Surgery Designed Around You
Dr. Horton
Emily Sespaniak, MSN, FNP-C
Danielle Bautista, MSN, ANP
AAAA Accredited Surgical Facility
Board-Certified Plastic Surgeon
Private Outpatient Surgery Center
Personalized Surgical Care
Convenient Pacific Heights Location
Why Patients Choose Our Private Surgery Center
Instead of navigating a large hospital environment, patients enjoy a seamless surgical experience in a modern, physician-owned facility designed specifically for Plastic Surgery procedures. Our surgery center prioritizes privacy, comfort, efficiency, and exceptional safety standards from arrival through recovery.
Accredited. Experienced. Trusted
Safety
Our Quad A accredited surgical center meets rigorous national standards for patient safety, equipment, and surgical protocols. Every procedure is performed in a setting designed to provide the highest level of care and peace of mind.
A discreet experience from start to finish
Privacy
Enjoy the comfort of a private outpatient surgery center without the crowds and complexity of a hospital. From check-in through recovery, your care remains personal, confidential, and centered around you.
Boutique care in a calming environment
Comfort
Our thoughtfully designed facility helps you feel relaxed before, during, and after surgery. Warm, welcoming surroundings and attentive care make your experience as comfortable as possible.
One team dedicated to your journey.
Personalized Care
You’ll work with the same experienced team from consultation through recovery, ensuring continuity, clear communication, and compassionate support every step of the way.
Dedicated Experts Focused on Your Care
The same experienced team that guides you through consultation will support you on surgery day and throughout recovery, ensuring continuity, comfort, and peace of mind.
Caroline Dejean, MD
Medical Director of Anesthesia
Dr. Caroline Dejean originally hails from the Midwest. She moved to the Bay Area in 2000 for her undergraduate degree in Human Biology at Stanford University. After completing Medical School at Dartmouth University, she graduated from a four-year Anesthesiology Residency at Case Western University, followed by an advanced year-long Fellowship subspecializing in Regional Anesthesiology at the Hospital for Special Surgery in New York City.
Rebecca Benson, RN
Preoperative Nurse Educator, Operating Room & PACU Nurse
With 15+ years of Nursing experience and a warm, supportive approach, Nurse Rebecca guides every surgical patient through pre- and post-op care. She provides expert education and personalized support to ensure a safe, confident recovery.
Mary Pasache
Patient Coordinator and Surgery Scheduler
Mary, who has been with our practice since 1994 and knows all things Plastic Surgery, is your point-person for everything surgery related. She will schedule your surgery date and preoperative visit, accept surgery payment and ensure that everything goes smoothly when planning your surgery.
Jorge Moncada
Anesthesia Technician
Jorge is our invaluable Anesthesia Technician, who is personally responsible for setting up and maintaining all things Anesthesia. From anesthesia equipment and medications, emergency supplies, to physical maintenance of the operating room, Jorge is our operating room MVP! Dr. Horton has worked with Jorge for 17 years at the CPMC Davies campus, and we are honored to have him with us at San Francisco Plastic Surgery.
Dr. Karen Horton, MD, MSc, FACS
Board Certified Plastic Surgeon
Dr. Horton, founder of San Francisco Plastic Surgery and internationally Board Certified Plastic Surgeon, is honored to be your Plastic Surgeon. She has gathered an incredible group of professionals to assist in making your surgery safe, successful, comfortable and empowering!
Rachel Powell, RN
Operating Room Nurse Manager
Rachel is our Operating Room Manager and brings her decades worth of experience in Plastic and reconstructive surgeries to our surgery center. Rachel is the brains behind the day to day operations, coordinating all the behind the scenes details to make your surgery as seamless as possible.
Rose Natukunda, CSPDT
Lead Scrub Technician
Rose is our Lead Scrub Technician and brings decades of operating room and SPD (sterile processing department) experience to our surgery center. Having worked in a plethora of surgical specialties and complex Plastic Surgery cases, she is responsible for ensuring our brand new surgical equipment is processed, sterilized and ready-to-go for every surgical case.
DeLisa Branch-Nealy, RN, BSN
Clinical Nurse, Operating Room Circulator
DeLisa is a seasoned Operating Room Nurse with nearly four decades of experience in surgical Nursing care. A proud Howard University graduate and U.S. Air Force Veteran, she brings steady expertise and heartfelt compassion to every San Francisco Plastic Surgery procedure, with extensive experience in Microsurgery, Plastic and Reconstructive Surgery, Breast Cancer Surgery, Orthopedic Surgery, Neurosurgery and Ophthalmologic Surgery.
Medication Checker and Pre-Operative Instructions
For Patients Only
Please enter your password to unlock access to the Medication Checker and Pre-Operative Instructions. This information is intended for San Francisco Plastic Surgery patients only.
