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    Karen M. Horton, MD

    4.4 (223 reviews)
    Open 9:00 am - 5:00 pm

    By appointment only

    Updated 2 months ago

    Services - Karen M. Horton, MD

    Anti-aging

    Skin brightening

    Wrinkle treatment

    Karen M. Horton, MD Photos

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    3 months ago

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    4 days ago

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    23 days ago

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    Dr. Karen H.

    Thank you so much for your kind and detailed review!!! XOXO

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    1 month ago

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    2 months ago

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    7 months ago

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    4 months ago

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    4 months ago

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    9 months ago

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    11 months ago

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    1 year ago

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    1 year ago

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    8 months ago

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    9 months ago

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    4 months ago

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    10 months ago

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    11 months ago

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    2 years ago

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    11 months ago

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    5 months ago

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    8 months ago

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    10 months ago

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    9 months ago

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    2 years ago

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    Dr. Karen H.

    Thank you so much!!! XOXO

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    2 years ago

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    3 years ago

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    2 years ago

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    4 years ago

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    3 years ago

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    1 year ago

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    2 years ago

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    3 years ago

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    3 years ago

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    2 years ago

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    6 years ago

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    Dr. Karen H.

    Elizabeth, I have sent you a private email.

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    3 years ago

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    2 years ago

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    3 years ago

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    2 years ago

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    4 years ago

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    Page 1 of 6

    Ask the Community - Karen M. Horton, MD

    Hi do you offer under eye filler? If so, how much, on average, is 1 syringe?

    Each patient is different - to learn whether you are a candidate, please call my office to schedule a consultation. 415-923-3067

    How much is a unit of botox for tmj?

    Please call our office at your convenience for pricing details. And visit https://www.yelp.com/biz/emily-sespaniak-np-san-francisco to read Emily's Yelp reviews!

    Hello what is the price range for a Umbicoloplasty?

    The cost of an umbilicoplasty depends on many factors including the extent of the umbilicus distortion, whether there is underlying rectus diastasis (separation of the rectus abdominis muscles - that can be congenital or post-pregnancy), and if… 

    Do you do eyelid surgery and is it covered by insurance and done with local anesthetic?

    Hello! Eyelid surgery, known as blepharoplasty, can indeed be performed under local anesthesia and/or minor oral sedation/antianxiety medication in the office. It is considered cosmetic and would not be covered by insurance.

    What is the estimated cost for lip fillers/Botox? What would you recommend for a 24 year old looking to get fuller lips?

    Please consider coming to see Emily Sespaniak NP for an in-person assessment: https://www.yelp.com/biz/emily-sespaniak-np-san-francisco.

    What are your treatment options for keloids and their estimated costs? For instance, what is the cost for a session for steroid injection? Thank you!

    A consultation with myself or my Nurse Practitioner Emily Sespaniak who educates our surgical patients about scar therapy is $100. This would include the cost of any initial steroid injection. Additional injections would be on an as needed basis. We… 

    Average price of labiaplasty?

    The total cost of a labiaplasty depends on several factors, including whether it will be done in the office under local anesthesia or whether a quick trip to the operating room with a general anesthetic is preferred. The average cost ranges from… 

    How much do your tummy tuck price start?

    Diana, the cost of a tummy tuck (abdominoplasty) varies depending on the length of surgery, additional procedures such as liposuction, whether an overnight's stay in the hospital is recommended and other factors. More information can be found here:… 

    Hi do you offer Vaser liposuction?

    YES we do! VASER is one type of ultrasonic liposuction, which is necessary to remove firm, fibrous, stubborn fat in the back area, flanks and in men. Please contact my office for more information!

    Are you able to treat or remove keloid scars, if so what treatments do you offer?

