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4worldlovers: We perform master plastic surgery and aesthetic treatments to help you look your best without looking fake or overdone

When it comes to improving your appearance, many people are worried about ending up with a bad result. At 77 Plastic Surgery, we help people look their best without looking fake or unnatural. We are known for our eye for detail and artistic skill so that you will look beautiful and natural.

Dr. Fan is an award-winning, San Francisco plastic surgeon offering comprehensive cosmetic care for every stage of life including cosmetic plastic surgery and medical spa services. He has developed a unique and rigorous approach to cosmetic care based on science, art & ethics called "Beauty For Life."

Voted One of America’s Top Plastic Surgeons for 12 years running

Featured on CNN, NBC, ABC, HuffPo and other national media outlets

State of the art office and onsite private surgery center in San Francisco

Not being happy with your appearance can zap your energy and confidence. Don't be held back.

4worldlovers: Established in San Francisco’s iconic Union Square, we have been a trusted leader in Bay Area cosmetic plastic surgery for over 20 years, treating over 40,000 patients. We offer a comprehensive range of both innovative and classic procedures specializing in the face, breast and body. Our practice is led by renowned Board Certified Plastic Surgeon Dr. Usha Rajagopal, voted “Best Plastic Surgeon in San Francisco” by the San Francisco Examiner, who brings compassion, expertise, and feminine insight to her craft. For the past decade, Dr. Rajagopal has been invited to present at national conferences and has served as an Allergan trainer for various physicians and nurses of different specialties, teaching best practices for Botox and advanced injectable and surgical techniques for the entire face. She is also a published author and her article on thread lifts for the face can be found in the latest volume of Advances in Cosmetic Surgery.

Dr. Rajagopal empowers patients by helping them select the right procedures for their unique vision and body type. Our highly-trained, supportive staff is sensitive to the comfort and privacy of each patient. We strive to provide our patients natural and lasting results with unparalleled attention to detail. We are an all-women medical staff multilingual in English, Spanish, Cantonese, Hindi, Tamil, French, and Tagalog. At the San Francisco Plastic Surgery & Laser Center, we are proud to be one of the few practices to offer complete transparency in our pricing. Check out our Pricing and Financing page for more information.

Meet Nurse Sage. Our talented injector has been trained extensively under Dr. Rajagopal, providing the best patient care and producing beautiful aesthetic results. Nurse Sage specializes in non-surgical treatments for the face and body, including:

"Where do I start....Dr. Rajagopal did an absolutely amazing job on my breast augmentation. I used to be a 34DD, I lost weight and with the weight went my boobs. I went to Dr. Rajagopal for help to make me feel as beautiful on the outside as I felt on the inside. She did just that and so much more.

She is so caring and her staff is absolutely amazing as well. I highly recommend her for your breast aug. I've also gotten Botox and love my results! Thank you and your staff, I feel like part of the family not just a patient."

"It took me a year to finally to finally take the plunge and schedule a consultation for my double chin. I come from a genetic background of double chins. The more weight I'd loose, the worse my chin would get - and keep in mind I'm 5'2 & 130 lbs. so I'm normal weight. I called before Christmas, scheduled my consultation for 1/10 and had the liposuction procedure 1/23. The procedure did not hurt at all, I just experienced some soreness when I put my head down to sleep.

This is by far the best decision I've made in a while and I could not be any happier with my results. The staff was extremely friendly and helpful, I would highly recommend!"

"I was referred to Dr. Usha Rajagopal by two of my friends who got Botox and Coolsculpting done with her. They mentioned Dr. Rajagopal being one of the best plastic surgeons in SF so I decided to book an appointment with her. Dr. Rajagopal is definitely AMAZING, talented, and a natural artist. I came in for lip fillers & non-surgical chin augmentation to achieve the "v-line" look and slim down my face. I was a bit nervous at the beginning, since I've never done any injectables or tampered with my face before. Her staff is top notch and made sure I felt comfortable throughout the entire process. Dr. Rajagopal answered all of my questions and has a very "motherly" and nurturing way of communicating the procedure, what to expect, results, and aftercare. I did some research beforehand and saw that Dr. Rajagopal has been doing this for over 20 years and she also has some good before and after photos to reference. I knew I was in good hands."

