateral breast augmentation revision with liposuction of the axillary rolls in a 63-year-old woman. She previously had undergone breast augmentation with saline breast implants. The left one had suddenly deflated, resulting in her bra pulling toward the right larger breast and causing her to feel self-conscious in her workout tops. Since she
- [Case-36546](https://www.drkarenhorton.com/gallery/case/case-36546/) - Before and after bilateral explantation in a 55-year-old woman with saline breast implants. Her left implant had spontaneously several months previously – she now could see what her breasts would look like without implants, and she knew she wanted them out! Bilateral explantation was performed in our office operating room under local anesthesia, using her
- [Case-36545](https://www.drkarenhorton.com/gallery/case/case-36545/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 23-year-old woman with macromastia, Grade III ptosis (droop where the nipple is at the bottom of the breast) and congenital asymmetry of breast size. Her goal was to be significantly smaller and to have better symmetry of her breasts.
- [Case-36544](https://www.drkarenhorton.com/gallery/case/case-36544/) - Before and after right split earlobe repair and bilateral lobule piercing in a 33-year-old woman. Thanks to her rambunctious puppy several years ago, her right earring had pulled completely through her earlobe, resulting in a complete split. She had stopped wearing earrings altogether and her left ear piercing had essentially closed. A right lobule repair
- [Case-36543](https://www.drkarenhorton.com/gallery/case/case-36543/) - Before and after left earlobe repair and repiercing in a 45-year-old woman. She believed that years of talking on the phone and holding the earpiece to her left ear had caused stretching of the left earlobe piercing, causing it impossible for her to wear stud earrings without them falling through the hole. A lobule repair
- [Case-36542](https://www.drkarenhorton.com/gallery/case/case-36542/) - Before and after abdominoplasty and liposuction as part of a Mommy Makeover in a 39-year-old mother. After three full-term pregnancies and several big babies, her abdominal wall had lost its natural tone and developed countless stretch marks that served as a constant reminder of how much her body had changed, and how little control she
- [Case-36541](https://www.drkarenhorton.com/gallery/case/case-36541/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls as part of a Mommy Makeover in a 39-year-old mother. After three full-term pregnancies and breastfeeding her babies, her breasts became heavier and droopier, also increasing in size since having children. She wanted to maintain a proportional breast size to the
- [Case-36540](https://www.drkarenhorton.com/gallery/case/case-36540/) - Before and after Mommy Makeover including a breast reduction and lift, abdominoplasty and liposuction in a 39-year-old mother. After three full-term pregnancies and several big babies, her abdominal wall had lost its natural tone and developed countless stretch marks that served as a constant reminder of how much her body had changed, and how little
- [Case-36539](https://www.drkarenhorton.com/gallery/case/case-36539/) - Before and after bilateral breast augmentation with liposuction of the axillary rolls in a 37-year-old woman. While she had always been relatively small-breasted, pregnancy and nursing her three babies had robbed her of any volume her breasts had. She wanted to have the fullness of her breasts right after she finished breastfeeding – but before
- [Case-36538](https://www.drkarenhorton.com/gallery/case/case-36538/) - Before and after bilateral breast augmentation and liposuction of the axillary rolls in a 36-year-old woman. After breastfeeding her children, she lost the former fullness of her breasts. Her goal was to get her “old breasts back” and to look natural and “not too perky or fake.” Smooth round silicone gel breast implants were placed
- [Case-36458](https://www.drkarenhorton.com/gallery/case/case-36458/) - Before and after bilateral delayed breast reconstruction with the TUG flap and a later sub-flap implant in a 53-year-old breast cancer survivor. This patient previously had implants for reconstruction with severe, painful Grade IV capsular contracture. She elected to have her implants removed first, to give her body a break, before proceeding with a successful
- [Case-36453](https://www.drkarenhorton.com/gallery/case/case-36453/) - Before and after bilateral inverted nipple correction in a 21-year-old woman. She had always felt self-conscious about her inverted nipples, and now that she was working and had some disposable income, she felt it was time to proceed with this procedure! Nipple correction surgery is performed awake, under local anesthesia, with inhaled laughing gas and
- [Case-36463](https://www.drkarenhorton.com/gallery/case/case-36463/) - Before and after liposuction of the axillary rolls in a 55-year-old woman with significant armpit fat and breast tissue in the axillary tail region. At the same time as a breast reduction and lift, liposuction permanently removed fat and breast tissue from her armpits and bra rolls. Follow up photos are shown 9
- [Case-36462](https://www.drkarenhorton.com/gallery/case/case-36462/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 55-year-old woman with significant armpit fat and breast tissue in the axillary tail region. A breast reduction removed approximately a pound of excess breast tissue from each breast. The auto-augmentation technique of breast lift/local tissue rearrangement was used to
- [Case-36461](https://www.drkarenhorton.com/gallery/case/case-36461/) - Before and after bilateral breast augmentation revision in a 27-year-old woman with tubular breasts. Her previously placed saline breast implants had developed asymmetry and capsular contracture since they were placed over ten years ago. Her goals were to be fuller and rounder, with improved symmetry, and to switch to silicone gel breast implants. Using her
- [Case-36460](https://www.drkarenhorton.com/gallery/case/case-36460/) - Before and after labiaplasty in a 27-year-old woman. She was uncomfortable wearing certain types of pants and felt self-conscious in a bathing suit, worried that her long labia minora would slip out of place. A labiaplasty using the trim technique removed excess length of her labia minora but maintained a normal and natural appearance to
- [Case-36459](https://www.drkarenhorton.com/gallery/case/case-36459/) - Before and after right TUG flap microsurgical breast reconstruction in a 40-year-old woman with recurrent breast cancer. Following neoadjuvant chemotherapy to shrink her breast cancer, she required a right mastectomy and reconstruction. She felt strongly she did not want an implant, although she certainly was a candidate for implant-based breast reconstruction. Skin and fat from
- [Case-36457](https://www.drkarenhorton.com/gallery/case/case-36457/) - Before and after liposuction of the arms in a 39-year-old woman. At the same time as a breast augmentation and liposuction of her abdomen and flanks, she wanted to have “less fatty arms.” She exercised regularly but felt that her arms didn’t look that way. Liposuction permanently removed excess fat from her upper arms through
- [Case-36456](https://www.drkarenhorton.com/gallery/case/case-36456/) - Before and after liposuction of the arms in a 56-year-old woman. At the same time as a breast and body contouring procedure, she wanted to improve the contour of her arms. She initially thought she needed a full brachioplasty (upper arm lift), but was horrified at the long scar that is necessary for that Plastic
- [Case-36455](https://www.drkarenhorton.com/gallery/case/case-36455/) - Before and after bilateral earlobe repair and repiercing in a 32-year-old woman. She had developed a complete split of her lobules after wearing heavy earrings for many years. Now her earlobes were reacting to nickel-containing clip-on earrings, causing irritation, redness and swelling. Once she gave her earlobes several weeks without wearing the clip-ons to allow
- [Case-36454](https://www.drkarenhorton.com/gallery/case/case-36454/) - Before and after MACS lift and liposuction of the neck in a 54-year-old woman. At the same time as an upper lid blepharoplasty (eyelid lift) and liposuction of the body, she wanted to improve the contour of her neckline. A MACS (minimal access cranial suspension) lower facelift/neck lift with liposuction of the submental region permanently
- [Case-36452](https://www.drkarenhorton.com/gallery/case/case-36452/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 30-year-old woman. She had heavy, hanging breasts that prevented her from finding tops that fit properly and brought unwanted attention to her chest. A breast reduction removed over two pounds of excess breast tissue from each side. The auto-augmentation
- [Case-36281](https://www.drkarenhorton.com/gallery/case/case-36281/) - Before and after mini-abdominoplasty and liposuction of the body in a 55-year-old woman. She came in to see us looking for an improvement in her figure with less downtime than a full tummy tuck. What bothered her was the extra fat in her midsection, hips and thighs she had accumulated during menopause, and the lower
- [Case-36290](https://www.drkarenhorton.com/gallery/case/case-36290/) - Before and after bilateral nipple-sparing mastectomies and immediate breast reconstruction using the transverse upper gracilis (TUG) flap in a 65-year-old woman with breast cancer. This patient felt strongly she did not want to use implants for reconstruction, despite being a good candidate. She did not have enough tummy tissue available for a DIEP flap, so
- [Case-36251](https://www.drkarenhorton.com/gallery/case/case-36251/) - Before and after bilateral total capsulectomy for old ruptured and contracted second generation silicone gel breast implants and implant exchange in a 63-year-old woman. Her original surgery was performed in 1982. Given our current knowledge, breast implants from the 1970’s and 1980’s (second-generation devices) have most likely broken down, as evidenced by the rock hard
- [Case-36280](https://www.drkarenhorton.com/gallery/case/case-36280/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 34-year-old woman. She had not yet had children, and didn’t want to wait until whenever that time came to lift and reduce the size of her breasts. A breast reduction removed a pound from each breast, and liposuction dramatically
- [Case-36278](https://www.drkarenhorton.com/gallery/case/case-36278/) - Before and after bilateral breast reconstruction using the breast reduction and lift method in a 69-year-old woman with right breast cancer. She was a candidate for a breast reduction anyway, and she did not want to have a full mastectomy as her breast cancer treatment. After she finished neoadjuvant chemotherapy, a right lumpectomy and sentinel
- [Case-36277](https://www.drkarenhorton.com/gallery/case/case-36277/) - Before and after bilateral breast augmentation revision/reaugmentation in a 57-year-old woman. Her old saline implants had deflated completely on one side and nearly all the way on the other. They had been in place for over fifteen years, and she was looking for an improvement to her breast appearance, but to maintain a natural look
- [Case-36276](https://www.drkarenhorton.com/gallery/case/case-36276/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 25-year-old woman. She had to wear a bra all the time just to alleviate the strain on her neck, shoulders and upper back – even during sleep! A breast reduction removed approximately half of her breast tissue and lifted
- [Case-36275](https://www.drkarenhorton.com/gallery/case/case-36275/) - Before and after bilateral breast reconstruction by the breast reduction and lift technique in a 45-year-old woman with left breast cancer, macromastia and breast asymmetry. After neoadjuvant chemotherapy, she required a left lumpectomy, postoperative radiation and more chemotherapy. Although she was a candidate for a mastectomy, she chose to keep her breast and perform breast
- [Case-36274](https://www.drkarenhorton.com/gallery/case/case-36274/) - Before and after bilateral breast reduction and auto-augmentation lift and liposuction of the axillary rolls in a 17-year-old woman. She felt her breasts were out of proportion to the rest of her body and made physical activities difficult and frustrating. A breast reduction removed some excess lower pole breast tissue and fat but left a
- [Case-36273](https://www.drkarenhorton.com/gallery/case/case-36273/) - Before and after bilateral breast revision in a 57-year-old breast cancer survivor. She previously had bilateral nipple-sparing mastectomies and implant reconstruction with implants that were placed partially under the muscle. Her goals included to be slightly larger with a more natural breast shape and the ability to wear V-neck tops without an unnatural upper chest
- [Case-36272](https://www.drkarenhorton.com/gallery/case/case-36272/) - Before and after labiaplasty in a 27-year-old woman. She had been bothered by her long labia minora since they grew rapidly during puberty, and now that she had graduated college and had a well-paying job, she could afford to plan for labiaplasty surgery. This procedure is performed awake in the office operating room, under local
- [Case-36271](https://www.drkarenhorton.com/gallery/case/case-36271/) - Before and after liposuction of the inner thighs under local anesthesia in a 38-year-old woman. She was really only bothered by her upper inner thigh fat, which resulted in her inner thighs rubbing together when she walked and wore out her pants in this area only a few wears after buying a new pair. Liposuction
- [Case-36270](https://www.drkarenhorton.com/gallery/case/case-36270/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 29-year-old woman. She had been experiencing upper back pain, neck pain and shoulder pain since she entered puberty and grew these oversized breasts since she was eleven. She had been told to “wait until after having kids” from others,
- [Case-36269](https://www.drkarenhorton.com/gallery/case/case-36269/) - Before and after bilateral explantation in a 46-year-old woman. She was tired of having breast implants and feeling “top heavy.” She wanted to avoid a major surgery and drains, and was so relieved to learn that we perform explanation awake, under local anesthesia. Removal of the capsule is only necessary for cases of breast cancer,
- [Case-36268](https://www.drkarenhorton.com/gallery/case/case-36268/) - Before and after bilateral mastectomies and DIEP flap breast reconstruction in a 54-year-old woman with breast cancer. She did not want to use implants for reconstruction and had enough tummy tissue to create two breasts. A combined breast cancer and reconstruction surgery was planned. The Microsurgery team elevated the flaps on the lower abdomen while
- [Case-36267](https://www.drkarenhorton.com/gallery/case/case-36267/) - Before and after right lumpectomy and reconstruction by the breast reduction and lift method with liposuction of the axillary rolls in a 46-year-old woman with breast cancer. She did not want or need a mastectomy and was a candidate for a breast reduction and lift even before her breast cancer diagnosis. A combined breast oncology
- [Case-36266](https://www.drkarenhorton.com/gallery/case/case-36266/) - Before and after liposuction of the neck in a 54-year-old woman. As she was embarking on her commitment to a healthy lifestyle, being more active and weight loss, she wanted to improve the appearance of her neck, as this was one area that she could not conceal with clothing and that served as a dissuasion
- [Case-36265](https://www.drkarenhorton.com/gallery/case/case-36265/) - Before and after liposuction of the neck in a 39-year-old woman. She disliked the excess fat under her chin, in the submental region and was elated that it could be removed in a simple outpatient procedure under local anesthesia. Liposuction removed 125 cc (half a cup) of fat through two tiny incisions hidden under her
- [Case-36252](https://www.drkarenhorton.com/gallery/case/case-36252/) - Before and after labiaplasty in a 32-year-old woman. She found wearing tight pants uncomfortable, she was always “adjusting” her labia in her underwear, and sex was tricky due to her long labia minora. A labiaplasty trimmed excess labia minora under local anesthesia, inhaled laughing gas and an oral anti-anxiety pill, as shown in the image
- [Case-36250](https://www.drkarenhorton.com/gallery/case/case-36250/) - Before and after bilateral breast implant revision with liposuction of the axillary rolls in a 36-year-old woman. Her old saline implants sat low on the chest, giving her a “matronly” look. She wanted more upper pole fullness and to be larger, with less “under-boob.” Her revision involved removal of the old saline implants and insertion
- [Case-36249](https://www.drkarenhorton.com/gallery/case/case-36249/) - Before and after liposuction of the body in a 36-year-old woman. At the same time as a breast implant revision, she wanted to contour her hips, thighs, lower back and bra rolls. Liposuction was performed under general anesthesia in an outpatient surgery center. Over three liters of fat was removed from her abdomen, circumferential flanks,
- [Case-36248](https://www.drkarenhorton.com/gallery/case/case-36248/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 46-year-old woman. The large size and weight of her pendulous breasts prevented her from easily being able to exercise and be physically active, which in turn predisposed her to weight gain. A breast reduction removed over two and a
- [Case-36247](https://www.drkarenhorton.com/gallery/case/case-36247/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 24-year-old woman. She wanted a moderate reduction in her breast size and a major lift! Three quarters of a pound of breast tissue was removed from the bottom and sides of each breast. We always send breast tissue to
- [Case-36236](https://www.drkarenhorton.com/gallery/case/case-36236/) - Before and after labiaplasty in a 23-year-old woman. She was very physically active and felt discomfort every time she rode a bike or ran. A labiaplasty trimmed excess labia minora tissue but left a normal and natural amount behind. Follow up photos are shown 4 months after surgery.
- [Case-36228](https://www.drkarenhorton.com/gallery/case/case-36228/) - Before and after bilateral breast augmentation with liposuction of the axillary rolls in a 28-year-old woman with mildly tubular breasts and asymmetric breast sizes. She wanted a significant increase in her breast size, fullness overall and a rounder breast shape. Smooth round silicone gel breast implants were placed on top of the muscle, in the
- [Case-36219](https://www.drkarenhorton.com/gallery/case/case-36219/) - Before and after post-weight loss mastopexy-augmentation with liposuction of the axillary rolls in a 31-year-old woman who had lost nearly 150 pounds after gastric bypass surgery. At the same time as a tummy tuck, she sought rejuvenation of her breasts, including restoration of lost volume with the weight loss and a lift of her nipples.
- [Case-36218](https://www.drkarenhorton.com/gallery/case/case-36218/) - Before and after bilateral breast reconstruction revision in a 59-year-old breast cancer survivor who previously had a bilateral mastectomy, chemotherapy and left chest radiation. Her implants pulled upwards in an unnatural and uncomfortable position on her chest due to their submuscular placement, and she experienced an ugly animation deformity whenever she engaged her pectoral muscles.
- [Case-36217](https://www.drkarenhorton.com/gallery/case/case-36217/) - Before and after liposuction of the neck in a 39-year-old woman. She had very mild early jowling and an accumulation of fat under her chin. She originally sought a neck lift, but she did not need this more extensive surgery procedure yet. Fat was removed from the submental region and the jowls through two teeny
- [Case-36216](https://www.drkarenhorton.com/gallery/case/case-36216/) - Before and after bilateral breast implant revision in a 47-year-old woman with contracted and uncomfortable saline implants. They had been in place for twelve years, and she noticed after mastitis when she was breastfeeding that both breasts felt hard and had “points” in some places. These protuberances are called implant “knuckles” and form when the
- [Case-36215](https://www.drkarenhorton.com/gallery/case/case-36215/) - Before and after liposuction of the arms in a 52-year-old woman. She was physically fit but felt her arms didn’t reflect her healthy and active lifestyle. She had gained some weight during perimenopause and needed help to unveil the hard work she put in at the gym with her trainer. Liposuction removed excess fat from
- [Case-36214](https://www.drkarenhorton.com/gallery/case/case-36214/) - Before and after liposuction of the lower body in a 52-year-old woman. At the same time she was planning to undergo liposuction of her arms, she wanted to remove excess fat from her lower abdomen, hips, inner and outer thighs. Liposuction of several areas of the body is usually performed with our patient asleep, under
- [Case-36202](https://www.drkarenhorton.com/gallery/case/case-36202/) - Before and after bilateral explantation in a 31-year-old woman who had breast implants inserted over a decade and a half ago. She never felt comfortable, as her surgeon had not listened to her and put in breast implants that she felt were way too big for her body. Explantation was performed under local anesthesia with
- [Case-36201](https://www.drkarenhorton.com/gallery/case/case-36201/) - Before and after bilateral breast reconstruction revision with liposuction of the axillary rolls in a 52-year-old breast cancer survivor. She had previously had a bilateral mastectomy, tissue expander/implant reconstruction, chemotherapy and right chest wall radiation. She wanted a nicer looking and more comfortable reconstruction result where she would feel comfortable in a tank top or
- [Case-36200](https://www.drkarenhorton.com/gallery/case/case-36200/) - Before and after left inverted nipple correction in a 32-year-old woman. She disliked the caved-in appearance of her left nipple. While it wasn’t as severe as other patients’ nipple inversions, it bothered her, and she was willing to invest in this procedure to achieve better symmetry with her other nipple. Inverted nipple correction was performed
- [Case-36199](https://www.drkarenhorton.com/gallery/case/case-36199/) - Before and after bilateral breast augmentation in a 29-year-old woman with volume loss after breastfeeding and mild breast asymmetry. She was looking for a natural look that made her still “look like a mother” but with less deflation of her breasts. Smooth round silicone gel breast implants were placed on top of the muscle, the
- [Case-36198](https://www.drkarenhorton.com/gallery/case/case-36198/) - Before and after labiaplasty in a 27-year-old woman. At the same time as a breast augmentation, she wanted a minor trim of her labia minora so that when she stood up, she could not see the darkly pigmented labia tissue protruding from the labia majora. A conservative labiaplasty trimmed only the edges of the labia
- [Case-36197](https://www.drkarenhorton.com/gallery/case/case-36197/) - Before and after bilateral breast reconstruction revision in a 68-year-old breast cancer survivor. She had previously undergone bilateral partial mastectomies, right breast radiation and implant reconstruction, with both implants sitting under the muscle. Every time she used her arms, her breasts flexed and the skin crinkled, which caused her to give up gardening and exercise
- [Case-36196](https://www.drkarenhorton.com/gallery/case/case-36196/) - Before and after labiaplasty in a 23-year-old woman. She found exercise painful due to the long and redundant nature of her labia minora, the inner lips of the vagina. A labiaplasty using the “trim technique” removed the more darkly pigmented tissue from her labia region. Dissolving sutures were placed in two layers to repair the
- [Case-36195](https://www.drkarenhorton.com/gallery/case/case-36195/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 38-year-old woman with significant macromastia (enlarged breasts), ptosis (breast droop) and breast asymmetry. She found it nearly impossible to zip up her scuba suit and desperately wanted to train for a marathon, but her breasts made these activities frustrating
- [Case-36194](https://www.drkarenhorton.com/gallery/case/case-36194/) - Before and after bilateral breast augmentation and redo mastopexy with liposuction of the axillary rolls in a 55-year-old woman. She previously had a breast augmentation and lift in her thirties but decided to have her submuscular implants removed due to dissatisfaction with the cosmetic outcome. Her original goal was to have more fullness in the
- [Case-36192](https://www.drkarenhorton.com/gallery/case/case-36192/) - Before and after bilateral secondary (redo) breast reduction and lift with liposuction of the axillary rolls in a 45-year-old woman. She previously had an attempt at a periareolar or circumareolar lift, also called a “donut mastopexy” using the Benelli technique. This well-intentioned procedure creates an incision around the areola only in an attempt to lift
- [Case-36191](https://www.drkarenhorton.com/gallery/case/case-36191/) - Before and after labiaplasty in a 51-year-old woman. She was in perimenopause and noticed her labia minora had started drooping more and hung outside her labia majora. A labiaplasty trimmed a conservative amount of labia minora, keeping a normal and natural amount behind. Follow up photos are shown 1 year after surgery.
- [Case-36190](https://www.drkarenhorton.com/gallery/case/case-36190/) - Before and after liposuction of the axillary rolls in a 28-year-old woman. She wanted to improve the contour of her armpits and not have her armpit bulge out of her tank tops and sports bras. Liposuction permanently removed several tablespoons of fat from each armpit through a tiny incision on each side. After surgery, she
- [Case-36189](https://www.drkarenhorton.com/gallery/case/case-36189/) - Before and after bilateral breast augmentation in a 36-year-old woman. After breastfeeding her two children, her breasts had lost all their volume, and her nipples had a caved-in look. She not only wanted to restore her former breast volume, but to be a little fuller, similar to when she was nursing. Smooth round silicone gel
- [Case-36188](https://www.drkarenhorton.com/gallery/case/case-36188/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 27-year-old woman. She had chronic pain from the weight of her large breasts and avoided exercise due to the need to wear three sports bras. A breast reduction removed approximately a cup of excess breast tissue, reshaping her breasts
- [Case-36187](https://www.drkarenhorton.com/gallery/case/case-36187/) - Before and after bilateral breast reduction and liposuction of the axillary rolls in a 49-year-old woman. Her breasts were pendulous, heavy and out of proportion to her body. She wanted a rounder and lifted breast that fitted her frame. Over a pound and a half of excess breast tissue was removed from each side. The
- [Case-36174](https://www.drkarenhorton.com/gallery/case/case-36174/) - Before and after liposuction of the body in a 53-year-old woman. She had not had children, so this wasn’t a Mommy Makeover, but she did consider surgery to be her “I survived cancer-I am happily divorced-I am pursuing my professional passion-It’s time for me” Makeover! We discussed a mini-abdominoplasty to remove the shelf of skin
- [Case-36173](https://www.drkarenhorton.com/gallery/case/case-36173/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in an 18-year-old woman. She was graduating high school and ready to take a break from sports, studying and partying to dedicate a full month to healing. To say her breasts were large, out of proportion to her body and heavy
- [Case-36172](https://www.drkarenhorton.com/gallery/case/case-36172/) - Before and after liposuction of the body in a 45-year-old woman. She was unable to work off fat that had accumulated over the last decade since having children in her abdomen and flanks, extending around the back to her lower bra rolls. She felt strongly that she didn’t want a tummy tuck and was willing
- [Case-36171](https://www.drkarenhorton.com/gallery/case/case-36171/) - Before and after bilateral upper lid blepharoplasty (eyelid lift) in a 52-year-old woman. At the same time as a breast procedure performed under general anesthesia, she wanted to rejuvenate her eyes. She had a tired look most of the time, and occasionally looked angry even when she was not. A skin-only “pinch” blepharoplasty removed excess
- [Case-36170](https://www.drkarenhorton.com/gallery/case/case-36170/) - Before and after liposuction of the neck in a 35-year-old woman. She felt self-conscious about the fat under her neck which had accumulated after she became a mother. She hated taking family photos and was always self-critical about photos that showed her neck. Liposuction was performed awake, under local anesthesia, with inhaled laughing gas and
- [Case-36169](https://www.drkarenhorton.com/gallery/case/case-36169/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 22-year-old woman with significant congenital breast asymmetry. She had been considering having a reduction since her mid-teens, and was finally ready for surgery at this stage of her life. A breast reduction removed over a kilogram of tissue from
- [Case-36168](https://www.drkarenhorton.com/gallery/case/case-36168/) - Before and after labiaplasty in a 53-year-old woman. She felt discomfort when having sex, exercising and even walking her dog. A labiaplasty trimmed excess labia minora tissue, including much of the most darkly pigmented mucosa. After surgery, she took two weeks off work and avoided getting her heart rate and blood pressure up during healing.
- [Case-36091](https://www.drkarenhorton.com/gallery/case/case-36091/) - Before and after liposuction of the abdomen and flanks in a 33-year-old woman. At the same time as a breast reduction, this patient wanted to improve the contour of her belly. She initially thought she needed a tummy tuck but was educated that since she did not have excess skin or muscle separation from past
- [Case-36094](https://www.drkarenhorton.com/gallery/case/case-36094/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 31-year-old woman. She did not want to go too small but wanted her breasts to be around a cup size smaller with a major lift and reshaping. Approximately half a pound of breast tissue was removed from each side.
- [Case-36093](https://www.drkarenhorton.com/gallery/case/case-36093/) - Before and after labiaplasty in a 21-year-old woman. Her long labia minora created discomfort when she wore certain pants and exercised. She wanted to keep a normal appearance to her vagina – which is what we do! A labiaplasty trimmed excess labia minora tissue but kept a normal rim of pink, smooth labia tissue, as
- [Case-36092](https://www.drkarenhorton.com/gallery/case/case-36092/) - Before and after bilateral breast reduction and lift using the auto-augmentation technique with liposuction of the axillary rolls in a 33-year-old woman. She was planning her wedding next year and looked forward to being able to try on wedding dresses without automatically needing to tailor them due to the large size of her breasts! A
- [Case-36082](https://www.drkarenhorton.com/gallery/case/case-36082/) - Before and after bilateral breast revision in a 47-year-old woman. Her naturally tubular breasts (worse on the right than the left) had previously undergone submuscular breast augmentation, but the tubular shape and high fold was not addressed. She consequently had a massive animation deformity and double bubble on the right – which is the old
- [Case-36081](https://www.drkarenhorton.com/gallery/case/case-36081/) - Before and after bilateral breast lift with liposuction of the axillary rolls in a 37-year-old woman. As part of her Mommy Makeover, she wanted to have her breasts significantly reshaped and “lifted up higher.” She was also planning to have liposuction of her abdomen and flanks at the same time, so adding on a mastopexy
- [Case-36080](https://www.drkarenhorton.com/gallery/case/case-36080/) - Before and after bilateral breast revision with liposuction of the axillary rolls in a 37-year-old woman. She previously had two reconstructive procedures over the last twenty years that involved placement of an implants on both sides to try to correct congenital breast asymmetry and “pectus excavatum” (a caved-in central chest and sternum). She had a
- [Case-36078](https://www.drkarenhorton.com/gallery/case/case-36078/) - Before and after bilateral breast augmentation with liposuction of the axillary rolls in a 31-year-old woman with congenital breast asymmetry and a mildly tubular breast shape. She wanted a rounder, fuller and more symmetrical size and shape to her breasts. Smooth round silicone gel breast implants were placed on top of the muscle, in the
- [Case-36061](https://www.drkarenhorton.com/gallery/case/case-36061/) - Before and after left inverted nipple correction in a 38-year-old woman. Only her left side was affected – she felt self-conscious wearing any top that showed her nipples, as only the right nipple became erect. Her goal was to have improved nipple symmetry and being able to not always wear a heavily padded bra. Inverted
- [Case-36062](https://www.drkarenhorton.com/gallery/case/case-36062/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 32-year-old woman. Over a pound of excess breast tissue was removed from each breast, and her breasts were reshaped and lifted using the auto-augmentation technique. Liposuction removed fat from her armpits and bra rolls. Follow up photos are shown
- [Case-36015](https://www.drkarenhorton.com/gallery/case/case-36015/) - Before and after ultrasound-assisted liposuction (UAL) of the back and posterior bra rolls in a 56-year-old woman. She had previously undergone some sort of liposuction procedure that was done awake and had very little bruising or associated swelling – along with very unsubstantial results. Some med spas offer cosmetic treatments like liposuction that are done
- [Case-36038](https://www.drkarenhorton.com/gallery/case/case-36038/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 44-year-old woman. Her breasts had grown significantly and drooped after breastfeeding her children. She wanted a major decrease in size and a perkier breast shape. A breast reduction removed two pounds of excess breast tissue from each breast. Over
- [Case-36037](https://www.drkarenhorton.com/gallery/case/case-36037/) - Before and after bilateral mastopexy and augmentation with liposuction of the axillary rolls in a 59-year-old woman with breast “ptosis” (droop) and breast asymmetry. Her goal was to have significant upper pole fullness as if she were wearing a pushup bra. She also loved the large size of her areolas and was very particular in
- [Case-36036](https://www.drkarenhorton.com/gallery/case/case-36036/) - Before and after delayed breast implant reconstruction and a balancing left breast lift with liposuction of the axillary rolls in a 63-year-old breast cancer survivor. Twenty years previously, she underwent a right mastectomy and implant reconstruction with a saline implant that had completely deflated a few years ago. She was told elsewhere that she would
- [Case-36034](https://www.drkarenhorton.com/gallery/case/case-36034/) - Before and after liposuction of the body in a 29-year-old woman. As she was getting ready to enter her thirties, she wanted to improve her physique. She had done all she could with a healthy diet and exercise but still had stubborn fat deposits around her midsection and trunk. Liposuction was performed on her upper
- [Case-36033](https://www.drkarenhorton.com/gallery/case/case-36033/) - Before and after bilateral breast augmentation revision and mastopexy in a 44-year-old woman. She felt that her current breast implant size was too big for her body, and she had made symptomatic hypertrophic scars around her areolas that were itchy and painful. She did not want to go to sleep for surgery and was relieved
- [Case-36031](https://www.drkarenhorton.com/gallery/case/case-36031/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 30-year-old woman with macromastia and congenital breast asymmetry. A breast reduction removed over two pounds of excess breast tissue from the bottom half of each breast. Her remaining tissue was reshaped using the auto-augmentation technique, which is the standard
- [Case-36030](https://www.drkarenhorton.com/gallery/case/case-36030/) - Before and after bilateral breast augmentation and left crescentic periareolar mastopexy with liposuction of the axillary rolls in a 55-year-old woman with breast asymmetry and deflation of her breasts. Her goal was to restore volume in her breasts that had depleted after breastfeeding her three children. She was starting to slow down at work and
- [Case-36024](https://www.drkarenhorton.com/gallery/case/case-36024/) - Before and after post-weight loss mastopexy and augmentation with liposuction of the axillary rolls in a 43-year-old woman. After losing 125 pounds, her breasts had lost all their volume and hung downwards on her chest, with her nipples at the lowest point on the breast – this is called “Grade III ptosis”. Her goal was
- [Case-36023](https://www.drkarenhorton.com/gallery/case/case-36023/) - Before and after labiaplasty in a 21-year-old woman. She experienced pain, pulling of her labia and swelling every time she exercised. She didn’t know what a labiaplasty was before she looked it up online – and was so relieved there was a procedure that could help her! A labiaplasty trimmed excess labia minora using the
- [Case-36022](https://www.drkarenhorton.com/gallery/case/case-36022/) - Before and after bilateral breast revision with liposuction of the axillary rolls in a 41-year-old woman who had a prior breast reduction that created an abnormally high position of the nipples - worse on the right than the left - and breast asymmetry. The "vertical breast reduction" technique creates only a "lollipop" scar, but does
- [Case-36021](https://www.drkarenhorton.com/gallery/case/case-36021/) - Before and after bilateral breast revision in a 61-year-old woman with a left deflated saline breast implant. She wanted to avoid major surgery and asked whether a new implant could be put in awake, under local anesthesia. She had heard about our “tip toe” awake implant exchange, and she was a candidate, as she did
- [Case-36020](https://www.drkarenhorton.com/gallery/case/case-36020/) - Before and after bilateral inverted nipple correction in a 26-year-old man. Nipple surgery is not just for women! He was self-conscious about his inverted nipples and wanted to wear fitted shifts while “looking normal.” Inverted nipple correction was performed in the office under local anesthesia. After surgery, he worked from home for a week and
- [Case-36018](https://www.drkarenhorton.com/gallery/case/case-36018/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 34-year-old woman. The large size and heaviness of her breasts prevented her from exercising and shopping for clothes without immense frustration. A breast reduction removed nearly three pounds of excess breast tissue from each side. Her remaining breast was
- [Case-36017](https://www.drkarenhorton.com/gallery/case/case-36017/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 33-year-old woman. She was experiencing pain and limitation of activities due to the large size of her breasts. She wanted a reduction in her breast size, but to remain proportional to her body and “stay true to herself.” A
- [Case-36016](https://www.drkarenhorton.com/gallery/case/case-36016/) - Before and after bilateral breast reconstruction revision in a 39-year-old woman who had previously undergone bilateral prophylactic mastectomies and autogenous tissue (flap) reconstruction because she was a carrier of the BRCA breast cancer gene. Her past breast reconstruction had not healed well and required months of wound care, resulting in significant asymmetry of her breasts
- [Case-36014](https://www.drkarenhorton.com/gallery/case/case-36014/) - Before and after bilateral breast augmentation in a 26-year-old woman. She had a nice natural breast shape but wanted to be fuller – and to maintain that shape. Smooth round silicone gel breast implants were placed on top of the muscle, in the subglandular position. After surgery, she took a week off work and three
- [Case-36013](https://www.drkarenhorton.com/gallery/case/case-36013/) - Before and after left breast reconstruction revision in a 66-year-old breast cancer survivor. She was experiencing pain of her left breast reconstruction due to recurrent infections and development of constricting and scar tissue around the implant – classified as Grade IV capsular contracture. Her left reconstructed breast was bigger and more protruding than her natural
- [Case-36012](https://www.drkarenhorton.com/gallery/case/case-36012/) - Before and after post-weight loss abdominoplasty and circumferential liposuction in a 62-year-old man. He had committed to a healthier lifestyle and lost a significant amount of weight. He disliked the excess loose skin in his lower abdominal region and wanted to improve his midsection contour. A male tummy tuck removed unwanted loose lower abdominal skin
- [Case-35878](https://www.drkarenhorton.com/gallery/case/case-35878/) - Before and after bilateral explantation in a 37-year-old woman. Her saline implants had been in place for nearly 20 years, and she thought she wanted them out – but wasn’t entirely sure how she would look now that she had gained some weight and had two children. An interim deflation of the saline implants was
- [Case-35877](https://www.drkarenhorton.com/gallery/case/case-35877/) - Before bilateral breast reduction and lift with liposuction of the axillary rolls in a 20-year-old woman. The size of her breasts was preventing her from exercising without wearing two or three sports bras, and they attracted unwanted attention from strangers. A breast reduction removed over a pound of excess breast tissue from each breast. Her
- [Case-35876](https://www.drkarenhorton.com/gallery/case/case-35876/) - Before and after bilateral explantation under local anesthesia in a 47-year-old woman. Her submuscular implants had recurrent capsular contracture, and she had undergone five prior surgeries, always hoping that the next surgery would “fix her problem.” The placement of the implants under the muscle caused them to be spaced widely and created chest muscle spasms
- [Case-35874](https://www.drkarenhorton.com/gallery/case/case-35874/) - Before and after left delayed implant reconstruction with right balancing augmentation in a 43-year-old breast cancer survivor. She was not offered breast reconstruction at the time of her breast cancer diagnosis, neoadjuvant chemo and non-nipple-sparing mastectomy, which is a tragedy! Her left breast was reconstructed using a smooth round medium profile silicone gel breast implant,
- [Case-35829](https://www.drkarenhorton.com/gallery/case/case-35829/) - Before and after liposuction of the body in a 24-year-old woman. At the same time as a breast reduction, she wanted to add on some additional body contouring to accentuate her surgical results. Liposuction removed over four liters of unwanted fat from her armpits and bra rolls, abdomen, flanks, pubic region and upper arms. After
- [Case-35830](https://www.drkarenhorton.com/gallery/case/case-35830/) - Before and after liposuction of the arms in a 24-year-old woman. At the same time as a breast reduction, she had planned additional body contouring procedures with liposuction to complement her surgical results. Liposuction removed over four liters of unwanted fat from her upper arms together with her armpits and bra rolls, abdomen, flanks, pubic
- [Case-35828](https://www.drkarenhorton.com/gallery/case/case-35828/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 24-year-old woman. Her breasts were large, heavy and pendulous, and caused pain in her neck, shoulders and upper back. She wanted to remain proportional to the rest of her body, and to have additional body contouring during her breast
- [Case-35827](https://www.drkarenhorton.com/gallery/case/case-35827/) - Before and after bilateral breast augmentation and liposuction of the axillary rolls in a 68-year-old woman. When we met, the first question she asked was “am I too old for a boob job?” After we laughed, she was told that Plastic Surgery does not have an age limit, but patient safety is always considered as
- [Case-35826](https://www.drkarenhorton.com/gallery/case/case-35826/) - Before and after bilateral nipple-sparing mastectomies and immediate breast implant reconstruction in a 39-year-old woman with breast cancer. She had completed neoadjuvant chemotherapy for an invasive tumor and was ready for surgical treatment of her cancer. Her breasts had deflated completely after breastfeeding her three children, and she was excited to regain her former fullness
- [Case-35825](https://www.drkarenhorton.com/gallery/case/case-35825/) - Before and after liposuction of the abdomen, pubis, anterior flanks and upper inner thighs in a 63-year-old woman. She had embarked on a weight loss journey through dietary changes and working out, but her abdominal rolls prevented her from doing some of the activities she wanted. She knew she had a ways to go with
- [Case-35824](https://www.drkarenhorton.com/gallery/case/case-35824/) - Before and after bilateral breast reconstruction revision in a 56-year-old breast cancer survivor. She had undergone several past breast reconstruction procedures and was unhappy with the wide space between her breasts and the feel of her implants sitting on top of her ribs, in addition to muscle spasms due to the implants sitting under the
- [Case-9098](https://www.drkarenhorton.com/gallery/case/case-9098/) - Before and after tubular breast correction via bilateral breast augmentation with liposuction of the axillary rolls in a 28-year-old woman. Smooth round silicone gel implants were placed in the subglandular position, and the constricted lower pole of her breast was opened up internally to allow the implant to create a more round contour and more
- [Case-35823](https://www.drkarenhorton.com/gallery/case/case-35823/) - Before and after liposuction of the abdomen, back, flanks, hips, inner and outer thighs in a 44 year old mother of three. She wanted to improve her body contour as part of her Mommy Makeover, together with a breast lift. She was a healthy eater and physically active. She disliked the changes in her body
- [Case-35821](https://www.drkarenhorton.com/gallery/case/case-35821/) - Before and after bilateral breast reduction/lift with liposuction of the axillary rolls in a 44-year-old woman. She wanted to have better symmetry to the breasts and a lift as part of her Mommy Makeover, together with liposuction in other parts of her body. She had significant congenital breast asymmetry that was obvious even in clothes
- [Case-35811](https://www.drkarenhorton.com/gallery/case/case-35811/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 58-year-old woman. She was planning her retirement and wanted to take up tennis and golf, which she found difficult to do due to the large size of her breasts. A breast reduction removed nearly two pounds of breast tissue
- [Case-35800](https://www.drkarenhorton.com/gallery/case/case-35800/) - Before and after bilateral mastopexy and augmentation with liposuction of the axillary rolls in a 37-year-old woman who had lost a significant amount of weight and with those pounds, all her breast volume and structure. She wanted her former breast fullness back and to feel proportional with the rest of her body. Smooth round silicone
- [Case-35761](https://www.drkarenhorton.com/gallery/case/case-35761/) - Before and after bilateral breast implant revision in a 34-year-old woman. Her previously placed saline breast implants had rippling that was visible through her breast skin, they sat low and far apart on her chest due to their submuscular position. Her goals were to be around the same size, but perkier with a rounder shape
- [Case-35760](https://www.drkarenhorton.com/gallery/case/case-35760/) - Before and after labiaplasty in a 34-year-old woman. At the same time as her breast implant revision surgery, she wanted to improve the appearance of her vaginal region. Her long labia minora hung out from her swimsuit bottoms and caused discomfort when she had sex or exercised. A labiaplasty trimmed excess length of the labia
- [Case-35759](https://www.drkarenhorton.com/gallery/case/case-35759/) - Before and after bilateral small breast reduction and BIG breast lift in an 18-year-old woman. She felt that her breasts did not match the rest of her young body – or mind. They had a mild tubular shape and drooped excessively following precipitous weight loss. A breast reduction removed just over 250 grams (picture a
- [Case-35758](https://www.drkarenhorton.com/gallery/case/case-35758/) - Before and after abdominoplasty and liposuction of the abdomen, flanks, pubis and upper inner and outer thighs in a 63-year-old woman who had previously lost a significant amount of weight. Her three prior C-sections (one emergency surgery that necessitated a vertical scar, two regular C-sections) had left her with an indented lower abdominal scar, and
- [Case-35757](https://www.drkarenhorton.com/gallery/case/case-35757/) - Before and after bilateral breast lift with liposuction of the bra rolls (axillary rolls) as part of a post-weight loss surgery makeover. This procedure was not only her Mommy Makeover, but her “Nana Makeover,” as her eldest child had just had twins! The auto-augmentation technique was used to lift and reshape her breasts, removing only
- [Case-35711](https://www.drkarenhorton.com/gallery/case/case-35711/) - Before and after liposuction of the arms in a 48-year-old woman. She was planning a minor breast revision procedure under local anesthesia, and wanted to improve the contour of her upper arms as well. This patient was well known to us, and had done awake surgery once before on another body part, so she was
- [Case-35713](https://www.drkarenhorton.com/gallery/case/case-35713/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 43-year-old woman whose breasts had always been “nice and full and round”, but grew exponentially and became more droopy after she had children. She wanted her breasts to be smaller and lifted, but to protect her body image and
- [Case-35712](https://www.drkarenhorton.com/gallery/case/case-35712/) - Before and after bilateral inverted nipple correction in a 23-year-old woman. She had Grade II-III inversion (one only partially came out when pinched, the other never fully came out) that made her self-conscious in intimate situations. She had tried nipple piercing to help get her nipples out, which did nothing but create a scar. Inverted
- [Case-35691](https://www.drkarenhorton.com/gallery/case/case-35691/) - Before and after bilateral nipple reduction in a 34-year-old woman. She had always been self-conscious about the size and protuberance of her nipples, feeling the need to always wear thick padding in her bra, and was looking for a solution to her concerns. A nipple reduction was performed in the office operating room under local
- [Case-35668](https://www.drkarenhorton.com/gallery/case/case-35668/) - Before and after MACS lift and liposuction of the neck in a 59-year-old man. He had some signs of lower facial aging; he wanted to prevent further aging from occurring and becoming obvious such as more significant jowls and loose neck skin. He particularly wanted to look natural and to keep a masculine, “distinguished” appearance.