Preparing for Your Upcoming Surgery
We have put together guidelines and instructions to help you feel informed and empowered in the weeks and days leading up to your procedure. It is important that you read and follow all pre-surgical instructions in order to have the best possible experience and results.
Medication Checker
Certain medications can interfere with your surgical procedure or your recovery. We have created an easy way for you to check any medications that you take before your surgery: our medication checker will give you personalized, printable pre-op guidelines to avoid medication interactions.
Don’t see your medications listed here? Then you are probably fine to continue as usual. Please bring a list of your medications to your preoperative visit – our team will go through them one by one and direct you on whether to stop or continue them.
Day of Surgery
It is finally here and we are so excited for you! Read through these day-of instructions to be prepared for your procedure. Dr. Horton and her team will be by your side on surgery day.
What to Expect After Plastic Surgery
After surgery, it is time for true self-care. It is critical that you take time to recuperate and follow all post-surgical instructions in order to have a healthy recovery and enjoy beautiful results.
Patient Discharge Instructions
Please download these discharge instructions to follow after your surgery.
Thank you!
Medication Checker
Antiplatelets – GPIIb/IIIa Inhibitors
Anticoagulants – Factor Xa Inhibitors
Anticoagulants – Direct Thrombin Inhibitors
Antiplatelets – Aspirin and aspirin-containing products
Antiplatelets
Antiplatelets – analgesics Cox-2 Inhibitors
Antiplatelets – P2Y12 Inhibitors
Anticoagulants – Low molecular weight heparin
Antiplatelets – analgesics Short-acting NSAIDs
Anticoagulants - Heparin
Antiplatelets – analgesics Long-acting NSAIDs
Anticoagulants – Warfarin
Oral Antidiabetics
Injectable Antidiabetics/Non-insulin
Short and rapid-acting insulin
Intermediate and long acting (basal) insulin
GLP-1 Agonists
SGLT-2 inhibitors
Opiate Antagonists/Anti-Depressants
Anorectics
Beta Blockers
Diuretics
Renin Inhibitors
Calcium Channel Blockers
Beta Blocker/Diuretic Combinations
Statins
Angiotensin Receptor Blockers (ARBs)
Angiotensin Converting Enzyme (ACE) Inhibitors
Clonidine
Digoxin
Supplements
Nationally Accredited. Personally Committed to Your Safety.
Our QUAD A accreditation reflects an unwavering commitment to patient safety, rigorous quality standards, and exceptional surgical care—so you can move forward with complete confidence.
This facility has proven its commitment to optimal patient safety and standardization of care by achieving accreditation from QUAD A.
Patients: As a patient, you can feel confident that this facility has demonstrated that safety is the top priority. Facility staff at all levels are appropriately trained, certified, and practice within the confines of their specialty. The facility equipment and supplies are well maintained, up to date, and properly stored to ensure safe use. Staff also participate in regular training and drills to prepare for natural disasters and human-impacted emergencies and ensure readiness to act to keep you safe in the unlikely event of such emergencies. If you are being referred to this facility by another practitioner, take heart in knowing that your care provider is looking out for your safety, even when they are not providing your care.
Referring Physicians: As a referring physician, you can feel confident that your patient will receive the highest standard of care. QUAD A requires 100% compliance with all standards which means that the staff has submitted evidence of correcting even the most isolated instances of not complying with requirements. Additionally, this facility has demonstrated that all practitioners meet the certification requirements of their respective specialty boards and practice only within the scope of their specialty training and that all therapists, nurses, physician assistants, technicians, and support staff receive appropriate and ongoing training for their duties. The staff has also participated in routine training and drills to reduce the likelihood of and manage naturally occurring and human-impacted emergencies.
What QUAD A Accreditation Means for You
Rigorous Safety Standards
Every aspect of our facility is evaluated to ensure the highest level of patient safety.
Highly Qualified Medical Team
Your surgeon, nurses, and clinical staff are trained, credentialed, and practice within their areas of expertise.
Modern Equipment & Facilities
Our surgical equipment is carefully maintained, routinely inspected, and held to strict quality standards.
Continuous Oversight
QUAD A requires ongoing compliance—not a one-time inspection—so our facility continually meets evolving national standards.
Because QUAD A requires 100% compliance with its accreditation standards, you can feel confident knowing your procedure will be performed in a facility dedicated to delivering the highest level of outpatient surgical safety and quality care.
We Are Here For You!
We know that for many of our patients surgery is the fulfillment of long-held dreams and a gift they give to themselves in order to look and feel their best. We are honored that you have chosen us and we want to make sure you feel supported every step of the way. Don’t hesitate to reach out if you have any questions before or after your procedure.