AI’s here! And yes, it made it to the treatment room. 👏
From clinical notes and service descriptions to post-visit follow-ups, AI assistants are quickly becoming must-haves in modern med spas.
Echo AI and Heidi AI are both in the spotlight. But only one is built specifically for aesthetic clinics and med spas, with tools that plug seamlessly into your systems and support the entire client journey.
In this blog, we’ll break down the features each tool offers, what they cost, and how they perform in real med spa workflows.
You’ll walk away knowing exactly which assistant fits your team, supports your goals, and helps you work smarter without adding extra layers to your day.
What is Echo AI?
Echo AI is Pabau’s built-in assistant, created to simplify practice management and improve patient care.
Unlike other third-party tools, you don’t have to wrangle it into your workflow or juggle yet another platform. It’s already part of the software, ready to use as soon as you log in.
That’s what sets it apart. ✨
You get a full suite of smart AI agents, each built to handle the repetitive, time-sapping tasks that pile up fast, like:
✔️ Writing treatment notes
✔️ Checking for prescription risks
✔️ Generating patient letters
✔️ Crafting service descriptions
✔️ Responding to reviews
Prefer a quick visual overview? Meet all the Echo AI agents in action. 👇
Because it’s fully integrated, each agent draws from real-time patient data in your system, keeping everything accurate, consistent, and compliant.
So as long as your client card is up to date, there’s nothing to worry about. Echo AI will reflect exactly what’s already there.
Source: Pabau
And if anything ever needs fixing, you’re covered by one support team. No bouncing between vendors or waiting on third-party solutions.
Key features
Each Echo AI agent is built for a specific task. Here’s how they support your day-to-day:
- AI care agent (AI scribe): Transcribes and structures treatment notes from voice input, generating accurate, compliant summaries immediately after each consultation.
- AI drug agent: Analyzes patient history, current medications, and conditions to check for allergies and contraindications before prescribing.
AI letter agent: Creates personalized patient letters, follow-ups, and treatment summaries using up-to-date patient data. - AI content tool: Writes clear, benefit-focused service and product descriptions in your brand voice.
- AI review responder: Generates professional responses to client reviews based on tone and context, with editing options before posting.
- MARBL Concierge (UK only): Handles live chat, answers routine enquiries, books appointments, and updates your Pabau calendar in real time — with WhatsApp support coming soon.
- AI client summary (coming soon): Summarizes key patient information into a concise overview to support more efficient, informed consultations.
📱 On the move? Echo AI comes with you. With the Pabau GO iOS app, you can dictate notes, view records, and keep your day flowing — straight from your iPhone or iPad.
What is Heidi AI?
Heidi AI is an ambient AI scribe. Its core strength? Transcribing consultations in real time and converting them into structured notes for documentation. It can save a lot of typing, especially in busy clinics where every minute counts.
That said, Heidi wasn’t specifically designed with med spas in mind. It’s a general clinical tool, so while it brings solid functionality, it doesn’t quite align with the unique needs of aesthetic practices.
Source: HeidiHealth
You won’t see features like service description writing, prescription checks, or review response tools, because those aren’t part of its core offering. It’s focused on transcription rather than the full scope of support a med spa might need.
Still, for clinics that value team-based documentation and want a simple, efficient way to capture consults, Heidi can be a helpful addition.
Key features
Heidi AI offers a set of tools designed to streamline documentation, including:
- Real-time transcription: Captures spoken consultations instantly and converts them into accurate, readable text.
- Structured note generation: Creates clinical notes using customizable templates like SOAP, HOPC, or narrative styles.
- Automated document creation: Generates documents such as referral letters, patient summaries, and billing details using voice commands.
- Collaboration features: Allows multiple users to work on shared sessions, with support for team templates and EHR integration.
- Multilingual support: Supports documentation in multiple languages, helping teams serve diverse patient groups.
Echo AI vs Heidi AI: Feature comparison
Time to see what sets Echo AI and Heidi AI apart.
Here’s a side-by-side comparison to help you choose the best AI assistant for your med spa. ⬇️
| Feature | Echo AI | Heidi AI |
|---|---|---|
| Integration | Fully built into Pabau — no setup needed | Requires a separate integration setup |
| Customization |
Designed specifically for med spa and aesthetic workflows | Built for general clinic settings |
| Ease of use |
Accessible directly inside your consultation and notes section | External login or access usually required |
| EHR integration |
Fully integrated with Pabau’s EHR — pulls client data, treatment history, prescriptions, and more | Limited EHR integration — only available on Enterprise tier; no access to client records or prescribing in lower tiers |
| Speed and performance |
Optimized for Pabau workflows | May respond slower due toexternal API connection |
| Support and maintenance |
Handled by Pabau’s in-house support and development team | Requires coordination between Heidi support and Pabau support |
| Mobile access |
Available via Pabau GO iOS app — scribe notes, dictate, and access records on the go | Mobile support available, but less intuitive experience reported |
| Data security |
Native to Pabau, follows GDPR and ISO 27001 standards | Depends on Heidi’s own data protocols — adds an extra layer of risk |
| Cost |
Pay-as-you-go credits or free unlimited use with Care Plus (coming soon) | Tiered subscription plans with free, Pro, Team, and Enterprise levels |
Echo AI vs Heidi AI: Cost comparison
With Echo AI, there’s no subscription tying you down. It runs on a flexible, pay-as-you-go system, so you’re only charged for what you actually use.