4worldlovers: Dr. Evan Ransom is an Ivy League-educated and Ivy League trained Facial Plastic and Reconstructive Surgeon. He is a Double Board Certified Head and Neck Surgeon and Facial Plastic and Reconstructive Surgery and fellowship-trained in facial plastic, reconstructive, and laser surgery. His practice is in the San Francisco Bay Area, serving patients from San Francisco, Oakland, Marin County, Palo Alto, Silicon Valley, Walnut Creek, the East Bay, and all over Northern California. Dr. Ransom is a specialist in cosmetic and reconstructive surgery of the nose, eyelids, ears, face, and neck. He performs surgery at multiple hospitals and outpatient specialty surgery centers in San Francisco and Marin County, California. In addition, Dr. Ransom has extensive training in non-surgical and minimally-invasive or “no downtime” treatments.

Dr. Ransom completed his undergraduate education at Northwestern University, outside of Chicago, and graduated with Honors in Biology (Neurobiology concentration) with a strong research focus on neurological development and neuronal plasticity. While at Northwestern, he co-directed the largest volunteer organization on campus (the Northwestern Community Development Corps). He then attended the College of Physicians & Surgeons at Columbia University in New York City. Dr. Ransom graduated with the prestigious Alpha Omega Alpha honor (top 10% of the class). He went on to complete his residency training in Head and Neck Surgery at the University of Pennsylvania in Philadelphia, a “Top Ten” academic program and a “Top Hospital” in the United States, according to U.S. News & World Report. Finally, Dr. Ransom was selected from a pool of national and international candidates for a fellowship in facial plastic, reconstructive, and laser surgery with renowned plastic surgeon Dr. Andrew Jacono (as seen on TV on the Discovery Fit & Health network and the Oprah Winfrey Network) in New York City and Long Island, New York.

Following the completion of his medical and surgical training, Dr. Ransom returned to California to open a practice focused on aesthetic and reconstructive surgery of the face, nose, and neck, as well as non-surgical rejuvenation of the face. Dr. Ransom is an attending surgeon at the California Pacific Medical Center, St. Mary’s Medical Center, and St. Francis Memorial Hospital in San Francisco, as well as Marin General Hospital. He is the author of over 30 medical studies and textbook chapters and has given numerous lectures at national meetings (see In the News and Curriculum Vitae).

Dr. Ransom’s practice includes reconstruction of complex defects of the face and neck resulting from Mohs surgery, cosmetic and functional rhinoplasty (“nose job” surgery or nose reshaping), and all types of surgery for the aging face (facelift, eyelid lift, brow or forehead lift, midface lift, and fat grafting). He uses the latest in minimally invasive and endoscopic techniques. He also provides non-surgical treatments, including injectable soft tissue fillers (Restalyne, Juvederm, Radiesse, and others), neuromodulators (Botox Cosmetic and Dysport), and chemical peels. Finally, Dr. Ransom is skilled with the latest in laser treatments – both ablative and non-ablative.

Community service is a very important part of Dr. Ransom’s practice. He performs cleft lip and palate surgery with Healing the Children, a non-profit organization focused on international health (see Mission Work and Philanthropy page). He has been on humanitarian missions to Ecuador, Colombia, Mexico, and Thailand. In addition, through his work with two American Academy of Facial Plastic and Reconstructive Surgery programs, Face to Face and Faces of Honor, Dr. Ransom is proud to dedicate time and offer pro bono specialty care for treatment of domestic violence victims and wounded soldiers. Finally, Dr. Ransom is proficient in Spanish, including medical Spanish, and is happy to accept Spanish-speaking patients.

4worldlovers: Kenneth Bermudez, MD, is a board-certified plastic surgeon with more than 20 years of experience. He is committed to helping his San Francisco cosmetic and reconstructive surgery patients achieve — and often exceed — their cosmetic goals.

Looking for the best plastic surgeon in San Francisco? Dr. Kenneth Bermudez has been named “Top Doctor” three years in a row by Marin Magazine as well voted “Best Doctor” by San Francisco Magazine in 2019! Dr. Bermudez is committed to the highest quality, most compassionate care you can find. He believes trust and communication with patients are of paramount importance in achieving results that not only meet but exceed your cosmetic surgery goals. Dr. Bermudez provides individualized care and is there with you for every step of the treatment process, from the first consultation to the final stage of recovery.

​​​​​​​For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public.