- [Case-35670](https://www.drkarenhorton.com/gallery/case/case-35670/) - Before and after bilateral breast revision involving a redo mastopexy/breast reduction and lift with augmentation and liposuction of the axillary rolls in a 38-year-old woman. Her past breast reduction had left her with low-hanging, boxy breasts devoid of upper pole fullness. Her goal was to have perkier breasts with more upper pole volume and less
- [Case-35666](https://www.drkarenhorton.com/gallery/case/case-35666/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 49-year-old woman. She had always had large breasts, but as she entered menopause, they grew in size and became droopier. She wanted a reduction and a lift, but to stay proportional with the rest of her body. A breast
- [Case-35511](https://www.drkarenhorton.com/gallery/case/case-35511/) - Before and after bilateral breast augmentation in a 35-year-old woman. Her breasts had deflated after having her four children. She was very muscular and felt like her “pecs” protruded further than her breasts. Her goals were for her breasts to be significantly fuller but to have a natural upper pole, normal droop and a “pretty
- [Case-35510](https://www.drkarenhorton.com/gallery/case/case-35510/) - Before and after bilateral breast augmentation in a 25-year-old woman with congenital breast asymmetry. She presented to our office with two procedure interests: To plan a breast augmentation to help create better symmetry with a much fuller results, and inverted nipple correction on the right. Given that combining nipple surgery with insertion of a breast
- [Case-2549](https://www.drkarenhorton.com/gallery/case/case-2549/) - 40-year-old full-time Mom with loss of breast volume after breast feeding her children. Her Mommy Makeover breast augmentation involved placing silicone gel breast implants above the muscle to provide increased fullness to the breasts, similar to how her breasts were before starting her family.
- [Case-35509](https://www.drkarenhorton.com/gallery/case/case-35509/) - Before and after right unilateral skin-only mastopexy with liposuction of the axillary rolls in a 32-year-old woman. She had congenital breast asymmetry that made her self-conscious, with the right breast having a tubular shape. She felt very strongly she did not want breast implants, and also did not want to alter her left breast. A
- [Case-35508](https://www.drkarenhorton.com/gallery/case/case-35508/) - Before and after bilateral upper lid blepharoplasty in a 48-year-old woman. In preparation to enter her fifties, she wanted a refresh of her upper eye area. A skin-only “pinch” blepharoplasty removed excess skin from her upper eyelids and left her eyelid muscle and fat pads alone. After surgery, she took one week off work and
- [Case-35507](https://www.drkarenhorton.com/gallery/case/case-35507/) - Before and after bilateral breast augmentation in a 45-year-old woman. She had lost the majority of her upper pole fullness after pregnancies and breastfeeding, and wanted a “mid-life makeover,” but for her breasts to still look natural. She was offered liposuction in the armpit region, but she declined. Her friends had all “had their boobs
- [Case-35504](https://www.drkarenhorton.com/gallery/case/case-35504/) - Before and after abdominoplasty and liposuction as components of a Mommy Makeover in a 47-year-old woman. She had a history of post-partum rectus diastasis and lipodystrophy of the abdomen, pubis, flanks and upper inner and outer thighs, and wished to have correction of her diastasis and excision of excess lower abdominal skin. A tummy tuck
- [Case-35503](https://www.drkarenhorton.com/gallery/case/case-35503/) - Before and after liposuction of the neck and jowl region in a 53-year-old woman. She wanted to improve the contour of her jawline and under her chin, but wasn’t psychologically ready for a full neck lift. Liposuction was an appropriate procedure to “tide her over” until she was ready for a MACS lift, our procedure
- [Case-35502](https://www.drkarenhorton.com/gallery/case/case-35502/) - Before and after labiaplasty in a 36-year-old woman. Her long labia minora bothered her when she wore yoga pants or was physically active. A labiaplasty trimmed labia minora tissue but preserved a normal appearance to her external genitalia. Follow up photos are shown 4 months after surgery.
- [Case-35501](https://www.drkarenhorton.com/gallery/case/case-35501/) - Before and after liposuction of the neck in a 32-year-old woman. She was planning a breast procedure and at the same time, wanted to improve the contour of her neck. She was thrilled that liposuction could be added on and not make her recovery exponentially harder. Through a tiny incision hidden under her chin, fat
- [Case-35500](https://www.drkarenhorton.com/gallery/case/case-35500/) - Before and after bilateral breast augmentation and liposuction of the axillary rolls in a 40-year-old woman. After having children and breastfeeding, she had lost some upper pole fullness to her breasts. She was looking for a subtle, natural-looking result for her augmentation that would not be obvious to others. Smooth round silicone gel breast implants
- [Case-35498](https://www.drkarenhorton.com/gallery/case/case-35498/) - Before and after right capsulotomy and implant exchange performed awake under local anesthesia in a 55-year-old woman. She had developed a small amount of scar tissue around her right breast implant that caused it to sit up a little higher and have a more narrow shape. She had also started to develop pain and discomfort,
- [Case-35497](https://www.drkarenhorton.com/gallery/case/case-35497/) - Before and after labiaplasty in a 27-year-old woman. She felt discomfort when she exercised or had sexual intercourse, and felt self-conscious about the long labia minora that protruded out from her labia majora. A labiaplasty trimmed excess labia minora but left a normal and natural amount of tissue behind. Early follow-up photos are shown 2
- [Case-35394](https://www.drkarenhorton.com/gallery/case/case-35394/) - Before and after bilateral explantation in a 56-year-old woman who had several prior implant surgeries and several complications including capsular contracture and asymmetry. She was "so over” her implants and just wanted them out. Breast implant removal was performed in the office under local anesthesia. After surgery, she took two weeks off exercise and avoided
- [Case-35379](https://www.drkarenhorton.com/gallery/case/case-35379/) - Before and after bilateral breast augmentation revision in a 64-year-old woman. She had developed Grade IV capsular contracture with pain and deformity. Her goal was to be slightly fuller than her original augmented size. Bilateral capsulectomy and implant exchange was performed, as shown in the last image which shows an intraoperative view of her procedure.
- [Case-35363](https://www.drkarenhorton.com/gallery/case/case-35363/) - Before and after bilateral breast augmentation and liposuction of the axillary rolls as part of a Mommy Makeover in a 41-year-old woman. She wanted to restore fullness of her breasts that had been lost with breastfeeding her three children. Smooth round silicone gel breast implants were placed on top of the muscle, in the subglandular
- [Case-35362](https://www.drkarenhorton.com/gallery/case/case-35362/) - Before and after tummy tuck and liposuction as part of a Mommy Makeover in a 41-year-old woman. After having three children, she wanted to get her flat, firm tummy back, as it had always been her best feature. An abdominoplasty repaired her rectus diastasis, trimmed excess lower abdominal skin, and inset her belly button through
- [Case-35361](https://www.drkarenhorton.com/gallery/case/case-35361/) - Before and after Mommy Makeover consisting of a bilateral breast augmentation, tummy tuck and liposuction in a 41-year-old mother of three. She wanted to restore fullness of her breasts that had been lost with breastfeeding, and to have a flat, firm tummy again. Smooth round silicone gel breast implants were placed on top of the
- [Case-35352](https://www.drkarenhorton.com/gallery/case/case-35352/) - Before and after bilateral breast augmentation in a 33-year-old woman with relatively small breasts compared to her frame and congenital breast asymmetry, with the left breast being slightly larger than the right. Her goals were to have much fuller breasts but to still look natural and to have improved breast symmetry. Smooth round silicone gel
- [Case-35322](https://www.drkarenhorton.com/gallery/case/case-35322/) - Before and after post-weight loss brachioplasty and liposuction of the arms in a 34-year-old woman who lost over 150 pounds following sleeve gastrectomy. Her weight loss had helped her lose fat but resulted in loose, hanging upper arm skin that she felt looked like wings. A brachioplasty (arm lift) removed excess skin and fat from
- [Case-35316](https://www.drkarenhorton.com/gallery/case/case-35316/) - Before and after liposuction of the abdomen, flanks, inner and outer thighs in a 62-year-old woman. She wanted to improve the contour of her lower body at the same time as a breast augmentation. Liposuction permanently removed over four liters of fat from her upper and lower abdomen, flanks, pubic region, outer thighs (saddle bags),
- [Case-35315](https://www.drkarenhorton.com/gallery/case/case-35315/) - Before and after labiaplasty in a 34-year-old woman. For years, she had hidden her labia area when in a changeroom and felt self-conscious in intimate settings. She was relieved to learn that a straightforward outpatient Plastic Surgery procedure under local anesthesia could help her! A labiaplasty trimmed some of her long labia minora tissue so
- [Case-35314](https://www.drkarenhorton.com/gallery/case/case-35314/) - Before and after labiaplasty in a 22-year-old woman. She felt discomfort every time she ran, rode a bike or practiced yoga. A labiaplasty trimmed excess labia minora tissue but left a normal and natural amount of labia behind. After surgery, she took one week off work and three weeks off exercise. Follow up photos are
- [Case-35313](https://www.drkarenhorton.com/gallery/case/case-35313/) - Before and after bilateral skin-sparing mastectomies and DIEP flap breast reconstructions in a 45-year-old woman with invasive breast cancer. Following neoadjuvant chemotherapy, she elected to have a double mastectomy so as not to worry about her non-cancerous breast. She wanted to use her body’s own tissue for breast reconstruction and was an appropriate candidate for
- [Case-35312](https://www.drkarenhorton.com/gallery/case/case-35312/) - Before and after bilateral breast revision and liposuction of the axillary rolls in a 65-year-old woman with Grade IV capsular contracture. Her thirty five-year-old implants had contracted and caused pain. An MRI confirmed they were ruptured, as is quite common for breast implants inserted in the 1980’s. Her revision involved removal of her implants and
- [Case-35311](https://www.drkarenhorton.com/gallery/case/case-35311/) - Before and after lower facelift/neck lift using the MACS lift in a 65-year-old woman. Fifteen years earlier, she had an upper facelift only which did not address her neck. She had developed jowls and loose neck skin. The minimal access-cranial suspension (MACS) lift technique lifted her jowls, elevated her neck skin and restored her formerly
- [Case-35295](https://www.drkarenhorton.com/gallery/case/case-35295/) - Before and after bilateral revision mastopexy in a 23-year-old woman who previously had a breast augmentation and periareolar lift (also called a “donut mastopexy”). Her areolas had stretched out, which is quite common with a breast lift using this technique. A lollipop scar helps to take pressure off the areola and prevent stretching, which became
- [Case-35292](https://www.drkarenhorton.com/gallery/case/case-35292/) - Before and after post-weight loss body contouring in a 34-year-old woman who had lost over 150 pounds following a sleeve gastrectomy. Her breasts were completely deflated and hung literally to her umbilicus (belly button and her waist band!). This is called Grade III ptosis (on a scale of one to three). She wanted to have
- [Case-35262](https://www.drkarenhorton.com/gallery/case/case-35262/) - Before and after bilateral breast reconstruction revision with liposuction of the axillary rolls in a 71-year-old woman. She had previously undergone bilateral mastectomies, prepectoral implant reconstruction, chemotherapy and left breast and chest wall radiation. She was active, fit and healthy enough to have surgery, despite her numerical age. The radiation had caused her left implant
- [Case-35261](https://www.drkarenhorton.com/gallery/case/case-35261/) - Before and after bilateral breast scar revision in a 28-year-old woman. Several years after her mastopexy augmentation and a few weight fluctuations, her right nipple and areola sat lower than the right side. She had also lost some areola pigment due to delayed healing of her right areola. Her revision involved lifting the right nipple
- [Case-35237](https://www.drkarenhorton.com/gallery/case/case-35237/) - Before and after bilateral breast revision with liposuction of the axillary rolls in a 66-year-old woman with previously removed ruptured silicone gel breast implants from the 1970’s. She had extruded silicone that was causing chronic pain due to immense internal scar tissue formation – this is called “diffuse silicone granulomatosis.” She was left with left
- [Case-35236](https://www.drkarenhorton.com/gallery/case/case-35236/) - Before and after left breast reconstruction revision and nipple-areolar reconstruction in a 49-yeear-old breast cancer survivor. After a left non-nipple-sparing mastectomy and implant reconstruction, she completed chemotherapy and got her energy and strength back. She did not want any surgery on her right breast. A left capsulectomy and implant exchange opened up the space to
- [Case-35235](https://www.drkarenhorton.com/gallery/case/case-35235/) - Before and after liposuction of the arms in 47-year-old woman. At the same time as a breast procedure, this patient wanted to remove some excess fat in her upper arms. Through several tiny incisions hidden in skin creases, fat was permanently removed from her arms. After surgery, she wore an upper body compression garment for
- [Case-35234](https://www.drkarenhorton.com/gallery/case/case-35234/) - Before and after labiaplasty in a 27-year-old woman. She found exercising and having sex uncomfortable due to her long labia minora tissue which got caught and pulled with movement. A labiaplasty trimmed only the protruding amount of labia minora, leaving a normal amount of tissue behind to preserve normal lubrication function and maintain a natural
- [Case-35233](https://www.drkarenhorton.com/gallery/case/case-35233/) - Before and after bilateral nipple-sparing mastectomies and immediate prepectoral implant reconstruction in a 57-year-old woman with submuscular saline breast implants and a recently diagnosed right breast cancer. After two lumpectomies with positive margins, she needs a completion mastectomy and chose to have both breasts removed. She wanted to keep an implant for reconstruction but to
- [Case-35222](https://www.drkarenhorton.com/gallery/case/case-35222/) - Before and after bilateral breast reduction and lift in a 41-year-old woman with breast asymmetry. A breast reduction removed more tissue from her left larger breast and lifted her breasts into a natural looking teardrop shape. She elected not to have liposuction of her axillary rolls – which was reasonable, since her armpit and bra
- [Case-35220](https://www.drkarenhorton.com/gallery/case/case-35220/) - Before and after bilateral nipple reduction in a 55-year-old woman. She felt she had to hide her protruding nipples with padded bras and wanted to be able to wear tank tops and dresses braless but not get so much attention because of her nipples! A nipple reduction was done for each breast in the office
- [Case-35219](https://www.drkarenhorton.com/gallery/case/case-35219/) - Before and after left DIEP flap breast reconstruction and right balancing augmentation in a 55-year-old breast cancer survivor. Nearly ten years prior, she was diagnosed with breast cancer and treated with a left mastectomy, chemotherapy and chest wall radiation. Her implant reconstruction had failed due to infection and implant extrusion. She was excited to be
- [Case-35218](https://www.drkarenhorton.com/gallery/case/case-35218/) - Before and after bilateral nipple-sparing mastectomies and immediate breast implant reconstruction in a 33-year-old woman with breast cancer. She had completed neoadjuvant chemotherapy and was ready for surgical treatment. She chose to have a double mastectomy and prepectoral implant reconstruction. At the same time as removal of her breast tissue, smooth round permanent postoperatively adjustable
- [Case-35217](https://www.drkarenhorton.com/gallery/case/case-35217/) - Before and after umbilicoplasty as part of an abdominoplasty in a 40-year-old woman. She also had developed an “outie” belly button appearance due to significant rectus diastasis. Correction of her navel involved repairing her rectus abdominis muscles back together in the midline, and pushing some protruding preperitoneal fat back inward. After surgery, she applied scar
- [Case-35216](https://www.drkarenhorton.com/gallery/case/case-35216/) - Before and after abdominoplasty and liposuction of the abdomen and flanks as part of a Mommy Makeover in a 40-year-old woman. Her flat abdomen and toned abdominal muscles had always been her best feature before having children. She also had developed a belly button “outie” appearance due to significant rectus diastasis. A tummy tuck removed
- [Case-35215](https://www.drkarenhorton.com/gallery/case/case-35215/) - Before and after bilateral nipple reduction as part of a Mommy Makeover in a 40-year-old woman. She felt self-conscious that her nipples protruded so far out and always wore a padded bra to conceal them. A nipple reduction reduced the height of each nipple by approximately half. Dissolving sutures were used to repair the surface
- [Case-35214](https://www.drkarenhorton.com/gallery/case/case-35214/) - Before and after liposuction of the mons pubis in a 31-year-old woman. She was extremely self-conscious about her prominent pubic region, and she sought out baggy pants and dresses to conceal it. Liposuction was performed awake, under local anesthesia, inhaled laughing gas and an oral anti-anxiety medication. A total of 450 cc of fat was
- [Case-35213](https://www.drkarenhorton.com/gallery/case/case-35213/) - Before and after bilateral breast revision and liposuction of the axillary rolls in an 18-year-old woman with macromastia and congenital breast asymmetry. She had difficulty exercising due to the large size of her breasts, experienced pain in her neck, shoulders and upper back, and found buying bathing suits and dresses extremely difficult! A breast reduction
- [Case-35212](https://www.drkarenhorton.com/gallery/case/case-35212/) - Before and after bilateral mastopexy and breast augmentation with liposuction of the axillary rolls in a 41-year-old woman. She had always been large-breasted and did not mind some natural hang to her breasts, but after losing some weight she missed the former fullness and round shape of her breasts. She was offered a breast lift
- [Case-35211](https://www.drkarenhorton.com/gallery/case/case-35211/) - Before and after bilateral breast reconstruction revision and later nipple-areolar reconstruction in a 30-year-old breast cancer survivor. Her submuscular implants were tight and painful, and looked flattened due to their constant tension under her pectoralis muscles. You can guess that she is right-handed due to the higher position of her right implant. She wanted to
- [Case-35210](https://www.drkarenhorton.com/gallery/case/case-35210/) - Before and after bilateral nipple-sparing mastectomy and immediate prepectoral implant reconstruction in a 35-year-old woman with invasive breast cancer. Following neoadjuvant chemotherapy, she elected to have a double mastectomy. She had very little body fat, so was a candidate for implant-based breast reconstruction. A combined oncologic and reconstructive procedure was planned as an outpatient procedure.
- [Case-35209](https://www.drkarenhorton.com/gallery/case/case-35209/) - Before and after liposuction of the abdomen and circumferential flanks in a 27-year-old woman. She was on a weight loss journey and wanted to remove some of the stubborn fat she had even when she was younger and thinner. Under general anesthesia, over four liters of fat was permanently removed through several tiny incisions. After
- [Case-35208](https://www.drkarenhorton.com/gallery/case/case-35208/) - Before and after bilateral secondary (redo) breast reduction and liposuction of the axillary rolls in a 34-year-old woman. Her original breast reduction was when she was fifteen years old. Since that time, she had gotten married and had children. She was looking for her breasts to be smaller and lifted again, and to have better
- [Case-35207](https://www.drkarenhorton.com/gallery/case/case-35207/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 43-year-old woman. Despite never having children, her breasts had grown and drooped exponentially in the time since she developed during her teens. Three kilograms of excess breast tissue (over seven pounds!) of breast tissue, skin and fat was surgically
- [Case-35206](https://www.drkarenhorton.com/gallery/case/case-35206/) - Before and after abdominoplasty and liposuction of the abdomen in a 36-year-old woman. Following her twin pregnancy, her abdominal area ballooned into a mass of stretch marks and redundant skin. A tummy tuck removed excess lower abdominal skin, including many of her stretch marks. Her abdominal muscles were repaired back together in the midline. Her
- [Case-35205](https://www.drkarenhorton.com/gallery/case/case-35205/) - Before and after bilateral breast reconstruction revision using a DIEP flap and balancing mastopexy in a 49-year-old breast cancer survivor. After her right non-nipple-sparing mastectomy, tissue expander reconstruction and radiation therapy, she decided to seek autogenous tissue reconstruction – which uses the body’s own tissue. She couldn’t stand the high position of her textured silicone
- [Case-35204](https://www.drkarenhorton.com/gallery/case/case-35204/) - Before and after bilateral breast reconstruction revision in a 64-year-old breast cancer survivor. Her past cancer history included several lumpectomies, bilateral mastectomies, chemotherapy, left chest radiation, a right Latissimus Dorsi (LD) flap reconstruction, and a left TRAM flap reconstruction with placement of implants under both flaps. She was hoping for a smaller breast size, improved
- [Case-35196](https://www.drkarenhorton.com/gallery/case/case-35196/) - Before and after abdominoplasty and liposuction as part of a Mommy Makeover in a 55-year-old mother of three children, including one set of twins. She previously had a saline breast augmentation and some sort of abdominal cosmetic procedure which created some scars, but did not involve muscle repair or body contouring. Her goal was to
- [Case-35190](https://www.drkarenhorton.com/gallery/case/case-35190/) - Before and after Mommy Makeover including a breast implant removal and auto-augmentation technique mastopexy, abdominoplasty and liposuction in a 55-year-old mother of three children, including one set of twins. She previously had a saline breast augmentation and some sort of abdominal cosmetic procedure which created some scars, but did not involve muscle repair or body
- [Case-35189](https://www.drkarenhorton.com/gallery/case/case-35189/) - Before and after breast implant removal and mastopexy using the auto-augmentation technique with liposuction of the axillary rolls as part of a Mommy Makeover in a 55-year-old woman. She previously had a submuscular saline breast augmentation. Over time, her implants had risen, and her breast tissue drooped off the implants – this is called the
- [Case-35135](https://www.drkarenhorton.com/gallery/case/case-35135/) - Before and after abdominoplasty and liposuction as part of a Mommy Makeover in a 41-year-old mother of four She had always been athletic with a flat belly before having children – she wanted her body back! A tummy tuck corrected her rectus diastasis, enabling her abdominal muscles to work better ergonomically and do their job
- [Case-35157](https://www.drkarenhorton.com/gallery/case/case-35157/) - Before and after liposuction of the neck in a 21-year-old woman. She disliked her “baby fat” and wanted to have a more defined jawline without major surgery. Liposuction permanently removed fat from under her chin, in the submental area, through two tiny incisions. After surgery, she wore a compressive chin strap for two weeks to
- [Case-35156](https://www.drkarenhorton.com/gallery/case/case-35156/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 30-year-old woman. She had symptomatic macromastia – dense, heavy, enlarged breasts that caused pain, strain on her neck, shoulder and back, and limited her from most physical activities and buying clothes and swimsuits without difficulty. A breast reduction removed
- [Case-35155](https://www.drkarenhorton.com/gallery/case/case-35155/) - Before and after labiaplasty in a 38-year-old woman. She had slightly elongated labia minora and a baggy left labia majora. She was looking for a subtle result that would enable her to exercise without as much labia tissue bulging in her workout tights and to maintain a normal, unoperated-on appearance. A labiaplasty trimmed some labia
- [Case-35154](https://www.drkarenhorton.com/gallery/case/case-35154/) - Before and after bilateral breast implant revision in a 33-year-old woman with submuscular saline implants. She could not stand the animation deformity (more severe on her right dominant side) and the unnatural appearance of her breasts. Her revision involved removal of the old saline implants, returning the pectoralis major muscles to the chest wall, and
- [Case-35153](https://www.drkarenhorton.com/gallery/case/case-35153/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 17-year-old woman. Since the age of ten when she started developing breasts, she received unwanted attention and did everything possible to minimize the look of her chest. Over two pounds of excess heavy breast tissue was removed from each
- [Case-35134](https://www.drkarenhorton.com/gallery/case/case-35134/) - Before and after labiaplasty in a 26-year-old woman. She felt self-conscious about the length of her labia minora and wanted a neater and tidier appearance to her external genitalia. A labiaplasty trimmed excess labia minora, as shown in the surgical markings. After surgery, she took a week off work and three weeks off exercise. Follow
- [Case-35120](https://www.drkarenhorton.com/gallery/case/case-35120/) - Before and after bilateral nipple-sparing mastectomies and immediate breast implant reconstruction in a 58-year-old woman with recurrent breast cancer survivor. She had several previous lumpectomies and was tired of having MRIs every six months. After another positive biopsy for DCIS (ductal carcinoma in situ), she elected to have removal of her x breast tissue and
- [Case-35100](https://www.drkarenhorton.com/gallery/case/case-35100/) - Before and after liposuction of the abdomen and lower abdominal scar revision in a 50-year-old woman. She had some rectus diastasis after pregnancies, but she was not interested in having a full tummy tuck. Her goal was to remove her annoying stubborn post-pregnancy fat and to lessen the “shelf” of skin and fat that sat
- [Case-35099](https://www.drkarenhorton.com/gallery/case/case-35099/) - Before and after bilateral breast revision in a 38-year-old woman with a deflated saline breast implant. She noticed that her right breast became suddenly smaller right before a Hawai’i vacation – which seems to be when it happens… While on vacation, she wore extra padding in the right cup of her swimsuit and arranged surgery
- [Case-35098](https://www.drkarenhorton.com/gallery/case/case-35098/) - Before and after bilateral breast reduction and lift using the auto-augmentation technique with liposuction of the axillary rolls in a 26-year-old woman. Her heavy and extremely dense breasts did not fit her slender and athletic body and limited her from participating in all the sports she used to do before puberty. A breast reduction removed
- [Case-35097](https://www.drkarenhorton.com/gallery/case/case-35097/) - Before and after abdominoplasty in a 41-year-old woman with mild rectus diastasis and a small amount of subcutaneous abdominal fat. A tummy tuck corrected her rectus diastasis, repairing her abdominal muscles back together in the midline. A small amount of skin and fat was removed from her lower abdomen, and her belly button was inset
- [Case-35096](https://www.drkarenhorton.com/gallery/case/case-35096/) - Before and after Mommy Makeover consisting of a mastopexy-augmentation, abdominoplasty and liposuction in a 41-year-old mother of four Her goals for her breasts were to get the fullness of when she was breastfeeding back, with a lift of her nipples. She wanted her formerly flat belly back as well! Her procedure involved placement of smooth
- [Case-35095](https://www.drkarenhorton.com/gallery/case/case-35095/) - Before and after a mastopexy-augmentation as part of a Mommy Makeover in a 41-year-old mother of four Her goals for her breasts were to get the fullness of when she was breastfeeding back, with a lift of her nipples. A combined breast lift and breast augmentation was the perfect procedure for her. Her procedure involved
- [Case-35094](https://www.drkarenhorton.com/gallery/case/case-35094/) - Before and after bilateral breast reconstruction revision in a 48-year-old breast cancer survivor. Her previously placed submuscular implants during her breast cancer treatment felt painful, were constantly tight and caused her to feel self-conscious when not wearing a bra, even with her husband in intimate settings. Her revision involved removal of the old implants, reconstruction
- [Case-35093](https://www.drkarenhorton.com/gallery/case/case-35093/) - Before and after bilateral breast reduction and lift in a 22-year-old woman with congenital breast asymmetry and droop (ptosis) of her breasts. She was back in the Bay Area on a break after graduating from university and wanted to have surgery before starting her Master’s degree. Surgery was performed as an outpatient procedure, removing some
- [Case-35077](https://www.drkarenhorton.com/gallery/case/case-35077/) - Before and after bilateral breast augmentation in a 40-year-old woman. She longed for the former fullness of her breasts she had in her twenties, and wanted to be as large as she was during breastfeeding her children. Smooth round silicone gel breast implants were placed on top of the muscle, in the subglandular position. Liposuction
- [Case-35076](https://www.drkarenhorton.com/gallery/case/case-35076/) - She worked hard with a personal trainer to establish a good level of physical fitness and lose as much weight as she could on her own. After two years on her own, she felt ready to “pass the baton” to a Board-Certified Plastic Surgeon, and she found our office! Her Mommy Makeover included removal of
- [Case-35068](https://www.drkarenhorton.com/gallery/case/case-35068/) - Before and after bilateral breast reconstruction revision in a 43-year-old breast cancer survivor. Her totally submuscular implants were painful, tight and unsightly, limiting her from exercising and lifting her children. Radiation had caused permanent damage to her left chest wall and breast skin, as expected. She did not want a flap reconstruction but was relieved
- [Case-35067](https://www.drkarenhorton.com/gallery/case/case-35067/) - Before and after bilateral DIEP flap breast reconstruction in a 34-year-old breast cancer survivor. After having a double mastectomy for invasive breast cancer, tissue expander reconstruction, chemotherapy and left chest wall radiation, she sought to have a better looking breast reconstruction result. Thankfully, she had enough lower abdominal skin and fat to use for microvascular
- [Case-35066](https://www.drkarenhorton.com/gallery/case/case-35066/) - Before and after right delayed breast implant reconstruction with left balancing breast reduction and lift in a 63-year-old breast cancer survivor. She was never offered breast reconstruction at the time of her breast cancer diagnosis nearly thirty years before when she was 36 years old and pregnant, despite not needing chemotherapy or radiation for her
- [Case-35065](https://www.drkarenhorton.com/gallery/case/case-35065/) - Before and after bilateral breast revision in a 39-year-old woman with recurrent capsular contracture of the right breast. Years previously, she underwent a right nipple-sparing mastectomy with implants placed on both sides. She had failed two past attempts at surgical correction of her contracture; she opted for a flap-based reconstruction instead, with removal of both
- [Case-35064](https://www.drkarenhorton.com/gallery/case/case-35064/) - Before and after right DIEP flap reconstruction and bilateral breast revision in a 39-year-old breast cancer survivor. Years previously, she underwent a right nipple-sparing mastectomy with implants placed on both sides. She had failed two past attempts at surgical correction of right recurrent capsular contracture; she opted for a flap-based reconstruction instead, with removal of
- [Case-35063](https://www.drkarenhorton.com/gallery/case/case-35063/) - Before and after bilateral lobule repair and repiercing in a 34-year-old woman who previously had large (1.5 inches) gauges in her earlobes. She had taken her gauges out six months previously; the earlobe skin had contracted as much as it was going to. She wanted her earlobes to look normal, to wear regular hoop earrings
- [Case-35062](https://www.drkarenhorton.com/gallery/case/case-35062/) - Before and after Mommy Makeover consisting of a breast reduction and lift, abdominoplasty and liposuction in a 62-year-old woman. Since she was also a Grandmother, she called this her “Nana Makeover”! Two pounds of excess breast tissue was removed from her breasts, which were lifted and reshaped. A tummy tuck removed over four pounds of
- [Case-35061](https://www.drkarenhorton.com/gallery/case/case-35061/) - Before and after abdominoplasty and liposuction of the abdomen, flanks, pubic region and upper inner thighs as part of a Mommy Makeover in a 62-year-old woman. She was also having a breast reduction and lift with liposuction of the axillary rolls. Since she was also a Grandmother, she called this her “Nana Makeover”! A tummy
- [Case-35060](https://www.drkarenhorton.com/gallery/case/case-35060/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls as part of a Mommy Makeover in a 62-year-old woman. Since she was also a Grandmother, she considered this surgery a “Nana Makeover” as well! Two pounds of excess breast tissue was removed from her breasts, which were lifted and reshaped.
