Business Details
Your Trusted Plastic Surgery Partner in San Francisco
Karen M. Horton, MD is a globally recognized plastic surgeon with dual board certification from the American Board of Plastic Surgery and the Royal College of Surgeons of Canada. Our practice specializes in cosmetic and reconstructive surgery for the breasts, body, and face, with a focus on patient safety, natural results, and individualized care. Dr. Horton brings over two decades of experience in microsurgical breast reconstruction and aesthetic procedures, emphasizing meticulous attention to detail and long-lasting outcomes. Our team of experienced medical professionals prioritizes patient education, empowerment, and confidentiality, creating a warm, welcoming environment for all.We offer advanced techniques in breast augmentation, mastopexy, tummy tucks, facelifts, and non-surgical treatments, tailored to each patient's unique anatomy and goals. Our San Francisco-based practice combines technical expertise with a compassionate approach, ensuring patients feel informed and supported throughout their surgical journey. We maintain strict adherence to ethical standards, transparency in communication, and postoperative care, including scar therapy and recovery support. Our facility in Pacific Heights provides a confidential, professional setting for consultations and procedures, serving patients from initial evaluation to final results.
Services
Breast Augmentation
Breast Lift
Tummy Tuck
Facelift
Liposuction
Mommy Makeover
Breast Reconstruction
Non-Surgical Injectables
Skin Rejuvenation
Scar Therapy
Highlights and features
- We offer 20+ years of experience in microsurgical breast reconstruction and cosmetic surgery.
- Our team provides personalized treatment plans tailored to individual anatomy and aesthetic goals.
- We utilize advanced techniques for natural-looking, long-lasting surgical outcomes.
- Our practice emphasizes patient education and informed decision-making throughout the process.
- We maintain a collaborative team approach with dedicated pre- and postoperative support.
Associations and certifications
- American Board of Plastic Surgery
- Royal College of Surgeons of Canada
What people say
Exceptional results
Personalized care
Natural appearance
Supportive team
Professional expertise
Services
Breast Augmentation
Breast augmentation enhances breast size and shape using implants or fat transfer. Ideal for women seeking volume restoration after pregnancy or weight loss, correcting asymmetry, or achieving proportionate curves. Our approach prioritizes natural results with meticulous implant selection and placement techniques. Patients benefit from Dr. Horton's expertise in minimizing complications while maximizing aesthetic outcomes through personalized surgical planning.
Breast Lift
Breast lift surgery elevates sagging breasts and reshapes tissue for a youthful contour. Designed for women experiencing ptosis from aging, pregnancy, or weight changes, this procedure repositions nipples and reduces areola size. Dr. Horton employs advanced techniques like auto-augmentation to create natural fullness without implants, preserving breast function and sensation.
Tummy Tuck
Tummy tuck removes excess abdominal skin and tightens weakened muscles. Effective for post-pregnancy body contouring or post-weight loss reshaping, this procedure addresses diastasis recti and stretch marks. Our approach combines liposuction with muscle repair for comprehensive core rejuvenation, helping patients achieve a flatter, more defined midsection with minimal scarring.
Facelift
Facelift surgery reduces visible aging signs by tightening facial skin and underlying tissues. Targeting jowls, neck laxity, and midface sagging, this procedure restores youthful contours through SMAS layer manipulation. Dr. Horton specializes in MACS lifts for natural results with shorter recovery, addressing lower face and neck concerns while maintaining facial expressiveness.
Non-Surgical Injectables
Injectable treatments address facial aging with Botox and dermal fillers. Our nurse practitioner administers neuromodulators for wrinkle reduction and hyaluronic acid fillers for volume restoration. These minimally invasive options provide immediate results with no downtime, complementing surgical procedures or serving as standalone rejuvenation solutions for patients seeking subtle enhancements.
People
Karen M. Horton, MD
Board-Certified Plastic Surgeon
Dr. Horton specializes in cosmetic and reconstructive surgery with dual certification from American and Canadian boards. She focuses on breast procedures, body contouring, and facial rejuvenation, emphasizing natural results and patient safety. Her practice combines technical expertise with personalized care in a welcoming environment.
Emily Sespaniak
Board-Certified Nurse Practitioner
Emily Sespaniak specializes in non-surgical cosmetic treatments including injectables and laser therapies. She emphasizes natural results through personalized skincare regimens and minimally invasive procedures. Her approach combines technical skill with patient education to optimize both surgical and non-surgical outcomes.
Questions
What breast implant options are available?
We offer silicone gel, saline, and highly cohesive 'gummy bear' implants. Dr. Horton recommends smooth-surfaced devices from Sientra or Natrelle for optimal safety and aesthetics.
How long does facelift recovery take?
Initial recovery lasts 2-3 weeks with final results appearing after 3-12 months as swelling subsides. Most patients resume light activities within 10-14 days.
Can tummy tuck be combined with other procedures?
Yes, 60% of patients combine abdominoplasty with breast procedures or liposuction for comprehensive body contouring, often as part of a Mommy Makeover.
What non-surgical options exist for facial rejuvenation?
We provide Botox, dermal fillers, IPL therapy, and laser treatments to address wrinkles, volume loss, and skin texture concerns with minimal downtime.
How are breast reconstruction patients supported?
We offer microsurgical and implant-based reconstruction with personalized plans, including nipple-sparing mastectomy and immediate implant placement options.
What scar management techniques are used?
Our protocol includes medical-grade scar gel, silicone sheeting, and postoperative therapy sessions to optimize healing and minimize visibility.
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