Kenneth Bermudez, MD, is a board-certified and experienced plastic surgeon in many areas of cosmetic and reconstructive surgery. Dr. Bermudez blends science and art to help patients achieve, and often exceed, their cosmetic goals. He makes compassionate, attentive, and state-of-the-art care his top priority and has established himself as a premier San Francisco plastic surgeon helping people look and feel their very best. Dr. Bermudez was recognized as the Best San Francisco Plastic Surgeon by Marin Magazine in 2018, 2015, 2014, 2013, 2012, earned the “Top Doctor” award.

4worldlovers: “Our goal is to provide superior service and an outstanding commitment to patient care with a personal approach. We are proud to offer a variety of surgical and non-surgical procedures to help patients achieve a more beautiful and natural looking result!”*

Amazing plastic surgeon and physician! Dr. Javaheri presents you with different treatment options and lets you as the patient make the decision on which option is best for you. It's rare to find a Doctor who listens to your wants and needs.

Double board-certified plastic surgeon in San Francisco, Dr. Javaheri provides a range of plastic and reconstructive surgical options for patients in the Bay Area. Dr. Javaheri offers a full range of reconstructive and plastic surgery options to help improve your appearance and combat the signs of aging. His years of experience in plastic surgery allows him to customize your treatment.

Dr. Shahin Javaheri is a second-generation surgeon in his family. He is double Board Certified by the American Board of Plastic Surgery and by the American Board of Otolaryngology. He is also a Diplomat of the American Board of Plastic Surgery. He graduated from Medical College of Pennsylvania and did his surgical residency at UC Davis, his Otolaryngology residency at UCI, and his residency in Plastic and Reconstructive surgery was completed at University of South Florida.

Dr Javaheri’s specialty is reconstructive and plastic surgery of the breast and body. Plastic surgeon Dr. Shahin Javaheri has two surgery centers; Berkeley and San Francisco.

Injectable fillers such as collagen can help fill in these lines and creases, and temporarily restore a smoother, more youthful appearance. Dermal Fillers are a great treatment to deal with wrinkles. They can be used to add a fullness to the cheeks and lips as well. Dr. Javaheri is a specialist in facial procedures and in non surgical treatments.*

Our non surgical treatments are designed to target areas of the skin, to fight acne and restore your skin back to a fresh, natural, clean state. Non surgical treatments are becoming more and more popular among patients. We strive to provide the highest quality treatments for our clients and use the latest industry technology and standards.*

Throughout people’s lives, the effects of gravity, sun exposure, and the general everyday stresses of life can begin to affect …

The surgical procedure to reduce or refine the nose is known as a rhinoplasty.The reasons for considering rhinoplasty vary…

Our eyes are considered by many to be the most important features on our face. Over time their beauty…

Dynamic lines can be dramatically softened with regular Botox treatments. The procedure involves…

Breast augmentation continues to be most popular cosmetic procedure among women. Many women who are unhappy with the size or shape of their breasts choose breasts augmentation. With the help of Dr. Shahin Javaheri, you can say goodbye to push-up bras and feel more confident!

Certified Plastic Surgeon In San Francisco, Dr. Javaheri understands that performing the procedure is about art, skill, and experience to help achieve your desired results. If you have lost breast volume due to breastfeeding or pregnancy, a breast augmentation can restore their volume. With his years of experience allow Dr. Javaheri to customize the procedure that will put your mind at ease and provide you excellent results!*

Breast Augmentation is about art, skill and experience. Dr Javaheri understands this and will design a surgical…

If you have ever stood in front of a mirror and wished that your breasts were firmer, higher and more youthful…

If you are a woman with overly large breasts, breast reduction surgery can be a tremendous life-enhancing…

For many women diagnosed with breast cancer, mastectomy (breast removal) is an unfortunate…

If you have lost a large amount of weight you may experience loose and excess skin around your arms, abdomen, thighs, hips and buttocks areas. It is not uncommon to feel unhappy once achieving your weight loss goals. If routine diet and exercise are still not giving you the shape you desire, a surgical option may be the right step for you.*

San Francisco plastic surgeon and body specialist Dr. Javaheri is an expert in determining the right procedure for you. He combines surgical skill, experience, and balances patient expectation with the realities of the patient’s anatomy. The results can be a significant improvement in not only a person’s shape but a boost to one’s self-esteem.*

Liposuction, also known as lipoplasty or lipectomy, is a cosmetic procedure that can help sculpt and refine the…

This procedure is commonly known as a “tummy tuck”, abdominoplasty, is a surgical procedure to remove excess…

Many individuals who have lost a large amount of weight due to gastric bypass, weight reduction surgery, or on …

4worldlovers: We firmly believe that the internet should be available and accessible to anyone and are committed to providing a website that is accessible to the broadest possible audience, regardless of ability.

