Dr. Karen M. Horton, Plastic Surgery, Aesthetic Surgery, Reconstructive Microsurgery of the Breast Karen M.
Horton, MD is a highly skilled and experienced Plastic Surgeon dedicated to providing an unparalleled degree of cosmetic and reconstructive surgical care for women and men.Internationally certified by both the American Board of Plastic Surgery and the Royal College of Surgeons of Canada, Dr. Horton offers the entire spectrum of aesthetic surgery for the face, breasts and body, including breast aug
mentation, labiaplasty, abdominoplasty, liposuction, the comprehensive Mommy Makeover and more. Additionally, she provides state-of-the-art breast reconstruction options using single-stage or microsurgical techniques, as well as an inclusive span of non-surgical and minimally invasive cosmetic enhancements. Whether you are considering breast surgery, body sculpting, facial rejuvenation or skin care, Dr. Horton emphasizes individualized care, unprecedented patient safety and the highest quality of surgical/nonsurgical expertise - all delivered in a comfortable, confidential environment.As a proponent of continuing education, she remains at the head of plastic surgical innovation by maintaining active membership in such esteemed medical organizations as the American Society of Plastic Surgeons, the Canadian Society of Plastic Surgeons and the California Society of Plastic Surgeons, among several others. She also lectures at various Plastic Surgery meetings held nationally and internationally, and she has been featured on television shows and local news/podcasts discussing the latest, most advanced techniques available today.If you searching for a Board Certified Female Plastic Surgeon who can comprehensively address your cosmetic concerns, Dr. Horton and her highly trained team can help you achieve your aesthetic and/or reconstructive goals with beautiful, natural-looking results.
04/26/2026
Help me WIN again!!! 🥇LINK IN BIO 😘
Dr. Karen Horton was voted Best Cosmetic/Plastic Surgeon in last year’s Best of Bay Area competition - help her repeat this achievement in 2026! A Board-Certified Plastic Surgeon in practice for 20 years with a multicultural all-female team in Pacific Heights, Dr. Horton is internationally recognized for her welcoming bedside manner, surgical expertise, compassionate care, and dedication to natural-looking results.
Vote DAILY (one vote per day, per email) through May 5th, 2026! Every single vote counts—help your favorite Bay Area businesses get the recognition they deserve.
04/26/2026
Fantastic visit to for the Breast Augmentation !
04/24/2026
Looking forward to connecting with colleagues at this weekend’s Allergan 2026 Expert Exchange in Orange County!
04/22/2026
Excited to try out my new at !! 👠👠
04/22/2026
☀️ Thinking about an aesthetic procedure before your summer plans? 👙🏝️ The truth is, timing is everything. 👏 Thanks to for this interview!
Swipe left to learn how to properly plan your plastic surgery for optimal healing and results.
04/20/2026
When patients take the time to share their experience on Yelp or Google, they are truly thanking us in the most effective way - virtual word-of-mouth. We appreciate this lovely patient sharing details of her surgery experience in our office! XOXO
04/20/2026
top 5 non-surgical aesthetic treatments are MY favorites as well!!! 💋💋💋
04/20/2026
What a fabulous evening supporting the Challenged Athletes Foundation! 💃
empowers athletes with physical disabilities through sport grants, clinics, and mentorship.
04/20/2026
Supporting a partner through Plastic Surgery is about more than just being there — it’s about understanding the process and showing up in the right ways. 💕
In a recent video, Board-Certified Plastic Surgeon Dr. Karen Horton shares how partners can play a meaningful role before, during, and after surgery.
From attending consultations and pre-op visits to helping during recovery and offering emotional support, small actions can make a big difference in a patient’s experience and confidence.
✨ Be present at key appointments
✨ Help with recovery at home by taking over routine tasks
✨ Offer encouragement throughout the process
The right support system can make everything feel smoother, more comfortable, and more empowering.
👉 Visit our website to learn more and explore your options with confidence!
04/18/2026
Got fancy tonight for a fundraiser!! ✨✨✨
04/17/2026
What’s my weakness??? 👙👙👙👙
04/17/2026
Just had BOTOX® or filler? What you do next matters more than you think. ✨
At the practice of Dr. Karen Horton, patients are guided through every step – including what not to do after treatment to help protect results and minimize unwanted side effects.
From avoiding pressure on treated areas to holding off on intense workouts, small decisions after your appointment can impact how your results settle and how long they last. 
Understanding proper aftercare is one of the easiest ways to support smooth, natural-looking outcomes.
👉 Visit our website to learn more about BOTOX®, fillers, and how to care for your results properly!
Address
2100 Webster Street, Suite 520 San Francisco, CA 94115
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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. Based in San Francisco, Dr. Horton focuses on providing her patients with meticulous attention to detail, individualized care, and a range of surgical options in a warm, welcoming environment.
Her practice is centered on cosmetic and reconstructive surgery for the breasts, body, and face, including treatment for breast cancer survivors using microsurgery or implants in a single stage. She also specializes in rejuvenation of the breasts and body for women who have completed child-rearing, known as the “mommy makeover”. Dr. Horton’s Practice Philosophy is to Educate, Inform and Empower her patients to make decisions about their own bodies.
Trained in the United States and Canada, Dr. Horton completed a Bachelor of Science with Honors (B.Sc.H.) and Master of Science (M.Sc.) degree in Kingston, Ontario before embarking on her medical career. After graduating Medical School (M.D.) at the University of Toronto, Dr. Horton trained in Plastic Surgery for five years, becoming a Fellow of the Royal College of Physicians and Surgeons of Canada (F.R.C.S.C.). Dr. Horton is also Board-Certified in Plastic Surgery by the American Board of Plastic Surgery. She moved to the Bay Area to complete her Fellowship in Reconstructive Microsurgery in San Francisco. Dr. Horton is also designated a Fellow of the American College of Surgeons (F.A.C.S.).
Dr. Horton offers women the latest techniques in Breast Cancer Reconstruction including using sophisticated Microsurgical techniques to reconstruct the breast using the body’s own tissue; avoiding sacrifice of major muscles of the body. Dr. Horton additionally offers the option of nipple-sparing mastectomy and immediate single-stage breast implant reconstruction.
Dr. Horton specializes in “Mommy Makeover” procedures to rejuvenate the breasts, abdomen and body of women who have had children and who wish to regain their pre-pregnancy form. She has particular interest and experience in cosmetic breast surgery, including breast augmentation, breast lift, breast reduction and complex revision breast surgery.
An invited guest speaker at meetings throughout the United States, Dr. Horton educates, empowers and informs others about Plastic Surgery. She has published review book chapters on breast surgery, presented clinical papers at national and international scientific meetings, and has won research awards. Featured on television shows, local newscasts and podcasts, Dr. Horton discusses the latest techniques in Plastic Surgery.
Outside of surgery, Dr. Horton pursues physical fitness and is an avid runner. She encourages all her patients to embrace a healthy lifestyle before surgery, and to strive toward their fitness goals. She lives in Marin country with her husband and twin daughters.
Dr. Horton is a Member of the Following Professional Societies:
American Society of Plastic Surgeons
Canadian Society of Plastic Surgeons
California Society of Plastic Surgeons
American College of Surgeons
American Society for Reconstructive Microsurgery
American Medical Association
California Medical Association
International Confederation for Plastic, Reconstructive and Aesthetic Surgery
International Society of Aesthetic Plastic Surgery
Royal College of Physicians and Surgeons of Canada
To learn more about Dr. Horton and her practice, please visit her website: http://www.drkarenhorton.com/
