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Karen Horton, MD, FACS, FRCSC

Suite 506
2100 Webster Street
San Francisco, CA 94115
United States
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Dr. Karen Horton is an internationally Board-Certified Plastic Surgeon in San Francisco. She earned her medical degree from the University of Toronto, and she has been extensively trained in general Plastic Surgery and Reconstructive Microsurgery from the University of Manitoba and California Pacific Medical Center. Dr. Horton has a special interest in breast cancer reconstruction procedures, and has had Fellowship training in sophisticated microsurgery techniques. She is an expert at the Mommy Makeover spectrum of procedures and additionally, she performs many advanced surgical procedures, such as breast augmentation, breast lift, breast reduction, labiaplasty, tummy tuck, liposuction, facelift, brow lift, neck lift, CoolSculpting and mommy makeover treatments. Dr. Horton also offers a variety of non-invasive rejuvenation options, including BOTOX® Cosmetic, CoolSculpting®, chemical peels, and injectable dermal fillers.  

Dr. Horton and her entire staff are committed to providing individualized, high-quality care in a warm and welcoming environment. She strives to combine her artistic abilities, meticulous surgical technique, and genuine compassion to help patients attain beautiful, natural-looking results. Our practice philosophy is to educate, inform, and empower all of our patients to make the best possible decisions for cosmetic enhancement. In order to reach that goal, Dr. Horton is committed to comprehensive consultations with each of her patients to answer any of their questions and address all concerns.  

Dr. Horton has won a number of research awards and has been published in a variety of respected medical publications. She has also made presentations internationally on dozens of topics related to breast surgery, cosmetic surgery, and reconstructive surgery. Dr. Horton is Board Certified by the American Board of Plastic Surgery, and is a Fellow in both the American College of Surgeons and the Royal College of Physicians and Surgeons of Canada, as well as an active member of many other prestigious medical organizations.

The office is open Monday to Friday, 9:00 a.m. to 5:00 p.m. On-call and emergency service 24 hours a day, 7 days a week.

Cosmetic Surgery

Breast Surgery

Nipple-sparing mastectomy and immediate reconstruction

Breast Cancer Reconstruction including the DIEP flap, SIEA flap, TUG inner thigh flap and single-stage implant reconstruction

Mommy Makeover procedures


Breast augmentation, breast lifts, breast reductions 




MACS lift, neck lift, lower face lift

Dr. Horton aims to develop an intimate and strong connection with you from the very beginning of this process. We know this can be both an exciting and nerve-racking time for you, and our entire staff will take the time to help you feel as comfortable and relaxed as possible.



In your personal and private consultation with Dr. Horton, we will review your medical history, explore why you are seeking cosmetic enhancement, and discover what your cosmetic goals are. Dr. Horton suggests bringing a list of questions and a friend or loved one to accompany you as your “extra pair of ears.” She will detail which procedures can help you best reach your cosmetic goals, thoroughly explain all the risks and complications associated with these procedures, and answer any questions you may have. You will also have the opportunity to review before-and-after photos of what you can expect from your desired procedures.



Dr. Horton will offer a list of references to you of previous patients of ours who have volunteered to share their experiences. She will encourage you to reach out to these patients to get a better idea of what to expect from your procedure. Dr. Horton aims to do everything possible to help you make the best decision for yourself and to help you have realistic expectations. She wants you to be educated, informed, and empowered before moving forward with your decision.


Dr. Horton is dedicated to performing her surgeries only in the most comfortable and safe environment. She performs most of her surgeries at the area’s top hospitals, including the Davies, California and Pacific campuses of California Pacific Medical Center, which are fully accredited and equipped with state-of-the-art technology to ensure the highest level of precision, care, and safety.

  • Fellowship in Reconstructive Microsurgery - The Buncke Clinic, San Francisco
  • Residency in Plastic Surgery - University of Manitoba, 5-Year Integrated Program
  • Medical School - University of Toronto
  • Master of Science in Cancer Research - Queen's University, Kingston, Canada
  • Bachelor of Science with First Class Honors, Life Sciences Subject of Specialization - Queen's University, Kingston, Canada
  • American Board of Plastic Surgery 2013
  • Royal College of Physicians and Surgeons of Canada - Plastic Surgery 2005
  • 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
  • Association of Women Surgeons
  • California Medical Association
  • Groupe pour L'Avancement de la Microchirurgie (GAM) Canada
  • International Society of Aesthetic Plastic Surgery
  • International Confederation for Plastic, Reconstructive and Aesthetic Surgery
  • California Pacific Medical Center
  • Most PPO plans