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 augmentation, 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.
12/26/2025
Looking like you on your best day, every day. The next generation of aesthetic patients isn't waiting for lines to deepen or skin laxity to set in—they're taking a proactive approach to aging with subtle, preventative treatments.
In our latest article, Board-Certified Aesthetic Nurse Practitioners Emily Sespaniak, NP and Agnes Wong, MSN, NP-BC and Dr. Karen Horton share their expert approach to preventative aesthetics:
🌟How preventative care differs from corrective treatment
🌟What to prioritize in your 20s vs. your 30s
🌟Why personalization and moderation matter most
🌟How lifestyle habits support long-term results
→ Tap to read the full guide and learn how to confidently start or refine your preventative plan with expert, patient-first care.
📍 San Francisco | Board-Certified expertise. Patient-first care.
12/26/2025
Merry Christmas from the Hortons!
12/24/2025
Christmas 🎄 Complete with of the 🍷 I dropped! 😳😆🤪
12/23/2025
🤶🏻 Last surgery before Christmas completed
👩🏼⚕️ A dozen follow ups to see this afternoon in the office
🎄 Horton tree up & adorned
🎁 Presents wrapped & ready to go
🦀 Crab ordered from for Christmas Eve
🍸 Special holiday cocktail to pour from
🛬 Ready to pick Lizzie up from her ski race series in Jacksonville Hole
🎅🏻 Christmas is almost here!!
We will be out of the office the rest of the week, open again on Monday. Patients know how to reach me! 📲
12/21/2025
These are the BEST type of text messages from patients!! ❤️❤️❤️
12/18/2025
What do we want most for the Holidays? Your experience shared in an online review!! ⭐️⭐️⭐️⭐️⭐️ Read our latest review from Yelp.
12/15/2025
That little “wobble-wobble” under your chin — sometimes called “turkey neck” — doesn’t have to stay. In her newest feature with ASPS, Dr. Karen Horton explains how the right surgical neck-contouring options can smooth, tighten, and redefine your neckline for a more youthful, confident profile.
✅ Remove excess skin & fat
✅ Tighten underlying muscles for lasting results
✅ Restore a defined jawline and smooth neck texture
If loose neck skin, jowls, or a soft jawline have been bugging you, there’s a real solution.
👉Tap to read the full article and learn if neck lift surgery or neck contouring might be the right fit for you!
Discover how a neck lift restores definition and treats “turkey neck,” with expert insights from Dr. Karen Horton, Board-Certified Plastic Surgeon.
12/14/2025
We do HOLIDAY CELEBRATIONS RIGHT! 🍸✨🎄🍷🍽️ does to celebrate Christmas & the holidays in style… 💃 with a personal welcome from !! 👨🏼🍳
12/05/2025
Part 2 from .agnes of why you need more than 1 syringe of filler, featuring Rheology✨
12/03/2025
Holiday party coming up? Don’t let tired eyes steal your sparkle! ✨ Discover five treatments that can refresh, brighten and smooth your undereyes this season. 🤩
👉 Send this to your bestie who is looking for a little refresh, too!
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/