To fulfill this, we aim to adhere as strictly as possible to the World Wide Web Consortium’s (W3C) Web Content Accessibility Guidelines 2.1 (WCAG 2.1) at the AA level. These guidelines explain how to make web content accessible to people with a wide array of disabilities. Complying with those guidelines helps us ensure that the website is accessible to blind people, people with motor impairments, visual impairment, cognitive disabilities, and more.

This website utilizes various technologies that are meant to make it as accessible as possible at all times. We utilize an accessibility interface that allows persons with specific disabilities to adjust the website’s UI (user interface) and design it to their personal needs.

Additionally, the website utilizes an AI-based application that runs in the background and optimizes its accessibility level constantly. This application remediates the website’s HTML, adapts its functionality and behavior for screen-readers used by blind users, and for keyboard functions used by individuals with motor impairments.

If you wish to contact the website’s owner please use the website's form

Our website implements the ARIA attributes (Accessible Rich Internet Applications) technique, alongside various behavioral changes, to ensure blind users visiting with screen-readers can read, comprehend, and enjoy the website’s functions. As soon as a user with a screen-reader enters your site, they immediately receive a prompt to enter the Screen-Reader Profile so they can browse and operate your site effectively. Here’s how our website covers some of the most important screen-reader requirements:

We run a process that learns the website’s components from top to bottom, to ensure ongoing compliance even when updating the website. In this process, we provide screen-readers with meaningful data using the ARIA set of attributes. For example, we provide accurate form labels; descriptions for actionable icons (social media icons, search icons, cart icons, etc.); validation guidance for form inputs; element roles such as buttons, menus, modal dialogues (popups), and others.

Additionally, the background process scans all of the website’s images. It provides an accurate and meaningful image-object-recognition-based description as an ALT (alternate text) tag for images that are not described. It will also extract texts embedded within the image using an OCR (optical character recognition) technology. To turn on screen-reader adjustments at any time, users need only to press the Alt+1 keyboard combination. Screen-reader users also get automatic announcements to turn the Screen-reader mode on as soon as they enter the website.

These adjustments are compatible with popular screen readers such as JAWS, NVDA, VoiceOver, and TalkBack.

The background process also adjusts the website’s HTML and adds various behaviors using JavaScript code to make the website operable by the keyboard. This includes the ability to navigate the website using the Tab and Shift+Tab keys, operate dropdowns with the arrow keys, close them with Esc, trigger buttons and links using the Enter key, navigate between radio and checkbox elements using the arrow keys, and fill them in with the Spacebar or Enter key.

Additionally, keyboard users will find content-skip menus available at any time by clicking Alt+2, or as the first element of the site while navigating with the keyboard. The background process also handles triggered popups by moving the keyboard focus towards them as soon as they appear, not allowing the focus to drift outside.

Users can also use shortcuts such as “M” (menus), “H” (headings), “F” (forms), “B” (buttons), and “G” (graphics) to jump to specific elements.

This profile enables people with epilepsy to safely use the website by eliminating the risk of seizures resulting from flashing or blinking animations and risky color combinations.

This profile adjusts the website so that it is accessible to the majority of visual impairments such as Degrading Eyesight, Tunnel Vision, Cataract, Glaucoma, and others.

This profile provides various assistive features to help users with cognitive disabilities such as Autism, Dyslexia, CVA, and others, to focus on the essential elements more easily.

: this profile significantly reduces distractions and noise to help people with ADHD, and Neurodevelopmental disorders browse, read, and focus on the essential elements more easily.

This profile adjusts the website to be compatible with screen-readers such as JAWS, NVDA, VoiceOver, and TalkBack. A screen-reader is installed on the blind user’s computer, and this site is compatible with it.

This profile enables motor-impaired persons to operate the website using the keyboard Tab, Shift+Tab, and the Enter keys. Users can also use shortcuts such as “M” (menus), “H” (headings), “F” (forms), “B” (buttons), and “G” (graphics) to jump to specific elements.

