San Francisco Plastic Surgeon
2100 Webster Street, Suite 506
San Francisco, California 94115 US
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11 years experience
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Patient Reviews


3.5 out of 5 stars 3.5 stars from 10 reviews See details Hide details
4.0 out of 5 stars Doctor's bedside manner
4.0 out of 5 stars Answered my questions
4.0 out of 5 stars After care follow-up
4.0 out of 5 stars Time spent with me
4.0 out of 5 stars Phone or email responsiveness
4.0 out of 5 stars Staff professionalism & courtesy
5.0 out of 5 stars Payment process
3.0 out of 5 stars Wait times
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5 out of 5 stars Breast Implants

Mommy Makeover. San Francisco, CA

Pregnancy and nursing left me with breasts that rivaled Magda on Something about Mary. I went from a cute 36c to an A cup and looked awful and lacked confidence. Dr Horton has me looking like a Victoria's secret model. Im back in a c cup and looking better than ever. Best part- no one can tell. Totally natural look.

5 out of 5 stars Breast Implant Removal

Love the Doc and She Was Great - San Francisco, CA

She didn't discount my Fibromyalgia and she made me feel like she heard me. She said attention. Reviewed all my medicAl records. Keep me overnight for pain controls at the Davies campus. My surgery was at 1:16 and I was back in my room by 6:30 I believe. The surgery was painful but she does her best. The drains are still In place. Draining bright red fluid 30 mL every 8 hours. Two...

5 out of 5 stars Tummy Tuck

Removal of my "Funny Tummy" After Twins + One - San Francisco, CA

After the birth of my singleton and twins, my mid-section was completely destroyed. I had deep diastasis, stretch marks spanning several inches above my belly button, and my self-esteem was shot. I literally could not look at myself in the mirror without cringing. After 18-months of dedicated core conditioning, the rest of my body was in great shape; but I saw very little improvement to my...

5 out of 5 stars Breast Implant Revision

Excellent Surgeon - San Francisco, CA

Dr. Horton is a fantastic surgeon. She performed a breast reconstruction and replaced implants. Through the pre-op process, some questionable cells were discovered. Dr. Horton was reassuring and helped me through that difficult time. I am happy to report that I am incredibly pleased with the results. Thank you for doing such a wonderful job in fixing things up!

Athletic and Tall, No Kids, Getting Sub-glandular Silicone - San Francisco, CA

I've been following you all on realself for months, trying to decide exactly what I want for my BA. Now my operation date is coming up (8 days!!!) so I'm making my own page.Thank you all for posting your own pages and comments - they've helped me so much. I've always been an AA to barely A, and have felt disproportionate because of it. I remember as a preteen looking at bras and being so...

4 out of 5 stars Breast Reconstruction

breasts did not hold up

Recovery time can be lengthy. Dr. Horton, was meticulous to my breast reconstruction procedure. The sensation to my nipples was kept and my healing process and look afterward was excellent. I feel beyond confident with my new breasts that look natural and yet firm as if I were a teenager and incredibly fit. This Dr. Goes by what YOU the patient wants! You get to bring in "wish"...

Breast Cancer is Behind Me and I'm Finally Ready to Love my Breasts Again. San Francisco, CA

In 2009, I had invasive ductal carcinoma, which, when the final pathology report came in, turned out to be an unusual form of it (tubular carcinoma) with a fantastic prognosis -- almost 100% survival at 10 years. I had a lumpectomy, with 4 lymph nodes removed (no lymph node involvement), radiation. I declined tamoxifen because of the tubular carcinoma diagnosis, and breast cancer is now...

1 out of 5 stars Liposuction

A Hip Liposuction - San Francisco, CA

It was terrible, when I woke up. Right away it was pretty clear to me, that things where not the way we talked about it, and the results where far from which we talk about before the surgery…and she never took any responsibility for her action…actually the opposite is the case she promotes herself as a top plastic surgeon!

2 out of 5 stars Breast Augmentation

The Tale of Two Boobies - San Francisco, CA

I am currently going through the process of shopping for new boobies. I'm naturally a small B. I'm a runner - 5'8, 125 pounds, I like to think of myself as athletic. I've been wearing padded bras my whole life and am really considering taking the plunge and getting my breasts augmented. I had one horrible consultation in Toronto, and one good one today back home in San Francisco...

