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Dr. Horton

Emily Sespaniak, MSN, FNP-C

Danielle Bautista, MSN, ANP

Meet Our Team: Erica

By: Karen Horton | Apr 23, 2026

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…

Meet Our Team: Dr. Horton

By: Karen Horton | Apr 16, 2026

At the heart of our San Francisco office is Dr. Karen Horton, a Board-Certified Plastic Surgeon who brings compassion, precision, and a lifelong passion for helping others to every patient…

What NOT to Do After Getting BOTOX® or Filler Injections

By: Karen Horton | Apr 14, 2026

Non-surgical treatments like BOTOX® and dermal fillers can deliver subtle, refined enhancements to your face and neck—but what you do after your appointment plays a meaningful role in how your…

Meet Our Team: Emily

By: Karen Horton | Apr 9, 2026

As an Aesthetic Nurse Practitioner with a sharp eye for detail and a deep love for aesthetics, Emily Sespaniak, NP brings both artistry and precision to our San Francisco Plastic…

Injectables Coming in 2026 and Beyond: What’s Next in Aesthetic Medicine

By: Karen Horton | Apr 6, 2026

The world of cosmetic injectables continues to evolve quickly. As research advances and patient expectations shift toward more natural, flexible results, manufacturers are developing new neuromodulators and fillers designed to…

Meet Our Team: Rachel

By: Karen Horton | Apr 2, 2026

Rachel is one of the friendly, steady forces at Dr. Karen Horton’s Office in San Francisco, and what she loves most about working here is simple: the team. The supportive,…

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