    Keloid scars are very tricky. They can be injected with steroid to bring down the size, redness, itching or pain. Surgery is often what is needed to remove a keloid, and combined surgery + radiation is a more extreme treatment for refractory… 

    What is the ballpark cost of silicon breast implants? Are these the preferred method? Is the incision done through the armpit or is another location recommended? Is an overnight stay necessary for this procedure? Thank you!! :)

    Hello! The cost of any surgery depends on several factors, including anatomy and other details specific to your body. The ballpark cost for breast augmentation with silicone gel implants is $8000-$10000.… 

    Are all your liposuction procedures done under general anesthesia? Or can some of them be done under local anesthesia. For instance, would the removal of dorsocervical fat possibly be done with local anesthetic injection?

    Liposuction certainly can be done in the office under local anesthesia and oral anti-anxiety medication in the right surgical candidate, in an appropriate area and safe circumstances! For more information, please call my office at 415-923-3067!… 

    Is there anything for knee wrinkles?

    Unfortunately no good treatment! Keeping your skin healthy and hydrated and optimizing your muscle tone are the best options. Save your money and don’t get sucked in by medispas who promise the world with their machines!

    How much does breast reduction cost?

    The cost of a breast reduction can vary depending on the length of surgery (usually 3-3.5 hours), whether you stay overnight after surgery, and other details such as liposuction which is often added to the axillary rolls and the back fat/bra roll… 

    Can anyone share their experience with c section scar revision?

    I perform many C-section scar revisions each week! Come in to the office for a consultation and so we can best evaluate your situation. Karen Horton M.D.

    Don’t See Your Question? Ask Away!

    Review Highlights - Karen M. Horton, MD

    Nurse Mari and Mary, the Office Manager, are very warm, welcoming, informative, and professional too!

    Mentioned in 25 reviews

    Read more highlights

    David W Kim, MD

    David W Kim, MD

    4.7
    (229 reviews)
    1.7 mi
    $$$
    Boutique
    16 years in business

    Before meeting Dr. Kim, I was convinced that he wouldn't be able to help me. After three previous…read morerhinoplasties and dealing with my overly crooked nose and deviated septum, I expected him to tell me--like other plastic surgeons had over the years--to leave my flawed nose alone. To my surprise, after his assistant took pictures from all angles and he examined my nose, he said he could help me and that I was a good candidate! Two months ago, I underwent revision rhinoplasty with Dr. Kim, and I'm extremely happy with the results. He guided me every step of the way regarding what to expect from the surgery. Firstly, he informed me that my nose would be swollen and appear "big" for several months and that it might take up to 1-2 years to settle into its expected shape. He also mentioned that some asymmetry would remain, but that it would be significantly improved. Even while still swollen, I can see a huge improvement, and I've already received compliments from three friends about my new nose. I can breathe better now and have less sinus discharge. Most importantly, I no longer feel self-conscious about my nose. Each day, it seems to be getting a bit smaller, which is exciting. The renditions he provided of what my new nose would look like closely match how my nose appeared right after surgery before the swelling began. I would recommend Dr. Kim to anyone unhappy with their nose. I only wish I had found him sooner.

    Uneven nostrils, bridge of the nose smashed, nose crooked now, what was a naturally high bridge is…read morenow completely flat. Damage that can't be repaired. He was the first nose surgery and got two more to try to fix it. Botched on every level and sent me on my way.

    Photos
    Our world class team!
    Our world class team!
    David W Kim, MD
    David W Kim, MD

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    Usha Rajagopal, MD

    Usha Rajagopal, MD

    4.5
    (358 reviews)
    0.7 mi
    $$$

    Got microneedling with nurse Alexa this time and the results were great! Skin is smoother and skin…read moreis brighter!