- [Case-35059](https://www.drkarenhorton.com/gallery/case/case-35059/) - Before and after bilateral nipple and areola reconstruction in a 49-year-old breast cancer survivor. She had healed from a breast reconstruction revision and was ready for her final stage of reconstruction. The local flap technique was used to create two three-dimensional nipple prominences. Medical tattoo created two new areolar circles. Follow up photos are shown
- [Case-35048](https://www.drkarenhorton.com/gallery/case/case-35048/) - Before and after labiaplasty in a 36-year-old woman. She was limiting her physical activities due to her long labia minora tissue, and wanted freedom to exercise any way she wanted! A labiaplasty trimmed excess labia minora tissue but left a normal amount of tissue behind, so that future romantic partners would not notice that she
- [Case-35021](https://www.drkarenhorton.com/gallery/case/case-35021/) - Before and after bilateral inverted nipple correction in a 23-year-old woman. She felt embarrassed that her nipples were inverted, particularly with her large areolas and pendulous breasts. She wanted them to be more “out” and was relieved to know that she would maintain normal sensation and still be able to breastfeed in the future. Inverted
- [Case-35024](https://www.drkarenhorton.com/gallery/case/case-35024/) - Before and after bilateral upper lid blepharoplasty in a 54-year-old woman. She felt her upper eyelids made her look tired - even after a restful vacation or good night’s sleep - and caused her to look older than she felt. Her goal was to rejuvenate the look of her eyes and to remove tired-looking upper
- [Case-35023](https://www.drkarenhorton.com/gallery/case/case-35023/) - Before and after lower facelift/neck lift using the MACS lift technique in a 54-year-old woman. She felt her neck had aged significantly in the last ten years and having meetings on Zoom was a big distraction for her, as she focused on how bad her neck looked! A MACS lift removed excess fat from under
- [Case-35022](https://www.drkarenhorton.com/gallery/case/case-35022/) - Before and after bilateral breast implant revision in a 52-year-old woman with capsular contracture, pain and deformity. Her implants demonstrated “superior malposition”, where they sat up too high due to constricting scar tissue around the implants - particularly evident on the right side. Her goal was a more natural look and relief of her discomfort,
- [Case-35017](https://www.drkarenhorton.com/gallery/case/case-35017/) - Before and after bilateral DIEP flap breast reconstruction in a 52-year-old breast cancer survivor who had a previous right failed implant reconstruction. Following bilateral non-skin-sparing mastectomies, chemotherapy and right chest wall radiation for invasive breast cancer, she sought breast reconstruction. Her right implant required removal due to exposure through the skin after an infection. Given
- [Case-35016](https://www.drkarenhorton.com/gallery/case/case-35016/) - Before and after bilateral breast reconstruction revision with liposuction of the axillary rolls in an extremely healthy and active 80-year-old breast cancer survivor. Her completely submuscular saline-filled implants created chronic pressure, tightness and muscle aching in her chest. She wanted her breasts to have better cleavage and be a little fuller, to better match her
- [Case-34989](https://www.drkarenhorton.com/gallery/case/case-34989/) - Before and after bilateral mastopexy and liposuction of the axillary rolls in a 58-year-old woman. She was not looking to have larger breasts, but to be lifted and reshaped. An auto-augmentation breast lift removed some excess lower pole breast skin and rearranged the internal architecture of her breasts into a more round and perky shape.
- [Case-34988](https://www.drkarenhorton.com/gallery/case/case-34988/) - Before and after liposuction of the arms in a 58-year-old woman. At the same time as a breast lift and liposuction of the bra rolls, she wanted to improve the contour of her arms, since she felt that she could not fully appreciate the hard work she had put in over the last few years,
- [Case-34987](https://www.drkarenhorton.com/gallery/case/case-34987/) - Before and after bilateral breast reduction and liposuction of the axillary rolls in an 18-year-old woman. She felt her breast size was out of proportion to the rest of her body, and that her breasts looked as if she was already a mother who had breastfed babies – which she certainly was not! A breast
- [Case-34986](https://www.drkarenhorton.com/gallery/case/case-34986/) - Before and after bilateral breast reconstruction revision in a 43-year-old breast cancer survivor. Following a bilateral mastectomy and implant reconstruction and completing chemotherapy and recovering from her breast cancer treatments, she did some soul-searching and determined that she wanted to have fuller breasts for her final reconstruction results. A bilateral capsulectomy and implant exchange was
- [Case-34985](https://www.drkarenhorton.com/gallery/case/case-34985/) - Before and after left delayed breast reconstruction in a 48-year-old breast cancer survivor who was not offered breast reconstruction at the time of her cancer diagnosis. Her aesthetic goals were to be reconstructed fuller than her postpartum right breast, and to have this be her Mommy Makeover in addition to her breast cancer reconstruction. A
- [Case-34984](https://www.drkarenhorton.com/gallery/case/case-34984/) - Before and after bilateral inverted nipple correction in a 23-year-old woman. She felt self-conscious that her nipples “never fully came out” and wanted more nipple projection. Inverted nipple correction was performed in the office under local anesthesia. After surgery, she worked from home for a week and took two weeks off exercise. Follow up photos
- [Case-34983](https://www.drkarenhorton.com/gallery/case/case-34983/) - Before and after breast reconstruction by breast reduction and lift technique in a 56-year-old woman with breast cancer. She required a right lumpectomy and wished to have reconstruction at the same time. A combined breast cancer surgery and reconstruction was arranged as an outpatient procedure. Liposuction removed over a liter of excess fat from her
- [Case-34963](https://www.drkarenhorton.com/gallery/case/case-34963/) - Before and after labiaplasty in a 50-year-old woman. At the same time as having liposuction of her inner and outer thighs, she wanted to trim her long labia minora tissue so that she had more ease exercising. The more darkly pigmented part of her labia minora was trimmed under local anesthesia as an in-office outpatient
- [Case-34958](https://www.drkarenhorton.com/gallery/case/case-34958/) - Before and after liposuction of the arms in a 39-year-old woman. At the same time as a breast augmentation and liposuction of other areas of her body, she wanted to improve the appearance of her upper arms. Liposuction permanently removed excess fat through several tiny incisions. After surgery, she wore compression sleeves for two months
- [Case-34957](https://www.drkarenhorton.com/gallery/case/case-34957/) - Before and after liposuction of the neck in a 39-year-old woman with lipodystrophy (excess unwanted fat) in the submental region of her neck, under her chin. At the same time as a breast augmentation, she wanted to improve the contour of her jawline. Liposuction permanently removed fat through two tiny incisions under her jawline. After
- [Case-34956](https://www.drkarenhorton.com/gallery/case/case-34956/) - Before and after post-weight loss mastopexy with liposuction of the axillary rolls in a 67-year-old woman. After losing over two hundred pounds following invasive weight loss surgery and recovering a brachioplasty, she wanted to improve the appearance of her breasts. She felt strongly that she did not want implants and wished to look “age appropriate.”
- [Case-34955](https://www.drkarenhorton.com/gallery/case/case-34955/) - Before and after labiaplasty focusing on the labia majora in a 34-year-old woman. She felt self-conscious about the “baggy” nature of her labia majora – the outer lips of the female external genitalia. A labiaplasty removed a wedge of labia majora, but left the labia minora alone. Follow up photos are shown 3 months after
- [Case-34949](https://www.drkarenhorton.com/gallery/case/case-34949/) - Before and after labiaplasty in a 31-year-old woman. She was self-conscious about the appearance of her labia in intimate settings and wanted it to look “prettier.” A labiaplasty trimmed the long, more darkly pigmented portion of her labia minora, leaving behind the more light colored and smooth labia minora. Following this office procedure which was
- [Case-9443](https://www.drkarenhorton.com/gallery/case/case-9443/) - Before and after Mommy Makeover in a 34 year old woman mother of three. Her breasts had developed droop, large areolas and a pendulous shape. Her abdomen was covered with stretch marks and she had overhanging extra skin and fat. Her body did not match her youthful personality and vitality as a young mother! This
- [Case-34936](https://www.drkarenhorton.com/gallery/case/case-34936/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 27-year-old woman. She had lost seventy pounds through hard work and lifestyle changes. Her breasts had developed droop and loss of volume since her weight loss – she was looking for a lifted but proportional result. A breast reduction
- [Case-34921](https://www.drkarenhorton.com/gallery/case/case-34921/) - Before and after labiaplasty in a 47-year-old woman. She felt discomfort when she exercised, wore yoga pants and had sex. She wanted to maintain a normal appearance and “not look surgical,” since she was newly single and “back out on the market”. A labiaplasty trimmed excess labia minora tissue but left a normal amount of
- [Case-34922](https://www.drkarenhorton.com/gallery/case/case-34922/) - Before and after bilateral inverted nipple correction in a 22-year-old woman. She was self-conscious that her nipples were never “out” and wanted to have a more natural look when she was in intimate situations. Inverted nipple correction was performed in the office under local anesthesia. After surgery, she took a full week off work and
- [Case-34920](https://www.drkarenhorton.com/gallery/case/case-34920/) - Before and after breast revision in a 55-year-old woman with congenital breast asymmetry. She had prior breast augmentation and a right lumpectomy, which was benign. Her revision involved replacement of her right implant and a left augmentation with smooth round silicone gel breast implants together with a mastopexy (breast lift) and liposuction of the axillary
- [Case-34919](https://www.drkarenhorton.com/gallery/case/case-34919/) - Before and after right delayed breast implant reconstruction and left balancing augmentation with liposuction of the axillary rolls in a 39-year-old breast cancer survivor. Unfortunately, she was not offered breast reconstruction at the time of her cancer diagnosis. She advocated for herself and insisted that her nipple be saved and requested that her incision be
- [Case-34918](https://www.drkarenhorton.com/gallery/case/case-34918/) - Before and after bilateral breast augmentation and bilateral nipple reduction in a 33-year-old woman with significant hypomastia and nipple hypertrophy. She was looking for a small augmentation and more proportional looking nipples. Smooth round silicone gel breast implants were placed on top of the muscle, in the subglandular position. Her nipples were made around half
- [Case-34917](https://www.drkarenhorton.com/gallery/case/case-34917/) - Before and after bilateral nipple reduction in a 33-year-old woman. She felt self-conscious about the large size and pedunculated nature of her nipples, which had become longer and more stretched-out after breastfeeding. A nipple reduction reduced the size of her nipples, made them less long and less floppy at their base. Dissolving sutures slowly fell
- [Case-34916](https://www.drkarenhorton.com/gallery/case/case-34916/) - Before and after post-weight loss liposuction of the body in a 67-year-old woman who had lost over two hundred pounds after invasive weight loss surgery. After having a brachioplasty, and a breast lift, she wanted to remove as much fat as possible from her torso before having excisional body contouring – an abdominoplasty and inner
- [Case-34915](https://www.drkarenhorton.com/gallery/case/case-34915/) - Before and after bilateral nipple-sparing mastectomies and immediate implant reconstruction in a 31-year-old woman with breast cancer. Following a right lumpectomy that came back with positive margins for cancer cells, she required a right mastectomy. She chose to have a prophylactic mastectomy on the left as well and chose an implant reconstruction for both breasts.
- [Case-34914](https://www.drkarenhorton.com/gallery/case/case-34914/) - Before and after left DIEP flap breast reconstruction in a 58-year-old woman with breast cancer. Following four lumpectomies on the left and one on the right, she required a left mastectomy with removal of her nipple and areola. She elected to keep her right breast and not have a double mastectomy. Skin and fat was
- [Case-19378](https://www.drkarenhorton.com/gallery/case/case-19378/) - Before and after DIEP flap breast reconstruction in a 62 year old woman with right breast cancer. She required a non-skin sparing mastectomy and she had an overabundance of abdominal tissue to use for reconstruction! She chose to leave her left breast alone, but she wanted to have a perkier result on both sides. A
- [Case-20360](https://www.drkarenhorton.com/gallery/case/case-20360/) - Before and after a Mommy Makeover in a 37-year-old mother of three. Although she was very physically active and slender, her abdominal muscles were not working effectively due to rectus diastasis. When she planked (daily), it felt like her “guts were going to fall out” and there was no more she could do at the
- [Case-31443](https://www.drkarenhorton.com/gallery/case/case-31443/) - Before and after bilateral earlobe repair and repiercing in a 37-year-old woman. She was unable to wear stud earrings due to stretched out piercings in each lobule. Combined earlobe repair and repiercing was performed under local anesthesia. After surgery, she wore hoops in place for 6 weeks to allow her earlobes to heal before changing
- [Case-32816](https://www.drkarenhorton.com/gallery/case/case-32816/) - Before and after medial thigh lift in a 44-year-old woman following significant weight loss. She had already had other body contouring procedures including a brachioplasty, mastopexy and abdominoplasty. Improving the contour of her inner thighs was the last procedure planned in her weight loss journey. Excess skin and fat were removed from her upper inner
- [Case-34728](https://www.drkarenhorton.com/gallery/case/case-34728/) - Before and after labiaplasty in an 18-year-old woman. She experienced discomfort from her long labia minora. A labiaplasty trimmed excess length from her labia but kept a normal amount of labia minora tissue to enable normal lubrication and a natural appearance. Follow up photos are shown 3 months after surgery.
- [Case-34725](https://www.drkarenhorton.com/gallery/case/case-34725/) - Before and after bilateral explantation in a 32-year-old woman. She had developed tight, uncomfortable capsular contracture and asymmetry following a right breast infection the previous year and wanted her implants out after having them for fifteen years. Explantation was performed in the office under local anesthesia. Removal of the internal scar tissue (called a capsulectomy)
- [Case-34724](https://www.drkarenhorton.com/gallery/case/case-34724/) - Before and after bilateral breast revision involving explantation, capsulectomy and mastopexy in a 54-year-old woman with eighteen- year-old breast implants which were found to be ruptured on an MRI exam. She had an unsightly “Snoopy deformity” due to their high, submuscular position and normal descent of her native breast tissue over nearly two decades. Her
- [Case-34723](https://www.drkarenhorton.com/gallery/case/case-34723/) - Before and after bilateral brachioplasty and liposuction of the arms in a 61-year-old woman. She had a limited amount of upper arm excess skin that was appropriate for surgical removal, as an arm lift procedure together with liposuction of her arms. Under general anesthesia, excess upper abdominal skin was surgically removed, while liposuction removed over
- [Case-34645](https://www.drkarenhorton.com/gallery/case/case-34645/) - Before and after abdominoplasty and liposuction in a 53-year-old woman. Believe it or not, this patient had lost nearly one hundred pounds and still had a major abdominal tissue overhang, called a “pannus” in medical terms. She called this area her “apron.” It limited her from sliding into a booth in a restaurant and from
- [Case-34703](https://www.drkarenhorton.com/gallery/case/case-34703/) - Before and after left breast reconstruction revision in a 53-year-old breast cancer survivor. Her left breast implant reconstruction had developed capsular contracture after an infected root canal, causing pain and deformity. Her revision involved a left capsulectomy and implant exchange to create improved symmetry with her right lifted breast. She felt strongly that she did
- [Case-34693](https://www.drkarenhorton.com/gallery/case/case-34693/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 37-year-old woman. she worked as a MUNI bus driver and found it difficult to turn the large steering wheel without neck and shoulder strain due to the large size of her breasts. A breast reduction removed over a
- [Case-34692](https://www.drkarenhorton.com/gallery/case/case-34692/) - Before and after liposuction of the body in a 33-year-old woman. She was planning her wedding and wanted to have the sleekest figure possible in her wedding dress! She was fit and active, but after having worked for two years straight at the gym, she felt she still had a few “trouble areas” that she
- [Case-34691](https://www.drkarenhorton.com/gallery/case/case-34691/) - Before and after left nipple reconstruction using the free nipple graft (nipple sharing) technique in a 54-year-old breast cancer survivor. Her left nipple required removal due to cancer involvement. Following implant reconstruction, she was ready for her final stage of reconstruction, which included nipple reconstruction and medical tattoo to create a new areolar circle. A
- [Case-34690](https://www.drkarenhorton.com/gallery/case/case-34690/) - Before and after MACS lift with liposuction of the neck in a 64-year-old woman. At the same time as an upper lid blepharoplasty (eyelid lift), she wanted to improve the appearance of her neck – but NOT to look pulled too tight or have an obvious looking result. A MACS lift (minimal access, meaning short
- [Case-34689](https://www.drkarenhorton.com/gallery/case/case-34689/) - Before and after bilateral upper eyelid lift in a 64-year-old woman. At the same time as a lower facelift/neck lift using the MACS lift technique, she wanted to improve the tired look to her upper eyelids. She unconsciously needed to raise her eyebrows in order to see better, due to her droopy upper eyelid skin.
- [Case-34630](https://www.drkarenhorton.com/gallery/case/case-34630/) - Before and after labiaplasty in a 27-year-old woman. She wanted a “cleaner look” to her labia region, and to feel less tugging and pain when she exercised or had sex. A labiaplasty trimmed only the longer, more darkly pigmented parts of the labia minora, leaving the lighter pink and smoother labia minora intact. Follow up
- [Case-34629](https://www.drkarenhorton.com/gallery/case/case-34629/) - Before and after liposuction of the axillary rolls in a 30-year-old woman. She felt extremely self-conscious about her “armpit boobs,” resulting from prominent axillary tails of breast tissue. She had tried everything she could think of to treat them – from strict dieting, targeted chest exercises and even injectable treatments. She consulted with a breast
- [Case-34628](https://www.drkarenhorton.com/gallery/case/case-34628/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 23-year-old woman. Her breasts were “unmanageable,” causing pain and strain on her neck, shoulder and upper back. She wanted her breasts to be smaller and lifted, but to still be proportional to the rest of her body – and
- [Case-34627](https://www.drkarenhorton.com/gallery/case/case-34627/) - Before and after bilateral breast augmentation with liposuction of the axillary rolls in a 32-year-old woman. She had recently become engaged, and not only wanted a “bride makeover,” but to fill out her strapless wedding dress – without needing to wear a pushup bra! Smooth round silicone gel breast implants were placed on top of
- [Case-34626](https://www.drkarenhorton.com/gallery/case/case-34626/) - Before and after bilateral delayed implant reconstruction in a 35-year-old breast cancer survivor. Following bilateral mastectomies and implant reconstructions, she developed a severe infection during chemotherapy requiring removal of both of her implants. After a period of six months, her immune system had fully recovered from chemo and her breast skin became less edematous (firm
- [Case-34625](https://www.drkarenhorton.com/gallery/case/case-34625/) - Before and after labiaplasty in a 44-year-old woman. She experienced pulling and pain whenever she ran due to her long labia minora tissue. She was looking for physical relief of her symptoms, rather than an aesthetic outcome after her labiaplasty. Thankfully, this procedure achieves both goals! Her labiaplasty procedure was performed under local anesthesia in
- [Case-34624](https://www.drkarenhorton.com/gallery/case/case-34624/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 40-year-old woman. As part of her Mommy Makeover which also involved an abdominoplasty, umbilical hernia repair and liposuction, she wanted to reduce the size of her breasts and reshape them with a major lift. Approximately a pound of breast
- [Case-2999](https://www.drkarenhorton.com/gallery/case/case-2999/) - Before and after abdominoplasty and liposuction as part of a Mommy Makeover in a 50-year-old woman. At the same time as a breast lift, she wanted to remove extra abdominal skin and fat, and get her formerly flat belly back. A tummy tuck did exactly those three things, through skin and fat excision, repair of
- [Case-34578](https://www.drkarenhorton.com/gallery/case/case-34578/) - Before and after bilateral breast lift in a 38-year-old woman. Her breasts had become deflated and devoid of their former round shape after having children and breastfeeding for years. She did not necessarily want to be bigger-breasted, just to be lifted. A mastopexy was the best procedure for her! Her breast tissue was rearranged internally
- [Case-34577](https://www.drkarenhorton.com/gallery/case/case-34577/) - Before and after labiaplasty in a 31-year-old woman. She felt discomfort physically due to her long and asymmetric labia minora and wanted a more trimmed appearance to her external genitalia. A labiaplasty trimmed excess labia minora and created improved symmetry. Follow up photos are shown 3 months after surgery.
- [Case-2988](https://www.drkarenhorton.com/gallery/case/case-2988/) - Before and after breast augmentation in a 40-year-old woman. She had decided she was not going to have children - but that she was going to get married in another year. As her "bride makeover", she wanted to have fuller breasts! Smooth round silicone gel breast implants were inserted through an incision hidden in the
- [Case-34568](https://www.drkarenhorton.com/gallery/case/case-34568/) - Before and after labiaplasty in a 16-year-old woman. She experienced discomfort during competitive sports and, while not excited about surgery, was relieved that a simple procedure under local anesthesia could help her compete without needing to apply ice after every game. With full parental consent (since this patient was a legal minor), a labiaplasty trimmed
- [Case-34567](https://www.drkarenhorton.com/gallery/case/case-34567/) - Before and after bilateral breast reduction and lift in a 47-year-old woman. She had lost a significant amount of weight the previous year and developed significant drooping of her breasts with this volume loss. A breast reduction removed over a pound of excess tissue from each breast. The auto-augmentation technique was used to lift her
- [Case-34566](https://www.drkarenhorton.com/gallery/case/case-34566/) - Before and after bilateral tubular breast correction using the auto-augmentation mastopexy technique with liposuction of the axillary rolls in a 24-year-old woman. She disliked the tubular shape of her breasts and her large, puffy areolas. She did not want to be any bigger and was not looking for a breast implant – just a “more
- [Case-34565](https://www.drkarenhorton.com/gallery/case/case-34565/) - Before and after liposuction of the posterior flanks in a 28-year-old woman. At the same time as a breast revision, she wanted to remove a little fat in her love handle region. Liposuction permanently removed several hundred milliliters of fat through incisions hidden in her panty lines. Early follow up photos are shown 6 months
- [Case-34564](https://www.drkarenhorton.com/gallery/case/case-34564/) - Before and after bilateral breast implant removal in a 29-year-old woman who recently got married. After having breast implants for over ten years, she no longer wanted them. Capsular contracture that had developed around her left implant caused chronic pain and tightness, especially when she raised her arms. In preparation to begin her family, she
- [Case-34563](https://www.drkarenhorton.com/gallery/case/case-34563/) - Before and after right breast revision in a 46-year-old woman with capsular contracture on the right side. Her right breast had become firm and sat higher up after a root canal. Her surgeon had not advised her to take prophylactic antibiotics before dental work or colonoscopies, as we do in our practice. The infected tooth
- [Case-34562](https://www.drkarenhorton.com/gallery/case/case-34562/) - Before and after liposuction of the inner and outer thighs in a 30-year-old woman. Working as a fitness instructor, she felt frustrated that she could not target her “saddlebags” (outer thigh fat collections) and subtle inner thigh fat collections that extended below her buttock crease (we call this the “banana roll”) with diet and exercise.
- [Case-34561](https://www.drkarenhorton.com/gallery/case/case-34561/) - Before and after bilateral inverted nipple correction in a 23-year-old woman. She felt self-conscious about her inverted nipples and small areolas and was looking for them to be “out” and to have a more defined areola. She had tried nipple piercings in the past to help bring her nipples out, which only produced excess scar
- [Case-34547](https://www.drkarenhorton.com/gallery/case/case-34547/) - Before and after labiaplasty in a 35-year-old woman. She experienced discomfort every time she exercised, and felt self-conscious in intimate settings. A labiaplasty trimmed only the longest part of her labia minora. She felt very strongly that she did not want to look like she “had had surgery down there.” Follow up photos are shown
- [Case-34546](https://www.drkarenhorton.com/gallery/case/case-34546/) - Before and after abdominoplasty with liposuction of the abdomen and flanks in a 42-year-old woman. After having children, her muscles had separated and she felt instability of her abdominal wall due to rectus diastasis. While many patients would love to look like her before photos, each patient has their own individual goals and reasons to
- [Case-34544](https://www.drkarenhorton.com/gallery/case/case-34544/) - Before and after left earlobe repair and repiercing in a 54-year-old woman. From years of holding the phone against her ear at work, her left ear piercing had become stretched out. She wanted to keep an earring and have better symmetry with her right earlobe, which did not have the same issue. A left-side-only repair
- [Case-34540](https://www.drkarenhorton.com/gallery/case/case-34540/) - Before and after bilateral mastopexy with liposuction of the axillary rolls in a 34-year-old woman. At the same time as a labiaplasty, she was looking to lift her breasts and have a more round and youthful breast shape. An auto-augmentation mastopexy did just that – removed excess skin and rearranged her breast tissue into a
- [Case-34528](https://www.drkarenhorton.com/gallery/case/case-34528/) - Before and after labiaplasty in a 63-year-old woman. She was seeking a procedure to give her more comfort when she exercised, wore yoga pants and had sex. She was relieved to know that she “wasn’t too old” and that it wasn’t “totally ridiculous” to consider having surgery in her sixties. Plastic Surgery isn’t for everyone,
- [Case-34520](https://www.drkarenhorton.com/gallery/case/case-34520/) - Before and after bilateral inverted nipple correction in a 33-year-old woman. She was self-conscious that her nipples never fully came out and their asymmetry, especially in intimate settings. Her goal was for her nipples to be more symmetrical and everted at rest, and when erect. An inverted nipple correction was performed under local anesthesia, as
- [Case-34519](https://www.drkarenhorton.com/gallery/case/case-34519/) - Before and after bilateral breast reduction and liposuction of the axillary rolls in a 55-year-old woman. Her large, heavy, pendulous breasts caused severe shoulder grooves and chronic pain and tightness in her neck, upper back and shoulders. Pain is a common reason middle-aged women seek a breast reduction, while younger women often seek surgery to
- [Case-34518](https://www.drkarenhorton.com/gallery/case/case-34518/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls (armpits and bra rolls) in a 17-year-old woman. The size, weight and pendulous hanging nature of her breasts made exercise nearly impossible and finding a bra that fit well an upsetting and universally negative experience. A breast reduction removed over 3700
- [Case-34501](https://www.drkarenhorton.com/gallery/case/case-34501/) - Before and after left inverted nipple correction. At the same time as a breast reduction and lift, this patient wanted improved symmetry with her right nipple, which was everted (out). A left inverted nipple correction was performed at the same procedure. This is not always possible, due to swelling of the breasts and the amount
- [Case-34504](https://www.drkarenhorton.com/gallery/case/case-34504/) - Before and after labiaplasty in a 34-year-old woman. she was planning a breast lift and wanted to trim her labia minora tissue at the same time to have improved aesthetics and comfort in this region. A labiaplasty trimmed only the excess length of labia minora tissue using the “trim technique.” After surgery, she had a
- [Case-34503](https://www.drkarenhorton.com/gallery/case/case-34503/) - Before and after right nipple and areola reconstruction in a 51-year-old breast cancer survivor. At the same time as a breast revision procedure, her right nipple was reconstructed using the “nipple sharing” technique, where a piece of the left nipple was moved to the right breast as a free nipple graft. Medical tattoo created a
- [Case-34502](https://www.drkarenhorton.com/gallery/case/case-34502/) - Before and after bilateral breast reconstruction revision in a 51-year-old breast cancer survivor. After a right skin-sparing (non-nipple sparing) mastectomy and a left nipple-sparing mastectomy ten years earlier, she underwent implant reconstructions under the muscle. Her implants were tight and painful; she never sought nipple reconstruction since she was not happy with her reconstruction results.
- [Case-34500](https://www.drkarenhorton.com/gallery/case/case-34500/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 57-year-old woman. She had always been curvy and voluptuous, but after menopause her breasts “really got out of control.” She was hoping to keep a proportional breast size but to alleviate the strain on her neck, shoulders and upper
- [Case-34499](https://www.drkarenhorton.com/gallery/case/case-34499/) - Before and after bilateral breast reconstruction in a 52-year-old woman. After a recent biopsy on her left breast showed invasive cancer involving her left nipple and multiples past breast biopsies for DCIS (ductal carcinoma in situ) on both breasts, she elected to have a bilateral mastectomy with removal of her nipples as well. Her goal
- [Case-34497](https://www.drkarenhorton.com/gallery/case/case-34497/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 19-year-old woman who had lost a significant amount of weight before she presented to our office. She felt her breasts did not look like they belonged on a teenager’s body, due to their hanging and low position. A breast
- [Case-34496](https://www.drkarenhorton.com/gallery/case/case-34496/) - Before and after liposuction of the body in a 34-year-old woman. At the same time as a breast reduction and lift, she wanted to improve the contour of her midsection. A combined breast and body procedure was planned as outpatient surgery under general anesthesia. Liposuction removed excess fat from her armpits and bra rolls, together
- [Case-34495](https://www.drkarenhorton.com/gallery/case/case-34495/) - Before and after revision abdominoplasty in a 58-year-old woman. When she was in her early twenties, she had an open cholecystectomy (gallbladder removal) through an obnoxiously long vertical scar involving her right abdomen. She also she had a panniculectomy over a decade ago, which only removed her lower abdominal overhang of tissue – called an
- [Case-34494](https://www.drkarenhorton.com/gallery/case/case-34494/) - Before and after liposuction of the body in a 39-year-old woman. She had developed a raised, hyperpigmented and itchy vertical abdominal scar after emergency surgery many years ago that she felt looked “like a butt in the front” due to fat protruding on either side of the scar. She desired an improved contour to her
- [Case-34493](https://www.drkarenhorton.com/gallery/case/case-34493/) - Before and after bilateral breast implant removal in a 47-year-old woman. She had chronically contracted scar tissue around her high-riding submuscular implants that felt tight and had superior malposition and animation deformities. After considering explantation for years but feeling hesitant to have another big surgical procedure, she sought us out because we offer breast implant
- [Case-34492](https://www.drkarenhorton.com/gallery/case/case-34492/) - Before and after bilateral explantation in a 54-year-old breast cancer survivor who wanted to “go flat”. After bilateral mastectomies, chemotherapy and left breast radiation, she had undergone several implant reconstruction surgeries, and unfortunately developed recurrent Grade IV (painful) capsular contracture. When she came to our office, she considered a free flap reconstruction such as the
- [Case-34491](https://www.drkarenhorton.com/gallery/case/case-34491/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 34-year-old woman. She wanted her breasts to be a little smaller – and a lot lifted! A breast reduction removed nearly a pound of unwanted weight from each breast. The auto-augmentation mastopexy technique reshaped her remaining breast tissue into
- [Case-34489](https://www.drkarenhorton.com/gallery/case/case-34489/) - Before and after left delayed implant reconstruction in a 45-year-old “triple negative” breast cancer survivor. Her left breast implant reconstruction had failed due to acute infection after radiation treatments. She was not a candidate for a free flap reconstruction due to a paucity of donor site tissue in her abdomen and inner thighs. She felt
- [Case-34468](https://www.drkarenhorton.com/gallery/case/case-34468/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 30-year-old woman. Her nipples were pointing to the floor, and her breasts had assumed a long, pendulous shape due to weight fluctuations, time and gravity. She was planning her wedding and wanted to be able to wear a strapless
- [Case-34467](https://www.drkarenhorton.com/gallery/case/case-34467/) - Before and after labiaplasty in a 31-year-old woman. She felt discomfort every time she ran, rode her spin bike or had sex. A labiaplasty trimmed excess labia minora tissue but left a normal amount of labia tissue behind. This patient needed to fly home immediately after surgery due to a family emergency; we normally recommend
- [Case-34447](https://www.drkarenhorton.com/gallery/case/case-34447/) - Before and after bilateral breast revision in a 58-year-old woman with painful, contracted breast implants and mildly droopy (ptotic) breasts with a low nipple position and elongated breast shape. She avoided lying on her stomach in yoga classes due to pain from the hard implants and at the beach, had to dig out extra sand
- [Case-34446](https://www.drkarenhorton.com/gallery/case/case-34446/) - Before and after bilateral breast reconstruction revision in a 32-year-old BRCA gene positive women. Her original reconstruction featured implants under the muscle, which caused chronic pain and tightness. She had also been left with significant asymmetry which made wearing a bra awkward and left her feeling lopsided. The right implant sat up higher due to
- [Case-34445](https://www.drkarenhorton.com/gallery/case/case-34445/) - Before and after left breast tubular breast correction via a unilateral (single-sided) breast augmentation in a 17-year-old woman. A tubular breast has a constricted breast footprint, a relatively high breast fold, and “pseudoptosis,” where the nipple is close to the lower pole of the breast. This patient was bothered by her congenital breast asymmetry and
- [Case-34289](https://www.drkarenhorton.com/gallery/case/case-34289/) - Before and after bilateral mastopexy as part of a Mommy Makeover in a 35-year-old mother of three. She had lost her former breast fullness after breastfeeding her children, and wanted a natural look but the option to not wear a bra. An “auto-augmentation” mastopexy reshaped her breasts and lifted them, but kept her the same
- [Case-34287](https://www.drkarenhorton.com/gallery/case/case-34287/) - Before and after labiaplasty in a 28-year-old woman. She felt self-conscious about her darkly pigmented labia minora and its long length, which caused it to protrude downward in a bathing suit or yoga pants. A labiaplasty trimmed excess labia minora tissue in an outpatient procedure performed under local anesthesia with inhaled laughing gas and an
- [Case-34283](https://www.drkarenhorton.com/gallery/case/case-34283/) - Before and after bilateral breast implant removal in a 54-year-old woman. Her implants had been in place for 15 years, and she felt they made her look top-heavy or matronly. They no longer reflected her athletic, healthy lifestyle. She also had developed capsular contracture, most obvious when the arms are raised above the head. Bilateral
- [Case-34259](https://www.drkarenhorton.com/gallery/case/case-34259/) - Before and after bilateral upper lid blepharoplasty in a 54-year-old woman with mild upper eyelid hooding. She wanted a very natural looking result without a change in the shape of her eyes. A skin-only “pinch blepharoplasty” did just that – removed the excess upper eyelid skin that created a heavy appearance to her eyes but
- [Case-2991](https://www.drkarenhorton.com/gallery/case/case-2991/) - Before and after bilateral tubular breast correction by breast augmentation and liposuction of the axillary rolls in a 32-year-old woman with congenital breast asymmetry and tubular breasts. Smooth round silicone gel breast implants were placed on top of the muscle, in the subglandular position. Liposuction removed excess fat from her armpits. After surgery, she took
- [Case-34219](https://www.drkarenhorton.com/gallery/case/case-34219/) - Before and after bilateral breast reconstruction by the breast reduction and lift (auto-augmentation method) in a 52-year-old breast cancer survivor. After a right lumpectomy and radiation, she had breast asymmetry and deformity due to her cancer treatment. Her goal was for improved breast symmetry and a lift of both breasts. A right local tissue rearrangement
- [Case-34199](https://www.drkarenhorton.com/gallery/case/case-34199/) - Before and after labiaplasty in a 32-year-old woman woman. She experienced discomfort every time she exercised due to her long labia minora. A labiaplasty trimmed excess labia tissue, leaving a normal rim of labia minora behind. Follow up photos are shown 1 month after surgery. She is ready to begin exercising again and can already
- [Case-34180](https://www.drkarenhorton.com/gallery/case/case-34180/) - Before and after bilateral “secondary” (redo) breast reduction with liposuction of the axillary rolls in a 48-year-old woman with a history of a past breast reduction over twenty years ago. She wanted her breasts to be lighter and smaller, since she had gained weight since her twenties and accumulated additional heaviness of her breasts. A
- [Case-34178](https://www.drkarenhorton.com/gallery/case/case-34178/) - Before and after bilateral breast revision with liposuction of the axillary rolls in a 58-year-old woman. Her submuscular implants felt tight and created pain and deformity when she contracted her pectoral muscles, particularly on her right dominant side. She wanted better symmetry to her breasts and more physical comfort. Her revision involved removal of her
- [Case-34177](https://www.drkarenhorton.com/gallery/case/case-34177/) - Before and after right breast TUG flap and left breast DIEP flap reconstruction in a 45-year-old breast cancer survivor. She previously had a left mastectomy and implant reconstruction that resulted in extremely poor breast symmetry. She wanted to have her implant removed and replaced with her body’s own tissue. Since she did not have much
- [Case-34123](https://www.drkarenhorton.com/gallery/case/case-34123/) - Before and after bilateral mastectomies and immediate DIEP flap breast reconstruction in a 37-year-old woman with triple-negative breast cancer. Following neoadjuvant chemotherapy to help shrink her tumor, she required a total mastectomy on the left. She chose a double mastectomy to reduce her risk of developing new cancer on the right as well after genetic
- [Case-34132](https://www.drkarenhorton.com/gallery/case/case-34132/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 52-year-old woman. She wanted her breasts to be lifted, perkier and rounder, in addition to being a little smaller. A breast reduction using the superomedial pedicle technique (our go-to pedicle, which describes the blood supply to the nipple) and
- [Case-34130](https://www.drkarenhorton.com/gallery/case/case-34130/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 25-year-old woman. She had Grade III ptosis, with her nipples nearly at the lowest point of her breast, despite never having been pregnant before. She felt matronly and that her breasts looked too old for her young body. A
- [Case-34129](https://www.drkarenhorton.com/gallery/case/case-34129/) - Before and after liposuction of the abdomen and flanks in a 47-year-old woman. She wanted to improve her abdominal contour, but not to undergo the major downtime that a full tummy tuck would require. Over two liters of fat was removed from her upper and lower abdomen, flanks and pubic region during a two-hour procedure
- [Case-34128](https://www.drkarenhorton.com/gallery/case/case-34128/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 31-year-old woman. She wanted to be significantly smaller and to look somewhat androgenous with baggy clothes when she felt like it. A breast reduction removed nearly a pound of breast tissue from each side, with slightly more tissue removed
- [Case-34127](https://www.drkarenhorton.com/gallery/case/case-34127/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 39-year-old woman. After breastfeeding her three children, her breasts lost their former perkiness and shape. She wanted to be a little smaller and a LOT lifted! An auto-augmentation breast reduction and mastopexy removed some breast tissue and created a
- [Case-34126](https://www.drkarenhorton.com/gallery/case/case-34126/) - Before and after ultrasound-assisted liposuction (UAL) of the body in a 40-year-old man. Together with liposuction of his neck and chest, he wanted to reduce the amount of fat in his abdomen and circumferential flanks. Ultrasound-assisted liposuction of the abdomen and flanks (love handles) permanently removed fat through several tiny incisions. Ultrasound energy is necessary
- [Case-34125](https://www.drkarenhorton.com/gallery/case/case-34125/) - Before and after ultrasound-assisted liposuction (UAL) of the chest in a 40-year-old man with gynecomastia (male breast tissue). Together with liposuction of his neck and body, he wanted to reduce the amount of fat in his chest and to have a less feminine look. Ultrasound-assisted liposuction of the chest permanently removed fat from his breasts
- [Case-34124](https://www.drkarenhorton.com/gallery/case/case-34124/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 63-year-old woman. She worked full-time as a yoga instructor and found demonstrating yoga positions extremely challenging! A breast reduction removed over two pounds of excess breast tissue from each breast. Her remaining breast tissue was lifted and reshaped to
- [Case-34122](https://www.drkarenhorton.com/gallery/case/case-34122/) - Before and after liposuction of the neck in a 40-year-old man. Together with liposuction of his chest, abdomen and flanks (love handles), he wanted to achieve a more defined jawline and get rid of the “baby fat” under his chin. Liposuction of the neck permanently removed fat through two tiny incisions hidden under his jawline.
