American Society of Plastic Surgeons
For Medical Professionals

Karen M. Horton, MD, MSc, FACS, FRCSC

Active Member

Active Member

Karen M. Horton, MD, MSc, FACS, FRCSC

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, exceptional surgical results, in a warm, welcoming environment. Her practice is centered on providing beautiful, natural and long-lasting results.

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Meet Dr. Karen Horton

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.

Your Consultation

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.

Patient Testimonials

Please see Dr. Horton's professional website for her patient testimonials:

Procedures Performed

Aesthetic Genital Plastic Surgery

Arm Lift

Body Contouring

Body Lift

Botulinum Toxin

Breast Augmentation

Breast Implant Removal

Breast Implant Removal

Breast Implant Revision

Breast Lift

Breast Reconstruction

Breast Reduction

Breast Reduction

Brow Lift

Chemical Peels, IPL, Fractional CO2 Laser Treatments

Dermal Fillers

Ear Surgery

Eyelid Surgery


Free Flap Breast Reconstruction

Laser Skin Resurfacing

Lip Augmentation/Enhancement


Male Breast Reduction

Male Chest Implants



Mommy Makeover

Neck Lift

Nonsurgical Fat Reduction

Retin-A Treatments

Scar Revision

Thigh Lift

Tummy Tuck

Ask A Surgeon

Ask a Surgeon

Dr. Karen Horton participates in the ASPS Ask A Surgeon service. View responses to public questions below.

Neck lift

Arm Lift

Member Response:

A neck lift has an average downtime of about one month "social downtime" where you would not be attending regular social functions. You can expect swelling and bruising for up to two weeks, numbness of the skin for several weeks and incisions that will be raised for at least one month. Scars in the face and neck tend to heal very well but are still pink at three months, taking up to a full year to flatten and fade. Cost of a neck lift varies depending on the complexity of the surgery, whether an overnight's stay is recommended, and the location you live in. In San Francisco, the average total cost, including surgical fees, anesthesia and operating room time averages $15,000. It's an investment, but an incredible one! Karen M. Horton, M.D. San Francisco Board Certified Plastic Surgeon

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Payment Options

  • Cash or Personal Checks
  • Patient Financing
Insurance Options
  • PPO plans - Anthem Blue Cross and United Health Care

Our Location

Our Office Hours

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.


Patient Testimonials

Please see Dr. Horton's professional website for her patient testimonials:

Schedule A Consultation

By submitting your request, you agree to our Privacy Policy and Terms and Conditions.