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Men take pride in their appearance and want to look as strong, healthy, and youthful as possible at every stage of life. Today, male Plastic Surgery offers targeted solutions that align with these goals—enhancing definition, restoring balance, and maintaining a natural, masculine appearance.

As a Board-Certified Plastic Surgeon, Dr. Karen Horton offers a comprehensive range of surgical procedures tailored specifically to men in San Francisco and the entire Bay Area. Each treatment plan is customized to account for a man’s anatomy, lifestyle, and aesthetic preferences, ensuring results that are masculine, refined, proportional, and never overdone.

*Model

A Specialized Approach to Male Plastic Surgery

Male Plastic Surgery requires a distinct approach. Men typically have:

  • Thicker skin
  • Stronger underlying musculature
  • Different fat distribution patterns
  • Aesthetic goals focused on definition rather than volume

Dr. Horton carefully tailors each procedure to enhance masculine features while avoiding feminization or looking overdone. The goal is always subtle, but meaningful improvement—results that look natural and appropriate for each individual male patient.

Watch as Dr. Horton weighs in on the stigma surrounding Plastic Surgery for men in this ASPS Roundtable discussion.

Liposuction

Liposuction is a surgical outpatient procedure performed under general anesthesia that typically takes 1–2 hours. It provides more dramatic and targeted fat reduction compared to non-surgical options. A particular type of liposuction employing ultrasound energy is often required for effective fat removal in male patients.

Through small, strategically placed incisions, a cannula is used to remove localized fat deposits from areas such as:

  • Abdomen
  • Flanks
  • Back
  • Neck

This process contours the body to create a more chiseled, athletic appearance. While liposuction permanently removes fat cells, maintaining results requires a healthy diet and regular exercise.

Learn more about Liposuction.

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Dear Dr. Horton and Team,Thank you all for making me look and feel so amazing! Though I'm still recovering I don't doubt that the work that you and the surgical team have done is absolutely fantastic.I've never felt this good about the shape of my body, how I perceive my body to look and how I fit into my clothes now!!I really needed this step to maintain a healthier lifestyle and will always be grateful for what you've done. Thank you so much and keep up the great work! ~ A gentleman patient

Post-Weight Loss Body Contouring

After significant weight loss—whether through lifestyle changes, GLP-1 medications or bariatric surgery—men may experience excess skin and residual fat deposits.

Post-weight loss body contouring can address:

  • Chest (including gynecomastia correction)
  • Abdomen (liposuction or abdominoplasty)
  • Flanks, back, and thighs

Facial aging may also become more apparent after weight loss. Surgical procedures such as a facelift or neck lift, as well as non-surgical aesthetic treatments such as injectable fillers or laser treatments, may be considered to restore a more balanced appearance.

Learn more about post-weight loss body contouring surgery.

Gynecomastia Correction (Male Breast Reduction)

Gynecomastia is a common condition that results in excess breast tissue in men, often caused by genetics, weight changes, aging, or medications.

Male breast reduction is a short outpatient procedure that may involve:

  • Ultrasonic-assisted liposuction
  • Removal of glandular tissue
  • Skin excision when needed

The goal is a flatter, firmer chest that aligns with a masculine physique. In more advanced cases, additional techniques may be used to reposition the nipple and remove excess skin.

Learn more about gynecomastia correction (male breast reduction).

Umbilicoplasty

Umbilicoplasty refines the appearance of the belly button to create a more subtle, natural contour.

Men often consider this procedure to address:

  • Small umbilical hernias causing a bulge
  • An “outie” belly button
  • Cosmetic concerns related to shape or position

Umbilicoplasty is frequently combined with abdominal liposuction, tummy tuck surgery, or post-weight loss body contouring to enhance overall abdominal aesthetics.

Learn more about cosmetic belly button surgery.

Male Facial Plastic Surgery

Facelift, Eyelid Surgery, and Neck Lift

Facial Plastic Surgery for men requires a nuanced approach that preserves masculine features while addressing visible signs of aging.

Common concerns include:

  • Skin laxity along the jawline and neck
  • Drooping eyelids
  • Deep facial creases

Procedures that can rejuvenate the face and neck while maintaining a strong, natural appearance:

Results are designed to be “subtle, but significant”—refreshing your appearance without making it obvious that surgery was performed.

Procedures are performed under general anesthesia, with a typical recovery of 2–4 weeks and long-lasting results.

Learn more about facial cosmetic surgery.

 

Man examining his appearance in the mirror
*Model

BOTOX® Cosmetic is an excellent method for men to rejuvenate their looks and achieve a refreshed, natural-looking appearance without surgery or downtime.

Non-Surgical Treatments for Men

Non-surgical treatments are performed by our experienced Nurse Practitioner Emily Sespaniak, NP. These treatments are customized specifically for male anatomy and aesthetic goals.

Men often develop deeper expression lines due to stronger facial muscles. Neuromodulators such as BOTOX® Cosmetic and Dysport® can soften these lines while preserving natural expression.

Treatment for men differs from women in both technique and placement to maintain a masculine appearance.

Results typically last 3–4 months.

Before and after BOTOX® Cosmetic and Dysport® treatment for men
*Individual results may vary

Learn more about BOTOX® Cosmetic.

Dermal fillers restore volume and soften deep creases using gel-like substances that provide immediate improvement.

Treatment is carefully tailored for men to:

  • Maintain facial structure
  • Avoid overfilling
  • Preserve masculine contours

Results are natural-looking and may last from 6 months to 2 years or longer.

Learn more about injectable dermal fillers.

Hyperhidrosis can affect the hands, feet, and underarms, often impacting comfort and confidence.

Treatment options may include:

  • Topical therapies
  • BOTOX® injections

These treatments can significantly reduce sweating and improve day-to-day comfort.

Learn more about hyperhidrosis treatment.

Intense Pulsed Light (IPL) is a non-surgical treatment that improves skin tone and quality using light-based technology.

IPL can address:

  • Sun damage
  • Broken capillaries
  • Pigmentation irregularities
  • Red or brown scars

There is minimal downtime, and results are often visible after a series of treatments.

Learn more about IPL treatments.

An effective skincare routine for men should be simple, consistent, and clinically proven.

Medical-grade skincare products:

  • Treat and prevent sun damage
  • Address signs of aging
  • Contain higher concentrations of active ingredients

Patients work with our experienced Aesthetic Nurse Practitioners to develop a personalized regimen that fits their lifestyle, with clear guidance on product use and long-term maintenance.

Learn more about medical-grade skin care.

 

Learn More About Male Plastic Surgery

To learn more about cosmetic treatments for men and rejuvenation procedures tailored specifically to men, explore our related blog posts.

 

Schedule a Consultation

If you are considering male Plastic Surgery in San Francisco, an in-person consultation is the best way to explore your options.

As a Board-Certified Plastic Surgeon in private practice since 2006, Dr. Horton will evaluate your anatomy, discuss your goals, and develop a personalized treatment plan designed to achieve natural, balanced results.

Schedule Your Consultation

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

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Monday-Friday: 9am - 5pm

Saturday-Sunday: Closed

Monday:
9 AM to 5 PM

Tuesday:
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Wednesday:
9 AM to 5 PM

Thursday:
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Friday:
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Address

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

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

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*Please note: Our office is no longer a Participating Provider for insurance. We can provide a financial quote for what anticipated surgical fees will be after your consultation.

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