- [Case-34121](https://www.drkarenhorton.com/gallery/case/case-34121/) - Before and after bilateral explantation in a 42-year-old woman with twenty year old silicone gel breast implants. She felt her breast implants no longer suited her, and she wanted them out of her body. Breast implant removal was performed under local anesthesia, taking just over an hour to complete. She showered in two days and
- [Case-34120](https://www.drkarenhorton.com/gallery/case/case-34120/) - Before and after bilateral breast implant deflation of overfilled saline implants and later shell removal in a 58-year-old woman. She no longer wanted her implants due to their size, hard feel and unnatural look, but she did not have time available for two weeks off travel and heavy lifting at work, recommended after surgery. She
- [Case-34119](https://www.drkarenhorton.com/gallery/case/case-34119/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 49-year-old woman with macromastia causing pain, pulling, neck strain and inability to exercise easily. She also had asymmetry of her breast size, with the right breast being larger than the left. A breast reduction removed nearly two pounds of
- [Case-34102](https://www.drkarenhorton.com/gallery/case/case-34102/) - Before and after abdominoplasty with liposuction in a 69-year-old woman. At the same time as a breast procedure, she wished to improve the contour of her abdomen. She was fit, active and extremely healthy – even for someone turning seventy in a few months! Her abdomen had a vertical scar from a past emergency surgery
- [Case-34101](https://www.drkarenhorton.com/gallery/case/case-34101/) - Before and after earlobe repair and repiercing in a 70-year-old woman. Her earlobe had been torn when a dog jumped up and grabbed her dangly earring several years ago. She wanted to wear earrings to an upcoming party and was thrilled that earlobe repair was so straightforward – and that her ear could be repierced
- [Case-34100](https://www.drkarenhorton.com/gallery/case/case-34100/) - Before and after labiaplasty in a 34-year-old woman. She was self-conscious about her long labia minora, which protruded downward when she walked and prevented her from wearing yoga pants without a long shirt that covered her labia region. A labiaplasty trimmed some of the more darkly pigmented labia minora during an outpatient office surgery. Follow
- [Case-34096](https://www.drkarenhorton.com/gallery/case/case-34096/) - Before and after left earlobe repair and repiercing in a 33-year-old woman with a stretched-out piercing from talking on the phone for years, holding the phone to her left ear. She wanted to be able to wear earrings and have them sit at the same height, especially since her wedding was coming up! A left
- [Case-34090](https://www.drkarenhorton.com/gallery/case/case-34090/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 33-year-old woman. She was married but had not had children yet, but felt like she already looked matronly and much older than her actual age! She found exercise difficult and shopping for dresses exasperating. A breast reduction removed over
- [Case-34089](https://www.drkarenhorton.com/gallery/case/case-34089/) - Before and after labiaplasty using the trim technique of the labia minora in a 26-year-old woman. She disliked the excess tissue in her labia minora region, and constantly felt the need to “tuck” or “adjust” her private parts. A labiaplasty trimmed some of the long labia minora tissue, but left a normal degree of labia
- [Case-2824](https://www.drkarenhorton.com/gallery/case/case-2824/) - Before and after abdominoplasty with liposuction in a 43-year-old mother of three. She wanted to address her excess lower abdominal skin, fat, stretch marks and rectus diastasis, which made her feel unstable when she used her core muscles. Her Mommy Makeover included a tummy tuck to restore her abdominal muscles back attached to one another
- [Case-34061](https://www.drkarenhorton.com/gallery/case/case-34061/) - Before and after abdominoplasty as part of a Mommy Makeover in a 38-year-old mother. Her goal was to have a flatter tummy and less fat in her mid-section at the same time as having a breast lift with implants. An abdominoplasty removed excess skin from her lower abdomen, repaired her muscles back together in the
- [Case-34060](https://www.drkarenhorton.com/gallery/case/case-34060/) - Before and after bilateral mastopexy (breast lift) and breast augmentation as part of a Mommy Makeover in a 38-year-old mother. Her goal was to get her former breast size and shape back, which she lost after pregnancy and breastfeeding her three children, and to have less fat in her bra rolls and armpits. Smooth round
- [Case-34059](https://www.drkarenhorton.com/gallery/case/case-34059/) - Before and after Mommy Makeover consisting of a breast augmentation and lift, abdominoplasty and liposuction in a 38-year-old mother. Her goal was to get her former breast size and shape back (lost after pregnancy and breastfeeding her three children), to have a flatter tummy and less fat in her bra rolls and mid-section. Smooth round
- [Case-34030](https://www.drkarenhorton.com/gallery/case/case-34030/) - Before and after right non-nipple-sparing mastectomy and immediate DIEP flap breast reconstruction in a 48-year-old woman with right breast cancer. She did not want an implant for reconstruction, was thrilled that she could use her own tissue as a free flap for reconstruction, and did not want any surgery on her left breast. A combined
- [Case-34022](https://www.drkarenhorton.com/gallery/case/case-34022/) - Before and after labiaplasty in a 30-year-old woman. She was self-conscious about her long labia minora, and experienced discomfort when she exercised, rode a bike or had sex. A labiaplasty trimmed excess labia minora tissue but left a normal and natural amount of labia behind. Follow up photos are shown 9 months after surgery.
- [Case-34021](https://www.drkarenhorton.com/gallery/case/case-34021/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 22-year-old woman. She had lost some weight, which caused her already long and pendulous breasts to become more droopy and hanging. A breast reduction removed excess fat, skin and breast tissue from her breasts and reshaped her remaining breast
- [Case-34020](https://www.drkarenhorton.com/gallery/case/case-34020/) - Before and after bilateral nipple-sparing mastectomy and immediate implant reconstruction in a 54-year-old woman with breast cancer. She also had a history of past submuscular breast augmentation, resulting in her implants sitting far apart on her chest. An MRI showed they were both ruptured. She liked the idea of having implants for breast reconstruction but
- [Case-34019](https://www.drkarenhorton.com/gallery/case/case-34019/) - Before and after bilateral breast reconstruction revision in a 52-year-old breast cancer survivor. Following her initial breast reconstruction, she developed painful Grade IV capsular contracture and asymmetry. Her revision involved removal of the old breast implants, capsulectomy to open up the prepectoral mastectomy space and implant exchange to new silicone gel breast implants. Her
- [Case-34016](https://www.drkarenhorton.com/gallery/case/case-34016/) - Before and after bilateral immediate breast implant reconstruction in a 51-year-old woman with recurrent right breast cancer who chose to have a double mastectomy after two previous lumpectomies on the right. You can see staining on the right breast from injection of her tumor prior to lymph node removal. She required removal of her right
- [Case-34006](https://www.drkarenhorton.com/gallery/case/case-34006/) - Before and after right delayed breast reconstruction in a 50-year-old woman. She had her right implant removed previously due to an acute breast infection. After a period of several months that allowed the inflammation to resolve, she was ready for implant reinsertion. Her previous inframammary fold incision was used to access the prepectoral implant space.
- [Case-34005](https://www.drkarenhorton.com/gallery/case/case-34005/) - Before and after right breast revision in a 47-year-old woman with a chronic hematoma of her right breast. Following her breast augmentation, she had taken high doses of an oral anti-inflammatory medication for daily migraines that caused her blood to thin and stimulated a bleed inside her breast, with a low leak of blood that
- [Case-34004](https://www.drkarenhorton.com/gallery/case/case-34004/) - Before and after bilateral nipple and areola reconstruction in a 59-year-old two-time breast cancer survivor. Following bilateral mastectomies and DIEP flap reconstructions, she was ready for her final reconstruction stage. The local flap technique was used to create two new nipple prominences. Medical tattoo created two areaolar circles. Follow up photos are shown 6 months
- [Case-34003](https://www.drkarenhorton.com/gallery/case/case-34003/) - Before and after bilateral skin-sparing mastectomies and immediate breast reconstruction with DIEP flaps in a 58-year-old woman with recurrent breast cancer. She previously had undergone a right lumpectomy, chemotherapy and radiation therapy for invasive breast cancer – now, thirteen years later, she required a double mastectomy for recurrent cancer on the right and a new
- [Case-34001](https://www.drkarenhorton.com/gallery/case/case-34001/) - Before and after bilateral prophylactic nipple-sparing mastectomies and immediate breast implant reconstruction in a 47-year-old BRCA gene positive woman who did NOT want to develop breast cancer! She also wanted to be reconstructed fuller than her preoperative breast size, viewing this surgery as a “win-win” and a Mommy Makeover in addition to a risk-reducing surgery.
- [Case-34000](https://www.drkarenhorton.com/gallery/case/case-34000/) - Before and after bilateral breast implant revision and liposuction of the axillary rolls in a 32-year-old woman. At the same time as a liposuction procedure elsewhere on her body, she wanted to improve the shape and contour of her breasts, and to be slightly larger in size. Her old implants were textured silicone and completely
- [Case-33999](https://www.drkarenhorton.com/gallery/case/case-33999/) - Before and after bilateral nipple-sparing mastectomies and immediate prepectoral breast implant reconstruction with immediate breast lift in a 34-year-old woman with breast cancer. A combined double mastectomy and immediate breast reconstruction procedure was planned. Her breast tissue was removed through a breast reduction and lift design. At the same surgery, smooth round postoperatively adjustable implants
- [Case-33998](https://www.drkarenhorton.com/gallery/case/case-33998/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 52-year-old woman. Her breasts were heavy and hanging, causing chronic strain on her shoulders, neck and upper back. She wanted to reduction but to remain proportional to the rest of her body and to have her breasts lifted. Over
- [Case-33997](https://www.drkarenhorton.com/gallery/case/case-33997/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 20-year-old woman. Her breasts were long and pendulous with her nipples pointing to the floor, causing her to feel heavier than she was in reality and limiting her participation in sports. A breast reduction was performed to reduce the
- [Case-33996](https://www.drkarenhorton.com/gallery/case/case-33996/) - Before and after liposuction of the neck in a 32-year-old woman. At the same time as a breast implant revision, she wanted to contour her neck. She had gained some weight after an injury in the past and much of her excess fat had accumulated under her chin. Liposuction permanently removed fat from the submental
- [Case-33980](https://www.drkarenhorton.com/gallery/case/case-33980/) - Before and after bilateral upper lid blepharoplasty in a 62-year-old woman. Her hanging, droopy upper eyelids made her look tired, even after a good night’s sleep. She was unable to wear makeup without pulling her eyelid skin upward, and she wanted to recognize herself when she looked in the mirror! A bilateral upper lid blepharoplasty
- [Case-33979](https://www.drkarenhorton.com/gallery/case/case-33979/) - Before and after bilateral mastectomies and immediate DIEP flap breast reconstruction with immediate mastopexy and free nipple-areolar complex auto-grafts in a 43-year-old woman with breast cancer. She had right-sided breast cancer but chose to have a double mastectomy due to her young age. Her aesthetic goal for breast reconstruction was to be slightly smaller and
- [Case-33978](https://www.drkarenhorton.com/gallery/case/case-33978/) - Before and after liposuction of the abdomen and circumferential flanks, upper inner and outer thighs and pubic region in a 34-year-old woman. She had lost weight but still had excess fat in these areas. She had not yet had children but was getting married in six months and was looking forward to starting a family
- [Case-33971](https://www.drkarenhorton.com/gallery/case/case-33971/) - Before and after bilateral breast implant removal in a 34-year-old woman. Her implants had been in place for several years, and had developed an oblong, long shape. She no longer wanted them and desired to “go back to normal,” with a natural breast shape. Explantation was performed under local anesthesia as an outpatient in-office procedure.
- [Case-33965](https://www.drkarenhorton.com/gallery/case/case-33965/) - Before and after liposuction of the body in a 47-year-old woman. At the same time as a breast revision procedure, she was looking to improve the contour of her belly and to have extra fat removed from her abdomen. Liposuction removed over a liter and a half of excess fat from her upper and lower
- [Case-33926](https://www.drkarenhorton.com/gallery/case/case-33926/) - Before and after bilateral explantation in a 56-year-old woman. She expressed that she “actually never liked them” due to their under-the-muscle location, and needing to stop playing tennis and golf due to muscle spasms when she engaged her chest muscles. After going through menopause and adopting a healthier and more natural lifestyle, she felt that
- [Case-33925](https://www.drkarenhorton.com/gallery/case/case-33925/) - Before and after bilateral breast reconstruction revision in a 49-year-old breast cancer survivor. Her previously placed implants for reconstruction were contracted and painful, and after several past implant revisions, she wanted to have an autogenous tissue reconstruction. Her implants were removed along with the surrounding capsular scar tissue. Skin and fat was microsurgically transplanted from
- [Case-33924](https://www.drkarenhorton.com/gallery/case/case-33924/) - Before and after labiaplasty in a 23-year-old woman. Her long labia minora tissue bothered her while exercising and made her feel self-conscious when she wore a bathing suit. A labiaplasty trimmed excess labia minora using the “trim technique.” Another labiaplasty method called the “wedge technique” has been described, but this procedure does not address what
- [Case-33923](https://www.drkarenhorton.com/gallery/case/case-33923/) - Before and after right delayed breast implant reconstruction and left balancing mastopexy in a 47-year-old breast cancer survivor. She had always wanted a breast lift, and while being worked up for this procedure, her mammogram showed an abnormality which turned out to be breast cancer. She completed neoadjuvant chemotherapy to shrink the tumor before surgery,
- [Case-33922](https://www.drkarenhorton.com/gallery/case/case-33922/) - Before and after abdominoplasty and liposuction of the abdomen and flanks in a 39-year-old woman. After having children, her belly skin stretched out and became filled with stretch marks. Her dresses and pants no longer fit her well, and she felt like her core was unstable when she exercised. A tummy tuck removed excess lower
- [Case-33907](https://www.drkarenhorton.com/gallery/case/case-33907/) - Before and after bilateral tubular breast correction via breast augmentation in a 25-year-old woman. She had congenital breast asymmetry, with the right breast being a little droopier and more tubular in shape than the left. Both breast folds were high, and neither breast filled out the bottom of her bra. She wanted a rounder and
- [Case-33906](https://www.drkarenhorton.com/gallery/case/case-33906/) - Before and after bilateral breast reduction and lift using the auto-augmentation technique with liposuction of the axillary rolls in a 38 year old woman. After having children and breastfeeding, her breasts had lost all their volume and shape. She actually liked being somewhat smaller breasted, but did not appreciate the “empty sock sag” she described
- [Case-33895](https://www.drkarenhorton.com/gallery/case/case-33895/) - Before and after liposuction of the abdomen and circumferential flanks in a 39-year-old woman. After having children, her body accumulated excess fat, causing her dresses and pants to no longer fit her well. Her formerly small waist was hidden by unwanted fat above and below it. At the same time as a tummy tuck, liposuction
- [Case-33894](https://www.drkarenhorton.com/gallery/case/case-33894/) - Before and after liposuction of the axillary rolls in a 26-year-old woman. She was slender, but had fullness in her armpit region that poked out from her tank tops and made her feel self-conscious. Since the area to be treated was small and going to sleep was not necessary, liposuction was planned awake under local
- [Case-33893](https://www.drkarenhorton.com/gallery/case/case-33893/) - Before and after bilateral explantation and breast lift with liposuction of the axillary rolls in a 54-year-old woman. Her 30-year-old silicone breast implants had ruptured, causing them to feel hard and have associated deformity due to chronic capsular contracture. The incision around the lower part of her areola was indented, creating additional deformity. She no
- [Case-33892](https://www.drkarenhorton.com/gallery/case/case-33892/) - Before and after bilateral breast revision in a 69-year-old woman. She had previously been treated for breast cancer with a breast reduction followed by left breast radiation, but she was left with large “dog ears” (also called “standing cone deformities”) on the sides of her breasts that made her self-conscious when wearing fitted tops. In
- [Case-33890](https://www.drkarenhorton.com/gallery/case/case-33890/) - Before and after bilateral nipple-sparing mastectomies and immediate prepectoral breast implant reconstruction in a 60-year-old woman. She previously had a right lumpectomy and radiation therapy for breast cancer at age 38 and when her cancer recurred, genetic testing revealed she was a carrier of BRCA gene. Therefore, she opted for a double mastectomy to further
- [Case-33883](https://www.drkarenhorton.com/gallery/case/case-33883/) - Before and after bilateral breast revision in a 42-year-old woman with mildly tubular-shaped breasts. Her previously placed implants under the muscle, demonstrated deformity and asymmetry. The right implant had healed too high due to its submuscular placement, creating a lower pole deformity. Her implants were also hard and uncomfortable – this condition is classified as
- [Case-33882](https://www.drkarenhorton.com/gallery/case/case-33882/) - Before and after breast reconstruction by reduction and lift in a 61-year-old woman who was previously treated for left breast cancer with lumpectomy and radiation therapy. Since the tumor removal involved in the lower pole of the breast, she was left with deformity that made her never want to look at herself in the mirror
- [Case-33881](https://www.drkarenhorton.com/gallery/case/case-33881/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 53-year-old woman. She had true “macromastia” – enlarged breasts that interfered with her activities of daily living. She wanted her breasts to be smaller and lifted, but to still be proportional to the rest of her body. A breast
- [Case-33880](https://www.drkarenhorton.com/gallery/case/case-33880/) - Before and after labiaplasty in a 47-year-old woman. At the same time as a Mommy Makeover procedure, she wanted to trim her long labia minora that hung out of her vaginal area whenever she stood up. A labiaplasty used the “trim technique” to trim some of the darker-pigmented and irregularly textured labia minora, but it
- [Case-33879](https://www.drkarenhorton.com/gallery/case/case-33879/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 66-year-old woman. Her nipples were pointing to the floor, denoting “Grade III ptosis.” She wanted her breasts to be smaller and lifted in order to make exercise feel “less like a chore” and more enjoyable. A breast reduction removed
- [Case-33650](https://www.drkarenhorton.com/gallery/case/case-33650/) - Before and after right saline breast implant in-office deflation in a 38-year-old woman. Her twenty year-old right breast implant inserted through a trans-axillary incision had spontaneously deflated several weeks before, and her left breast had painful capsular contracture, preventing her from lying on her stomach or doing yoga. She was going on vacation and was
- [Case-33622](https://www.drkarenhorton.com/gallery/case/case-33622/) - Before and after bilateral earlobe repair and repiercing in a 69-year-old woman. Her ear piercings had stretched so much that one of them completely split. She wanted very much to wear her earrings again now that she was retired and enjoying life! A lobule repair and repiercing was performed as a combined procedure under local
- [Case-33621](https://www.drkarenhorton.com/gallery/case/case-33621/) - Before and after bilateral breast implant removal in a 42-year-old woman. Her implants had contracted and become asymmetric due to past infections and development of capsular contracture. She wanted her breasts to return to their natural state. Bilateral explantation was performed in the office under local anesthesia. After surgery, she took a full shower in
- [Case-33620](https://www.drkarenhorton.com/gallery/case/case-33620/) - Before and after liposuction of the abdomen and flanks in a 57-year-old woman. She wanted to improve the appearance of her abdomen and was a good candidate for liposuction to permanently remove fat from her midsection. Over a liter of fat was removed using several tiny incisions hidden in skin creases. After surgery, she wore
- [Case-33600](https://www.drkarenhorton.com/gallery/case/case-33600/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 53-year-old woman. Her breasts were out of proportion to her small, athletic frame, and she wanted to be smaller but to stay proportional to her body. A breast reduction removed nearly a pound and a half of breast tissue
- [Case-33599](https://www.drkarenhorton.com/gallery/case/case-33599/) - Before and after bilateral breast implant revision in a 68-year-old woman. She had a previous breast augmentation several years ago, and after losing some weight, she decided that she wanted to have slightly larger implants to create additional upper pole fullness that she had lost. She was delighted that she could participate in sizing her
- [Case-33598](https://www.drkarenhorton.com/gallery/case/case-33598/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 21-year-old patient. She had heavy, pendulous breasts that caused strain and pain in her neck, upper back and shoulders and limited her from most physical activities. A breast reduction removed over two pounds of breast tissue from each breast,
- [Case-33597](https://www.drkarenhorton.com/gallery/case/case-33597/) - Before and after left microvascular breast reconstruction with a TUG flap and right balancing breast revision in a 67-year-old woman with breast cancer. She had little abdominal tissue available as a donor site for autologous tissue reconstruction (a DIEP flap), but her inner thighs were an appropriate donor site for a TUG flap. In general,
- [Case-33596](https://www.drkarenhorton.com/gallery/case/case-33596/) - Before and after abdominoplasty and liposuction of the abdomen, circumferential flanks, pubis, inner and outer thighs in a 44-year-old mother of three. She was athletic, but her body had accumulated extra fat in her hips and thighs, and her abdomen had a “pooch” of skin and fat that hung above her C-section scar. An abdominoplasty
- [Case-33595](https://www.drkarenhorton.com/gallery/case/case-33595/) - Before and after abdominoplasty and liposuction in a 41-year-old mother. After carrying two extremely big babies to term and delivering them, she developed a belly full of stretch marks and separation of her abdominal muscles. She wanted to be able to wear fitted pants and dresses without needing shapewear underneath. She also preferred high-cut swimsuits,
- [Case-33594](https://www.drkarenhorton.com/gallery/case/case-33594/) - Before and after bilateral breast reduction and liposuction of the axillary rolls in a 53-year-old woman. Her breasts were heavy, pendulous and asymmetric, causing her to feel “top-heavy” and matronly. She wanted to be able to exercise more easily and feel lighter on top. A breast reduction removed over a pound and a half of
- [Case-33585](https://www.drkarenhorton.com/gallery/case/case-33585/) - Before and after mini-abdominoplasty and liposuction of the abdomen in a 59-year-old woman. She was looking to improve the appearance of her abdomen but did not want to have “major surgery” and wanted to avoid a general anesthetic if possible. Although she was a candidate for a full abdominoplasty, surgery is often a negotiation, based
- [Case-33584](https://www.drkarenhorton.com/gallery/case/case-33584/) - Before and after bilateral breast augmentation revision in a 66-year-old woman. Her nearly thirty year-old saline breast implants that were under the muscle were tight, causing tension and a pulling sensation whenever she used her arms. She disliked that she did not have normal cleavage unless she wore a bra or sports bra to push
- [Case-33583](https://www.drkarenhorton.com/gallery/case/case-33583/) - Before and after liposuction of the abdomen and flanks in a 50-year-old woman. She had lost weight and become very fit, but she still had stubborn fat around her midsection that she could not target with diet and exercise. Liposuction removed three liters of fat in an outpatient procedure performed under general anesthesia. After surgery,
- [Case-33582](https://www.drkarenhorton.com/gallery/case/case-33582/) - Before and after liposuction of the body together with an abdominoplasty in a 49-year-old mother. After having children, she no longer recognized her belly! She had realistic expectations – which were to bend over more easily without her extra rolls getting in the way during yoga, to be able to wear clothes without “tucking in”
- [Case-33581](https://www.drkarenhorton.com/gallery/case/case-33581/) - Before and after abdominoplasty and liposuction of the body in a 49-year-old mother. After having children, she no longer recognized her belly! She had realistic expectations – which were to bend over more easily without her extra rolls getting in the way during yoga, to be able to wear clothes without “tucking in” her belly,
- [Case-33569](https://www.drkarenhorton.com/gallery/case/case-33569/) - Before and after bilateral breast lift and liposuction of the axillary rolls in a 35-year-old woman. After having children and breastfeeding for years, her breasts had lost their former firmness, perkiness and round shape. At the same time as a Mommy Makeover which included an abdominoplasty and liposuction as well, a mastopexy was planned to
- [Case-33574](https://www.drkarenhorton.com/gallery/case/case-33574/) - Before and after liposuction of the abdomen and flanks with scar revisions of the abdomen in a 48-year-old woman who had prior invasive abdominal surgery earlier in her lift that left her with several indented, unsightly scars. At the same time as a breast procedure, she wanted to improve the appearance of her abdomen. Liposuction
- [Case-33573](https://www.drkarenhorton.com/gallery/case/case-33573/) - Before and after labiaplasty and liposuction of the pubic region in a 70-year-old woman. She had previously had labia minora reduction elsewhere and was happy with her results. She still felt a little self-conscious about the length of her labia majora and the fullness of her pubic region when she wore a swimsuit or tight
- [Case-33572](https://www.drkarenhorton.com/gallery/case/case-33572/) - Before and after liposuction of the arms in a 49-year-old woman. Her arms had always been her “weak spot” despite working out regularly and eating a healthy diet. Liposuction removed a full liter of fat from each upper arm through several tiny incisions hidden in skin creases. After surgery, she wore compression sleeves under her
- [Case-33571](https://www.drkarenhorton.com/gallery/case/case-33571/) - Before and after labiaplasty in a 31-year-old woman. She experienced tugging, pulling and discomfort every time she rode her mountain bike or went running. She was looking for increased comfort but not for her labia to look like they had undergone any surgery. A labiaplasty trimmed excess labia minora tissue but left a normal rim
- [Case-33570](https://www.drkarenhorton.com/gallery/case/case-33570/) - Before and after bilateral tubular breast correction using the auto-augmentation mastopexy technique with liposuction of the axillary rolls in a 28-year-old woman. She wanted to preserve her breastfeeding ability and was delighted to learn that she should likely be able to nurse her future babies after this procedure since a robust blood supply, milk duct
- [Case-33568](https://www.drkarenhorton.com/gallery/case/case-33568/) - Before and after bilateral breast revision with liposuction of the axillary rolls in a 59-year-old woman. She had a breast augmentation under the muscle over twenty years previously and had many of the stigmata of implants under the muscle including superior malposition on the chest (sitting extremely high up), an animation deformity and “pseudoptosis,” where
- [Case-33567](https://www.drkarenhorton.com/gallery/case/case-33567/) - Before and after liposuction of the neck in a 59-year-old woman. At the same time as a breast revision and body contouring procedure, she wanted to improve the appearance of her neck, but she was not ready for a full neck lift. Since most of the fullness under her chin was excess fat, she was
- [Case-33566](https://www.drkarenhorton.com/gallery/case/case-33566/) - Before and after abdominoplasty revision and liposuction of the body in a 59-year-old woman who had a tummy tuck without liposuction twenty years previously. After going through menopause, she gained some weight and developed a “shelf” of extra skin and fat above her old abdominoplasty scar. She wanted to improve the appearance of her abdomen.
- [Case-33565](https://www.drkarenhorton.com/gallery/case/case-33565/) - Before and after right earlobe repair and repiercing in a 32-year-old woman with a right stretched out ear piercing. She wanted to have better symmetry of her earlobes and was relieved to learn that she could have repair of her old ear piercing and insertion of a new earring at the same procedure. A combined
- [Case-33564](https://www.drkarenhorton.com/gallery/case/case-33564/) - Before and after labiaplasty in a 34-year-old woman. She felt discomfort every time she ran, hiked or took a spin class. She wanted her labia to look nicer as well. A labiaplasty trimmed excess labia minora tissue but left a normal amount of labia tissue behind. Follow up photos are shown 3 months after surgery.
- [Case-33563](https://www.drkarenhorton.com/gallery/case/case-33563/) - Before and after bilateral breast reconstruction revision with liposuction of the axillary rolls in a 79-year-old healthy and active breast cancer survivor. She previously had bilateral mastectomies and implant reconstructions forty years previously, and had developed painful Grade IV capsular contracture, deformity, asymmetry and a significant animation deformity due to the under-the-muscle placement of her
- [Case-33560](https://www.drkarenhorton.com/gallery/case/case-33560/) - Before and after bilateral breast reduction and liposuction of the axillary rolls as part of a Mommy Makeover procedure in a 50-year-old woman. Her breasts were heavy and pendulous, and limited her from exercising and wearing normal blouses without them gaping widely at the buttons. A breast reduction removed over two pounds of heavy, dense
- [Case-33559](https://www.drkarenhorton.com/gallery/case/case-33559/) - Before and after bilateral upper lid blepharoplasty in a 57-year-old woman. At the same time as a breast procedure, she wanted to improve the appearance of her upper eyelids. She was a candidate for an upper lid blepharoplasty (eyelid lift). The “pinch blepharoplasty” (removal of skin only – specifically what can be pinched so that
- [Case-33558](https://www.drkarenhorton.com/gallery/case/case-33558/) - Before and after labiaplasty in a 51-year-old woman. She was newly divorced and excited to get “back out on the market” but wanted “a refresh down there.” A labiaplasty trimmed excess labia minora tissue but next a normal and natural amount behind to preserve normal sensation, normal lubrication and to avoid dryness or friction –
- [Case-33557](https://www.drkarenhorton.com/gallery/case/case-33557/) - Before and after liposuction of the arms in a 35-year-old woman. At the same time as a breast procedure, she wanted to improve the contour of her upper arms. She was physically fit and had good muscle tone – it was just hidden beneath a layer of fat. Liposuction permanently removed fat from her upper
- [Case-33556](https://www.drkarenhorton.com/gallery/case/case-33556/) - Before and after bilateral explantation in a 34-year-old woman with submuscular silicone gel breast implants. They had been in place for over a decade while they looked nice, this patient felt like they no longer represented her at this stage in her life. Because the implants were under the muscle, they sat fairly wide on
- [Case-33544](https://www.drkarenhorton.com/gallery/case/case-33544/) - Before and after MACS lift with liposuction of the neck in a 54-year-old woman. She had tried all the available non-surgical methods to rejuvenate her lower face and neck, but nothing would help her jowls and loose skin. A “minimal-access cranial suspension” (MACS) lower face and neck lift eliminated her jowls, improved the contour of
- [Case-33543](https://www.drkarenhorton.com/gallery/case/case-33543/) - Before and after bilateral breast revision consisting of removal of breast implants, a breast lift and liposuction of the axillary rolls in a 63-year-old woman with implants that had been in place for 20 years. She had gone through menopause and now felt “top-heavy” and “matronly.” She wanted her breasts to be perky but look
- [Case-33542](https://www.drkarenhorton.com/gallery/case/case-33542/) - Before and after bilateral breast augmentation with liposuction of the axillary rolls in a 53-year-old woman. She was starting a new chapter of her life and was finally perusing all the things she had considered doing for decades – including investing in herself! She had always wanted her breasts to have the shape and fullness
- [Case-33541](https://www.drkarenhorton.com/gallery/case/case-33541/) - Before and after abdominoplasty and liposuction of the abdomen, flanks, pubis and upper inner thighs in a 38-year-old woman. She was slender and fit, but had loose lower abdominal skin, stretch marks and rectus diastasis after having children. As part of her Mommy Makeover which also included a mastopexy and augmentation, an abdominoplasty removed much
- [Case-33540](https://www.drkarenhorton.com/gallery/case/case-33540/) - Before and after left inverted nipple correction in a 44-year-old woman with one inverted nipple. Her nipple asymmetry and the fact that only one of them was “out” made her self-conscious and embarrassed. Her goal was to improve her nipple symmetry and the ability to wear a non-padded bra so as to not conceal her
- [Case-33505](https://www.drkarenhorton.com/gallery/case/case-33505/) - Before and after secondary MACS lift in a 63-year-old woman who had a neck lift and facelift ten year previously. Her jowls had not specifically been addressed by her past surgery. She strived to improve the contour of her jawline and look more like the age she felt, which was “younger than jowls.” A minimal
- [Case-33504](https://www.drkarenhorton.com/gallery/case/case-33504/) - Before and after liposuction of the axillary rolls in a 52-year-old woman. She was bothered by the fullness that had developed in her armpit region with menopause. She wanted to have a nicer contour to this area so that she could wear tank tops and strapless dresses without worrying about her “fat poking out the
- [Case-33503](https://www.drkarenhorton.com/gallery/case/case-33503/) - Before and after abdominoplasty with liposuction in a 58-year-old woman. At the same time as a breast procedure, she wanted to finally get rid of the abdominal “apron” that developed after having children and extra fat that persisted despite working hard with her trainer and strict clean eating habits. A tummy tuck removed over four
- [Case-33502](https://www.drkarenhorton.com/gallery/case/case-33502/) - Before and after bilateral breast revision with liposuction of the axillary rolls in a 59-year-old woman with contracted breast implants. She had deformity and pain at rest, which denotes Grade III and Grade IV capsular contracture. Her revision involved removal of her old implants, capsulectomy to remove scar tissue, and placement of new smooth round
- [Case-33477](https://www.drkarenhorton.com/gallery/case/case-33477/) - Before and after abdominoplasty and liposuction in a 51-year-old woman. After having children, she lost all the tone in her abdomen and stored extra fat in her midsection. An abdominoplasty removed excess skin and fat from her lower abdomen, repaired her abdominal muscles back together in the midline, and pulled her abdominal wall tightly downward.