4worldlovers: Combining art and science for a result that is naturally beautiful — and beautifully you.

Giving men and women premier personalized care that combines both art and science for a result that is naturally beautiful—and beautifully you.

Thank you for taking the time to meet & speak with me. Your reputation and clinic are amazing and I look forward to speaking with you.

I wanted to thank you for the time you spent with me on Sept. 30th. I also wanted to thank you for the business! I am sure you could observe my unbridled excitement! I look forward to working with you.

Thank you so much for my recent IPL treatment and lesion removal. It has been two weeks and my skin looks clear and glowy now. You are truly an artist and I am fortunate to be your patient.

Thank you for your help even though it was night in Paris. Thank you for making short notice appointment with Dr. My stitches are out and my forehead is looking great. It would not have healed so good without your help.

4worldlovers: In 2013, Dr. Mosser (he/him) opened the Gender Confirmation Center, leaving his private practice of cosmetic plastic surgeries to exclusively dedicate himself to gender-affirming surgical procedures for trans, non-binary, gender expansive and gender-non conforming patients. In his current practice in San Francisco, he is joined by three other board certified plastic surgeons: Dr. Ellie Zara Ley (she/her), Dr. Alexander R. Facque (he/him), and Dr. Daniel Jacobs (he/him). Thanks to the team’s expertise, The Gender Confirmation Center is able to offer the following services to gender-diverse patients:

Dr. Mosser and the rest of the staff at The Gender Confirmation Center pride themselves on being at the cutting edge of practicing gender-affirming surgeries for patiens who identify as non-binary, genderfluid, gender expansive, agender, transfeminine, transmasculine and gender-non confirming–and other patients whose identities and transition goals transcend the gender binary. Since Dr. Mosser is skilled in a wide variety of techniques, for every individual patient the team is able to lay out all possible options so that surgery can be personalize according to their needs and preferences.

The Gender Confirmation Center strongly believes in every gender-diverse person’s right to feel comfortable in their own body. As a result, the practice uses an Informed Consent model for all procedures and does not discriminate on the basis of Body Mass Index (BMI). Moreover, the Center has been able to successfully secure insurance coverage for gender-affirming procedures for over 90% of its patients thanks to its seasoned insurance advocacy team.

All medical and administrative staff with the Gender Confirmation Center, even those who do not interact with patients, recieve transgender cultural comptency training. From the Center’s website to the office experience, Dr. Mosser and his team provide a supportive environment for patients to ask questions and learn about best practices so that they can make the decisions most right for them.

Dr. Mosser is committed to empowering patients through information to make sure they are confident about the procedures from the very start and are aware of all the support that the Center’s office can provide. This commitment is reflected in the Gender Confirmation Center’s website (giving an overview of procedure techniques, risks, surgical preparation, recovery, and insurance coverage), the accessibility of staff through consultation services, and a selection of educational materials about gender-affirming surgeries that are offered to other providers.

You can learn more about the Gender Confirmation Center’s philosophy, services offered and information for patients who wish to travel into the Bay Area from out of town for surgery here.

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4worldlovers: Experience Matters. Triple board-certified facial plastic surgeon and skin care innovator.

4worldlovers: "When you want work done to your body or face, you want to make sure you go to the right doctor. It took me years to finally choose one and I'm so glad I chose Dr. Lee. He is an amazing surgeon and I would definitely recommend him to anyone that wants any procedures done. It's been 5 weeks since I got breast augmentation and they're healing very well. The scars are very light and will get even lighter after time. He will give you his honest opinion about your suggestions and will make you look very natural. Most doctors just want your money and do whatever you want, but Dr. Lee cares about his reputation and that's why he gets so many referrals. I have a ton of friends who are going to him after seeing my breasts. I absolutely love them :)"

"For 10 years I thought and considered doing a breast implant. The desire for the procedure intensified a year and half ago and I started searching for the best cosmetic surgeon. I did several consultations with quite a number of them but when I consulted with Dr Lee, I knew without a doubt that he was the surgeon I have been looking for, for a year and half. Apart from great reviews and qualifications of Dr Lee, I felt his passion and excitement for what he does. You could see that he loves his job and genuinely cares about his clients. He took time to explain in great detail, the procedure. Dr Lee and his beautiful, kind staff spent at least two hours with me. I knew that consultation day that my search for the best cosmetic surgeon for my breast implant was over. The day of the surgery October 2019, I was relaxed and ready because I knew I was in good hands. The procedure went smoothly. Dr Lee strictly instructed the nurses how to take care of me to the point of how to position me, that was going above and beyond. I had a follow up with him twice a week. In all the follow ups, he assessed the surgical site and changed the dressing himself. The outcome of my surgery was simply beautiful..perfect. I am grateful to Dr Charles Lee and his staff. He gave me my confidence and happiness back."