Every AI task has a fixed credit cost. If you use the same feature more than once in a single treatment note, each use will be charged separately.
Here’s the breakdown:
- 5 credits for treatment notes, prescriptions, client letters, service descriptions, “Ask AI” prompts, or any use of dictation and transcription
- 2 credits for generating review responses
- 1 credit for AI client summaries (coming soon)
As for MARBL Concierge, it runs on its own subscription and isn’t tied to the credit system.
💡 Prefer not to keep tabs on credits? Hang tight — Pabau’s Care Plus upgrade is nearly here, unlocking free, unlimited access to Echo AI!
Heidi, on the other hand, takes the subscription route. You pick a plan, commit to a monthly (or yearly) price, and get access to features based on what you pay.
Here’s the rundown of each tier:
- Free: $0 forever. Unlimited consults and dictation, 10 Pro Actions per month, and basic support.
- Pro: $799/year. Adds unlimited Pro Actions, custom templates, unlimited documents, and priority support.
- Together: $1,199/year per user. Built for teams. Includes everything in Pro, plus team template sharing, multi-factor authentication (MFA), and priority support.
- Enterprise: Custom pricing. Tailored to large organizations. Adds SSO, multi-team management, coding workflows, and custom infrastructure options.
It’s a more traditional model that may suit general clinics. But for med spas looking to stay agile and cost-efficient, Echo AI’s flexible approach offers more control.
Why AI assistants matter in med spas
Med spas thrive on precision and speed. Back-to-back appointments, personalised care, constant pressure to keep things moving. Not to mention the admin that piles up before you’ve had your morning coffee.
AI assistants pick up the slack. They handle the repetitive tasks, keep records in check, and free up your team to focus on delivering great results.
So if AI in a med spa still feels like a “maybe later,” think again — a recent report found that 73% of healthcare decision-makers say it’ll be essential within five years.
Let’s take a look at where it really earns its spot.
Reduce manual data entry
Every minute spent retyping notes or chasing down records is time you could be spending with clients.
According to Mayo Clinic Proceedings, AI tools can cut documentation time by up to 70%, allowing you to focus on direct patient care.
Illustration: Pabau / Data: Mayo Clinic Proceedings
That means you’ll have more time to take on extra bookings, follow up with clients, or just finish the day without a to-do list hanging over you.
Support documentation and compliance
Documentation isn’t optional… especially in a clinical setting.
But it shouldn’t slow you down or leave room for mistakes. AI scribes capture the full context of each visit in real time, then turn it into clear, structured notes that meet clinical and legal standards.
You end up with cleaner records, fewer corrections, and a whole lot more peace of mind when it comes to audits or reviews.
Or, as Dr. Harry Singh, founder and CEO of the Botulinum Toxin Club, puts it:
So, in terms of medicolegal reasons, if you can record the consultation and then the AI summarizes it, you can go back to the patient and say, 'Actually, we did discuss this,' if they make a complaint.”
Help personalize patient experiences
The difference between a decent visit and one that actually feels personal?
It’s having the right details, right when you need them.
AI assistants (like Echo AI 😉) pull up treatment history, preferences, and key notes instantly — so your team can focus on the client, not the paperwork. That’s what lifts the patient experience from routine to truly individualised care.
Improve efficiency without sacrificing care quality
Efficiency in a med spa shouldn’t come at the cost of care. When you’re dealing with precision treatments and clients who expect results, there’s no room for shortcuts.
AI assistants help by speeding up the right parts of the workflow, clearing the admin that clutters your day and pulls focus.
With less drag on your team’s time, it’s easier to stay consistent, deliver quality, and keep things running smoothly — even when the schedule’s packed.
Which AI tool is better for your med spa?
The best AI tool for your med spa depends on your clinic’s specific needs and the features you’re looking for.
If you’re using Pabau (or planning to), Echo AI is the clear choice. It’s already built into your system, fully integrated with your EHR, treatment history, prescribing, letters, and more. There’s no need to pay for higher pricing tiers just to unlock core features.
You get tools that match how you work, from writing treatment notes and checking drug risks to responding to reviews and creating service descriptions.
It’s flexible, too. You can pay as you go or unlock unlimited use with Care Plus. That means no steep subscription fees, just features that scale with your clinic.
Heidi AI works well in general healthcare settings where note customization and shared documentation are a priority. But for med spas, it may feel like a workaround. You won’t get the built-in aesthetic features or the seamless integration you need to run a busy, modern clinic.
If you’re focused on saving time, reducing admin, and delivering a smoother client experience, Echo AI fits better, works faster, and gives you more control.
Still on the fence?
Watch how Dr. Zainab Al Mukhtar, owner of Harrow on the Hill clinic, reacted after Echo AI turned a recorded consultation into clean, structured notes — in seconds. ⬇️
Wrapping up
Owning a med spa means more than offering treatments.
You’re transforming lives, building confidence, and changing the way people feel about themselves. Yet right now, you’re probably spending too much time on paperwork and not enough on what you do best.
Here’s the thing: Heidi AI transcribes your notes. That’s helpful. But Echo AI is built from the ground up for aesthetic practices like yours.
While others are still figuring out basic AI transcription, you could be running a fully optimized med spa where tech handles the tedious tasks, freeing you to focus on exceptional results.
The choice isn’t between Echo AI and Heidi AI. It’s between basic transcription and an AI that’s built to elevate your med spa.
🚀 Ready to see the difference for yourself? Book a demo today and discover how Echo AI can optimize your practice.
