Nextech vs PatientNow: Plastic Surgery And Aesthetic EMR Compared For 2027
Lily Roberts
Senior Marketing Strategist - ReVerb
11.13.2026
Last updated: November 12, 2026
Short answer: choose Nextech if you run a high-volume surgical practice with insurance, reconstructive or multi-specialty work and need deep EHR, billing and revenue cycle tools. Choose PatientNow if you run a cosmetic-first practice with a med spa and want EMR, photos, CRM and marketing on one patient record.
At a glance
Nextech
PatientNow
Best for
High-volume surgical practices, plastic surgery and ophthalmology
Cosmetic-first practices with surgery and a med spa
Pricing
Quote only
Quote only
Surgical depth
Deepest in the category
Good
Med spa
Separate med spa product, contracted separately
Same patient record
Photos
Imaging integrations and photo apps
RxPhoto image management
CRM and marketing
Lighter; add-on modules
Built-in CRM and marketing automation
Revenue cycle
Yes, including RCM services
Lighter
How we compared them
We compared surgical charting and scheduling, med spa support, photo management, CRM and consult conversion, billing and revenue cycle, integrations and how each vendor sells and prices its modules.
Surgical workflows
Nextech is the most widely deployed EHR in plastic surgery and leads on clinical depth: specialty templates, coding, inventory and revenue cycle management, including services for practices that bill insurance. PatientNow covers surgical documentation well, but practices with complex coding or large reconstructive volume usually prefer Nextech.
Med spa and cosmetic revenue
PatientNow keeps surgery, injectables, packages and memberships on one record, so a filler patient who later books surgery has one history and one set of photos. Nextech sells its med spa product beside its plastic surgery EMR, contracted separately.
CRM and marketing
PatientNow’s built-in CRM, lead tracking and marketing automation are its biggest advantage for practices that spend heavily on ads and need to convert consults. Nextech’s CRM is lighter and often supplemented with other tools.
Which should you choose?
Choose Nextech for large surgical groups, insurance billing and multi-specialty practices.
Choose PatientNow for cosmetic-first practices where consult conversion and med spa revenue matter most.
Also consider Symplast for a mobile-first system built specifically for plastic surgeons.
Frequently asked questions
Which is more popular in plastic surgery?
Nextech is the most widely deployed EHR among plastic surgery practices.
Which handles a med spa better?
PatientNow, because surgical and non-surgical services share one patient record.
How much do Nextech and PatientNow cost?
Both quote after a demo. Expect per-provider pricing in the hundreds of dollars per month, with extra modules for marketing, RCM and patient engagement.
Related on ReVerb
See the best plastic surgery practice management software, the best aesthetic EMR software and the Plastic Surgery Marketing hub.