- [Case-33476](https://www.drkarenhorton.com/gallery/case/case-33476/) - Before and after bilateral inverted nipple correction in a 39-year-old woman. She wanted her nipples to become fully erect in intimate settings. An inverted nipple correction was performed under local anesthesia with inhaled laughing gas and an oral anti-anxiety pill. After surgery, she worked from home for a few days and took two weeks off
- [Case-33475](https://www.drkarenhorton.com/gallery/case/case-33475/) - Before and after labiaplasty in a 35-year-old woman. She had discomfort during horseback riding and running – she sought a labiaplasty primarily for physical reasons (pain, discomfort, itching) but liked the idea of her labia looking nicer as a side benefit. A labiaplasty trimmed the long parts of her labia minora that hung outside of
- [Case-33474](https://www.drkarenhorton.com/gallery/case/case-33474/) - Before and after abdominoplasty as part of a Mommy Makeover in a 54-year-old mother of four. She wanted a flatter tummy and to remove some fat from her hips and thighs, but not to look weird like she had seen on social media or “obviously done.” Her Mommy Makeover procedure included an abdominoplasty and liposuction
- [Case-33473](https://www.drkarenhorton.com/gallery/case/case-33473/) - Before and after bilateral breast reduction and lift as part of a Mommy Makeover in a 54-year-old mother of four. She wanted a natural-looking lift of her breasts, rather than to look fake or “done.” Over a pound of breast tissue was removed from each breast, and a subtle lift reshaped her breasts but kept
- [Case-33472](https://www.drkarenhorton.com/gallery/case/case-33472/) - Before and after Mommy Makeover in a 54-year-old mother of four. She wanted a natural-looking lift of her breasts and a flatter tummy, but not to look fake or “done”. Her Mommy Makeover procedure included a breast reduction and lift, an abdominoplasty and liposuction of the abdomen, flanks, axillary rolls, pubic region, inner and outer
- [Case-33471](https://www.drkarenhorton.com/gallery/case/case-33471/) - Before and after left delayed implant reconstruction in a 47-year-old breast cancer survivor who had failed a previous implant reconstruction. Her left radiated breast skin was thin and repeatedly got infected, requiring explantation. Following removal of her implant, she was advised to let the firm post-infection swelling (called edema) resolve for a full year. For
- [Case-33459](https://www.drkarenhorton.com/gallery/case/case-33459/) - Before and after abdominoplasty and liposuction as part of a Mommy Makeover in a 39-year-old mother of three. Her formerly athletic body had changed significantly after having children. She was looking to regain a flatter stomach and have less fat. An abdominoplasty removed excess skin and fat from her lower abdomen. Her rectus abdominis muscles
- [Case-33458](https://www.drkarenhorton.com/gallery/case/case-33458/) - Before and after liposuction of the axillary rolls as part of a Mommy Makeover in a 39-year-old woman. At the same time as a tummy tuck and liposuction of other parts of her body, she wanted to improve the contour of her underarm region. Liposuction permanently suctioned out fat from her axillae via a tiny
- [Case-33457](https://www.drkarenhorton.com/gallery/case/case-33457/) - Before and after liposuction of the abdomen and flanks in a 39-year-old woman. following the birth of her three children, she accumulated extra fat in her midsection. She also had mild separation of her abdominal muscles (rectus diastasis, or diastasis recti) but this did not bother her. She was looking for minimal downtime but a
- [Case-33456](https://www.drkarenhorton.com/gallery/case/case-33456/) - Before and after bilateral breast augmentation in a 35-year-old woman. After having children, she lost whatever nice volume she had in her breasts before pregnancy. She liked how full her breasts were during breastfeeding and wanted to regain that look. Smooth round silicone gel breast implants were placed on top of the muscle, in the
- [Case-33455](https://www.drkarenhorton.com/gallery/case/case-33455/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 49 year old woman with macromastia and breast asymmetry. Her breasts were limiting her from exercising easily, wearing buttoned shirts without having them gape widely, and buying regular bras without spending a fortune. A breast reduction removed several pounds
- [Case-33453](https://www.drkarenhorton.com/gallery/case/case-33453/) - Before and after bilateral breast reconstruction revision in a 46-year-old breast cancer survivor. Her completely submuscular implants sat remarkably high due to their placement under the muscle, nearly under her collarbones. Her pectoral muscles were chronically contracted, causing breast deformity and pain. Following chemotherapy and radiation therapy, her right breast was even tighter than the
- [Case-33452](https://www.drkarenhorton.com/gallery/case/case-33452/) - Before and after MACS lift in a 55-year-old woman. She noticed she had developed jowls in the last decade and felt like she looked “like her mother.” A MACS lift treated her jowls and lifted them back to where they were previously, into a more youthful position. Liposuction removed excess fat from under her chin.
- [Case-33451](https://www.drkarenhorton.com/gallery/case/case-33451/) - Before and after liposuction of the abdomen in a 47-year-old woman. She wanted to remove the small amount of fat that had accumulated around her belly button in her forties, and added on some liposuction with her breast revision procedure. Five tiny incisions were used to permanently remove fat from her upper and lower abdomen
- [Case-33450](https://www.drkarenhorton.com/gallery/case/case-33450/) - Before and after liposuction of the body in a 31-year-old woman. She was planning a breast procedure and wanted to improve the contour of her waist and midsection. Liposuction removed over a liter of fat from her posterior flanks (muffin top) and her upper hip area. After surgery, she wore shapewear under her clothes for
- [Case-33449](https://www.drkarenhorton.com/gallery/case/case-33449/) - Before and after bilateral tubular breast correction via mastopexy and breast augmentation in a 31-year-old woman who recently became engaged to be married. She had the typical features of a tubular breast – relatively small breasts with relative droop, enlarged areolas, a wide triangular space between them in the cleavage area, and a high breast
- [Case-33448](https://www.drkarenhorton.com/gallery/case/case-33448/) - Before and after liposuction of the body as part of a Mommy Makeover in a 39-year-old woman. She had undergone liposuction of her thighs ten years previously, but after having children, she accumulated additional fat in the same areas. She wasn’t looking “to wear a bikini,” she just wanted to wear more fitted dresses without
- [Case-33447](https://www.drkarenhorton.com/gallery/case/case-33447/) - Before and after liposuction of the arms in a 39-year-old woman. As part of her Mommy Makeover which also included a tummy tuck and liposuction elsewhere, she wanted to improve the contour of her upper arms. While she was a candidate for brachioplasty surgery along with liposuction of the arms, she did not want to
- [Case-33434](https://www.drkarenhorton.com/gallery/case/case-33434/) - Before and after bilateral breast reconstruction revision in a 58 year old breast cancer survivor with submuscular implants. She experienced pain and tightness of her chest every hour that she was awake, and contraction of her chest muscles caused wrinkling of her breast skin, seen when she flexes her muscles. This is called “animation deformity”.
- [Case-33433](https://www.drkarenhorton.com/gallery/case/case-33433/) - Before and after liposuction of the neck in a 50-year-old woman. She did not have the downtime available for a full neck lift but wanted to improve the appearance of her jawline. She was a candidate for liposuction under local anesthesia of the submental region, the collection of fat under the chin. Liposuction of small
- [Case-33432](https://www.drkarenhorton.com/gallery/case/case-33432/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 41-year-old woman. She traveled to San Francisco for her Plastic Surgery, as she had family living here and could work from home during her recovery. She was looking for smaller, lifted and rounder-shaped breasts, but to stay proportional to
- [Case-33431](https://www.drkarenhorton.com/gallery/case/case-33431/) - Before and after liposuction of the abdomen and flanks in a 40-year-old woman. As part of her Mommy Makeover which also included a breast reduction and lift, she wanted to improve the contour of her belly without the additional scars and downtime needed for a full tummy tuck. Liposuction removed over three liters of fat
- [Case-33430](https://www.drkarenhorton.com/gallery/case/case-33430/) - Before and after bilateral breast reduction and liposuction of the axillary rolls in a 40-year-old woman. After having children, her breasts had grown in size, and she was looking for a change! A breast reduction removed over a pound of heavy, dense breast tissue from each breast. Her remaining breast tissue was lifted and reshaped,
- [Case-33414](https://www.drkarenhorton.com/gallery/case/case-33414/) - Before and after liposuction of the body in a 50-year-old woman as part of her Mommy Makeover. At the same time as a breast reduction and lift, she wanted to improve her body contour. Liposuction was already planned for her axillary rolls (armpits and bra rolls), so she added liposuction of other areas as well.
- [Case-33413](https://www.drkarenhorton.com/gallery/case/case-33413/) - Before and after bilateral breast reduction and liposuction of the axillary rolls in a 50-year-old woman. As part of her Mommy Makeover, she wanted her breasts to be smaller, lifted, rounder and more symmetric. Over a half pound of breast tissue was removed from each breast. Her remaining breast tissue was rearranged using the auto-augmentation
- [Case-33412](https://www.drkarenhorton.com/gallery/case/case-33412/) - Before and after Mommy Makeover consisting of a breast reduction and liposuction in a 50-year-old mother of twins. Her breasts had enlarged after surgery, and she wanted her formerly smaller and perkier breasts back. She had also accumulated extra fat after pregnancy and was excited to learn she could do liposuction at the same time.
- [Case-33411](https://www.drkarenhorton.com/gallery/case/case-33411/) - Before and after bilateral upper lid blepharoplasty in a 53-year-old woman. Due to years of sun damage and outdoor activities, she had developed accelerated aging of her face in general and in particular, her upper eyelid skin. She wanted a refreshed look to her eyes but not to look weird. An upper eyelid lift trimmed
- [Case-33410](https://www.drkarenhorton.com/gallery/case/case-33410/) - Before and after left DIEP flap breast reconstruction and secondary bilateral placement of implants in a 34-year-old breast cancer survivor. She had previously had a left non-skin-sparing mastectomy, chemotherapy and radiation therapy. Since her left chest skin was firm, fibrotic (full of scar tissue) and contracted, breast reconstruction using her own tissue was the preferred
- [Case-33409](https://www.drkarenhorton.com/gallery/case/case-33409/) - Before and after mini-abdominoplasty (no muscle repair) and liposuction of the abdomen and inner thighs in a 50-year-old mother. After having her children via C-sections, she developed a “shelf” of lower abdominal skin and excess fat that hung over the top of her scar and a droopy mons pubis. She also had an unusual accumulation
- [Case-33397](https://www.drkarenhorton.com/gallery/case/case-33397/) - Before and after bilateral breast revision in a 30-year-old woman with Grade IV capsular contracture. Her previously placed breast implants had become infected after an infection following a complicated root canal. Her body responded to bacteria entering her bloodstream and traveling around the breast implants by forming scar tissue that contracted so tightly around the
- [Case-33398](https://www.drkarenhorton.com/gallery/case/case-33398/) - Before and after liposuction of the neck in a 33-year-old woman. She had tried several non-surgical options to decrease the fat collection under her chin, but to no avail. She still had “baby fat” here and wanted it gone! Liposuction of the neck was done under local anesthesia as an outpatient office surgery under laughing
- [Case-2700](https://www.drkarenhorton.com/gallery/case/case-2700/) - Before and after bilateral tubular breast correction using the breast augmentation and mastopexy technique in a 26-year-old woman. She also had congenital breast asymmetry with her left breast being larger and droopier than the right. Both breasts had a constricted breast base and high breast fold, characteristic to the tubular breast deformity. Smooth round silicone
- [Case-33396](https://www.drkarenhorton.com/gallery/case/case-33396/) - Before and after bilateral inverted nipple correction in a 48-year-old woman. At the same time as a breast lift and augmentation, she was hoping to correct her inverted nipples as well. Inverted nipple correction involves making a semi-circular incision around the base of the nipple, bringing the buried nipple out, and suturing the base to
- [Case-33395](https://www.drkarenhorton.com/gallery/case/case-33395/) - Before and after bilateral augmentation and mastopexy with liposuction of the axillary rolls in a 48-year-old woman who had previously been treated for right breast cancer with a lumpectomy and radiation. Her breasts were asymmetric, and she felt they were too small for her body. She also had inverted nipples that she found embarrassing and
- [Case-33388](https://www.drkarenhorton.com/gallery/case/case-33388/) - Before and after bilateral breast augmentation in a 34-year-old woman. She had relatively small breasts in relation to her body frame and large nipples that she felt made her breasts look even more out of proportion. After breastfeeding her children, her breasts had deflated and became even smaller. A breast augmentation helps to balance out
- [Case-33387](https://www.drkarenhorton.com/gallery/case/case-33387/) - Before and after bilateral breast reduction and liposuction of the axillary rolls in a 17-year-old woman with macromastia and congenital asymmetry of the breasts. She found exercise painful, clothes shopping frustrating and being the recipient of unwanted attention due to her large breasts embarrassing. A breast reduction reduced the size of her breasts and created
- [Case-33386](https://www.drkarenhorton.com/gallery/case/case-33386/) - Before and after bilateral breast implant revision in a 32-year-old woman with previously placed submuscular saline breast implants. She reported that “they never dropped,” which is obvious by her superior (high) and lateral (wide) malposition of her implants. When implants are placed under the muscle, the muscle pulls them up and out along the natural
- [Case-33385](https://www.drkarenhorton.com/gallery/case/case-33385/) - Before and after left DIEP flap breast reconstruction with right balancing mastopexy in a 41-year-old woman with left invasive breast cancer. She had undergone two past lumpectomies which each had positive margins – a completion mastectomy with removal of the left nipple and areola was required. She did not want an implant for reconstruction and
- [Case-33384](https://www.drkarenhorton.com/gallery/case/case-33384/) - Before and after labiaplasty in a 51-year-old woman. She had decided to take charge of her life and her body now that she was in her fifties – and that included improved comfort and appearance of her labia region. A labiaplasty trimmed excess labia minora tissue in an office procedure performed under local anesthesia with
- [Case-33383](https://www.drkarenhorton.com/gallery/case/case-33383/) - Before and after labiaplasty in a 24-year-old woman. She wanted her labia area to look more “clean and tucked”. A labiaplasty trimmed excess labia minora tissue in just over an hour as an outpatient procedure. Follow up photos are shown 10 months after surgery.
- [Case-33382](https://www.drkarenhorton.com/gallery/case/case-33382/) - Before and after liposuction of the upper inner thighs and pubic region in a 50-year-old woman. She was self-conscious about her prominent inner thighs that rubbed together when she wore pants, causing them to wear out quickly in this area and limiting her ability to stand with her legs close together. Together with a mini-abdominoplasty,
- [Case-33381](https://www.drkarenhorton.com/gallery/case/case-33381/) - Before and after labiaplasty in a 49-year-old woman. She experienced discomfort every time she took a spin class, went for a run or had sex. She had thought about surgery for years; now that she had ended a long-term relationship, now felt like the right time to have this procedure. Excess labia minora tissue was
- [Case-33380](https://www.drkarenhorton.com/gallery/case/case-33380/) - Before and after bilateral skin-sparing and nipple-sparing mastectomies and DIEP flap breast reconstructions in a 48-year-old woman with breast cancer. Following her mastectomies, she required chemotherapy and left chest wall radiation. She took several months off work during her cancer treatments and slowly resumed exercise and her “normal life.” She was incredibly grateful to combine
- [Case-33379](https://www.drkarenhorton.com/gallery/case/case-33379/) - Before and after bilateral nipple reduction in a 48-year-old woman with hypertrophic (enlarged and elongated) nipples. She felt embarrassed every time she wore a tank top, and often put Band-Aids against her nipples to hold them down so that they would not be attracting unwanted attention. A nipple reduction trimmed the length of her nipples
- [Case-2983](https://www.drkarenhorton.com/gallery/case/case-2983/) - Before and after bilateral breast augmentation in a 32-year-old woman. She liked her breasts and had a nice breast shape - she just wanted them to be a littler bigger, but still look natural. Smooth round silicone gel breast implants were placed on top of the muscle, in the subglandular position. After surgery, she took
- [Case-33221](https://www.drkarenhorton.com/gallery/case/case-33221/) - Before and after liposuction of the body together with an abdominoplasty in a 41-year-old woman. Together with her tummy tuck, liposuction of the upper and lower abdomen, circumferential flanks, pubis and upper medial thighs removed over three liters of fat permanently from these areas. It is quite common for both women and men in their
- [Case-33232](https://www.drkarenhorton.com/gallery/case/case-33232/) - Before and after liposuction of the neck in a 44-year-old woman. She spent her workdays on Zoom since the pandemic and work-from-home nature of her job and hated the look of her neckline and profile. Liposuction of the neck was performed under local anesthesia, taking just over an hour and removing 120 cc of fat
- [Case-33231](https://www.drkarenhorton.com/gallery/case/case-33231/) - Before and after bilateral nipple-sparing mastectomies and immediate implant reconstruction in a 45-year-old woman. She previously had two lumpectomies on the left side which had positive margins each time, so she required a completion mastectomy. She elected to have a prophylactic mastectomy on the right as well. Her left lumpectomies had been done through an
- [Case-33230](https://www.drkarenhorton.com/gallery/case/case-33230/) - Before and after bilateral breast revision in a 42-year-old breast cancer survivor. She previously had a right skin-sparing mastectomy, tissue expander reconstruction and an attempt and nipple reconstruction and medical tattoo. Postoperative chemotherapy preceded an implant exchange on the right side. She had a mastopexy-augmentation (breast lift with implants) eight years prior to her breast
- [Case-33229](https://www.drkarenhorton.com/gallery/case/case-33229/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 48-year-old woman. She had undergone a couple of lumpectomies and was no longer scared of having surgery. She had thought about a breast reduction and lift for many years, and finally felt ready to go ahead. A small amount
- [Case-33228](https://www.drkarenhorton.com/gallery/case/case-33228/) - Before and after bilateral explantation in a 49-year-old woman. Her implants had been in place for ten years, and after going through menopause, she felt that they no longer suited her conservative, athletic frame. Both breast implants were removed in the office under local anesthesia. The breast is a naturally distensible organ (think about breastfeeding),
- [Case-33227](https://www.drkarenhorton.com/gallery/case/case-33227/) - Before and after liposuction of the neck in a 34-year-old woman. She wanted to improve the appearance of her submental region. Liposuction permanently removed excess fat through a tiny incision hidden under her chin. Follow up photos are shown 1 year after surgery.
- [Case-33226](https://www.drkarenhorton.com/gallery/case/case-33226/) - Before and after bilateral breast augmentation in a 26-year-old woman. She had a nice natural breast shape, but she always wore padding in her bra to create the look and size she really wanted. The goal was to give her that look with an internal implant, rather than padding in her bra. Smooth round silicone
- [Case-33225](https://www.drkarenhorton.com/gallery/case/case-33225/) - Before and after breast reconstruction by breast reduction and lift with liposuction of the axillary rolls after breast-conserving treatment in a 43-year-old woman with right breast cancer. Following a lumpectomy, the Pathology report showed close margins, so radiation therapy was needed. At the same time as margin re-excision by the breast surgeon, reconstruction by local
- [Case-33224](https://www.drkarenhorton.com/gallery/case/case-33224/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 51-year-old woman. She had pain daily due to the large size and extreme weight of her breasts. She also had axillary breast tissue that made wearing tank tops embarrassing since her “boobs were falling out of her armpits.” A
- [Case-33223](https://www.drkarenhorton.com/gallery/case/case-33223/) - Before and after bilateral DIEP flap breast reconstruction in a 53-year-old woman with bilateral breast cancer. She requested a double mastectomy and wanted to use her own tissue for breast reconstruction. The cancer was involving her nipples, so they could not be saved. Tissue (skin and fat) from her lower abdomen was transplanted microvascularly to
- [Case-33222](https://www.drkarenhorton.com/gallery/case/case-33222/) - Before and after abdominoplasty and liposuction of the abdomen and flanks in a 53-year-old woman. She wanted to improve the contour of her belly and to get rid of her extra rolls of fat. A tummy tuck removed excess lower abdominal skin and fat, repaired her abdominal muscles back together in the midline, and redraped
- [Case-33186](https://www.drkarenhorton.com/gallery/case/case-33186/) - Before and after bilateral mastopexy and liposuction of the axillary rolls in a 56-year-old woman. She wanted to be able to go without a bra, and to have less weight pulling on her shoulders. A breast lift reshaped her breasts and moved her tissue up higher on her chest using the auto-augmentation technique. Liposuction debulked
- [Case-33185](https://www.drkarenhorton.com/gallery/case/case-33185/) - Before and after labiaplasty in a 26-year-old woman. She felt discomfort every time she ran, biked or was intimate with her partner. A labiaplasty trimmed excess labia minora tissue in an outpatient procedure under local anesthesia. Follow up photos are shown 6 months after surgery.
- [Case-33184](https://www.drkarenhorton.com/gallery/case/case-33184/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 37-year-old woman. Nearly three pounds of tissue was excised from each breast. Her remaining breast tissue was rearranged and reshaped into a smaller, rounder teardrop shape. Liposuction removed a liter and a half of excess fat from her armpits
- [Case-33183](https://www.drkarenhorton.com/gallery/case/case-33183/) - Before and after liposuction of the inner and outer thighs and “banana roll” area (the roll of fat under the buttocks) in a 42-year-old woman. She was slender and exercised regularly but wanted to improve the contour of this area of her body. Liposuction removed nearly a liter of excess fat from her inner and
- [Case-33182](https://www.drkarenhorton.com/gallery/case/case-33182/) - Before and after abdominoplasty and liposuction of the abdomen and flanks in a 61-year-old woman. Together with a ventral hernia repair procedure by her General Surgeon, she wanted to improve the appearance and contour of her abdomen. Plastic Surgery markings for a tummy tuck were drawn before surgery, and her anterior abdominal wall was elevated
- [Case-33181](https://www.drkarenhorton.com/gallery/case/case-33181/) - Before and after bilateral breast implant reconstruction in a 63-year-old breast cancer survivor. She had been treated with a right lumpectomy and radiation and chemotherapy previously, with reconstruction by the breast reduction and lift (local tissue rearrangement) technique. Now that her breasts were more symmetric, she decided that she also wanted her reconstructed breasts to
- [Case-33180](https://www.drkarenhorton.com/gallery/case/case-33180/) - Before and after breast reconstruction following lumpectomy and radiation via the breast reduction and lift technique in a 63-year-old breast cancer survivor who had a breast reduction twenty years previously. She had breast asymmetry and a firm, immobile right radiated breast following her cancer treatment, which included tumor removal, chemotherapy and radiation therapy. To create
- [Case-33179](https://www.drkarenhorton.com/gallery/case/case-33179/) - Before and after bilateral nipple-sparing mastectomies and immediate reconstruction with DIEP flaps in a 47-year-old woman with breast cancer. Her left breast required a mastectomy, and she chose to have a prophylactic mastectomy on the right at the same time. She was a candidate for implant-based reconstruction, but she chose to use her body’s own
- [Case-33178](https://www.drkarenhorton.com/gallery/case/case-33178/) - Before and after liposuction of the arms in a 48-year-old woman. She felt like her upper arms did not match the rest of her, especially after her past Mommy Makeover where her arms were not addressed. Using regular liposuction that made use of thin, blunt-ended cannulas to remove fat, nearly a liter of fat was
- [Case-33133](https://www.drkarenhorton.com/gallery/case/case-33133/) - Before and after bilateral breast reduction and lift in a 21-year-old woman. Her breasts were heavy and affecting her posture and self-esteem negatively. A breast reduction created improved symmetry and a smaller, lighter, lifted breast. Follow up photos are shown 6 months after surgery.
- [Case-33145](https://www.drkarenhorton.com/gallery/case/case-33145/) - Before and after Mommy Makeover that included a breast augmentation, abdominoplasty and liposuction in a 32-year-old woman. Her formerly full breasts had lost their volume after breastfeeding her three children and had some natural droop but that did not bother her. She wanted to restore lost volume but to keep a natural breast shape. Her
- [Case-33144](https://www.drkarenhorton.com/gallery/case/case-33144/) - Before and after abdominoplasty with liposuction as part of a Mommy Makeover in a 32-year-old woman. Her formerly flat belly had excess skin, stretch marks and fat, with a “shelf” of excess tissue that hung over her C-section scar. She wanted to restore her smooth belly and did not mind having a longer scar than
- [Case-33143](https://www.drkarenhorton.com/gallery/case/case-33143/) - Before and after bilateral breast augmentation as part of a Mommy Makeover in a 32-year-old woman. Her formerly full breasts had lost their volume after breastfeeding her three children. She had some natural droop which did not bother her. She wanted to restore lost volume but to keep a natural breast shape. Smooth round silicone
- [Case-33142](https://www.drkarenhorton.com/gallery/case/case-33142/) - Before and after revision liposuction of the arms in a 47-year-old woman. She had undergone liposuction of the arms elsewhere but had residual fat in her upper arms that created an unsightly bulge. Additional liposuction was used to contour her upper arm region. Follow up photos are shown 2 years after surgery, with a greatly
- [Case-33141](https://www.drkarenhorton.com/gallery/case/case-33141/) - Before and after liposuction of the inner and outer thighs and “banana roll” in a 39-year-old woman. Her pants fit snugly around these areas. She was fit, but she wanted to improve the contour of her thighs. Liposuction was performed under general anesthesia in an outpatient procedure, taking just over two hours. Over two liters
- [Case-33140](https://www.drkarenhorton.com/gallery/case/case-33140/) - Before and after liposuction of the abdomen in a 39-year-old woman. At the same time as her breast augmentation, she wanted to improve her abdominal contour. Liposuction removed over a liter of fat through several tiny incisions hidden in her navel and in skin creases. Follow up photos are shown 6 months after surgery.
- [Case-33139](https://www.drkarenhorton.com/gallery/case/case-33139/) - Before and after right delayed breast reconstruction with the DIEP flap in a 43-year-old breast cancer survivor. She was treated with a right non-skin-sparing mastectomy, chemotherapy and right chest wall radiation. She was not offered reconstruction, and she took her time researching her options before choosing a DIEP flap and for our team to care
- [Case-33138](https://www.drkarenhorton.com/gallery/case/case-33138/) - Before and after bilateral delayed breast implant reconstruction in a 51-year-old breast cancer survivor. She was not ready for breast reconstruction at the time of her breast cancer treatment. She was finally ready to have reconstruction, and at the same time, her Mommy Makeover! Her goal was to be reconstructed as full as she was
- [Case-33137](https://www.drkarenhorton.com/gallery/case/case-33137/) - Before and after bilateral breast implant revision with liposuction of the axillary rolls in a 61-year-old woman. Her 40-year-old breast implants were contracted and malpositioned, sitting too high on her chest, creating a top-heavy appearance, a Snoopy deformity and chronic pain. She wanted to keep implants but have a more natural look and slightly fuller
- [Case-33136](https://www.drkarenhorton.com/gallery/case/case-33136/) - Before and after bilateral inverted nipple correction in a 34-year-old woman. She felt self-conscious about her inverted nipples which she felt were out of proportion to the rest of her large breasts. Inverted nipple repair was performed in the office under local anesthesia. After surgery, she took a week off work and two weeks off
- [Case-33135](https://www.drkarenhorton.com/gallery/case/case-33135/) - Before and after abdominoplasty and liposuction of the abdomen and flanks in a 38-year-old woman. After having children, she accumulated fat in her abdominal region and developed rectus diastasis (separation of the rectus abdominis muscles, also called “diastasis recti”), which caused her back to arch as compensation. An abdominoplasty removed excess skin and fat, repaired
- [Case-33134](https://www.drkarenhorton.com/gallery/case/case-33134/) - Before and after liposuction of the arms in a 38-year-old woman. She was planning a full body contouring procedure and also wanted to improve the contour of her arms. Liposuction of the arms removed nearly a full liter of fat in total from both upper arms. After surgery, she wore compression sleeves under her clothes
- [Case-33104](https://www.drkarenhorton.com/gallery/case/case-33104/) - Before and after labiaplasty in a 25-year-old woman. She felt discomfort in her labia area every time she exercised, rode her bike to work and even walked. A labiaplasty trimmed excess labia minora so that the labia majora held her inner lips in place when she was upright. Follow up photos are shown 9 months
- [Case-33103](https://www.drkarenhorton.com/gallery/case/case-33103/) - Before and after labiaplasty in a 48-year-old woman. She disliked the extra flaps of labia minora that she had to move out of the way to wipe herself after urinating. A labiaplasty trimmed excess labia minora tissue, leaving a natural rim of labia minora intact. Follow up photos are shown 1 year after surgery.
- [Case-33102](https://www.drkarenhorton.com/gallery/case/case-33102/) - Before and after bilateral breast reconstruction by the auto-augmentation breast reduction and lift technique with liposuction of the axillary rolls in a 62-year-old woman. She had been treated for breast cancer with a right partial mastectomy, radiation therapy and chemotherapy (note the chemo port chest scar), resulting in breast asymmetry and a misshapen right breast.
- [Case-33101](https://www.drkarenhorton.com/gallery/case/case-33101/) - Before and after bilateral upper lid blepharoplasty in a 62-year-old woman. Her eyelids were drooping and made applying makeup difficult. She also felt that her eyelids made her look tired all the time, even when she was well-rested. An upper eyelid lift that only removed skin, also called a “pinch blepharoplasty,” was performed at the
- [Case-33097](https://www.drkarenhorton.com/gallery/case/case-33097/) - Before and after bilateral breast reduction and lift in a 23-year-old woman with severe breast droop. She wanted to be able to wear cute tops and not need a heavy bra at all times, even during sleep. A breast reduction removed a small amount of breast tissue from the bottom of her breasts. The auto-augmentation
- [Case-33096](https://www.drkarenhorton.com/gallery/case/case-33096/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 26-year-old woman. She had heavy, dense breasts and a full bra roll and armpit region with excess fat. A breast reduction removed excess tissue from each breast and rearranged the rest of her breast to become shapelier. Liposuction debulked
- [Case-33095](https://www.drkarenhorton.com/gallery/case/case-33095/) - Before and after bilateral breast augmentation and left periareolar mastopexy in a 33-year-old woman. Her breasts had lost volume since breastfeeding her children, and she wanted the former fullness she experienced during nursing back. Her left breast lower pole was emptier and baggier than the other side, causing asymmetry. Smooth round silicone gel breast implants
- [Case-33094](https://www.drkarenhorton.com/gallery/case/case-33094/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 59-year-old woman. She had asymmetry of her breasts and significant “ptosis” (droop), which caused pain in her neck and shoulders. Her breast reduction created better symmetry, smaller and lifted breasts, and alleviated her physical complaints related to her large
- [Case-33093](https://www.drkarenhorton.com/gallery/case/case-33093/) - Before and after labiaplasty in a 35-year-old woman. She disliked the look of her labia and wanted them to be tidy and more tucked-in. A labiaplasty trimmed excess labia minora tissue but left a normal amount behind. Follow up photos are shown 6 weeks after surgery.
- [Case-33092](https://www.drkarenhorton.com/gallery/case/case-33092/) - Before and after liposuction of the inner and outer thighs in a 38-year-old woman. She had curves and described herself as “pear shaped” and did not fit her pants well. Liposuction was performed at the same time as a breast procedure and a labiaplasty under general anesthesia, removing nearly two liters of fat. Follow up
- [Case-33091](https://www.drkarenhorton.com/gallery/case/case-33091/) - Before and after bilateral breast reduction and liposuction of the axillary rolls in a 25-year-old woman. She also had congenital breast asymmetry and wanted an improved look overall and better size match of her breasts. A breast reduction removed over a pound of breast tissue from each side. Her breasts were rearranged and lifted using
- [Case-33084](https://www.drkarenhorton.com/gallery/case/case-33084/) - Before and after liposuction of the arms in a 44-year-old woman. She wanted to improve the appearance of her upper arms. Liposuction removed a half liter of excess fat (2 cups!) from each arm through several tiny incisions hidden in skin creases. Follow up photos are shown 1 year after surgery. She is now working
- [Case-33083](https://www.drkarenhorton.com/gallery/case/case-33083/) - Before and after Mommy Makeover in a 43-year-old woman. Following the birth of her three children, she no longer recognized her belly and her breasts had grown exponentially in size and drooped toward the floor. She had stretch marks, excess skin, bulging muscles and loss of core strength, in addition to excess fat that was
- [Case-33082](https://www.drkarenhorton.com/gallery/case/case-33082/) - Before and after bilateral mastopexy in a 67-year-old woman. With a history of a breast reduction many years ago, her breasts had grown in their size since menopause, creating shoulder grooves from the weight of her breasts and the action of gravity. She recently had a lumpectomy which was benign but got her thinking about
- [Case-33081](https://www.drkarenhorton.com/gallery/case/case-33081/) - Before and after bilateral explantation in a 49-year-old woman with contracted breast implants that were inserted nearly twenty years ago. She felt pain nearly every day and no longer wanted them in her body. Explantation was performed in the office under local anesthesia using her existing infra-areolar scar. We usually recommend making a new incision
- [Case-33080](https://www.drkarenhorton.com/gallery/case/case-33080/) - Before and after abdominoplasty with liposuction in a 40-year-old women. After having children, she had stretched out lower abdominal skin, stretch marks, separation of her abdominal muscles and excess fat. A tummy tuck removed excess lower abdominal fat, repaired her rectus abdominis muscles and pulled her abdominal skin tightly downward. Liposuction removed fat from her
- [Case-33079](https://www.drkarenhorton.com/gallery/case/case-33079/) - Before and after abdominoplasty as one component of a Mommy Makeover in a 43-year-old woman. Following the birth of her three children, she no longer recognized her belly! She had stretch marks, excess skin, bulging muscles and loss of core strength, in addition to excess fat that was never there before. An abdominoplasty surgically removed
- [Case-33078](https://www.drkarenhorton.com/gallery/case/case-33078/) - Before and after bilateral nipple-sparing mastectomies and prepectoral implant reconstruction in a 25-year-old BRCA gene-positive woman with a high risk of breast cancer development. Her family members who had developed breast cancer all died from their disease in their early thirties. She wanted to avoid this fate! A combined oncologic and reconstructive procedure was planned
- [Case-33077](https://www.drkarenhorton.com/gallery/case/case-33077/) - Before and after bilateral explantation in a 27-year-old woman. Her implants, inserted nearly ten years ago, no longer suited her lifestyle. Explantation was performed under local anesthesia with an oral anti-anxiety mediation and inhaled laughing gas. After surgery, she took two weeks off exercise and kept her chest wrapped with a tight bra for the
- [Case-33076](https://www.drkarenhorton.com/gallery/case/case-33076/) - Before and after bilateral nipple reduction in a 42-year-old woman. Together with a breast lift, she wanted to reduce the size of her nipples. She was self-conscious about their size, feeling the need to keep them covered with nipple shields, even in a bra. A nipple reduction reduced the size, projection and diameter of her
- [Case-33075](https://www.drkarenhorton.com/gallery/case/case-33075/) - Before and after bilateral breast reduction and lift as part of a Mommy Makeover in a 43-year-old woman. Following the birth of her three children, her breasts had grown exponentially in size, drooped towards the floor and excess fat that was never there before crept up on her. A breast reduction reduced the size of
- [Case-33067](https://www.drkarenhorton.com/gallery/case/case-33067/) - Before and after bilateral mastopexy and liposuction of the axillary rolls in a 33-year-old woman. She had lost weight, and her breasts suffered the consequences, becoming hanging and emptier than before. She actually liked her smaller volume but wanted a natural-looking lift. An auto-augmentation mastopexy reshaped her breasts and moved her breast tissue up into
- [Case-33066](https://www.drkarenhorton.com/gallery/case/case-33066/) - Before and after bilateral breast augmentation in a 27-year-old woman. Her breasts had completely deflated after having children. She wanted her former fullness she had while breastfeeding back! Smooth round silicone gel breast implants were placed on top of the muscle, in the subglandular position. Since she had a very physically active job, she took
- [Case-33054](https://www.drkarenhorton.com/gallery/case/case-33054/) - Before and after left mastectomy and DIEP flap breast reconstruction in a 48-year-old woman with breast cancer. Her tumor involved her left nipple, so it required removal together with the contents of her breast. A flap of skin and fat was microvascularly transplanted from her lower abdomen to her left chest to reconstruct her breast.