    For context, I received 3cc facial Renuva injections in Beverly Hills two years ago but that…read moresurgeon didn't numb my face and those injections were more painful than actual surgery. Fast forward to this year, I read that Dr. Rajagopal was the number one Renuva provider in the country and her website stated that numbing cream was used. I was terrified of more pain but hopeful that this experience would be less painful. At this office, numbing cream was literally applied to my face for 30 minutes and then ice was applied afterwards. Although the injections were still painful, they were much more tolerable. Dr. Rajagopal has a gentle hand, a kind demeanor, and good aesthetic sense. I've seen four other different plastic surgeons but Dr. Rajagopal has given me the most faith in doctors. I wish that I had known about her earlier. I would definitely come here for Renuva injections or other treatments as needed. They are not inexpensive at 2500 for 3 cc. Dr. Rajagopal clearly cares about people and their comfort. This is very important as any surgery or injection is a stressful experience so bedside manners and genuine concern is priceless. The only odd thing was that I was presented the bill during numbing by a staff member. Payment is expected after treatment and I knew the cost beforehand so it was strange to get the bill during the middle of the procedure and then after the procedure again. I would have been happy to pay in advance if they are worried about people leaving without paying. In any case, the office staff was nice. There was easy and free private parking provided. I would not hesitate to recommend Dr. Rajagopal for her keen aesthetic eye and caring demeanor.

    Photos
    Please call us at 415-392-3333 to learn more about our financing options for breast augmentation.
    Please call us at 415-392-3333 to learn more about our financing options for breast augmentation.
    Dr. Usha Rajagopal, Breast Augmentation Consultation
    Dr. Usha Rajagopal, Breast Augmentation Consultation
    VECTRA 3D Imaging for breast augmentation

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    VECTRA 3D Imaging for breast augmentation
    Ginger Xu, MD - Ethos Plastic Surgery

    Ginger Xu, MD - Ethos Plastic Surgery

    5.0
    (49 reviews)
    0.0 mi

    From consultation to augmentation, I have felt nothing but care and quality from the moment I…read morewalked into their beautiful office , greeted by the staff that made me feel very comfortable and trusting the very talented Dr. Xu with this life change. I couldn't be happier with my results and would recommend this experience to anyone who is ready for their next chapter. I'm entering mine with confidence and beautiful new boobs!

    I am 6 months post brachioplasty on both of my arms with Ethos Plastic Surgery. I am really…read morethankful for having encountered Dr. Xu. She was genuinely compassionate while also being honest about what she thought would be most effective for addressing my concerns. The value of being able to stand, undressed, with a new person, and to talk with them about your body is such an intimate act - and Dr. Xu handled this with me with expertise and grace. She validated my progress and was encouraging about future potential. Dr. Xu was professional and caring in every encounter. The office staff is welcoming and encouraging and humorous. The space is lovely and feels comfortable. The most wonderful thing is ... the outcome of the surgery, the contouring specifically is truly beautiful. I feel like I have my own natural arm shape and it feels freeing and makes me so happy. Surgery comes with scars and they are a trade off for me. I love my arms so much, even with the scars, which are still young and will heal and fade further. Scar tape works incredibly well and is a very low cost resource I highly recommend. For me, Dr. Xu's personality, her skill set, and her eye for esthetics are simply incredible. It is also clear that the office team is trying to provide an experience for their clients to feel welcomed, held, cared about, and supported throughout the process, including into recovery. One thing I would prepare others for who are considering this option is that the surgery center and anesthesiologist were an expensive part of the overall package. While I trust and feel confident with Dr. Xu, there are other people who also support the surgery. The anesthesiologist was trying to put an iv in my foot, which was painful, before Dr. Xu arrived and advised him to put me under first. That seems like something the anesthesiologist, with all his years of experience, should have known to do himself. The surgery itself went beyond the estimated time and both the surgery center and anesthesiologist had additional fees, increasing the overall cost by ~2k. With that said, I do highly recommend Dr. Xu to others. Go meet her and her team and hear her thoughts and see if what she can offer will meet your needs.

