A surgeon’s daughter, Dr. Horton followed in her father’s footsteps, caring especially for breast cancer patients. Dr. Horton offers women the latest techniques in Breast Reconstruction including using sophisticated Microsurgical techniques to reconstruct the breast using the body’s own tissue; avoiding sacrifice of major muscles of the body. Dr. Horton additionally offers the exciting option of nipple-sparing mastectomy and immediate prepectoral single-stage prepectoral breast implant reconstruction. A mother of twins herself, Dr. Horton specializes in “Mommy Makeover” procedures to rejuvenate the breasts, abdomen and body of women who have had children and who wish to regain their pre-pregnancy form. She has particular interest and experience in cosmetic breast surgery, including breast augmentation, breast lift, breast reduction and complex revision breast surgery. An invited guest speaker at meetings throughout the United States, Dr. Horton educates, empowers and informs others about Plastic Surgery. She has published review book chapters on breast surgery, presented clinical papers at national and international scientific meetings, and has won research awards. Featured on television shows, local newscasts and podcasts, Dr. Horton discusses the latest techniques in Plastic Surgery. Outside of surgery, Dr. Horton pursues physical fitness and is committed to staying in her very best shape with Pure Barre, Peloton and running . She encourages all her patients to become physically active before surgery, and to strive toward their weight loss and fitness goals prior to undergoing any major surgery. She lives in Marin county with her husband and fraternal twin daughters. For a sneak peak of Dr. Karen’s life in the office/operating room and outside of surgery, follow her Instagram account. Dr. Horton is dedicated to utilizing her experience and abilities to provide compassionate care that meets or exceeds patient expectations. She treats patients as if they were a dear friend or family member.