- [Case-33053](https://www.drkarenhorton.com/gallery/case/case-33053/) - Before and after bilateral breast reduction and lift in a 27-year-old woman with breast drooping after weight loss. She wanted to be able to wear just a light bra or have the option of going braless on occasion. A small amount of breast tissue was removed to make her breasts a little smaller. Her breasts
- [Case-33052](https://www.drkarenhorton.com/gallery/case/case-33052/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 44-year-old woman. She experienced pain in her neck, shoulders and upper back that her Chiropractor could no longer help with. A breast reduction was recommended to alleviate her symptoms. Nearly two pounds of heavy breast tissue was removed from
- [Case-33051](https://www.drkarenhorton.com/gallery/case/case-33051/) - Before and after breast reduction and lift with liposuction of the axillary rolls in a 34-year-old woman. She wanted her breasts to be smaller and lifted. She also had significant axillary breast tissue, best treated with ultrasound-assisted liposuction. Nearly a full pound of breast tissue was removed from each side. Ultrasonic liposuction removed nearly a
- [Case-33050](https://www.drkarenhorton.com/gallery/case/case-33050/) - Before and after bilateral augmentation and mastopexy in a 24-year-old woman. She wanted her breasts to be full and larger but to still look natural. Smooth round silicone gel breast implants were placed on top of the muscle, in the subglandular position. Her puffy nipples (a feature of mildly tubular breasts) were pushed back subtly
- [Case-33049](https://www.drkarenhorton.com/gallery/case/case-33049/) - Before and after bilateral nipple-sparing mastectomies and implant reconstruction with a mastopexy in a 52-year-old woman with right cancer. She chose to have a mastectomy on both sides and prepectoral implant reconstruction. Her goal was to have breast reconstruction as least a full as her natural breasts, if not fuller and lifted. During the same
- [Case-33048](https://www.drkarenhorton.com/gallery/case/case-33048/) - Before and after abdominoplasty in a 42-year-old woman. She had a large abdominal overhang called a “pannus.” An abdominoplasty removed nearly seven pounds of excess abdominal skin and fat. Her muscles were repaired back together, and her Liposuction removed four liters of fat from her upper and lower abdomen, flanks, pubic region and upper inner
- [Case-33047](https://www.drkarenhorton.com/gallery/case/case-33047/) - Before and after liposuction of the neck in an 18-year-old woman. She was slender overall, but self-conscious about her “baby fat” under her chin. Follow up photos are shown 6 months after surgery. While the change is extremely subtle, it is significant to her.
- [Case-33046](https://www.drkarenhorton.com/gallery/case/case-33046/) - Before and after liposuction of the neck in a 45-year-old woman. She wanted more definition to her jawline but not to have major surgery with its associated scars and downtime. Liposuction removed fat from under her chin under local anesthesia. After surgery, she wore a compressive strap around her chin for two weeks. Follow up
- [Case-33045](https://www.drkarenhorton.com/gallery/case/case-33045/) - Before and after bilateral breast implant revision in a 28-year-old woman with contracted implants. They had been in place without any issues for several years – after a dental infection, she noticed a change in their shape, with her breasts becoming taller and more elongated, and that they hardened. Capsular contracture is thought to be
- [Case-33028](https://www.drkarenhorton.com/gallery/case/case-33028/) - Before and after bilateral mastopexy and liposuction of the axillary rolls in a 42-year-old woman. She had Grade III ptosis, where her nipples were the lowest part of her breast. She was adamant about not wanting implants. She was also self-conscious about the size of her nipples – she kept them covered with nipple shields,
- [Case-33027](https://www.drkarenhorton.com/gallery/case/case-33027/) - Before and after bilateral saline breast implant deflation followed by deflated shell explantation in a 62-year-old woman. Her breast implants had been in place for nearly forty years. She wanted to have a more natural look and relief of tightness on her left side due to capsular contracture. A little nervous about how things would
- [Case-33026](https://www.drkarenhorton.com/gallery/case/case-33026/) - Before and after bilateral breast augmentation in a 57-year-old woman. She had always wanted fuller breasts, and figured “if not now, when?”! Smooth round silicone gel breast implants were placed on top of the muscle, in the subglandular position through an incision under the breast. Follow up photos are shown 2 months after surgery. Her
- [Case-33025](https://www.drkarenhorton.com/gallery/case/case-33025/) - Before and after liposuction of the body in a 50-year-old woman. She had gone through menopause and gained a significant amount of weight. She was committed to a healthy lifestyle but wanted a “kickstart” to her body improvement. Liposuction removed four liters of fat from her abdomen, circumferential flanks, lower back rolls and upper inner
- [Case-33024](https://www.drkarenhorton.com/gallery/case/case-33024/) - Before and after liposuction of the arms in a 50-year-old patient. Together with liposuction of other areas of her body, she wanted to improve the contour of her arms. Through teeny incisions hidden in skin creases, over a half liter of fat was removed from her upper arms. Follow up photos are shown 6 months
- [Case-33023](https://www.drkarenhorton.com/gallery/case/case-33023/) - Before and after labiaplasty in a 32-year-old woman. She was looking for a neater appearance to her labia and wanted to feel comfortable wearing a bikini bottom. A labiaplasty trimmed excess length of her labia minora using the trim technique. Follow up photos are shown 3 months after surgery. Trimming the excess labia allowed her
- [Case-33022](https://www.drkarenhorton.com/gallery/case/case-33022/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 24-year-old woman. She found bra shopping impossible, exercise was painful, and she was sick of getting unwanted attention because of the size of her breasts. A breast reduction removed some of her heavy breast tissue but left a normal
- [Case-33021](https://www.drkarenhorton.com/gallery/case/case-33021/) - Before and after breast revision in a 54-year-old breast cancer survivor. She had a prior mastopexy-augmentation before her breast cancer diagnosis. After healing from a left mastectomy and submuscular implant reconstruction, she sought improved symmetry. Her left mastectomy skin was very thin, showing ripples of the implant that was too small for its space. She
- [Case-33020](https://www.drkarenhorton.com/gallery/case/case-33020/) - Before and after liposuction of the body in a 35-year-old woman. Together with an abdominoplasty, she wanted to improve the contour of her backside as well. Liposuction of the abdomen, circumferential flanks and lower back fat rolls (known by some as “lipo-360”) removed over four liters of fat in total. After surgery, she wore compression
- [Case-33019](https://www.drkarenhorton.com/gallery/case/case-33019/) - Before and after labiaplasty in a 39-year-old woman. Redundant labia minora tissue was removed using the trim technique in order to create a neater aesthetic to her labia region. Follow up photos are shown 2 months after surgery. She is much more comfortable in her skin!
- [Case-32989](https://www.drkarenhorton.com/gallery/case/case-32989/) - Before and after abdominoplasty in a 53-year-old mother of twins and one singleton. She was in excellent shape, but her abdominal wall was stretched out from her pregnancies. She felt like her "guts were going to fall out when doing planks". She wanted her flatter belly back; she was not too concerned about scars since
- [Case-32988](https://www.drkarenhorton.com/gallery/case/case-32988/) - Before and after right earlobe repair and repiercing in a 39-year-old woman with a completely split earlobe. It had ripped when her friend’s dog jumped up and her hoop got caught in his paw. A lobule repair and repiercing was performed under local anesthesia in the office. The plan for repair and repiercing just beside
- [Case-32987](https://www.drkarenhorton.com/gallery/case/case-32987/) - Before and after bilateral brachioplasty and liposuction of the arms in a 48-year-old woman. She had changed her lifestyle and was committed to getting and staying as healthy as possible after recovering from cancer – and with that change, she lost a significant amount of weight. Her arms became empty “bat wings” that limited her
- [Case-32986](https://www.drkarenhorton.com/gallery/case/case-32986/) - Before and after bilateral breast revision in a 33-year-old woman with right Poland syndrome. She was born with congenital absence of the sternal head of pectoralis major muscle, seen as a divot above her right breast implant and an in-sloping curve in her right armpit. Her previous saline breast augmentation was asymmetric. She wanted to
- [Case-32985](https://www.drkarenhorton.com/gallery/case/case-32985/) - Before and after right sided labiaplasty in a 24-year-old woman. She experienced discomfort with daily activities, even just walking. A labiaplasty trimmed only her right labia minora so that it was more symmetric with the left side. Surgical markings are shown in the last image. A rim of labia minora is always left behind to
- [Case-32984](https://www.drkarenhorton.com/gallery/case/case-32984/) - Before and after bilateral breast reduction and lift in a 35-year-old woman. She had natural asymmetry and droop to her breasts and wanted a major reduction and lift. An intraoperative photo was taken after one breast was reduced and rearranged, immediately before the nipple was brought out in its new location and dissolving sutures were
- [Case-32983](https://www.drkarenhorton.com/gallery/case/case-32983/) - Before and after breast lift and liposuction of the axillary rolls in a 24-year-old woman. She had Grade III ptosis (the most severe class of breast droop, where nipples are pointing to the floor). She was not looking to have bigger breasts, just a major lift! The cause of her breast droop was precipitous weight
- [Case-32982](https://www.drkarenhorton.com/gallery/case/case-32982/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 29-year-old woman with true macromastia. Her breasts had grown to be unmanageable in her late teen years. They limited her from exercising without wearing three sports bras, caused pain and strain in her shoulders, neck and back, and made
- [Case-32981](https://www.drkarenhorton.com/gallery/case/case-32981/) - Before and after liposuction of the body in a 31-year-old woman. She had accumulated excess fat in her midsection after having children. A tummy tuck was offered to her by another surgeon, but she did not want the long scar involved and increased downtime associated with an abdominoplasty. She sought out liposuction alone as her
- [Case-32963](https://www.drkarenhorton.com/gallery/case/case-32963/) - Before and after bilateral explantation in a 52-year-old woman. Her 18-year-old implants had developed contracture and were painful. She was tired of trying to conceal them in clothes and when she gave hugs since they were so hard. Her breast implants were removed under local anesthesia as a straightforward outpatient procedure. The internal capsule did
- [Case-32962](https://www.drkarenhorton.com/gallery/case/case-32962/) - Before and after bilateral tubular breast correction using the auto-augmentation mastopexy technique with liposuction of the axillary rolls in a 34-year-old woman. She initially had considered a breast augmentation as well thinking it would improve her breast shape, but she did not want to be bigger. She was delighted to learn about the local tissue
- [Case-32961](https://www.drkarenhorton.com/gallery/case/case-32961/) - Before and after abdominoplasty with liposuction of the abdomen, flanks, pubic region and upper inner thighs in a 41-year-old mother of four. She was in good physical shape but had stretch marks and excess fat in her midsection, and separation of her abdominal muscles from multiple pregnancies. A tummy tuck removed skin and fat from
- [Case-32960](https://www.drkarenhorton.com/gallery/case/case-32960/) - Before and after bilateral post-lumpectomy/radiation breast revision via secondary breast reduction and lift with liposuction of the axillary rolls in a 64-year-old woman. Her breast cancer treatment was 8 years ago, and she also had a history of a breast reduction 14 years previously. Deep shoulder grooves had formed over decades from the weight and
- [Case-32959](https://www.drkarenhorton.com/gallery/case/case-32959/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 44-year-old woman. She had always been large-breasted, but after having children, her breasts grew significantly in size, causing pain in her neck, shoulders and upper back. A breast reduction removed over three pounds of breast tissue from each breast.
- [Case-32958](https://www.drkarenhorton.com/gallery/case/case-32958/) - Before and after reconstruction by reduction and lift in a 54-year-old woman with breast cancer. She was scheduled for a lumpectomy to remove her right-sided cancer followed by radiation therapy. She also required a lumpectomy on the left side, which turned out to be benign. A combined procedure involved bilateral lumpectomy and local tissue rearrangement,
- [Case-32957](https://www.drkarenhorton.com/gallery/case/case-32957/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 19-year-old woman. She had heavy, pendulous breasts that were creating strain on her neck, shoulders and back. She had developed rashes under her breasts due to sweating and moisture in this area. A breast reduction removed over two and
- [Case-32956](https://www.drkarenhorton.com/gallery/case/case-32956/) - Before and after labiaplasty in a 44-year-old woman. Together with a liposuction procedure, she wanted to improve the look and comfort of her labia region. Excess length of labia minora tissue was trimmed, suturing the labia together with two layers of dissolving sutures. Follow up photos are shown 10 months after surgery.
- [Case-32955](https://www.drkarenhorton.com/gallery/case/case-32955/) - Before and after breast augmentation revision in a 23-year-old woman with asymmetry and deformity related to capsular contracture of her left breast implant and nipple height asymmetry that was not addressed by her former surgeon. She had a Snoopy deformity of the left breast due to superior malposition of the implant. Her revision involved removal
- [Case-32954](https://www.drkarenhorton.com/gallery/case/case-32954/) - Before and after right inverted nipple correction in a 44-year-old woman with nipple asymmetry. She was self-conscious that her left nipple came out completely but her right nipple “was shy.” An inverted nipple correction was performed under local anesthesia as an office outpatient procedure. Follow up photos are shown 3 months after surgery.
- [Case-32948](https://www.drkarenhorton.com/gallery/case/case-32948/) - Before and after bilateral breast implant revision in a 25-year-old woman with malposition of her previously placed breast implants. The right side was contracted and sat up too high on the chest (superior malposition), and the left implant sat too low and crossed the midline, distorting her cleavage (bottoming out and symmastia). Her revision involved
- [Case-32947](https://www.drkarenhorton.com/gallery/case/case-32947/) - Before and after bilateral breast augmentation in a 20-year-old woman with hypomastia (small breasts), a mildly tubular breast shape and congenital breast asymmetry. She wanted to be significantly larger breasted with a rounder and fuller look. Smooth round silicone gel breast implants were placed on top of the muscle, in the subglandular position. The implant
- [Case-32946](https://www.drkarenhorton.com/gallery/case/case-32946/) - Before and after bilateral breast implant revision in a 35-year-old woman with submuscular implants. She had a significant animation deformity when she flexed her pectoralis major muscles, causing one implant to be displaced upward and the other downward. Her left pec muscle was so tight, it pulled her left shoulder forward and limited her range
- [Case-32945](https://www.drkarenhorton.com/gallery/case/case-32945/) - Before and after liposuction of the neck in a 31-year-old woman. She was self-conscious about this region of her face and neck, and had tried several other non-surgical treatments in an attempt to reduce her submental fat collection. Liposuction is always the most effective, reliable and permanent solution to excess fat under the chin, and
- [Case-32944](https://www.drkarenhorton.com/gallery/case/case-32944/) - Before and after MACS lift in a 70-year-old woman. She had been considering a procedure to improve the look of her neck for several years, but did not want to look different or overdone. She was pleased to learn about the MACS lift and that it would eliminate her jowls and improve her neckline contour,
- [Case-32943](https://www.drkarenhorton.com/gallery/case/case-32943/) - Before and after ultrasound-assisted liposuction of the abdomen and circumferential flanks in a 57-year-old man. He also had an unrelated skin condition that caused patchy lighter areas of his skin (vitiligo). In a three-hour outpatient surgery, over three liters of fat was removed under general anesthesia. After surgery, he wore a compression binder under his
- [Case-32942](https://www.drkarenhorton.com/gallery/case/case-32942/) - Before and after bilateral breast reduction and lift in a 23-year-old woman. Her breasts were heavy and causing strain on her neck, upper back and shoulders. A breast reduction removed over a half pound of excess tissue from each breast. Liposuction removed fat from her armpit region. Follow up photos are shown 1 year after
- [Case-32941](https://www.drkarenhorton.com/gallery/case/case-32941/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 28-year-old woman. Her breasts were out of proportion with the rest of her body, limiting her ability to exercise easily and causing poor posture and upper back pain A breast reduction removed excess breast tissue, skin and fat from
- [Case-32940](https://www.drkarenhorton.com/gallery/case/case-32940/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 32-year-old woman. She had always had large breasts, and she wanted to be able to exercise easily and find tops that fit better. A breast reduction removed over two pounds of bottom-heavy breast tissue from each breast and reshaped
- [Case-32939](https://www.drkarenhorton.com/gallery/case/case-32939/) - Before and after bilateral breast reduction and lift in an 18-year-old woman. She was a senior in high school and wanted to have surgery soon after graduation to allow her the entire summer for healing and recovery before going off to college. Her breasts were asymmetric, heavy and interfering with her multiple varsity sports activities.
- [Case-32922](https://www.drkarenhorton.com/gallery/case/case-32922/) - Before and after bilateral breast implant revision in a 43-year-old woman. Her textured saline breast implants that had been in place for over 20 years had developed asymmetry due to a partial deflation of her left breast implant. She was nervous about keeping textured implants in her body, as she had learned about breast implant-associated
- [Case-32931](https://www.drkarenhorton.com/gallery/case/case-32931/) - Before and after left mastectomy and implant reconstruction in a 79-year-old woman with invasive breast cancer. She was completing neoadjuvant chemotherapy and consulted with us to learn about her reconstructive options. She had thought about “going flat” but wanted to avoid needing to wear an external prosthesis in her bra. A left nipple-sparing mastectomy was
- [Case-32930](https://www.drkarenhorton.com/gallery/case/case-32930/) - Before and after right earlobe repair and repiercing in a 29-year-old woman. She had developed a keloid previously from an infected ear piercing and had it surgically excised in her home state, leaving her earlobe looking abnormal with a cleft. She was planning her wedding and wanted to wear her hair up, with a more
- [Case-32929](https://www.drkarenhorton.com/gallery/case/case-32929/) - Before and after bilateral prophylactic mastectomies and immediate reconstruction with the DIEP flap in a 40-year-old BRCA gene positive woman and a mother of twins. She chose to have preventative risk-reducing mastectomies and reconstruction using her own tissue from her abdomen. A combined breast cancer and reconstructive microsurgery case was performed, with our patient staying
- [Case-32928](https://www.drkarenhorton.com/gallery/case/case-32928/) - Before and after ultrasound-assisted liposuction of the back rolls and posterior flanks in a 53-year-old woman. At the same time as a breast reduction and liposuction of the arms, this patient wanted to improve her back contour. Liposuction removed nearly two liters of fat from her back and flanks (muffin top) through several small incisions.
- [Case-32927](https://www.drkarenhorton.com/gallery/case/case-32927/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 30-year-old woman. Three quarters of a pound of tissue was removed from each breast. Half a liter of fat was removed from her bra rolls and armpits. Follow up photos are shown 3 months after surgery. She is applying
- [Case-32926](https://www.drkarenhorton.com/gallery/case/case-32926/) - Before and after liposuction of the arms in a 53-year-old woman. At the same time as a breast reduction, she wanted to contour her arms. Liposuction removed excess fat from her upper arms through teeny incisions hidden in skin creases. After surgery, she wore compression sleeves for six weeks. Follow up photos are shown 2
- [Case-32925](https://www.drkarenhorton.com/gallery/case/case-32925/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 53-year-old woman. Her breasts were heavy and hanging, forcing her to wear industrial-strength bras at all times. A breast reduction removed a pound and a half of breast tissue from each side. Liposuction removed excess fat from her bra
- [Case-32924](https://www.drkarenhorton.com/gallery/case/case-32924/) - Before and after labiaplasty in a 27-year-old woman. Embarrassed by her extra labia tissue and newly out of a long-term relationship, she felt it was the perfect time to seek a solution. A labiaplasty trimmed excess labia minora tissue but left a proportional and function amount of tissue behind. Follow up photos are shown 6
- [Case-32923](https://www.drkarenhorton.com/gallery/case/case-32923/) - Before and after liposuction of the neck in a 54-year-old woman. She had lost a significant amount of weight and felt like her lower face had aged more than the rest of her body. She was very busy at work and did not have the time needed for a full neck lift recovery. She was
- [Case-32903](https://www.drkarenhorton.com/gallery/case/case-32903/) - Before and after breast reduction and lift with liposuction of the axillary rolls in a 54-year-old woman. She had difficulty exercising, had developed deep shoulder grooves due to the weight of her breasts in her bra pulling downward for over forty years, and she was “over them!” A breast reduction removed over a pound and
- [Case-32902](https://www.drkarenhorton.com/gallery/case/case-32902/) - Before and after liposuction of the neck in a 23-year-old woman. She had always been self-conscious about the fullness under her chin due to excess fat. She felt like this area made her look younger and less refined and sculpted than she wanted to. Liposuction removed 75 cc of fat (two and a half ounces
- [Case-32901](https://www.drkarenhorton.com/gallery/case/case-32901/) - Before and after bilateral breast revision in a 46-year-old woman. She had several past breast procedures which left her with breast asymmetry, bottoming out and superior malposition of her nipples so they lay too high on her breast and peeked out of her bathing suit tops, and stretched scars. She was happy with her current
- [Case-32900](https://www.drkarenhorton.com/gallery/case/case-32900/) - Before and after abdominoplasty in a 34-year-old mother of twins and two singletons after that. Her belly had more than just “twin skin” – she had significant separation of her rectus abdominis muscles, causing her to look pregnant even after just eating a normal sized meal. She wanted to have a “normal looking belly,” not
- [Case-32899](https://www.drkarenhorton.com/gallery/case/case-32899/) - Before and after tubular breast correction via mastopexy and liposuction of the axillary rolls in a 39-year-old woman. She wasn’t looking for her breasts to be any bigger, just reshaped to be more round and perky. A breast lift using the auto-augmentation technique rearranged her breast and moved it up higher on her chest in
- [Case-32898](https://www.drkarenhorton.com/gallery/case/case-32898/) - Before and after liposuction of the arms in a 39-year-old woman. Together with a breast procedure and liposuction elsewhere on her body, she wanted to improve the contour of her upper arms. Liposuction permanently removed excess fat through several 2–3-millimeter incisions hidden in skin creases. After surgery, she wore compression sleeves under her clothes for
- [Case-32897](https://www.drkarenhorton.com/gallery/case/case-32897/) - Before and after liposuction of the body in a 39-year-old woman. She had a healthy lifestyle, but her figure did not reflect that, in her opinion. She had tried everything she could think of to rid her body of excess fat. She sought out liposuction not as a “quick fix,” but a permanent solution that
- [Case-32896](https://www.drkarenhorton.com/gallery/case/case-32896/) - Before and after labiaplasty in a 29-year-old woman. Her long labia minora caused her to feel self-conscious with intimate partners. She did not want to see this tissue when she looked down at her private area. A labiaplasty trimmed excess labia minora tissue but left a normal amount of tissue so that lubrication was normal,
- [Case-32895](https://www.drkarenhorton.com/gallery/case/case-32895/) - Before and after bilateral delayed DIEP flap breast reconstruction in a 45-year-old breast cancer survivor. She had submuscular tissue expanders placed at the time of her mastectomies which became infected during chemotherapy, when her immune system was compromised, requiring their removal. Two years later, when she had finished chemotherapy and radiation therapy, she was ready
- [Case-32894](https://www.drkarenhorton.com/gallery/case/case-32894/) - Before and after labiaplasty in a 58-year-old woman. She experienced discomfort when she ran or walked her dog. A labiaplasty trimmed excess long, dark labia minora but left a normal amount behind. Follow up photos are shown 6 months after surgery.
- [Case-14758](https://www.drkarenhorton.com/gallery/case/case-14758/) - Before and after post-weight loss body contouring in a 34 year old woman who had lost over 150 pounds following sleeve gastrectomy. Her breasts were completely deflated and hung literally to her umbilicus (belly button and her waist band!). She wanted to have the fullness back in her breasts and to see her nipples. An
- [Case-11815](https://www.drkarenhorton.com/gallery/case/case-11815/) - Before and after mastopexy with liposuction of the axillary rolls in a 56-year-old woman with droop and breast asymmetry. She was happy with her breast volume but wanted her breasts to assume the position they had while wearing a bra. A breast lift reshaped her breasts but kept the volume of the breast the same.
- [Case-2640](https://www.drkarenhorton.com/gallery/case/case-2640/) - Before and after bilateral nipple-sparing mastectomies and immediate prepectoral implant reconstruction in a 48-year-old woman with left breast cancer. She chose to have a mastectomy on both sides to reduce her risk of recurrence, given that she had three children and was still pre-menopausal. She chose to have her implants inflated fuller than her preoperative
- [Case-32869](https://www.drkarenhorton.com/gallery/case/case-32869/) - Before and after right delayed implant reconstruction in a 53-year-old breast cancer survivor. Prior to breast cancer, she had submuscular saline breast augmentation. At the time of her right mastectomy, her implant was removed and replaced with a submuscular tissue expander. Due to infection during chemotherapy, the expander required removal. She waited several years before
- [Case-32868](https://www.drkarenhorton.com/gallery/case/case-32868/) - Before and after bilateral nipple reduction in a 46-year-old woman. She had relatively small breasts and was self-conscious about the size and length of her nipples. A nipple reduction trimmed her nipples in length and reduced their base diameter as well. Follow up photos are shown 1 year after surgery. She no longer wears nipple
- [Case-32867](https://www.drkarenhorton.com/gallery/case/case-32867/) - Before and after abdominoplasty and liposuction of the abdomen and flanks in a 57-year-old woman. She had past abdominal surgeries which left her with widened scars, an unsightly contour and excess rolls of fat. She had hidden her belly for years but wanted to enter her sixties without needing to cover up her midsection now
- [Case-32866](https://www.drkarenhorton.com/gallery/case/case-32866/) - Before and after abdominoplasty in a 47-year-old woman. She was planning a breast revision procedure and at the same time, wanted to improve the appearance of her abdomen. Excess skin and fat was removed from her lower abdomen. Her muscles were repaired back to one another in the midline. Liposuction removed excess fat from her
- [Case-32865](https://www.drkarenhorton.com/gallery/case/case-32865/) - Before and after bilateral breast implant exchange and mastopexy in a 38-year-old woman. Her previously placed saline breast implants were under the muscle. She had delivered and breastfed three children since having her breast augmentation and developed droop of her breasts and a long-breasted, matronly look. She wanted to keep the fullness of her breasts
- [Case-32864](https://www.drkarenhorton.com/gallery/case/case-32864/) - Before and after ultrasound-assisted liposuction of the abdomen and anterior flanks in a 33-year-old man. During his gynecomastia correction using ultrasonic liposuction, he wanted to improve the contour of his midsection at the same procedure. Nearly four liters of fat was removed in an outpatient procedure. He took two weeks off work and wore a
- [Case-32863](https://www.drkarenhorton.com/gallery/case/case-32863/) - Before and after ultrasound-assisted liposuction of the chest in a 33-year-old man. He wanted to improve the contour of his chest in order to appreciate his muscle tone – he had been working hard at the gym, but his muscles were covered by a layer of fat on his chest. This condition is called “gynecomastia,”
- [Case-32862](https://www.drkarenhorton.com/gallery/case/case-32862/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 37-year-old mother of three. She wanted her breasts to be smaller and lifted; she was planning an abdominoplasty and liposuction as her Mommy Makeover at the same time. Her breasts were reduced in size and lifted, while liposuction removed
- [Case-32861](https://www.drkarenhorton.com/gallery/case/case-32861/) - Before and after Mommy Makeover in a 37-year-old mother of three. Her breasts had increased in size and drooped after pregnancies and breastfeeding, her abdominal muscles were separated, and she had excess fat and extra skin that she never had before! Her Mommy Makeover included a breast reduction and lift, abdominoplasty and liposuction. Follow up
- [Case-32860](https://www.drkarenhorton.com/gallery/case/case-32860/) - Before and after unilateral inverted nipple correction in a 70-year-old woman. She had always been bothered about her nipple asymmetry, and she sought out inverted nipple repair after she learned it could be done under local anesthesia. When asked “why now?” when we met this lovely women in consultation, she responded “why not?”! She was
- [Case-32859](https://www.drkarenhorton.com/gallery/case/case-32859/) - Before and after brachioplasty in a 41-year-old woman following significant weight loss. She had already had other body contouring procedures including a breast lift and abdominoplasty. Improving the contour of her upper arms was the next procedure planned in her weight loss journey. Excess skin and fat were removed from her upper arms to improve
- [Case-32858](https://www.drkarenhorton.com/gallery/case/case-32858/) - Before and after liposuction of the body in a 34-year-old woman. She was naturally curvy and she exercised regularly, but had excess fat in several areas of her body. At the same time as a breast augmentation, she wanted to improve the contour of her abdomen, flanks, muffin top and lower back rolls. Liposuction permanently
- [Case-32833](https://www.drkarenhorton.com/gallery/case/case-32833/) - Before and after bilateral breast augmentation in a 37-year-old mother of four with breasts that became significantly empty and deflated after breastfeeding her children. Her youngest child was now two and she was ready for “a refresh”! Smooth round silicone gel breast implants were placed on top of the muscle, in the subglandular position. She
- [Case-32832](https://www.drkarenhorton.com/gallery/case/case-32832/) - Before and after abdominoplasty and liposuction in a 48-year-old mother of three. She wanted to improve the contour of her belly, since a healthy diet and daily exercise was not doing it for her! A tummy tuck removed three and a half pounds of excess skin and fat from her lower abdomen. Her abdominal muscles
- [Case-32831](https://www.drkarenhorton.com/gallery/case/case-32831/) - Before and after breast reconstruction by breast reduction and lift in a 55-year-old breast cancer survivor. She had completed her breast cancer treatment, which consisted of a right lumpectomy, chemotherapy and radiation therapy. Her breasts were asymmetric, making it difficult to wear bras without them pulling awkwardly to the left larger side. Her goal was
- [Case-32830](https://www.drkarenhorton.com/gallery/case/case-32830/) - Before and after abdominoplasty and liposuction in a 50-year-old woman. While she was not the “ideal candidate” for a tummy tuck – she had lost some weight but had not achieved her ideal weight and could only take one month off work. However, it was reasonable to proceed with surgery after we achieved full “informed
- [Case-32829](https://www.drkarenhorton.com/gallery/case/case-32829/) - Before and after bilateral earlobe repair and repiercing in a 32-year-old woman. She was planning a lavish Indian wedding and planned to wear heavy, ornate earring for at least four days straight. Her past piercings had already stretched, and she was unable to wear her chosen earrings. Lobule repair and repiercing slightly higher and just
- [Case-32828](https://www.drkarenhorton.com/gallery/case/case-32828/) - Before and after right breast revision in a 53-year-old breast cancer survivor. Her previously placed right saline implant had flipped upside down, as evidenced by the circle showing through her thin mastectomy flap. Some of her areola tissue had been left behind during her mastectomy, which lay above the nipple reconstruction and looked odd. Her
- [Case-32827](https://www.drkarenhorton.com/gallery/case/case-32827/) - Before and after bilateral breast augmentation revision in a 59-year-old woman. Her submuscular implants sat too high on her chest, and her animation deformity was causing her to avoid exercise due to tightness, muscle spasms and feeling self-conscious about her muscle flexion looking obvious to others. This breast revision involved reopening her scar in the
- [Case-32826](https://www.drkarenhorton.com/gallery/case/case-32826/) - Before and after liposuction of the abdomen, flanks and lower back rolls in a 44-year-old woman. She had made the decision she was not going to have children – but she still wanted a makeover! She called her upcoming surgery her “mid-life makeover.” Liposuction removed excess fat from her upper and lower abdomen, flanks all
- [Case-32825](https://www.drkarenhorton.com/gallery/case/case-32825/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 47-year-old woman. She wanted her breasts to be smaller but remain proportional to the rest of her body. She was in San Francisco for a work contract that was finishing up and was ready for her breast reduction journey!
- [Case-32824](https://www.drkarenhorton.com/gallery/case/case-32824/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 44-year-old woman. Her breasts had grown significantly after having children, and she felt ready to take the plunge and consider a breast reduction – something she had thought about for over thirty years. A breast reduction removed excess tissue
- [Case-32823](https://www.drkarenhorton.com/gallery/case/case-32823/) - Before and after labiaplasty in a 25-year-old woman. She disliked the look of her labia and wanted to not always see her labia minora tissue hanging out of her external genitalia. A labiaplasty trimmed excess labia minora tissue. Follow up photos are shown 3 months after surgery. She is more comfortable in intimate settings and
- [Case-32822](https://www.drkarenhorton.com/gallery/case/case-32822/) - Before and after labiaplasty in a 42-year-old woman. She had discomfort during running and when she had sex. A labiaplasty trimmed excess labia minora tissue in a straightforward outpatient office procedure. Follow up photos are shown 7 weeks after surgery. Her labia minora are still swollen but she already has no discomfort exercising or being
- [Case-32821](https://www.drkarenhorton.com/gallery/case/case-32821/) - Before and after mastopexy in a 25-year-old woman. During her previous breast augmentation, her nipple asymmetry was not addressed, leading her to be self-conscious about her left nipple lying lower than her right. Her procedure involved lifting the left nipple via a crescentic areolar mastopexy and inverted nipple correction. This procedure was performed under local
- [Case-32820](https://www.drkarenhorton.com/gallery/case/case-32820/) - Before and after bilateral inverted nipple correction in a 25-year-old woman. Her nipples came out partially when she was cold, but never all the way. This is classified as Grade II inversion. She wanted them to look more normal and become completely erect. Inverted nipple correction was performed in the office under local anesthesia. Follow
- [Case-32819](https://www.drkarenhorton.com/gallery/case/case-32819/) - Before and after post-weight loss mastopexy in a 39-year-old woman. After losing over eighty pounds, her breasts had lost all their volume and structure. She liked their smaller size but wanted them to be lifted, but still to look natural. She had considered an implant but did not want too much upper pole fullness. A
- [Case-32817](https://www.drkarenhorton.com/gallery/case/case-32817/) - Before and after post-weight loss mastopexy and liposuction of the axillary rolls in a 54-year-old woman who lost 130 pounds! She had dramatically changed her lifestyle “in order to save her life.” Incredibly, her high blood pressure and diabetes normalized after this dramatic weight loss. She was left, however, with empty and drooping breasts that
- [Case-32815](https://www.drkarenhorton.com/gallery/case/case-32815/) - Before and after post-weight loss abdominoplasty in a 54-year-old woman who lost 130 pounds! She had dramatically changed her lifestyle “in order to save her life.” Incredibly, her high blood pressure and diabetes normalized after this dramatic weight loss. She was left, however, with excess lower abdominal skin and redundant fat that made it difficult
- [Case-32807](https://www.drkarenhorton.com/gallery/case/case-32807/) - Before and after labiaplasty in a 30-year-old woman. She felt discomfort every time she exercised, rode a bike or jogged. A labiaplasty trimmed excess long labia minora tissue but left a normal amount of tissue behind. Follow up photos are shown 2 months after surgery.
- [Case-32806](https://www.drkarenhorton.com/gallery/case/case-32806/) - Before and after bilateral breast augmentation revision in a 52-year-old woman. Her right saline breast implant had deflated, causing wardrobe issues – her daughter was getting married soon and she did not have time to undergo a big surgery just one month before the big event! She was excited and relieved to learn that implant
- [Case-32805](https://www.drkarenhorton.com/gallery/case/case-32805/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 49-year-old woman who was very athletic and wanted to be “as small as possible”. A breast reduction removed nearly two pounds of breast tissue from each breast. Liposuction removed 800 cc of fat from her bra rolls (that is
- [Case-32804](https://www.drkarenhorton.com/gallery/case/case-32804/) - Before and after labiaplasty in a 23-year-old woman. She was planning liposuction surgery and wanted to improve the appearance and comfort of her labia region as well. Her labia minora were so long and redundant that even walking gave her discomfort. A labiaplasty trimmed excess labia minora, allowing her labia majora to naturally fall back
- [Case-32803](https://www.drkarenhorton.com/gallery/case/case-32803/) - Before and after liposuction of the abdomen and circumferential flanks in a 23-year-old woman. she was slender and physically fit, but she wanted to further contour her mid-section since diet and exercise had not given her the results she was going for. Liposuction permanently removed fat from these areas through tiny incisions hidden in her
- [Case-32802](https://www.drkarenhorton.com/gallery/case/case-32802/) - Before and after liposuction of the abdomen and flanks in a 37-year-old woman. She was frustrated at the lack of results she saw from working with a trainer, clean eating and eliminating alcohol. GLP-1 medications were not yet around, and she had hit a standstill with her progress. Liposuction removed excess fat from her midsection
- [Case-32801](https://www.drkarenhorton.com/gallery/case/case-32801/) - Before and after bilateral inverted nipple correction in a 30-year-old woman. She felt self-conscious about her inverted nipple, especially in intimate settings. Inverted nipple correction was performed in the office under local anesthesia. After surgery, she took nearly a week off work and two weeks off exercise. Follow up photos are shown 4 months after
- [Case-32800](https://www.drkarenhorton.com/gallery/case/case-32800/) - Before and after bilateral breast augmentation and liposuction of the axillary rolls in a 34-year-old woman. She had a beautiful natural breast shape and mild breast asymmetry; she wanted her breasts to be fuller to better match the rest of her curvy figure. Smooth round silicone gel breast implants were placed on top of the
- [Case-32799](https://www.drkarenhorton.com/gallery/case/case-32799/) - Before and after breast reconstruction revision in a 59-year-old breast cancer survivor. She previously had a right non-nipple-sparing mastectomy and placement of a tissue expander under the muscle. Her goal was to have fuller and rounder breasts. Her revision involved removal of the tissue expander and reconstruction of her pectoralis major muscle, insertion of a
- [Case-32798](https://www.drkarenhorton.com/gallery/case/case-32798/) - Before and after left breast reconstruction with a DIEP flap in a 49-year-old breast cancer survivor. Her submuscular right implant reconstruction was hard, cold, painful and spasmed every time she engaged her right dominant arm. She wanted to use her own tissue for reconstruction – she was an appropriate candidate for microsurgical breast reconstruction. The
- [Case-32781](https://www.drkarenhorton.com/gallery/case/case-32781/) - Before and after abdominoplasty with liposuction in a 27-year-old woman. After losing a significant amount of weight, her belly still had excess fat that made wearing fitted shirts uncomfortable and made her feel like she had not achieved any fat loss at all. She was a candidate for an abdominoplasty with liposuction to remove excess
- [Case-32779](https://www.drkarenhorton.com/gallery/case/case-32779/) - Before and after liposuction of the body in a 22-year-old woman. She had lost some weight but felt discouraged at the lack of results in her body contour. Although she planned to continue exercising and eating a clean diet, she was looking for some immediate success that she believed would motivate her to keep going.
