
Welcome to the San Francisco Plastic Surgery Center
We are thrilled and excited that you are planning your Plastic Surgery procedure with us! Information about preparing for surgery, what to expect the day of surgery and detailed postoperative instructions can be found below.
Please review details for your particular procedure prior to your preoperative visit and again after surgery.
Meet the San Francisco Plastic Surgery Center Team

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!

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.

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.

Emily McCarthy, RN
Preoperative Nurse Educator, Operating Room & PACU Nurse
“Nurse Emily” is our clinical nurse, but she also brings her background in the operating room and as a Recovery Room Nurse to our surgery center. In addition to getting to know you in your preoperative visit where she will help prepare you for surgery, she will also be there with you the day of surgery.

Rachel Powell, RN
Operating Room Manager, Operating Room and PACU Nurse
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.

Olivia Nava, RN, BSN, MSc
Preop, O.R. and PACU Nurse
Originating as a Critical Care Nurse in Cardiac Surgery, Olivia developed a passion for providing highly individualized care and attention to her patients, and firmly believes that attention to details matter! Olivia has continued high-level patient care in private Plastic Surgery practices since 2009.

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.


Our Surgery Center
San Francisco Plastic Surgery Center boasts a brand new, state-of-the-art, fully accredited and AAAASF certified operating room at our facility.
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.
Since its founding in 1980, QUAD A has pursued its mission by setting the highest standards for patient safety and standardization of care in outpatient centers worldwide. QUAD A requires 100% compliance with all accreditation standards and does not offer partial accreditation. If a facility fails to meet any standard, it must correct the deficiency or risk denial or loss of accreditation. QUAD A facilitates patient safety by regularly updating its standards based on patient data and the latest medical literature and requiring facilities to continually self-assess and evolve.


Our Comforting
and Inspiring
Recovery Room

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.
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
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
GLP-1 Agonists
SGLT-2 inhibitors
Opiate Antagonists/Anti-Depressants
Anorectics