The Confidence Doc Plastic Surgery Podcast with Dr. Rukmini (Vinaya) Rednam

The Truth About Awake Labiaplasty with Dr. Karen Horton


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In this episode of The Confidence Doc Podcast, Dr. Rednam sits down with renowned San Francisco plastic surgeon Dr. Karen Horton to explore the evolving world of modern plastic surgery. From breast and body contouring to awake labiaplasties and the rise of patient transparency, Dr. Horton shares powerful insights from her 20-year journey in private practice.

They discuss how natural results and open conversations are redefining beauty standards, why Gen X and millennial women are seeking more subtle, empowering procedures, and how being both a surgeon and a patient builds trust. Dr. Horton also sheds light on the growing popularity of labiaplasty—including how she performs the procedure awake in-office—and why honesty and education are at the heart of her practice.

This episode is a must-listen for anyone curious about body image, feminine wellness, or how to navigate surgery with confidence in today’s digital age.

🔍 Topics covered:

  • Building a patient-centered, relationship-driven aesthetic practice
  • Breast surgeries, body contouring & revision procedures
  • Awake labiaplasty: what it is and why it’s gaining popularity
  • The rise of transparency in plastic surgery (especially among women & moms)
  • Talking to daughters about body changes & surgery
  • Navigating aesthetics in different cities: SF vs LA vs Texas
  • How social media is reshaping perceptions of surgery
  • New trends in facial and body procedures
  • Why "natural" is the new aesthetic gold standard

🎙 Guest: Dr. Karen Horton
 📍 Location: San Francisco, CA
 📱 IG: @drkarenhorton + @drkarenhortonbeforeandafters
🌐 Website: drkarenhorton.com

📬 Request your consultation here:

Contact Dr. Rukmini Rednam, MD in Houston, TX and The Woodlands: drrukminirednam.com

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The Confidence Doc Plastic Surgery Podcast with Dr. Rukmini (Vinaya) RednamBy Dr.Rukmini Vinaya Rednam

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