- [Case-32778](https://www.drkarenhorton.com/gallery/case/case-32778/) - Before and after liposuction of the arms in a 22-year-old woman. She had lost some weight but felt discouraged at the lack of results in her body contour. Although she planned to continue exercising and eating a clean diet, she was looking for some immediate success that she believed would motivate her to keep going.
- [Case-32770](https://www.drkarenhorton.com/gallery/case/case-32770/) - Before and after breast augmentation and lift in a 69-year-old breast cancer survivor. She previously had undergone a lumpectomy and radiation on the left side. After menopause, she noted increasing asymmetry between her breasts as the radiated breast remained smaller and did not accumulate as much fat as the non-radiated side. She found it difficult
- [Case-32769](https://www.drkarenhorton.com/gallery/case/case-32769/) - Before and after labiaplasty involving both the labia minora and labia majora in a 55-year-old woman. She felt like “there is too much stuff down there” and she felt self-conscious about her labia in her newly single relationship status. A labiaplasty trimmed both excess labia minora and also took out a wedge of extra labia
- [Case-32768](https://www.drkarenhorton.com/gallery/case/case-32768/)
- [Case-32767](https://www.drkarenhorton.com/gallery/case/case-32767/) - Before and after bilateral nipple-sparing mastectomies and DIEP flap breast reconstruction in a 50-year-old woman with past bilateral breast cancers treated with lumpectomies, chemotherapy and radiation. She finally received genetic testing and found out she was a carrier for the BRCA gene. After having her ovaries and uterus removed to reduce her risk of ovarian
- [Case-32766](https://www.drkarenhorton.com/gallery/case/case-32766/) - Before and after breast reconstruction revision in a 68-year-old breast cancer survivor. She was reconstructed originally with a right-sided TRAM flap – an older technique that uses skin and fat from the middle abdomen, basing its blood supply on the rectus abdominis muscle which is flipped upwards to move soft tissue up to the chest.
- [Case-32765](https://www.drkarenhorton.com/gallery/case/case-32765/) - Before and after labiaplasty in a 24-year-old woman. Her identical twin sister had previously had a labiaplasty and was extremely satisfied, so this patient was excited to have this procedure as well! She found it difficult to do yoga without constantly “adjusting” her labia in her yoga pants. A labiaplasty trimmed excess labia minora, enabling
- [Case-32764](https://www.drkarenhorton.com/gallery/case/case-32764/) - Before and after labiaplasty in a 46-year-old woman. She had been bothered by her long labia minora since puberty, but after early menopause, she felt like her tissue was even more long and heavy, getting in the way with exercise and sex. A labiaplasty trimmed excess tissue but left a normal amount of labia minora
- [Case-32763](https://www.drkarenhorton.com/gallery/case/case-32763/) - Before and after left breast reconstruction with a TUG flap and secondary sub-flap implant in a 53-year-old breast cancer survivor. Following her left mastectomy and chemotherapy, she required radiation to her chest wall. Although her tissue expander on the left had been placed at the time of her mastectomy, it got infected after chemo and
- [Case-32762](https://www.drkarenhorton.com/gallery/case/case-32762/) - Before and after right delayed breast implant reconstruction in a 64-year-old breast cancer survivor who had previously had bilateral nipple-sparing mastectomies and implant reconstruction. Her right implant required removal due to chronic infection. After it had been out for six months to allow for infection-related firm swelling called edema to resolve, her tissues were ready
- [Case-32761](https://www.drkarenhorton.com/gallery/case/case-32761/) - Before and after mini-abdominoplasty and liposuction of the body in a 53-year-old woman. She had an indented C-section scar and unwanted excess fat in her midsection. She wanted to minimize surgery but gain an improved contour of her belly. A mini-abdominoplasty removed excess fat from her lower abdomen. Any time a procedure in Plastic Surgery
- [Case-32760](https://www.drkarenhorton.com/gallery/case/case-32760/) - Before and after bilateral breast reduction and lift in a 32-year-old woman with significant macromastia and breast ptosis (droop). She had lost weight and developed even more severe breast droop. A breast reduction removed over three pounds of tissue from each breast. A major local tissue rearrangement reshaped her breasts and lifted them up higher
- [Case-32759](https://www.drkarenhorton.com/gallery/case/case-32759/) - Before and after bilateral explantation in a 45-year-old woman who had saline breast implants inserted nearly 20 years previously. She no longer wanted her implants and wished to minimize the amount of surgery she needed. While she was happy to learn about saline removal via implant deflation as an interim option, she elected to plan
- [Case-32758](https://www.drkarenhorton.com/gallery/case/case-32758/) - Before and after bilateral breast augmentation revision with liposuction of the axillary rolls in a 57-year-old woman. Her implants were under the muscle, causing a wide space between her breasts that became accentuated when she flexed her muscles. This is called an “animation deformity”. Her revision involved removal of her old textured silicone implants, replacing
- [Case-9583](https://www.drkarenhorton.com/gallery/case/case-9583/) - Before and after breast reconstruction revision in a 55 year old breast cancer survivor. At age 40, she had bilateral mastectomies, chemotherapy and high-energy radiation therapy with resultant left arm lymphedema. She previously had bilateral TRAM flap reconstructions (a procedure that sacrifices the rectus abdominis muscle and overlying fascia, creating weakness and a lower abdominal
- [Case-32716](https://www.drkarenhorton.com/gallery/case/case-32716/) - Before and after bilateral breast reconstruction revision in a 45-year-old breast cancer survivor. She disliked the look of her submuscular implants and suffered from chronic tightness due to constant muscle contraction over the implants. She had bottoming out of both breast implants and resultant breast asymmetry. Her goal was to have a more natural looking
- [Case-32720](https://www.drkarenhorton.com/gallery/case/case-32720/) - Before and after bilateral mastectomies and implant reconstruction in a 70-year-old woman with breast cancer. Her right nipple required removal due to her cancer details – therefore, a skin-sparing mastectomy was planned, and her curved lumpectomy scar was converted to a vertical incision to achieve a lift as well. Her left breast was treated by
- [Case-32719](https://www.drkarenhorton.com/gallery/case/case-32719/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 50-year-old woman. Although she had not had children, her nipples pointed to the floor and her breasts were shaped somewhat tubular and had prominent droop. She wanted her breasts to be reshaped, with a lift of her nipples and
- [Case-32718](https://www.drkarenhorton.com/gallery/case/case-32718/) - Before and after labiaplasty in a 26-year-old woman. She experienced discomfort while exercising and during sex. A labiaplasty trimmed excess labia minora but left a normal amount of tissue behind. Follow up photos are shown 6 weeks after surgery.
- [Case-32717](https://www.drkarenhorton.com/gallery/case/case-32717/) - Before and after bilateral breast augmentation and liposuction of the axillary rolls in a 34-year-old woman. she had always been small-breasted, but after breastfeeding she lost whatever upper pole volume she had previously. She wanted to look very natural and keep her teardrop breast shape, just to subtly fill out her bras better. Relatively small
- [Case-32715](https://www.drkarenhorton.com/gallery/case/case-32715/) - Before and after MACS lift in a 71-year-old man. He felt his neck made him look older than he felt. He had a lot of life still left to enjoy, and he wanted to look his best. A minimal-access-cranial-suspension lower face and neck lift eliminated his jowls, resuspended the soft tissues of his face upward
- [Case-32709](https://www.drkarenhorton.com/gallery/case/case-32709/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 47-year-old woman. She had severely oversized breasts that were out of proportion to her small stature – true “macromastia”. Her goal was to be much smaller and finally have the freedom to not wear a bra. A breast reduction
- [Case-32708](https://www.drkarenhorton.com/gallery/case/case-32708/) - Before and after umbilicoplasty in a 40-year-old woman. She no longer wore her navel piercing and had stretch marks surrounding her umbilicus from pregnancies. As part of her Mommy Makeover, an umbilicoplasty removed her old piercing hole and excess skin around her belly button. Excess fat around her umbilicus was also removed, as shown in
- [Case-32685](https://www.drkarenhorton.com/gallery/case/case-32685/) - Before and after MACS lift in a 58-year-old woman. She hated the look of her neck and did not want to end up looking like her grandmother, who she took after. A minimal access cranial suspension lower facelift / neck lift corrected her jowls, removed excess fat from under her chin and gave her a
- [Case-32684](https://www.drkarenhorton.com/gallery/case/case-32684/) - Before and after bilateral breast reduction and lift in a 44-year-old woman with congenital breast asymmetry in addition to macromastia. She wanted her breasts to be significantly smaller and more symmetric. A breast reduction removed two pounds from the right breast and three pounds from the left breast in a three-hour surgery. Her remaining breast
- [Case-25525](https://www.drkarenhorton.com/gallery/case/case-25525/) - Before and after breast reduction with liposuction of the bra roll/axillary rolls in a 26 year old woman. Since age 12, she had always been large-breasted, but over the last 5 years, she no longer could exercise without pain and had to wear a bra to bed just to get some restful sleep! A breast
- [Case-32683](https://www.drkarenhorton.com/gallery/case/case-32683/) - Before and after bilateral breast augmentation and liposuction of the axillary rolls in a 35-year-old woman with congenital tubular breasts. She wanted to significantly increase her breast volume and have a rounder breast shape, similar to the look she was creating with her padded bras. Smooth round silicone gel breast implants were placed on top
- [Case-32649](https://www.drkarenhorton.com/gallery/case/case-32649/) - Before and after liposuction of the abdomen and flanks in a 32-year-old woman. She was slender and fit and had tried non-surgical methods of fat reduction without a significant benefit. Liposuction permanently removed over two liters of fat from her belly and flanks circumferentially. We can always remove more fat than you would imagine! The
- [Case-32658](https://www.drkarenhorton.com/gallery/case/case-32658/) - Before and after liposuction of the neck in a 47-year-old woman. She was not ready for a neck lift yet and was excited to learn that liposuction could help her neck contour as an outpatient procedure under local anesthesia. Liposuction removed 100 cc of fat (over three ounces) from under her chin. After signing consent
- [Case-32654](https://www.drkarenhorton.com/gallery/case/case-32654/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 50-year-old woman. She had heavy, pendulous breasts that were causing pain and strain on her neck, shoulders and upper back. She had tried “every sports bra known to mankind” but still had deep shoulder grooves and was finally ready
- [Case-32653](https://www.drkarenhorton.com/gallery/case/case-32653/) - Before and after right nipple-sparing mastectomy and implant reconstruction in a 74-year-old woman with breast cancer. She did not want any surgery on her other breast and wanted to look as natural as possible. A combined mastectomy and implant reconstruction was done with one of our favorite breast surgeons. Following insertion of a smooth round
- [Case-32652](https://www.drkarenhorton.com/gallery/case/case-32652/) - Before and after bilateral breast revision in a 52-year-old breast cancer survivor who had a left mastectomy and implant reconstruction elsewhere with “a lift” of her right nipple. She was not satisfied with accepting her asymmetry and inability to use her left dominant arm without having her left breast flex and cause deformity. Despite being
- [Case-32651](https://www.drkarenhorton.com/gallery/case/case-32651/) - Before and after liposuction of the abdomen and flanks in a 52-year-old woman. At the same time, she was planning a breast revision procedure, she wanted to improve the contour of the front side of her abdomen. Liposuction removed excess fat from her upper and lower abdomen, pubic region and front side of her flanks
- [Case-32650](https://www.drkarenhorton.com/gallery/case/case-32650/) - Before and after bilateral explantation and mastopexy in a 62-year-old woman with chronically contracted breast implants. She had failed a prior capsulectomy to remove scar tissue around her implants, rapidly forming scar tissue again. She presented to our office with painful, deformed and hard breast implants – she was “over them” and ready to go
- [Case-32623](https://www.drkarenhorton.com/gallery/case/case-32623/) - Before and after labiaplasty as part of a Mommy Makeover in a 40-year-old woman. Together with liposuction, an umbilicoplasty and breast surgery, she wanted her labia region to be more comfortable and “look prettier”. A labiaplasty trimmed excess labia minora tissue but left a normal and natural amount of labia tissue behind. Follow up photos
- [Case-32624](https://www.drkarenhorton.com/gallery/case/case-32624/) - Before and after labiaplasty in a 35-year-old woman. She was self-conscious about her labia minora tissue which seemed to become emptier and baggier after recent significant weight loss. A labiaplasty focusing on the labia majora removed a wedge of tissue from the inner aspect of each labia majora. Dissolving sutures were used to repair her
- [Case-32619](https://www.drkarenhorton.com/gallery/case/case-32619/) - Before and after bilateral breast augmentation and liposuction of the axillary rolls in a 64-year-old woman. She had always thought about getting her breasts enhanced but was dealing with challenges in her personal life. Now that she had turned the page and was taking control of her life and practicing self-care, she was ready to
- [Case-32622](https://www.drkarenhorton.com/gallery/case/case-32622/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 53-year-old woman. She had previously had a breast reduction in her early twenties but was never made as small as she wanted to be. She had a physically demanding job and felt limited in her activities due to her
- [Case-32621](https://www.drkarenhorton.com/gallery/case/case-32621/) - Before and after bilateral mastopexy-augmentation in a 40-year-old woman. Her breasts had always been droopy, even as a teen, due to their tubular shape. Now that she was finished having children and breastfeeding, she was ready for her Mommy Makeover refresh! Her makeover included placement of breast implants and a breast lift, with liposuction of
- [Case-32620](https://www.drkarenhorton.com/gallery/case/case-32620/) - Before and after bilateral explantation in a 67-year-old woman with contracted, old silicone implants that were inserted over thirty years previously. She wanted to minimize her surgical recovery and avoid general anesthesia if she could. Both breast implants were removed in the office under local anesthesia. Upon opening the implant space, ruptured implants were encountered
- [Case-32616](https://www.drkarenhorton.com/gallery/case/case-32616/) - Before and after bilateral breast reduction and lift in a 63-year-old woman. She had lost weight and developed significant breast deflation and droop with loss of fat from her body. She wanted to look natural and have a lift of her breasts but not be too small. A breast reduction and mastopexy via the auto-augmentation
- [Case-32606](https://www.drkarenhorton.com/gallery/case/case-32606/) - Before and after left inverted nipple correction in a 37-year-old woman. She had difficulty breastfeeding her first child with her left breast due to Grade III (the most severe) inversion of her nipple. Although she wanted to have another child, she felt the time was right now to have correction of her inverted nipple so
- [Case-32605](https://www.drkarenhorton.com/gallery/case/case-32605/) - Before and after bilateral breast reduction and lift with liposuction of the axillary rolls in a 52-year-old woman. Her breasts had created painful and deep shoulder grooves and limited her ability to exercise and shop for normal clothing. Her goal was to have significantly smaller breasts but not be completely flat-chested. A breast reduction removed
- [Case-32604](https://www.drkarenhorton.com/gallery/case/case-32604/) - Before and after bilateral mastopexy and augmentation in a 27-year-old woman who had lost a significant amount of weight, resulting in deflated and floppy breasts devoid of a natural breast shape. She wanted to restore her previous breast fullness and feel better about her chest contour. She was self-conscious while dating and always wore padding
- [Case-32603](https://www.drkarenhorton.com/gallery/case/case-32603/) - Before and after liposuction of the neck in a 48-year-old woman. She was not ready for a neck lift, which might be in her future but at this stage in her life, she hoped to improve the contour of her neck with a more minor procedure. Liposuction permanently removed excess fat from under her chin
- [Case-32594](https://www.drkarenhorton.com/gallery/case/case-32594/) - Before and after bilateral upper lid blepharoplasty in a 64-year-old woman. She had trouble applying eye makeup due to redundant folds of upper eyelid skin and felt that her eyelids did not accurately reflect her youthful, playful spirit! An upper eyelid lift was combined with a cosmetic breast procedure. After surgery, her eyelid recovery was
- [Case-32593](https://www.drkarenhorton.com/gallery/case/case-32593/) - Before and after bilateral upper lid blepharoplasty in a 48-year-old woman. She felt like her upper lids were getting heavy and drooping, making her look tired – even when she was not! An upper lid skin-only (“pinch”) blepharoplasty removed excess skin from her upper lids as a straightforward procedure under local anesthesia. She was offered
- [Case-32530](https://www.drkarenhorton.com/gallery/case/case-32530/) - Before and after bilateral breast reduction and liposuction of the axillary rolls in a 31-year-old woman with significant macromastia and breast droop. She needed to wear a bra all day and all night long, even while she slept! A breast reduction removed excess breast tissue from her breasts and reshaped her remaining breast tissue into

## Categories

- [Breast Lift with Augmentation](https://www.drkarenhorton.com/gallery/breast/mastopexy-augmentation/)
- [Nipple Cosmetic Surgery](https://www.drkarenhorton.com/gallery/procedures-for-men/nipple-cosmetic-surgery/)
- [Face/Neck/MACS Lift](https://www.drkarenhorton.com/gallery/procedures-for-men/face-neck-macs-lift/)
- [Breast Reduction](https://www.drkarenhorton.com/gallery/breast/breast-reduction/)
- [Liposuction of the Neck](https://www.drkarenhorton.com/gallery/face-and-neck/liposuction/)
- [Blepharoplasty](https://www.drkarenhorton.com/gallery/face-and-neck/blepharoplasty/)
- [DIEP-SIEA Flap Reconstruction](https://www.drkarenhorton.com/gallery/breast/diep-siea-flap-reconstruction/)
- [Liposuction of the Axillary Rolls](https://www.drkarenhorton.com/gallery/body/liposuction-of-the-axillary-rolls/)
- [Abdominoplasty](https://www.drkarenhorton.com/gallery/body/abdominoplasty/)
- [Mommy Makeover](https://www.drkarenhorton.com/gallery/body/mommy-makeover/)
- [Liposuction of the Body](https://www.drkarenhorton.com/gallery/body/liposuction/)
- [Breast Reduction or Lift as Reconstruction](https://www.drkarenhorton.com/gallery/breast/breast-reduction-or-lift-as-reconstruction/)
- [Lip Flip](https://www.drkarenhorton.com/gallery/non-surgical-procedures/lip-flip/)
- [Breast Revision Surgery](https://www.drkarenhorton.com/gallery/breast/revision-breast-surgery/)
- [Breast Lift](https://www.drkarenhorton.com/gallery/breast/breast-lift/)
- [Brachioplasty](https://www.drkarenhorton.com/gallery/body/brachioplasty/)
- [Face/Neck/MACS Lift](https://www.drkarenhorton.com/gallery/face-and-neck/neckmacs-lift/)
- [Earlobe Repair & Cosmetic Ear Surgery](https://www.drkarenhorton.com/gallery/face-and-neck/earlobe-repair/)
- [Liposuction](https://www.drkarenhorton.com/gallery/procedures-for-men/liposuction-for-men/)
- [Post-Weight Loss](https://www.drkarenhorton.com/gallery/body/post-weight-loss/)
- [Nipple Cosmetic Surgery](https://www.drkarenhorton.com/gallery/breast/cosmetic-nipple-surgery/)
- [Breast Augmentation](https://www.drkarenhorton.com/gallery/breast/breast-augmentation/)
- [Liposuction of the Arms](https://www.drkarenhorton.com/gallery/body/liposuction-of-the-arms/)
- [Immediate Implant Reconstruction](https://www.drkarenhorton.com/gallery/breast/immediate-implant-reconstruction/)
- [Labiaplasty](https://www.drkarenhorton.com/gallery/body/labiaplasty/)
- [Chin Augmentation](https://www.drkarenhorton.com/gallery/non-surgical-procedures/dermal-fillers/chin-augmentation/)
- [Breast Implant Removal (Explantation)](https://www.drkarenhorton.com/gallery/breast/explantation/)
- [Tubular Breast Correction](https://www.drkarenhorton.com/gallery/breast/tubular-breast-augmentation/)
- [Male Breast Reduction (Gynecomastia)](https://www.drkarenhorton.com/gallery/procedures-for-men/male-breast-reduction-gynecomastia/)
- [Delayed Implant Reconstruction](https://www.drkarenhorton.com/gallery/breast/delayed-implant-reconstruction/)
- [Nipple Reconstruction](https://www.drkarenhorton.com/gallery/breast/nipple-areolar-reconstruction/)
- [Belly Button Surgery (Umbilicoplasty)](https://www.drkarenhorton.com/gallery/body/umbilicoplasty/)
- [Mommy Makeover Breast Rejuvenation](https://www.drkarenhorton.com/gallery/breast/mommy-makeover/)
- [TUG Flap Reconstruction](https://www.drkarenhorton.com/gallery/breast/tug-flap-reconstruction/)
- [Midface](https://www.drkarenhorton.com/gallery/non-surgical-procedures/dermal-fillers/midface/)
- [Dermal Fillers](https://www.drkarenhorton.com/gallery/non-surgical-procedures/dermal-fillers/)
- [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/)
- [Botox® / Dysport](https://www.drkarenhorton.com/gallery/non-surgical-procedures/botox/)
- [Men's Post-Weight Loss](https://www.drkarenhorton.com/gallery/procedures-for-men/mens-post-weight-loss/)
- [Facial Mole Removal & Scar Treatment](https://www.drkarenhorton.com/gallery/face-and-neck/facial-mole-removal-scar-treatment/)
- [Non-Surgical Procedures](https://www.drkarenhorton.com/gallery/non-surgical-procedures/)
- [Scar Therapy](https://www.drkarenhorton.com/gallery/non-surgical-procedures/scar-therapy/)
- [IPL](https://www.drkarenhorton.com/gallery/non-surgical-procedures/ipl/)
- [Face and Neck](https://www.drkarenhorton.com/gallery/face-and-neck/)
- [Breast](https://www.drkarenhorton.com/gallery/breast/)
- [Body](https://www.drkarenhorton.com/gallery/body/)
- [Procedures for Men](https://www.drkarenhorton.com/gallery/procedures-for-men/)
- [Medial Thigh Lift](https://www.drkarenhorton.com/gallery/body/medial-thigh-lift/)
- [Scar Revisions](https://www.drkarenhorton.com/gallery/body/scar-revisions/)
- [Poland Syndrome](https://www.drkarenhorton.com/gallery/breast/poland-syndrome/)
- [Blepharoplasty (eyelid lift)](https://www.drkarenhorton.com/gallery/procedures-for-men/blepharoplasty-eyelid-lift/)

## Generators

- [Dr. Karen Horton MD](https://www.drkarenhorton.com/responder/dr-karen-horton-review/)
- [Emily Sespaniak, NP](https://www.drkarenhorton.com/responder/emily-sespaniak-msn-fnp-c/)
- [Best of Bay Area Voting Request](https://www.drkarenhorton.com/responder/dr-karen-horton-review-2/)

## Categories

- [Uncategorized](https://www.drkarenhorton.com/category/uncategorized/)
- [Dr. Horton's Blog](https://www.drkarenhorton.com/category/dr-hortons-blog/)
- [Practice News](https://www.drkarenhorton.com/category/practice-news/)
- [Events](https://www.drkarenhorton.com/category/events/)
- [Specials](https://www.drkarenhorton.com/category/horton-spa/specials/)
- [Procedural Information](https://www.drkarenhorton.com/category/dr-hortons-blog/procedural-information/)
- [CoolSculpting](https://www.drkarenhorton.com/category/body-procedures/coolsculpting/)
- [Horton SPA](https://www.drkarenhorton.com/category/horton-spa/)
- [Breast Reconstruction](https://www.drkarenhorton.com/category/breast-procedures/reconstruction/)
- [Breast Augmentation](https://www.drkarenhorton.com/category/breast-procedures/augmentation/)
- [Body Procedures](https://www.drkarenhorton.com/category/body-procedures/)
- [Breast Cancer Awareness](https://www.drkarenhorton.com/category/breast-cancer-awareness/)
- [Mommy Makeover](https://www.drkarenhorton.com/category/mommy-makeover-procedure/)
- [Skin Care](https://www.drkarenhorton.com/category/horton-spa/skin-care/)
- [Breast Reduction](https://www.drkarenhorton.com/category/breast-procedures/reduction/)
- [Breast Lift](https://www.drkarenhorton.com/category/breast-procedures/lift/)
- [Breast Revision](https://www.drkarenhorton.com/category/breast-procedures/revision/)
- [Male Breast Reduction](https://www.drkarenhorton.com/category/procedures-for-men/male-breast-reduction/)
- [Facial Procedures](https://www.drkarenhorton.com/category/facial-procedures/)
- [Labiaplasty](https://www.drkarenhorton.com/category/body-procedures/labiaplasty-surgery/)
- [Breast Procedures](https://www.drkarenhorton.com/category/breast-procedures/)
- [Liposuction](https://www.drkarenhorton.com/category/body-procedures/liposuction-2/)
- [Eyelashes](https://www.drkarenhorton.com/category/horton-spa/eyelashes/)
- [Botox](https://www.drkarenhorton.com/category/horton-spa/botox-horton-spa/)
- [IPL/lasers](https://www.drkarenhorton.com/category/horton-spa/ipllasers/)
- [Plastic Surgery Myths](https://www.drkarenhorton.com/category/dr-hortons-blog/plastic-surgery-myths-2/)
- [Procedures for Men](https://www.drkarenhorton.com/category/procedures-for-men/)
- [Dermal Fillers](https://www.drkarenhorton.com/category/horton-spa/dermal-fillers/)
- [Abdominoplasty](https://www.drkarenhorton.com/category/body-procedures/abdominoplasty-body-procedures/)
- [Facelift](https://www.drkarenhorton.com/category/facial-procedures/facelift/)
- [Eyelid Surgery](https://www.drkarenhorton.com/category/facial-procedures/eyelid-surgery-facial-procedures/)
- [About Dr. Horton](https://www.drkarenhorton.com/category/dr-hortons-blog/about-dr-horton/)
- [Wild 94.9 Blog](https://www.drkarenhorton.com/category/dr-hortons-blog/wild-94-9-blog/)
- [For Patients](https://www.drkarenhorton.com/category/dr-hortons-blog/for-patients/)
- [Nipple Correction](https://www.drkarenhorton.com/category/breast-procedures/nipple-correction/)
- [Emily Sespaniak NP's blog](https://www.drkarenhorton.com/category/emily-sespaniak-nps-blog/)
- [Hyperhidrosis Treatment](https://www.drkarenhorton.com/category/horton-spa/hyperhidrosis-treatment/)
- [Neck Lift](https://www.drkarenhorton.com/category/facial-procedures/neck-lift-facial-procedures/)
- [Earlobe Repair](https://www.drkarenhorton.com/category/facial-procedures/earlobe-repair/)
- [Non-surgical procedures](https://www.drkarenhorton.com/category/non-surgical-procedures/)
- [Fat Grafting](https://www.drkarenhorton.com/category/breast-procedures/fat-grafting/)
- [Explantation](https://www.drkarenhorton.com/category/explantation/)
- [Explantation](https://www.drkarenhorton.com/category/breast-procedures/explantation-breast-procedures/)
- [Nipple Surgery](https://www.drkarenhorton.com/category/breast-procedures/nipple-surgery/)
- [Brachioplasty Arm Lift](https://www.drkarenhorton.com/category/body-procedures/brachioplasty-arm-lift/)
- [Botox](https://www.drkarenhorton.com/category/emily-sespaniak-nps-blog/botox/)
- [Dermal Fillers](https://www.drkarenhorton.com/category/emily-sespaniak-nps-blog/dermal-fillers-emily-sespaniak-nps-blog/)
- [Hyperhidrosis Treatment](https://www.drkarenhorton.com/category/emily-sespaniak-nps-blog/hyperhidrosis-treatment-emily-sespaniak-nps-blog/)
- [Scar Therapy](https://www.drkarenhorton.com/category/emily-sespaniak-nps-blog/scar-therapy-emily-sespaniak-nps-blog/)
- [Skin Care](https://www.drkarenhorton.com/category/emily-sespaniak-nps-blog/skin-care-emily-sespaniak-nps-blog/)
- [About Emily Sespaniak](https://www.drkarenhorton.com/category/about-emily-sespaniak/)
- [About Emily Sespaniak NP](https://www.drkarenhorton.com/category/emily-sespaniak-nps-blog/about-emily-sespaniak-np/)
- [Dr. Horton's Breast Augmentation Journey](https://www.drkarenhorton.com/category/dr-hortons-blog/dr-hortons-breast-augmentation-journey/) - Read about Dr. Horton’s own personal journey with her breast augmentation surgery.
