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San Francisco Plastic Surgery

San Francisco Plastic Surgery

Med spa in San Francisco, CA

Rated 4.8 out of 5 (129 on Google Maps) (opens in a new tab) Closed now

The practice was established in 2006 by Dr. Karen Horton as a private practice in Pacific Heights and is located in the Pacific Professional Building. It operates a physician-owned surgery center on site, which the practice describes as a modern facility with advanced equipment, designed specifically for plastic surgery. The surgical facility is Quad A accredited, and the practice's team is all women.

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About

The practice was established in 2006 by Dr. Karen Horton as a private practice in Pacific Heights and is located in the Pacific Professional Building. It operates a physician-owned surgery center on site, which the practice describes as a modern facility with advanced equipment, designed specifically for plastic surgery. The surgical facility is Quad A accredited, and the practice's team is all women.

The practice describes its model as boutique, limiting its patient load so each patient receives individualized attention. Care is meant to cover everything from the first consultation through post-operative follow-up, with the same team working with patients from consultation through surgery day and recovery. The aim is natural-looking results that enhance each patient's own features, and some before-and-after images are withheld for privacy, with additional confidential examples shown at consultation. The practice no longer participates in insurance networks and focuses on self-pay, with financing accepted through Cherry, PatientFi and CareCredit. After surgery, the office can guide patients through starting an insurance claim for reimbursement.

Surgical services cover breast procedures including augmentation, lift, mastopexy with augmentation, tubular breast correction, reduction, implant removal, fat grafting, cosmetic nipple surgery, nipple reduction and inverted nipple repair. Breast reconstruction after mastectomy is offered using implants placed prepectorally or the body's own tissue, including microsurgical DIEP and TUG flap techniques and nipple-sparing mastectomy with immediate reconstruction. Complex revision surgery is available after reconstruction, reduction, lift or implants, including for breast cancer survivors who have completed treatment. Body procedures include tummy tuck, liposuction, a Mommy Makeover customized for women after pregnancy, birth and breastfeeding, labiaplasty, post weight loss body contouring and umbilicoplasty. Facial procedures include face, neck and MACS lifts, eyelid surgery, earlobe repair and cosmetic ear surgery, and male breast reduction for gynecomastia is also offered. Surgical patients can have scar therapy with a nurse practitioner six to eight weeks after surgery.

Non-surgical services include BOTOX and Dysport, injectable dermal fillers and lip fillers, Sculptra, SKINVIVE by JUVÉDERM, intense pulsed light, Clear + Brilliant laser skin rejuvenation, XERF skin tightening, PRF EZ Gel, microneedling, LATISSE eyelash lengthening and BOTOX for bruxism, hyperhidrosis and lip flips.

The practice aims for natural-looking results that enhance each patient's own features, with individualized care and attention to detail, and it describes itself as patient-centered.

Warm, calm and private, in a facility designed for plastic surgery.

Specials & promotions

  • Free SkinCeuticals SPF 50 sunscreen with laser or microneedling package

    Complimentary sunscreen received with the purchase of any laser or microneedling package.

    On their website as of Oct 30, 2026 · Where we saw it

  • $65 off first Botox treatment

    New to Botox. Become an Allē member or sign up today to claim this limited time offer.

    On their website as of Oct 30, 2026 · Where we saw it

Services

Final prices may vary.

BOTOX and Dysport, injectable dermal fillers, lip fillers and Sculptra.

  • Sculptra® Price at booking

Skin care consultations and medical-grade products for the face, neck and chest, sold through the office.

  • Skin Care Consultation Price at booking
  • JUVÉDERM® Ultra® XC Price at booking
  • JUVÉDERM® Vollure® XC Price at booking
  • JUVÉDERM® Voluma® XC Price at booking
  • Restylane Contour® Price at booking
  • Restylane Defyne® Price at booking
  • Restylane Kysse® Price at booking
  • Restylane-L® Price at booking
  • Restylane Lyft® Price at booking
  • Restylane Refyne® Price at booking
  • BOTOX®/Dysport Price at booking
  • BOTOX for Bruxism Price at booking
  • BOTOX for Hyperhidrosis Price at booking
  • BOTOX® for Severe Underarm Sweating (Hyperhidrosis) Price at booking
  • BOTOX Lip Flip Price at booking
  • Clear + Brilliant Laser Skin Rejuvenation Price at booking
  • Injectable Dermal Fillers Price at booking
  • Intense Pulsed Light (IPL) Price at booking
  • LATISSE Eyelash Lengthening Price at booking
  • LATISSE® Eyelash Lengthening Treatment Price at booking
  • Medical Grade Skin Care Price at booking
  • Microneedling Price at booking
  • PRF EZ Gel Price at booking
  • Scar Therapy Price at booking
  • XERF Skin Tightening Price at booking
  • SKINVIVE™ by JUVÉDERM® Price at booking
  • BOTOX Cosmetic First Treatment $65

Photos

  • Bright reception area with curved desk and gray sofa
  • Waiting room with pink chairs and bridge painting
  • Surgeon in red scrubs by window with award badges
  • Surgeon in pink scrubs with four staff in operating room
  • Treatment room with chair and city view in the office
  • Front reception desk with wood panel and artwork
  • Smiling clinician in blue scrubs in a procedure room
  • Staff gowning up for surgery in the operating room
  • Smiling staff member in scrubs in the operating room
  • Five staff posing in a procedure room
  • Treatment room with exam chair and cabinets
  • Exam room with reclining chair and sink

Meet the team

Team members listed on their website. Individual roles, credentials, and current employment have not been independently verified.drkarenhorton.com (opens in a new tab)

Highlights
  • Physician-owned surgery center on site, listed as a Quad A accredited surgical facility
  • Microsurgical and nipple-sparing breast reconstruction options
  • Complex breast revision for breast cancer survivors
  • Mommy Makeover plans tailored to women after pregnancy and breastfeeding
  • Full-facial balancing approach in injectable treatments
  • Self-pay with financing options and help starting insurance reimbursement claims after surgery
Good for
  • Patients considering breast surgery
  • Women after pregnancy, birth or breastfeeding
  • Breast cancer survivors seeking reconstruction or revision
  • Men considering male breast reduction
  • Patients wanting non-surgical facial treatments
  • Patients looking for a personal skin care consultation
  • Patients who plan to pay self-pay or with financing
Treats
  • Breast size and shape
  • Breast reconstruction after mastectomy
  • Post-pregnancy body changes
  • Post weight loss body contour
  • Facial sagging and neck laxity
  • Eyelids and earlobes
  • Dynamic wrinkles
  • Lip lines and lip volume
  • Gummy smile
  • Underarm sweating
Techniques
  • Breast augmentation and auto-augmentation technique
  • Microsurgical breast reconstruction (DIEP, TUG)
  • Nipple-sparing mastectomy
  • Mastopexy with augmentation
  • Liposuction
  • Tummy tuck
  • BOTOX
  • Dysport
  • Dermal fillers
  • Sculptra

Products & treatments

  • JUVÉDERM Ultra XC
  • JUVÉDERM Vollure XC
  • JUVÉDERM Voluma XC
  • SKINVIVE by JUVÉDERM
  • Restylane Contour
  • Restylane Defyne
  • Restylane Kysse
  • Restylane-L
  • Restylane Lyft
  • Restylane Refyne
  • Sculptra
  • LATISSE
  • SkinCeuticals
  • SkinRx
  • Neocutis
  • SkinMedica
  • Revision Skincare
  • Colorescience
  • SkinBetter Science
  • BioCorneum plus SPF 30
  • Arnicare by Boiron

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