1 out of 5 stars Labiaplasty

Consultation: Discrimination in 2017

I am a post-op transgender client of 9 years. I have been in contact with her office for over a year while in school to perform a labioplasty. After a wonderful conversation with the Dr. in which she agreed to perform the procedure stating it was completely reasonable to do, a simple matter of debulking and a far less severe a case than other clients whom she had even wondered how they could...

Board Certifications

Board-certified by the Royal College of Physicians and Surgeons of Canada - Plastic Surgery


American Society for Aesthetic Plastic Surgery (ASAPS)
American Society of Plastic Surgeons (ASPS)
Canadian Society of Plastic Surgeons (CSPS)
Fellow, American College of Surgeons (FACS)
International Society of Aesthetic Plastic Surgery (ISAPS)

Consultation Fee

$100 for 45 minute minimum consultation with Dr. Horton - cost goes toward surgical fee if procedure booked

Hospital Privileges

Dr. Horton has hospital affiliations at California Pacific Medical Center, St. Mary's Medical Center.


  • Undergraduate & Medical School

    Undergraduate: Life Sciences, Queen's University, Ontario, Canada
    Graduate: Master of Science in Pathology and Molecular Biology, Cancer Research, Queen's University
    Medical: University of Toronto
  • Post-Medical School Training

    Residency: Plastic and Reconstructive Surgery, University of Manitoba, Winnipeg, Canada
    Fellowship: Reconstructive Microsurgery, California Pacific Medical Center, The Buncke Clinic, San Francisco, USA

Treatments offered at Dr. Karen M. Horton

Blog Posts and Articles

Tummy Tuck versus Liposuction: "Mommy Makeover" tummy surgery

If you are a mother who has completed her childbearing, congratulations both on your wonderful family you have created and to entering the next stage of motherhood!Many women find their abdomens have permanent changes following pregnancy, including stretc

How Pregnancy Changes a Woman’s Body

Pregnancy affects each woman differently. The following can all play a role:• Age• Genetics• Weight fluctuations• Luck   We all can think of a Mom whose body bounced back quickly after pregnancy – this is often not the norm!

What is PLASTIC Surgery, Anyway?

What is “Plastic Surgery”? The word “plastic” derives from the Greek word “Plastikos”, which means "to mold or change form". There is actually no connection with modern-day plastic, a synthetic polymer that is

Most popular answers from Karen M. Horton, MD

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Mommy Makeover Recovery Time

After any major surgery, you can expect to require at least 6 weeks off of aggressive activity, including exercise. You should not lift more than... READ MORE

Which Breast Implant Placement Gives a More Natural Appearance?

Most women I see in consultation are looking for a NATURAL, not a "done" or fake result of breast augmentation. I see both professional... READ MORE

What is the Minimum Recovery Time for a Mommy Makeover?

After any major surgery such as a Mommy Makeover, you need to give yourself the time needed for complete physical recovery. In most instances, a... READ MORE

Underwire Bra and Breast Implants, Safe?

Breast implants are often inserted by way of an incision in the inframammary fold (the crease underneath the breast). This is also where the bottom of... READ MORE

Should I be Able to Walk Straight 3 Days After Tummy Tuck Surgery?

A tummy tuck is a major operation. You can expect some discomfort during the first few days, up to a week. Swelling associated with any surgery... READ MORE

Breast Implant Scars

Breast implants are inserted through a variety of incision options: 1. In the fold under the breast (inframammary) 2. Around the areola... READ MORE

Medical Insurance and a Prophylactic Mastectomy

If you have breast cancer OR a significant family history of breast cancer, then by law all insurance companies are required to cover whatever cancer... READ MORE

To What Extent Can my Areolas be Reduced?

It is possible to perform surgery with the express goal of reducing the areolas. However, all surgery creates scars, and in this particular instance,... READ MORE

Should I Get Cohesive Gel Implants Outside of the US?

Breast implants that are formed with a more solid form of silicone, known by some as "cohesive gel" implants or the "gummy bear"... READ MORE

Breast Lift - How Long Does the Horizontal Incision Extend?

During a breast lift (mastopexy), the breast tissue beneath the skin is rearranged in a three-dimensional fashion, to reshape the breast itself. This... READ MORE

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