- [Breast Implant Illness](https://www.drkarenhorton.com/category/breast-procedures/augmentation/breast-implant-illness/)
- [Drains](https://www.drkarenhorton.com/category/dr-hortons-blog/procedural-information/drains/)
- [Capsular Contracture](https://www.drkarenhorton.com/category/breast-procedures/augmentation/capsular-contracture/)
- [Gynecomastia](https://www.drkarenhorton.com/category/body-procedures/gynecomastia/)

## Tags

- [moms](https://www.drkarenhorton.com/tag/moms/)
- [mommy makeover](https://www.drkarenhorton.com/tag/mommy-makeover/)
- [women](https://www.drkarenhorton.com/tag/women/)
- [plastic surgery](https://www.drkarenhorton.com/tag/plastic-surgery/)
- [cosmetic surgery](https://www.drkarenhorton.com/tag/cosmetic-surgery/)
- [aesthetic surgery](https://www.drkarenhorton.com/tag/aesthetic-surgery/)
- [tummy tuck](https://www.drkarenhorton.com/tag/tummy-tuck/)
- [liposuction](https://www.drkarenhorton.com/tag/liposuction/)
- [breast augmentation](https://www.drkarenhorton.com/tag/breast-augmentation/)
- [breast lift](https://www.drkarenhorton.com/tag/breast-lift/)
- [mastopexy](https://www.drkarenhorton.com/tag/mastopexy/)
- [breast redeuction](https://www.drkarenhorton.com/tag/breast-redeuction/)
- [rejuvenation](https://www.drkarenhorton.com/tag/rejuvenation/)
- [mother's day](https://www.drkarenhorton.com/tag/mothers-day/)
- [breast enhancement](https://www.drkarenhorton.com/tag/breast-enhancement/)
- [breast implants](https://www.drkarenhorton.com/tag/breast-implants/)
- [silicone](https://www.drkarenhorton.com/tag/silicone/)
- [saline](https://www.drkarenhorton.com/tag/saline/)
- [natural](https://www.drkarenhorton.com/tag/natural/)
- [asps](https://www.drkarenhorton.com/tag/asps/)
- [blepharoplasty](https://www.drkarenhorton.com/tag/blepharoplasty/)
- [eyelid surgery](https://www.drkarenhorton.com/tag/eyelid-surgery/)
- [social media](https://www.drkarenhorton.com/tag/social-media/)
- [facebook. twitter](https://www.drkarenhorton.com/tag/facebook-twitter/)
- [linkedin](https://www.drkarenhorton.com/tag/linkedin/)
- [BRA day](https://www.drkarenhorton.com/tag/bra-day/)
- [breast cancer](https://www.drkarenhorton.com/tag/breast-cancer/)
- [breast reconstruction](https://www.drkarenhorton.com/tag/breast-reconstruction/)
- [implants](https://www.drkarenhorton.com/tag/implants/)
- [DIEP. SIEA. TUG](https://www.drkarenhorton.com/tag/diep-siea-tug/)
- [Horton](https://www.drkarenhorton.com/tag/horton/)
- [dr. karen horton](https://www.drkarenhorton.com/tag/dr-karen-horton/)
- [body](https://www.drkarenhorton.com/tag/body/)
- [plastic](https://www.drkarenhorton.com/tag/plastic/)
- [cosmetic](https://www.drkarenhorton.com/tag/cosmetic/)
- [botox](https://www.drkarenhorton.com/tag/botox/)
- [fillers](https://www.drkarenhorton.com/tag/fillers/)
- [spa](https://www.drkarenhorton.com/tag/spa/)
- [bruising](https://www.drkarenhorton.com/tag/bruising/)
- [injections](https://www.drkarenhorton.com/tag/injections/)
- [labiaplasty](https://www.drkarenhorton.com/tag/labiaplasty/)
- [abdominoplasty](https://www.drkarenhorton.com/tag/abdominoplasty/)
- [gyn surgery](https://www.drkarenhorton.com/tag/gyn-surgery/)
- [karen horton md](https://www.drkarenhorton.com/tag/karen-horton-md/)
- [heidi wittenberg md](https://www.drkarenhorton.com/tag/heidi-wittenberg-md/)
- [breast feeding](https://www.drkarenhorton.com/tag/breast-feeding/)
- [nursing](https://www.drkarenhorton.com/tag/nursing/)
- [bay area](https://www.drkarenhorton.com/tag/bay-area/)
- [san francisco](https://www.drkarenhorton.com/tag/san-francisco/)
- [vagina](https://www.drkarenhorton.com/tag/vagina/)
- [sun protection](https://www.drkarenhorton.com/tag/sun-protection/)
- [IPL](https://www.drkarenhorton.com/tag/ipl/)
- [sunscreen](https://www.drkarenhorton.com/tag/sunscreen/)
- [aesthetic nurse practitioner](https://www.drkarenhorton.com/tag/aesthetic-nurse-practitioner/)
- [age spots](https://www.drkarenhorton.com/tag/age-spots/)
- [sun spots](https://www.drkarenhorton.com/tag/sun-spots/)
- [skin](https://www.drkarenhorton.com/tag/skin/)
- [SPF](https://www.drkarenhorton.com/tag/spf/)
- [non-surgical](https://www.drkarenhorton.com/tag/non-surgical/)
- [skincare](https://www.drkarenhorton.com/tag/skincare/)
- [DIEP](https://www.drkarenhorton.com/tag/diep/)
- [SIEA](https://www.drkarenhorton.com/tag/siea/)
- [TUG](https://www.drkarenhorton.com/tag/tug/)
- [breast reduction](https://www.drkarenhorton.com/tag/breast-reduction/)
- [BRCA gene](https://www.drkarenhorton.com/tag/brca-gene/)
- [Microsurgery](https://www.drkarenhorton.com/tag/microsurgery/)
- [Courtney McSpadden](https://www.drkarenhorton.com/tag/courtney-mcspadden/)
- [men](https://www.drkarenhorton.com/tag/men/)
- [body contouring](https://www.drkarenhorton.com/tag/body-contouring/)
- [recovery](https://www.drkarenhorton.com/tag/recovery/)
- [exercise](https://www.drkarenhorton.com/tag/exercise/)
- [sex](https://www.drkarenhorton.com/tag/sex/)
- [valentine's day](https://www.drkarenhorton.com/tag/valentines-day/)
- [board certified](https://www.drkarenhorton.com/tag/board-certified/)
- [plastic surgery statistics](https://www.drkarenhorton.com/tag/plastic-surgery-statistics/)
- [earlobe repair](https://www.drkarenhorton.com/tag/earlobe-repair/)
- [anti-aging treatment](https://www.drkarenhorton.com/tag/anti-aging-treatment/)
- [fat](https://www.drkarenhorton.com/tag/fat/)
- [liposculpture](https://www.drkarenhorton.com/tag/liposculpture/)
- [fat reduction](https://www.drkarenhorton.com/tag/fat-reduction/)
- [fat removal](https://www.drkarenhorton.com/tag/fat-removal/)
- [bra](https://www.drkarenhorton.com/tag/bra/)
- [karen horton](https://www.drkarenhorton.com/tag/karen-horton/)
- [woman plastic surgeon](https://www.drkarenhorton.com/tag/woman-plastic-surgeon/)
- [san francisco plastic surgery](https://www.drkarenhorton.com/tag/san-francisco-plastic-surgery/)
- [laser](https://www.drkarenhorton.com/tag/laser/)
- [peels](https://www.drkarenhorton.com/tag/peels/)
- [medical grade](https://www.drkarenhorton.com/tag/medical-grade/)
- [skin care](https://www.drkarenhorton.com/tag/skin-care-2/)
- [myths](https://www.drkarenhorton.com/tag/myths/)
- [history of plastic surgery](https://www.drkarenhorton.com/tag/history-of-plastic-surgery/)
- [plastic surgery myths](https://www.drkarenhorton.com/tag/plastic-surgery-myths/)
- [plastic surgery truths](https://www.drkarenhorton.com/tag/plastic-surgery-truths/)
- [Voluma](https://www.drkarenhorton.com/tag/voluma/)
- [SkinCeuticals](https://www.drkarenhorton.com/tag/skinceuticals/)
- [medical grade skin care](https://www.drkarenhorton.com/tag/medical-grade-skin-care/)
- [beauty](https://www.drkarenhorton.com/tag/beauty/)
- [special event](https://www.drkarenhorton.com/tag/special-event/)
- [Bay Area plastic surgery](https://www.drkarenhorton.com/tag/bay-area-plastic-surgery/)
- [scar therapy](https://www.drkarenhorton.com/tag/scar-therapy-2/)
- [surgical scars](https://www.drkarenhorton.com/tag/surgical-scars/)
- [scar gel](https://www.drkarenhorton.com/tag/scar-gel/)
- [weight loss](https://www.drkarenhorton.com/tag/weight-loss/)
- [plastic surgery for men](https://www.drkarenhorton.com/tag/plastic-surgery-for-men/)
- [plastic surgeon](https://www.drkarenhorton.com/tag/plastic-surgeon/)
- [cosmetic surgeon](https://www.drkarenhorton.com/tag/cosmetic-surgeon/)
- [ABMS](https://www.drkarenhorton.com/tag/abms/)
- [ABPS](https://www.drkarenhorton.com/tag/abps/)
- [American Board of Plastic Surgery](https://www.drkarenhorton.com/tag/american-board-of-plastic-surgery/)
- [Nana Makeover](https://www.drkarenhorton.com/tag/nana-makeover/)
- [neck lift](https://www.drkarenhorton.com/tag/neck-lift/)
- [MACS lift](https://www.drkarenhorton.com/tag/macs-lift/)
- [dr. karenhorton](https://www.drkarenhorton.com/tag/dr-karenhorton/)
- [age limit for plastic surgery](https://www.drkarenhorton.com/tag/age-limit-for-plastic-surgery/)
- [grandma makeover](https://www.drkarenhorton.com/tag/grandma-makeover/)
- [grandmother plastic surgery](https://www.drkarenhorton.com/tag/grandmother-plastic-surgery/)
- [neurotoxin](https://www.drkarenhorton.com/tag/neurotoxin/)
- [neuromodulator](https://www.drkarenhorton.com/tag/neuromodulator/)
- [wrinkles](https://www.drkarenhorton.com/tag/wrinkles/)
- [saline implants](https://www.drkarenhorton.com/tag/saline-implants/)
- [silicone gel implants](https://www.drkarenhorton.com/tag/silicone-gel-implants/)
- [Natrelle](https://www.drkarenhorton.com/tag/natrelle/)
- [Mentor](https://www.drkarenhorton.com/tag/mentor/)
- [Sientra](https://www.drkarenhorton.com/tag/sientra/)
- [safety of breast implants](https://www.drkarenhorton.com/tag/safety-of-breast-implants/)
- [FDA approved](https://www.drkarenhorton.com/tag/fda-approved/)
- [natural breast augmentation](https://www.drkarenhorton.com/tag/natural-breast-augmentation/)
- [ASAPS](https://www.drkarenhorton.com/tag/asaps/)
- [aesthetic meeting](https://www.drkarenhorton.com/tag/aesthetic-meeting/)
- [facebook](https://www.drkarenhorton.com/tag/facebook/)
- [twitter](https://www.drkarenhorton.com/tag/twitter/)
- [vaginal rejuvenation](https://www.drkarenhorton.com/tag/vaginal-rejuvenation/)
- [designer vagina](https://www.drkarenhorton.com/tag/designer-vagina/)
- [labia minora](https://www.drkarenhorton.com/tag/labia-minora/)
- [labia majora](https://www.drkarenhorton.com/tag/labia-majora/)
- [mons pubis](https://www.drkarenhorton.com/tag/mons-pubis/)
- [clitoral hood reduction](https://www.drkarenhorton.com/tag/clitoral-hood-reduction/)
- [silicone implants](https://www.drkarenhorton.com/tag/silicone-implants/)
- [bay area cosmetic surgery](https://www.drkarenhorton.com/tag/bay-area-cosmetic-surgery/)
- [safety](https://www.drkarenhorton.com/tag/safety/)
- [vaginal plastic surgery](https://www.drkarenhorton.com/tag/vaginal-plastic-surgery/)
- [rosemont media](https://www.drkarenhorton.com/tag/rosemont-media/)
- [allergan breast implants](https://www.drkarenhorton.com/tag/allergan-breast-implants/)
- [seri surgical scaffold](https://www.drkarenhorton.com/tag/seri-surgical-scaffold/)
- [live tweets](https://www.drkarenhorton.com/tag/live-tweets/)
- [lasers](https://www.drkarenhorton.com/tag/lasers/)
- [complexion](https://www.drkarenhorton.com/tag/complexion/)
- [redness](https://www.drkarenhorton.com/tag/redness/)
- [sun damage](https://www.drkarenhorton.com/tag/sun-damage/)
- [intense pulsed light](https://www.drkarenhorton.com/tag/intense-pulsed-light/)
- [chemical peels](https://www.drkarenhorton.com/tag/chemical-peels/)
- [sun screen](https://www.drkarenhorton.com/tag/sun-screen/)
- [MPOMC](https://www.drkarenhorton.com/tag/mpomc/)
- [mother of twins](https://www.drkarenhorton.com/tag/mother-of-twins/)
- [female plastic surgeon](https://www.drkarenhorton.com/tag/female-plastic-surgeon/)
- [tiiu ambus](https://www.drkarenhorton.com/tag/tiiu-ambus/)
- [ingrid ambus](https://www.drkarenhorton.com/tag/ingrid-ambus/)
- [lisa ambus](https://www.drkarenhorton.com/tag/lisa-ambus/)
- [karen ambus](https://www.drkarenhorton.com/tag/karen-ambus/)
- [BRCA+](https://www.drkarenhorton.com/tag/brca/)
- [ulo ambus](https://www.drkarenhorton.com/tag/ulo-ambus/)
- [twins](https://www.drkarenhorton.com/tag/twins/)
- [juvederm](https://www.drkarenhorton.com/tag/juvederm/)
- [neocutis](https://www.drkarenhorton.com/tag/neocutis/)
- [biocream](https://www.drkarenhorton.com/tag/biocream/)
- [latisse](https://www.drkarenhorton.com/tag/latisse/)
- [male plastic surgery](https://www.drkarenhorton.com/tag/male-plastic-surgery/)
- [liposuction for men](https://www.drkarenhorton.com/tag/liposuction-for-men/)
- [coolsculpting for men](https://www.drkarenhorton.com/tag/coolsculpting-for-men/)
- [facelift for men](https://www.drkarenhorton.com/tag/facelift-for-men/)
- [botox for men](https://www.drkarenhorton.com/tag/botox-for-men/)
- [polands syndrome](https://www.drkarenhorton.com/tag/polands-syndrome/)
- [gynecomastia correction](https://www.drkarenhorton.com/tag/gynecomastia-correction/)
- [male body contouring](https://www.drkarenhorton.com/tag/male-body-contouring/)
- [bro-tox](https://www.drkarenhorton.com/tag/bro-tox/)
- [male skin care](https://www.drkarenhorton.com/tag/male-skin-care/)
- [male facelift](https://www.drkarenhorton.com/tag/male-facelift/)
- [gynecomastia](https://www.drkarenhorton.com/tag/gynecomastia/)
- [male breast reduction](https://www.drkarenhorton.com/tag/male-breast-reduction-2/)
- [hyperhidrosis](https://www.drkarenhorton.com/tag/hyperhidrosis/)
- [IPL for men](https://www.drkarenhorton.com/tag/ipl-for-men/)
- [time out](https://www.drkarenhorton.com/tag/time-out/)
- [operating room](https://www.drkarenhorton.com/tag/operating-room/)
- [diep flap](https://www.drkarenhorton.com/tag/diep-flap/)
- [bay area plastic surgeon](https://www.drkarenhorton.com/tag/bay-area-plastic-surgeon/)
- [E!](https://www.drkarenhorton.com/tag/e/)
- [Botched](https://www.drkarenhorton.com/tag/botched/)
- [reality show](https://www.drkarenhorton.com/tag/reality-show/)
- [revision breast surgery](https://www.drkarenhorton.com/tag/revision-breast-surgery/)
- [symmastia](https://www.drkarenhorton.com/tag/symmastia/)
- [uniboob](https://www.drkarenhorton.com/tag/uniboob/)
- [human ken doll](https://www.drkarenhorton.com/tag/human-ken-doll/)
- [medical students](https://www.drkarenhorton.com/tag/medical-students/)
- [UCSF](https://www.drkarenhorton.com/tag/ucsf/)
- [Dr. Christopher Forrest](https://www.drkarenhorton.com/tag/dr-christopher-forrest/)
- [Mentorship](https://www.drkarenhorton.com/tag/mentorship/)
- [nima grissom md](https://www.drkarenhorton.com/tag/nima-grissom-md/)
- [nipple sparing mastectomy](https://www.drkarenhorton.com/tag/nipple-sparing-mastectomy/)
- [NSM](https://www.drkarenhorton.com/tag/nsm/)
- [implant reconstruction](https://www.drkarenhorton.com/tag/implant-reconstruction/)
- [single-stage implant reconstruction](https://www.drkarenhorton.com/tag/single-stage-implant-reconstruction/)
- [Breast Surgeons](https://www.drkarenhorton.com/tag/breast-surgeons/)
- [Plastic Surgeons](https://www.drkarenhorton.com/tag/plastic-surgeons/)
- [Reconstructive Microsurgery](https://www.drkarenhorton.com/tag/reconstructive-microsurgery/)
- [clarisonic pro brush](https://www.drkarenhorton.com/tag/clarisonic-pro-brush/)
- [smoking](https://www.drkarenhorton.com/tag/smoking/)
- [nicotine](https://www.drkarenhorton.com/tag/nicotine/)
- [complications](https://www.drkarenhorton.com/tag/complications/)
- [dysport](https://www.drkarenhorton.com/tag/dysport/)
- [lisa leung](https://www.drkarenhorton.com/tag/lisa-leung/)
- [lisa leung np](https://www.drkarenhorton.com/tag/lisa-leung-np/)
- [brilliant distinctions](https://www.drkarenhorton.com/tag/brilliant-distinctions/)
- [allergan](https://www.drkarenhorton.com/tag/allergan/)
- [pregnancy](https://www.drkarenhorton.com/tag/pregnancy/)
- [twin moms](https://www.drkarenhorton.com/tag/twin-moms/)
- [twin pregnancy](https://www.drkarenhorton.com/tag/twin-pregnancy/)
- [multiple pregnancy](https://www.drkarenhorton.com/tag/multiple-pregnancy/)
- [twin skin](https://www.drkarenhorton.com/tag/twin-skin/)
- [nurse mari](https://www.drkarenhorton.com/tag/nurse-mari/)
- [eyelash lengthening](https://www.drkarenhorton.com/tag/eyelash-lengthening/)
- [eyelash growing](https://www.drkarenhorton.com/tag/eyelash-growing/)
- [eyelash treatment](https://www.drkarenhorton.com/tag/eyelash-treatment/)
- [aging skin](https://www.drkarenhorton.com/tag/aging-skin/)
- [hyperpigmentation](https://www.drkarenhorton.com/tag/hyperpigmentation/)
- [melasma](https://www.drkarenhorton.com/tag/melasma/)
- [broken capillaries](https://www.drkarenhorton.com/tag/broken-capillaries/)
- [rosacea](https://www.drkarenhorton.com/tag/rosacea/)
- [yelp](https://www.drkarenhorton.com/tag/yelp/)
- [online reviews](https://www.drkarenhorton.com/tag/online-reviews/)
- [google reviews](https://www.drkarenhorton.com/tag/google-reviews/)
- [patient satisfaction](https://www.drkarenhorton.com/tag/patient-satisfaction/)
- [san francisco plastic surgeon](https://www.drkarenhorton.com/tag/san-francisco-plastic-surgeon/)
- [Mary Pasache](https://www.drkarenhorton.com/tag/mary-pasache/)
- [Topix](https://www.drkarenhorton.com/tag/topix/)
- [Replenix](https://www.drkarenhorton.com/tag/replenix/)
- [Lumiere](https://www.drkarenhorton.com/tag/lumiere/)
- [moisturizer](https://www.drkarenhorton.com/tag/moisturizer/)
- [antioxidant](https://www.drkarenhorton.com/tag/antioxidant/)
- [medical grade peel](https://www.drkarenhorton.com/tag/medical-grade-peel/)
- [glytone](https://www.drkarenhorton.com/tag/glytone/)
- [anti-aging](https://www.drkarenhorton.com/tag/anti-aging/)
- [sharron wong](https://www.drkarenhorton.com/tag/sharron-wong/)
- [mini-abdominoplasty](https://www.drkarenhorton.com/tag/mini-abdominoplasty/)
- [mini-tummy tuck](https://www.drkarenhorton.com/tag/mini-tummy-tuck/)
- [immediate single stage implant reconstruction](https://www.drkarenhorton.com/tag/immediate-single-stage-implant-reconstruction/)
- [siea flap](https://www.drkarenhorton.com/tag/siea-flap/)
- [tug flap](https://www.drkarenhorton.com/tag/tug-flap/)
- [inner thigh flap](https://www.drkarenhorton.com/tag/inner-thigh-flap/)
- [photofacial](https://www.drkarenhorton.com/tag/photofacial/)
- [skin rejuvenation](https://www.drkarenhorton.com/tag/skin-rejuvenation/)
- [dreena gonzalez](https://www.drkarenhorton.com/tag/dreena-gonzalez/)
- [wild 94.9](https://www.drkarenhorton.com/tag/wild-94-9/)
- [BRA Day USA](https://www.drkarenhorton.com/tag/bra-day-usa/)
- [natural results](https://www.drkarenhorton.com/tag/natural-results/)
- [national breast cancer awareness month](https://www.drkarenhorton.com/tag/national-breast-cancer-awareness-month/)
- [pink](https://www.drkarenhorton.com/tag/pink/)
- [october](https://www.drkarenhorton.com/tag/october/)
- [bay area BRA Day](https://www.drkarenhorton.com/tag/bay-area-bra-day/)
- [San Francisco breast reconstruction](https://www.drkarenhorton.com/tag/san-francisco-breast-reconstruction/)
- [Angelina Jolie](https://www.drkarenhorton.com/tag/angelina-jolie/)
- [bay area breast reconstruction](https://www.drkarenhorton.com/tag/bay-area-breast-reconstruction/)
- [breast cancer awareness](https://www.drkarenhorton.com/tag/breast-cancer-awareness-2/)
- [womens plastic surgery](https://www.drkarenhorton.com/tag/womens-plastic-surgery/)
- [face lifts for men](https://www.drkarenhorton.com/tag/face-lifts-for-men/)
- [eyelid surgery for men](https://www.drkarenhorton.com/tag/eyelid-surgery-for-men/)
- [mommy makeovers](https://www.drkarenhorton.com/tag/mommy-makeovers/)
- [wonder woman](https://www.drkarenhorton.com/tag/wonder-woman/)
- [stress](https://www.drkarenhorton.com/tag/stress/)
- [nipple saving](https://www.drkarenhorton.com/tag/nipple-saving/)
- [breast reconstruction awareness](https://www.drkarenhorton.com/tag/breast-reconstruction-awareness/)
- [coolscupting](https://www.drkarenhorton.com/tag/coolscupting/)
- [be good do good](https://www.drkarenhorton.com/tag/be-good-do-good/)
- [bombas socks](https://www.drkarenhorton.com/tag/bombas-socks/)
- [new year 2015](https://www.drkarenhorton.com/tag/new-year-2015/)
- [female genital mutilation](https://www.drkarenhorton.com/tag/female-genital-mutilation/)
- [empowering](https://www.drkarenhorton.com/tag/empowering/)
- [labia reduction](https://www.drkarenhorton.com/tag/labia-reduction/)
- [vaginoplasty](https://www.drkarenhorton.com/tag/vaginoplasty/)
- [barbie](https://www.drkarenhorton.com/tag/barbie/)
- [sculptra](https://www.drkarenhorton.com/tag/sculptra/)
- [volume loss](https://www.drkarenhorton.com/tag/volume-loss/)
- [facial aging](https://www.drkarenhorton.com/tag/facial-aging/)
- [eyes](https://www.drkarenhorton.com/tag/eyes/)
- [eye cream](https://www.drkarenhorton.com/tag/eye-cream/)
- [dark circles](https://www.drkarenhorton.com/tag/dark-circles/)
- [undereyes](https://www.drkarenhorton.com/tag/undereyes/)
- [breast surgery](https://www.drkarenhorton.com/tag/breast-surgery/)
- [barcelona breast meeting](https://www.drkarenhorton.com/tag/barcelona-breast-meeting/)
- [bbm](https://www.drkarenhorton.com/tag/bbm/)
- [spain](https://www.drkarenhorton.com/tag/spain/)
- [website](https://www.drkarenhorton.com/tag/website/)
- [mastopexy after weight loss](https://www.drkarenhorton.com/tag/mastopexy-after-weight-loss/)
- [operating room efficiency](https://www.drkarenhorton.com/tag/operating-room-efficiency/)
- [phillip blondeel](https://www.drkarenhorton.com/tag/phillip-blondeel/)
- [patrick mallucci](https://www.drkarenhorton.com/tag/patrick-mallucci/)
- [ava kwong](https://www.drkarenhorton.com/tag/ava-kwong/)
- [thomas schoeller](https://www.drkarenhorton.com/tag/thomas-schoeller/)
- [jaume masia](https://www.drkarenhorton.com/tag/jaume-masia/)
- [polands](https://www.drkarenhorton.com/tag/polands/)
- [psychology](https://www.drkarenhorton.com/tag/psychology/)
- [breast augmentation. tummy tuck](https://www.drkarenhorton.com/tag/breast-augmentation-tummy-tuck/)
- [emily sespaniak](https://www.drkarenhorton.com/tag/emily-sespaniak/)
- [nipple reconstruction](https://www.drkarenhorton.com/tag/nipple-reconstruction/)
- [areola tattoo](https://www.drkarenhorton.com/tag/areola-tattoo/)
- [rudy buntic](https://www.drkarenhorton.com/tag/rudy-buntic/)
- [emily sespaniak NP](https://www.drkarenhorton.com/tag/emily-sespaniak-np/)
- [excessive sweating](https://www.drkarenhorton.com/tag/excessive-sweating/)
- [armpits](https://www.drkarenhorton.com/tag/armpits/)
- [antiperspirant](https://www.drkarenhorton.com/tag/antiperspirant/)
- [emma hopkins](https://www.drkarenhorton.com/tag/emma-hopkins/)
- [sexism](https://www.drkarenhorton.com/tag/sexism/)
- [love handles](https://www.drkarenhorton.com/tag/love-handles/)
- [eye bags](https://www.drkarenhorton.com/tag/eye-bags/)
- [vaginal surgery](https://www.drkarenhorton.com/tag/vaginal-surgery/)
- [cosmetic vaginal surgery](https://www.drkarenhorton.com/tag/cosmetic-vaginal-surgery/)
- [Lip Injections in San Francisco](https://www.drkarenhorton.com/tag/lip-injections-in-san-francisco/)
- [lip injections](https://www.drkarenhorton.com/tag/lip-injections/)
- [Restylane](https://www.drkarenhorton.com/tag/restylane/)
- [best lip injections San Francisco](https://www.drkarenhorton.com/tag/best-lip-injections-san-francisco/)
- [Natural lip filler](https://www.drkarenhorton.com/tag/natural-lip-filler/)
- [Lip filler in SF](https://www.drkarenhorton.com/tag/lip-filler-in-sf/)
- [Best lip injections in San Francisco](https://www.drkarenhorton.com/tag/best-lip-injections-in-san-francisco/)
- [incisions](https://www.drkarenhorton.com/tag/incisions/)
- [boob job](https://www.drkarenhorton.com/tag/boob-job/)
- [implant massage](https://www.drkarenhorton.com/tag/implant-massage/)
- [implant squeezing](https://www.drkarenhorton.com/tag/implant-squeezing/)
- [capsular contracture](https://www.drkarenhorton.com/tag/capsular-contracture/)
- [breast implant](https://www.drkarenhorton.com/tag/breast-implant/)
- [Brotox](https://www.drkarenhorton.com/tag/brotox/)
- [Cosmetic Procedures for Men](https://www.drkarenhorton.com/tag/cosmetic-procedures-for-men/)
- [Botox in San Francisco](https://www.drkarenhorton.com/tag/botox-in-san-francisco/)
- [pure barre san rafael](https://www.drkarenhorton.com/tag/pure-barre-san-rafael/)
- [CoolSculpting](https://www.drkarenhorton.com/tag/coolsculpting/)
- [Horton SPA](https://www.drkarenhorton.com/tag/horton-spa/)
- [ASRM](https://www.drkarenhorton.com/tag/asrm/)
- [American Society for Reconstructive Microsurgery](https://www.drkarenhorton.com/tag/american-society-for-reconstructive-microsurgery/)
- [submental liposuction](https://www.drkarenhorton.com/tag/submental-liposuction/)
- [double chin treatment in San Francisco](https://www.drkarenhorton.com/tag/double-chin-treatment-in-san-francisco/)
- [fat grafting](https://www.drkarenhorton.com/tag/fat-grafting/)
- [free fat grafting](https://www.drkarenhorton.com/tag/free-fat-grafting/)
- [lipo-filling](https://www.drkarenhorton.com/tag/lipo-filling/)
- [calcifications](https://www.drkarenhorton.com/tag/calcifications/)
- [mammograms](https://www.drkarenhorton.com/tag/mammograms/)
- [oil cysts](https://www.drkarenhorton.com/tag/oil-cysts/)
- [breast screening](https://www.drkarenhorton.com/tag/breast-screening/)
- [under the muscle](https://www.drkarenhorton.com/tag/under-the-muscle/)
- [submuscular implant](https://www.drkarenhorton.com/tag/submuscular-implant/)
- [subpectoral implants](https://www.drkarenhorton.com/tag/subpectoral-implants/)
- [subglandular implant](https://www.drkarenhorton.com/tag/subglandular-implant/)
- [subcutaneous implants](https://www.drkarenhorton.com/tag/subcutaneous-implants/)
- [mastectomy](https://www.drkarenhorton.com/tag/mastectomy/)
- [pectoralis muscle](https://www.drkarenhorton.com/tag/pectoralis-muscle/)
- [explantation](https://www.drkarenhorton.com/tag/explantation/)
- [breast implant removal](https://www.drkarenhorton.com/tag/breast-implant-removal/)
- [boob job reversal](https://www.drkarenhorton.com/tag/boob-job-reversal/)
- [capsulectomy](https://www.drkarenhorton.com/tag/capsulectomy/)
- [brown spots](https://www.drkarenhorton.com/tag/brown-spots/)
- [prevention](https://www.drkarenhorton.com/tag/prevention/)
- [antiaging](https://www.drkarenhorton.com/tag/antiaging/)
- [hyperpigmentation treatment San Francisco](https://www.drkarenhorton.com/tag/hyperpigmentation-treatment-san-francisco/)
- [Vitamin C](https://www.drkarenhorton.com/tag/vitamin-c/)
- [antioxidant serum](https://www.drkarenhorton.com/tag/antioxidant-serum/)
- [sunspots](https://www.drkarenhorton.com/tag/sunspots/)
- [turkey neck](https://www.drkarenhorton.com/tag/turkey-neck/)
- [scar revision](https://www.drkarenhorton.com/tag/scar-revision/)
- [#BreastReconDay](https://www.drkarenhorton.com/tag/breastreconday/)
- [breast implant reconstruction](https://www.drkarenhorton.com/tag/breast-implant-reconstruction/)
- [everviolet](https://www.drkarenhorton.com/tag/everviolet/)
- [joy squad](https://www.drkarenhorton.com/tag/joy-squad/)
- [breast revision](https://www.drkarenhorton.com/tag/breast-revision/)
- [bottoming out](https://www.drkarenhorton.com/tag/bottoming-out/)
- [explanatation](https://www.drkarenhorton.com/tag/explanatation/)
- [happy holidays](https://www.drkarenhorton.com/tag/happy-holidays/)
- [merry christmas](https://www.drkarenhorton.com/tag/merry-christmas/)
- [women in surgery](https://www.drkarenhorton.com/tag/women-in-surgery/)
- [lower facelift](https://www.drkarenhorton.com/tag/lower-facelift/)
- [work life balance](https://www.drkarenhorton.com/tag/work-life-balance/)
- [multitasking](https://www.drkarenhorton.com/tag/multitasking/)
- [ALCL](https://www.drkarenhorton.com/tag/alcl/)
- [anaplastic large cell lymphoma](https://www.drkarenhorton.com/tag/anaplastic-large-cell-lymphoma/)
- [lymphoma](https://www.drkarenhorton.com/tag/lymphoma/)
- [cancer](https://www.drkarenhorton.com/tag/cancer/)
- [bia-alcl](https://www.drkarenhorton.com/tag/bia-alcl/)
- [smooth implants](https://www.drkarenhorton.com/tag/smooth-implants/)
- [textured implants](https://www.drkarenhorton.com/tag/textured-implants/)
- [rippling](https://www.drkarenhorton.com/tag/rippling/)
- [wrinkling](https://www.drkarenhorton.com/tag/wrinkling/)
- [injectables](https://www.drkarenhorton.com/tag/injectables/)
- [arnica](https://www.drkarenhorton.com/tag/arnica/)
- [underarms](https://www.drkarenhorton.com/tag/underarms/)
- [no downtime](https://www.drkarenhorton.com/tag/no-downtime/)
- [Revision skin care](https://www.drkarenhorton.com/tag/revision-skin-care/)
- [SkinBetter Science](https://www.drkarenhorton.com/tag/skinbetter-science/)
- [summer](https://www.drkarenhorton.com/tag/summer/)
- [summertime](https://www.drkarenhorton.com/tag/summertime/)
- [dermal filler](https://www.drkarenhorton.com/tag/dermal-filler/)
- [pre-pectoral](https://www.drkarenhorton.com/tag/pre-pectoral/)
- [motion deformity](https://www.drkarenhorton.com/tag/motion-deformity/)
- [Thanksgiving](https://www.drkarenhorton.com/tag/thanksgiving/)
- [team](https://www.drkarenhorton.com/tag/team/)
- [clear and brilliant](https://www.drkarenhorton.com/tag/clear-and-brilliant/)
- [gummy bear](https://www.drkarenhorton.com/tag/gummy-bear/)
- [prepectoral](https://www.drkarenhorton.com/tag/prepectoral/)
- [on top of the muscle](https://www.drkarenhorton.com/tag/on-top-of-the-muscle/)
- [cohesive implants](https://www.drkarenhorton.com/tag/cohesive-implants/)
- [soft touch implants](https://www.drkarenhorton.com/tag/soft-touch-implants/)
- [responsive gel](https://www.drkarenhorton.com/tag/responsive-gel/)
- [silicone gel](https://www.drkarenhorton.com/tag/silicone-gel/)
- [direct to implant reconstruction](https://www.drkarenhorton.com/tag/direct-to-implant-reconstruction/)
- [single stage breast reconstruction](https://www.drkarenhorton.com/tag/single-stage-breast-reconstruction/)
- [radiation](https://www.drkarenhorton.com/tag/radiation/)
- [chemo](https://www.drkarenhorton.com/tag/chemo/)
- [nipple](https://www.drkarenhorton.com/tag/nipple/)
- [areola](https://www.drkarenhorton.com/tag/areola/)
- [nipple reduction](https://www.drkarenhorton.com/tag/nipple-reduction/)
- [inverted nipple](https://www.drkarenhorton.com/tag/inverted-nipple/)
- [accessory nipple](https://www.drkarenhorton.com/tag/accessory-nipple/)
- [third nipple](https://www.drkarenhorton.com/tag/third-nipple/)
- [extra nipple](https://www.drkarenhorton.com/tag/extra-nipple/)
- [montgomery glands](https://www.drkarenhorton.com/tag/montgomery-glands/)
- [lumpectomy](https://www.drkarenhorton.com/tag/lumpectomy/)
- [brachioplasty](https://www.drkarenhorton.com/tag/brachioplasty/)
- [post-weight loss surgery](https://www.drkarenhorton.com/tag/post-weight-loss-surgery/)
- [bat wings](https://www.drkarenhorton.com/tag/bat-wings/)
- [local anesthetic](https://www.drkarenhorton.com/tag/local-anesthetic/)
- [nipples](https://www.drkarenhorton.com/tag/nipples/)
- [areolas](https://www.drkarenhorton.com/tag/areolas/)
- [areola reduction](https://www.drkarenhorton.com/tag/areola-reduction/)
- [lollipop scars](https://www.drkarenhorton.com/tag/lollipop-scars/)
- [drkarenhorton](https://www.drkarenhorton.com/tag/drkarenhorton/)
- [implant removal](https://www.drkarenhorton.com/tag/implant-removal/)
- [p acnes](https://www.drkarenhorton.com/tag/p-acnes/)
- [propionibacterium acnes](https://www.drkarenhorton.com/tag/propionibacterium-acnes/)
- [biofilm theory](https://www.drkarenhorton.com/tag/biofilm-theory/)
- [Mondor's bands](https://www.drkarenhorton.com/tag/mondors-bands/)
- [lymphatics](https://www.drkarenhorton.com/tag/lymphatics/)
- [blood vessels](https://www.drkarenhorton.com/tag/blood-vessels/)
- [axillary cording](https://www.drkarenhorton.com/tag/axillary-cording/)
- [cording](https://www.drkarenhorton.com/tag/cording/)
- [axilla](https://www.drkarenhorton.com/tag/axilla/)
- [summerprep](https://www.drkarenhorton.com/tag/summerprep/)
- [410 implant](https://www.drkarenhorton.com/tag/410-implant/)
- [safety FDA](https://www.drkarenhorton.com/tag/safety-fda/)

## Medication Category

- [Blood Thinners](https://www.drkarenhorton.com/medication_category/blood-thinners/)
- [Anticoagulants – Direct Thrombin Inhibitors](https://www.drkarenhorton.com/medication_category/blood-thinners/anticoagulants-direct-thrombin-inhibitors/)
- [Diabetes Medications](https://www.drkarenhorton.com/medication_category/diabetes-medications/)
- [Oral Antidiabetics](https://www.drkarenhorton.com/medication_category/diabetes-medications/oral-antidiabetics/)
- [Heart/Cardiovascular Medications](https://www.drkarenhorton.com/medication_category/heart-cardiovascular-medications/)
- [Angiotensin Converting Enzyme (ACE) Inhibitors](https://www.drkarenhorton.com/medication_category/heart-cardiovascular-medications/angiotensin-converting-enzyme-ace-inhibitors/)
- [Supplements](https://www.drkarenhorton.com/medication_category/supplements/)
- [Supplements](https://www.drkarenhorton.com/medication_category/supplements/supplements-supplements/)
- [Anticoagulants – Factor Xa Inhibitors](https://www.drkarenhorton.com/medication_category/blood-thinners/anticoagulants-factor-xa-inhibitors/)
- [Anticoagulants - Heparin](https://www.drkarenhorton.com/medication_category/blood-thinners/anticoagulants-heparin/)
- [Anticoagulants – Low molecular weight heparin](https://www.drkarenhorton.com/medication_category/blood-thinners/anticoagulants-low-molecular-weight-heparin/)
- [Anticoagulants – Warfarin](https://www.drkarenhorton.com/medication_category/blood-thinners/anticoagulants-warfarin/)
- [Antiplatelets – Aspirin and aspirin-containing products](https://www.drkarenhorton.com/medication_category/blood-thinners/antiplatelets-aspirin-and-aspirin-containing-products/)
- [Antiplatelets](https://www.drkarenhorton.com/medication_category/blood-thinners/antiplatelets/)
- [Antiplatelets – P2Y12 Inhibitors](https://www.drkarenhorton.com/medication_category/blood-thinners/antiplatelets-p2y12-inhibitors/)
- [Antiplatelets – GPIIb/IIIa Inhibitors](https://www.drkarenhorton.com/medication_category/blood-thinners/antiplatelets-blood-thinners/)
- [Antiplatelets – analgesics Short-acting NSAIDs](https://www.drkarenhorton.com/medication_category/blood-thinners/analgesics/)
- [Antiplatelets – analgesics Long-acting NSAIDs](https://www.drkarenhorton.com/medication_category/blood-thinners/antiplatelets-analgesics-long-acting-nsaids/)
- [Antiplatelets – analgesics Cox-2 Inhibitors](https://www.drkarenhorton.com/medication_category/blood-thinners/antiplatelets-analgesics-cox-2-inhibitors/)
- [Intermediate and long acting (basal) insulin](https://www.drkarenhorton.com/medication_category/diabetes-medications/intermediate-long-acting-insulin/)
- [Short and rapid-acting insulin](https://www.drkarenhorton.com/medication_category/diabetes-medications/short-and-rapid-acting-insulin/)
- [Injectable Antidiabetics/Non-insulin](https://www.drkarenhorton.com/medication_category/diabetes-medications/injectable-antidiabetics-non-insulin/)
- [Angiotensin Receptor Blockers (ARBs)](https://www.drkarenhorton.com/medication_category/heart-cardiovascular-medications/angiotensin-receptor-blockers/)
- [Beta Blockers](https://www.drkarenhorton.com/medication_category/heart-cardiovascular-medications/beta-blockers/)
- [Beta Blocker/Diuretic Combinations](https://www.drkarenhorton.com/medication_category/heart-cardiovascular-medications/beta-blocker-diuretic-combinations/)
- [Calcium Channel Blockers](https://www.drkarenhorton.com/medication_category/heart-cardiovascular-medications/calcium-channel-blockers/)
- [Clonidine](https://www.drkarenhorton.com/medication_category/heart-cardiovascular-medications/clonidine/)
- [Digoxin](https://www.drkarenhorton.com/medication_category/heart-cardiovascular-medications/digoxin/)
- [Diuretics](https://www.drkarenhorton.com/medication_category/heart-cardiovascular-medications/diuretics/)
- [Renin Inhibitors](https://www.drkarenhorton.com/medication_category/heart-cardiovascular-medications/renin-inhibitors/)
- [Statins](https://www.drkarenhorton.com/medication_category/heart-cardiovascular-medications/statins/)
- [Weight Loss Medications](https://www.drkarenhorton.com/medication_category/weight-loss-diabetes-medications/)
- [GLP-1 Agonists](https://www.drkarenhorton.com/medication_category/weight-loss-diabetes-medications/glp-1-agonists/)
- [SGLT-2 inhibitors](https://www.drkarenhorton.com/medication_category/weight-loss-diabetes-medications/sglt-2-inhibitors/)
- [Anorectics](https://www.drkarenhorton.com/medication_category/weight-loss-diabetes-medications/anorectics/)
- [Opiate Antagonists/Anti-Depressants](https://www.drkarenhorton.com/medication_category/weight-loss-diabetes-medications/610/)

## Media Categories

- [Television](https://www.drkarenhorton.com/media-category/tv/)
- [Print](https://www.drkarenhorton.com/media-category/print/)
- [Online](https://www.drkarenhorton.com/media-category/online/) - 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.
- [Radio and Webcast](https://www.drkarenhorton.com/media-category/radio/)