Karen M. Horton, MD
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Karen M. Horton, MD
Dr. Horton is experienced in a range of cosmetic and reconstructive surgeries, including breast augmentation, breast reduction, breast lift, prepectoral and microsurgical breast reconstruction, and mommy makeovers with an emphasis on patient safety and a focus on beautiful results that enhance natural body contours. The visible effects of gravity, time, and other factors can result in a prematurely aged and tired-looking appearance.

San Fransisco Board Certified Plastic Surgeon, Dr. Horton is highly skilled in advanced techniques for facelift, brow lift, neck lift, and eye lift surgery to restore a youthful appearance. Feeling confident and comfortable in your body can greatly improve your quality of life. Body sculpting surgery, including liposuction, abdominoplasty, and post-weight loss surgery body contouring, can remove stubborn fat or excess skin to define curves for a svelte figure.

Dr. Horton specializes in customized treatment plans to help women feel renewed and revitalized after bodily changes from pregnancy, birth, and breastfeeding.
Services
The practice of Dr. Karen Horton is located in the prestigious Pacific Heights district of the San Francisco Bay Area.
Our practice offers a broad spectrum of cosmetic surgery and reconstructive surgery of the breasts, the body and the face.
Dr. Horton is a classically educated Plastic Surgeon who received her training at an esteemed Residency program and pursued additional Fellowship training in Reconstructive Microsurgery.
Specializing in all types of Breast Surgery, Dr. Horton devotes herself to creating the most beautiful, natural results possible, whether for cosmetic or reconstructive purposes.
Mary Pasache is our invaluable Patient Coordinator, having been with the practice since 1994.
Mary is extremely experienced, knowledgeable and conversant about all facets of our practice, both surgical and non-surgical.
Mary will schedule your consultation with Dr. Horton or Emily Sespaniak, NP, and will answer your initial questions, getting to know you a little over the phone.
Mary can provide you with general information about the procedure(s) you are interested in, an estimate of fees, and additional background information about our practice.
In advance of your consultation, virtual or in-person, you have the option to send us photos of the area(s) you would like to discuss.
Especially for out-of-town patients, photographs often allow an initial assessment and recommendations for you via email.
Please also have a solid background.
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.
Dr. Karen Horton is Internationally Board Certified in Plastic Surgery by both the American Board of Plastic Surgery and the Royal College of Surgeons of Canada, specializing in cosmetic and reconstructive surgery for women.
Since 2006, Dr. Horton's boutique Pacific Heights San Francisco Plastic Surgery private practice focuses on providing personalized care with meticulous attention to detail in a warm, welcoming and unintimidating environment.
Regardless of whether surgery is cosmetic or reconstructive, Dr. Horton's practice is centered on providing BEAUTIFUL, NATURAL looking and long-lasting results.
Emily Sespaniak, MSN, NP-C is a Board-Certified Nurse Practitioner that brings to the practice her experience in the skilled administration of non-surgical cosmetic procedures, including a vast assortment of cosmetic injectables and dermal fillers, non-ablative laser treatments, medical-grade skin care, and more.
Learn about all of our non-surgical services.
A graduate of the University of Florida, Emily holds a Master of Science degree in Nursing and is Board-Certified by the American Nurses Credentialing Center (ANCC) as a Family Nurse Practitioner.
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