The best aesthetic EMR software for 2027 is Aesthetic Record for injector-led med spas that want charting and photos at a published per-user price, PatientNow for practices that combine aesthetics, surgery and marketing on one record, and Symplast for mobile-first aesthetic surgery practices. AestheticsPro and Pabau round out the top five.
An aesthetic EMR is an electronic medical record built for cosmetic medicine: injection mapping, lot and expiration tracking, before-and-after photos, consents, prescribing and treatment plans, usually alongside booking and payments. “Aesthetic EMR” carries a cost per click of about $35, one of the highest in aesthetics software.
At a glance
EMR
Best for
Pricing (2026)
Standout feature
Aesthetic Record
Injector-led med spas
$15 to $19 per user per month plus $399 onboarding
Injection mapping and lot tracking
PatientNow
Aesthetics plus surgery and marketing
Quote only
RxPhoto image management
Symplast
Mobile-first aesthetic surgery
Quote only
Built by a plastic surgeon
AestheticsPro
Medical-director-led US med spas
About $160 to $350 per month
E-prescribing and compliance workflows
Pabau
Growing and international clinics
From about $104 per month
All features on every plan
Nextech
Surgical practices with a med spa
Quote only
Clinical depth and imaging
ModMed (EMA)
Cosmetic dermatology
Quote only
Dermatology content and billing
Prospyr
Cash-pay aesthetic and surgical practices
Quote only
Memberships and surgery on one record
Zenoti
Multi-location med spa chains
Quote only
Enterprise reporting
Jane
Clinical practices adding aesthetics
About $54 to $99 per month
Simple, low-cost charting
How we evaluated
We scored each EMR on aesthetic charting (injection maps, units, lots), photo capture and comparison, consents and intake, prescribing, HIPAA support and BAAs, booking and payments, memberships and packages, reporting and published pricing. No vendor paid to be listed.
The 10 best aesthetic EMR platforms in 2027
1. Aesthetic Record
Aesthetic Record is built around clinical documentation for injectables, with face mapping, photo and video capture, lot and expiration tracking, telehealth and its own payments. E-prescribing and AI charting are add-ons.
2. PatientNow
PatientNow serves med spas, plastic surgery, dermatology, weight loss and IV therapy practices with EMR, practice management, marketing automation and RxPhoto image management.
3. Symplast
Symplast is a mobile-first EMR and practice management system founded by a plastic surgeon, with consent management, financing and photo storage.
4. AestheticsPro
AestheticsPro targets compliance-heavy US med spas run under a medical director, with EMR, HIPAA workflows, e-prescribing and an AI suite.
5. Pabau
Pabau keeps booking, charting, consents, stock and payments on one patient record and includes an AI note assistant and photo analysis.
6. Nextech
Nextech brings surgical EHR depth with a separate med spa product, suited to plastic surgery and ophthalmology practices that also sell cosmetic services.
7. ModMed (EMA)
ModMed is the leading choice for cosmetic dermatology, with iPad-native charting, AI documentation and strong coding support.
8. Prospyr
Prospyr combines aesthetic charting, photos, injectables and memberships with surgical scheduling for cash-pay practices.
9. Zenoti
Zenoti adds clinical charting to an enterprise platform for med spa chains and franchises.
10. Jane
Jane is a lower-cost clinical platform with charting and booking that suits wellness and therapy practices adding aesthetic services.
How to choose an aesthetic EMR
Check charting depth. Injection maps, units and lot numbers should be fast to record.
Test the photo workflow. Consistent angles, side-by-side comparison and consent tracking save time and reduce risk.
Get a BAA. Any system that stores patient health information should sign one.
Count the add-ons. Prescribing, AI notes, texting and storage are often priced separately.
Think about growth. Per-user pricing suits small teams; quote-based enterprise tools suit chains.
Frequently asked questions
What is an aesthetic EMR?
It is a medical record system designed for cosmetic treatments, adding injection mapping, photo management and aesthetic consents to standard charting.
What is the cheapest aesthetic EMR?
Aesthetic Record publishes the lowest per-user price, at $15 per user per month plus a $399 onboarding fee.
Do med spas legally need an EMR?
Med spas that perform medical treatments must keep medical records under state and federal rules. An EMR is the most practical way to meet those requirements and protect patient data.