    Photos
    Dr. Ginger Xu
    Dr. Ginger Xu
    Ginger Xu, MD - Ethos Plastic Surgery
    Ginger Xu, MD - Ethos Plastic Surgery

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    Raj Dedhia MD Facial Plastic Surgery

    Raj Dedhia MD Facial Plastic Surgery

    5.0
    (14 reviews)
    0.8 mi
    Available by appointment
    Offers customized solutions

    Dr. Dedhia is a true professional. I came to his office with a huge list of questions about the…read morevarious types of rhinoplasty and chin augmentation. He patiently answered every single one of them, providing relatable yet thorough explanations that really helped me understand the tradeoffs of each potential route. What I appreciated the most: his very personable bedside manner and his no-pressure approach. He even said very genuinely that I didn't NEED any enhancements - it's more about what I WANTED, to feel best about myself. When you are considering cosmetic procedures in the face & neck area, it's imperative that you select a surgeon who is certified by both the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology in Head and Neck Surgery, as Dr. Dedhia is. Prior to meeting Dr. Dedhia, I had consulted with a general plastic surgeon, and she nearly guided me in the wrong direction. Additionally, make sure to select a plastic surgeon who takes the time to truly understand any medical issues you have so that they can help you evaluate the risks and benefits of what you are considering cosmetically. I have multiple health conditions, including one that is very rare - Dr. Dedhia fully took all of them into account, even doing research in advance of our appointments to make sure he deeply understood what we were dealing with. Then, he explained clearly how my healing and outcome could be affected, guiding me down the most sensible path. (By contrast, another very experienced head & neck plastic surgeon I'd seen earlier this year had recommended a procedure that was far too drastic under the circumstances). Overall, I felt fully confident in Dr. Dedhia's judgement. And I should also mention that the customer service was top-notch throughout my experience, thanks to his office manager Colleen. In sum, Dr. Dedhia is extremely knowledgeable, skilled, professional, and personable - for those reasons, I give him my highest recommendation.

    Dr. Dedhia is a doctor I can trust to give an honest opinion so you can be confident in whatever…read moretreatment you chose. I wish more doctors could be as straightforward and unbiased as him!

    Photos
    Dr. Raj Dedhia is a Double-Board Certified Facial Plastic Surgeon with over a decade of surgical experience in rhinoplasty and facelifts.
    Dr. Raj Dedhia is a Double-Board Certified Facial Plastic Surgeon with over a decade of surgical experience in rhinoplasty and facelifts.
    Welcome to Raj Dedhia MD Facial Plastic Surgery
    Welcome to Raj Dedhia MD Facial Plastic Surgery
    Raj Dedhia MD Facial Plastic Surgery

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    David C. Mabrie, MD

    David C. Mabrie, MD

    4.3
    (269 reviews)
    1.4 mi
    $$$

    This guy right here is a doctor and an artist. He knows his stuff. He also continues to train to…read morestay up to date in his precession. I have been getting fillers for the past 10 years. I found doctor Marbrie two years ago. When I tell you I am so satisfied shaved a decade and a half off. His staff Crystal,Ro and Viv make me feel like I have returned home. Don't stop run to see him you will be as satisfied as I am. I'm turning 67 this year and I swear no one would notice unless I told them. I already look good before fillers. My results are natural and properly placed. Don't waist your time and money go see this guy. Oh and the office is beautifully decorated. I love this guy and his staff. Thank you Mabrie facial institute for a job well done repeatedly.

    In response to the response from this clinic I offer the following . I have never received a…read morerefund. I requested one to help cover medical bills resulting from an ongoing medical disfigurement. Instead of issuing a refund like a standard clinic, I was told it would only be provided if I signed an NDA. I refused to sign, and as a result, no refund was ever given. This is exactly what I mean by trying to buy my silence. I very clearly have an NDA in my email box from them offering 3k, in exchange that I remain silent and release them from legal action. I never sued them. I've never done anything. I've literally be traumatized for the past three years. This is the first action I've taken to warn others. No one should have to go through what I went through.

    Photos
    February 2022
    February 2022
    David C. Mabrie, MD
    This is me and his office on June 29, 2021 getting my initial injection. This is what I look like before the injection.

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    This is me and his office on June 29, 2021 getting my initial injection. This is what I look like before the injection.

    Karen M. Horton, MD - cosmeticsurgeons - Updated August 2026

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