4worldlovers: Dr. Horton is experienced in a range of cosmetic and reconstructive surgeries, including breast augmentation, breast reduction, breast lift, prepectoral and microsurgical breast reconstruction, and mommy makeovers with an emphasis on patient safety and a focus on beautiful results that enhance natural body contours.

The visible effects of gravity, time, and other factors can result in a prematurely aged and tired-looking appearance. San Fransisco Board Certified Plastic Surgeon, Dr. Horton is highly skilled in advanced techniques for facelift, brow lift, neck lift, and eye lift surgery to restore a youthful appearance.

Feeling confident and comfortable in your body can greatly improve your quality of life. Body sculpting surgery, including liposuction, abdominoplasty, and post-weight loss surgery body contouring, can remove stubborn fat or excess skin to define curves for a svelte figure.

Dr. Horton specializes in customized treatment plans to help women feel renewed and revitalized after bodily changes from pregnancy, birth, and breastfeeding. A mommy makeover may include breast procedures, liposuction, tummy tuck, labiaplasty and complementary non-surgical procedures.

Our Board-Certified Nurse Practitioner offers a variety of injectable treatment options including Botox Cosmetic, Juvederm, Belotero, Voluma and Restylane, that reduce the signs of aging and provide a refreshed appearance with little to no downtime.

Non-surgical skin rejuvenation, such as Intense Pulsed Light (IPL) and the Clear + Brilliant laser, can correct hyperpigmentation, diminish fine lines and wrinkles, improve the appearance of scars, and treat visible sun damage to restore a youthful glow.

We offer exclusive medical-grade skin care lines with higher concentrations of active ingredients that are clinically proven to be effective. Get a personalized consultation to determine the most beneficial skin care regimen for your unique skin type.

CoolSculpting is an innovative, non-surgical procedure to permanently remove unwanted fat from areas that are resistant to diet and exercise. Minimal downtime with no scarring, no anesthesia, and proven results make this a popular body contouring treatment.

"My role as a Plastic Surgeon is to educate, inform, and empower women." "My role as a Plastic Surgeon is to educate, inform, and empower women."

Dr. Karen M. 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 for breast cancer survivors using microsurgery or implants in a single stage. She also specializes in rejuvenation of the breasts and body for women who have completed child-rearing, known as the “mommy makeover“!

Emily Sespaniak, MSN, FNP-C is an experienced and board-certified Nurse Practitioner who specializes in the skilled administration of non-surgical cosmetic treatments. Emily ‘s focus is on minimally invasive procedures used to refresh and enhance natural beauty, including cosmetic injectables and dermal fillers, non-ablative laser treatments, and medical-grade skin care. These rejuvenating treatments can be utilized preventatively, as an alternative to surgery, or in conjunction with surgical procedures to maximize results. With an emphasis on patient education, Emily’s goal is for her patients to leave the office feeling refreshed and rejuvenated, as well as informed on how to maintain results between visits.

Our team is composed of talented and experienced medical professionals, most of whom have been working with Dr. Karen Horton for many years. From the front desk to the operating room, everyone who collaborates on your care at San Francisco Plastic Surgery is dedicated to patient education, safety, and empowerment. We work together as a team to help you achieve your goals.

We take pride in the exceptional care we provide to our patients and our surgical results. We are honored to share before-and-after images of Plastic Surgery results with you in our Photo Gallery. The privacy of our patients is absolutely vital and respected above all else. Therefore, we have chosen not to show some preoperative and postoperative images where confidentiality could potentially be compromised. When you arrive to your consultation at our office, you will have the opportunity to view additional confidential representative preoperative and postoperative examples if they are not featured here.

• Introduce the decisions necessary to consider before primary breast augmentation surgery.

• Educate you on the essential information you need to know to make each decision.

• Identify your goals, values, and preferences relevant to each decision and clearly communicate them to your Plastic Surgery care team.