8 Best medical spa software platforms for 2026, scored and compared

The best medical spa software for growing and multi-location practices is Pabau, which runs the chart and the checkout together. Pabau’s injection charts, lot numbers, memberships, payments and marketing come on every plan, from $62 a month for one user.

Four alternatives fit narrower needs. Zenoti suits med spa chains that want enterprise controls, and Aesthetic Record suits injectors who chart first and sell second. Boulevard fits booking-led luxury med spas, while Vagaro is the cheapest way for a new single site to start.

We scored all eight platforms on the chart-to-checkout test: five clinical checks and three retail checks, verified with independent testing. The test shows which platform includes both halves on the core plan, and which one sells half of it as an add-on.

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Key takeaways

1. Pabau — Best all-in-one for growing and multi-location med spas, with every feature on every plan.

2. Zenoti — Enterprise pick for med spa chains that need control across many locations.

3. PatientNow — Aesthetic EMR with strong photo tools, memberships and marketing under one quote.

4. AestheticsPro — Medically focused system with medical director authorization and lot tracking.

5. Mangomint — Polished front-desk automation for single-site med spas, with charting included.

6. Aesthetic Record — Charting- and photo-first EMR for injectors, priced per user.

7. Boulevard — Booking-led patient experience for luxury med spas, with charting on an add-on.

8. Vagaro — Lowest entry price for new med spas, with photo storage and forms as add-ons.

The best medical spa software compared at a glance

The table below compares the best medical spa software on starting price, business associate agreement (BAA) and chart-to-checkout score.

Starting prices come from each vendor’s own website, checked in September 2026. A score counts only the checks included on the core plan, so add-ons never raise it.

1. Pabau — Best all-in-one med spa software

Pabau is best for growing and multi-location med spas that want injection charting, memberships, payments and marketing in one system, on every plan.

Pabau was built for medical aesthetics rather than adapted from salon software. The booking, consent form, face chart, photos and invoice sit on one patient record, so nobody re-keys a visit into a second system.

Key features

• Injection plotting: Pabau records the product, units, site, batch number and expiry for each injection on one screen.
• Before-and-after photos: Photos are captured and stored in the patient profile, next to the treatment note they belong to.
• Digital consent and intake: Patients complete forms before they arrive, and the signed copy files to their record.
• Memberships and packages: Pabau bills recurring memberships and tracks package sessions at checkout.
• Online booking with deposits: Pabau’s online booking takes a deposit upfront, which protects high-value filler and laser slots.
• Multi-location management: Availability stays aligned across clinicians, rooms and sites.

Where Pabau shines

• No feature gating: A one-user plan gets the same platform as a 16-user Enterprise account.
• Chart and stock in step: Batch numbers sit against the treatment note rather than in a separate stock book, which speeds up a product recall.
• Included integrations: Pabau connects to 30+ tools, including Stripe, Xero and Google Calendar, at no extra cost.

Where Pabau falls short

• Setup takes commitment: The feature set is deep, so getting full value depends on the structured onboarding every account receives.
• Region-based pricing: Tier prices depend on your location and team size, so most practices confirm them on a demo.
• iOS-only app: Pabau GO, our iOS app for practitioners, has no Android version.

Customer reviews

Pabau is rated 4.7 out of 5 on Capterra and 4.8 on G2. Reviewers most often praise the support team and having one system for the whole practice, and most often mention the learning curve.

Pricing

Pabau’s pricing applies per location, except Enterprise, which covers multiple sites. Annual billing saves up to 20%.

2. Zenoti — Best for med spa chains and franchises

Zenoti is best for med spa chains and franchises that need one system to control booking, charting and campaigns across many locations.

Zenoti serves spas, salons and fitness businesses as well as med spas, but its med spa clinical module goes deep. Pricing is quote-only, so budget time for a sales cycle.

Key features

• Structured injectable notes: Each note captures product, units per site, lot number, expiry date and provider, and updates inventory.
• Medical director dashboard: Directors review, check and approve treatments across every location from one login.
• Photo library: Zenoti links photos to the visit and chart note, with 200+ face and body maps for consistent angles.
• Memberships: Monthly, credit-based, unlimited-visit and tiered VIP structures, sold at booking or checkout.
• AI campaigns: Automated campaigns re-engage lapsed patients at every location.

Where Zenoti shines

• Multi-site oversight: One login covers records, charts and treatment history across locations.
• Compliance paperwork: Zenoti provides a signed BAA and encrypts patient health data at rest and in transit.

Where Zenoti falls short

• No price on the website: Every tier needs a quote from sales.
• Usage billing: Zenoti bills SMS and voice by consumption, with optional base packs.
• AI tier: Zenoti’s AI agents require the AI Plus package.

Customer reviews

Zenoti holds 4.4 out of 5 on Capterra from 1,291 reviews. Reviewers credit the support team and the depth of features, and flag a learning curve when getting started.

Pricing

Zenoti doesn’t publish prices on its pricing page, so every figure comes from a sales quote.

3. PatientNow — Best aesthetic EMR for med spas and plastic surgery

PatientNow is best for aesthetic practices, including plastic surgery, that want EMR, before-and-after photos, memberships and marketing sold together under one quote.

PatientNow builds for aesthetic medicine only, across med spas, plastic surgery, dermatology, weight loss and IV therapy. Its RxPhoto tool is the standout for photo-heavy practices.

Key features

• Image-based charting: Providers document injection sites, units and treatment areas directly on the photo.
• RxPhoto: Before-and-after capture keeps each image connected to the patient record.
• AI Scribe: PatientNow drafts structured notes with product, units, injection sites and lot numbers for the provider to review and sign.
• Memberships and loyalty: Rewards for repeat visits and recurring treatments.
• Email and text campaigns: Targeted promotions built for aesthetic practices.

Where PatientNow shines

• Photo workflow: Markup, consent and images sit together in the chart.
• Published BAA: PatientNow posts its business associate agreement on its website.
• Onboarding terms: The pricing page promises free onboarding and no contract.

Where PatientNow falls short

• Quote-only pricing: The Standard, Amplify and Catalyst tiers carry no public prices.
• Top-tier clinical extras: E-prescribing, lab ordering and insurance billing sit in Catalyst.
• Sign-off: PatientNow’s site describes provider sign-off on notes but no separate medical director co-sign.

Customer reviews

PatientNow holds 3.9 out of 5 on Capterra from 301 reviews. Reviewers like having scheduling, intake, charting and marketing in one place, and some report slowdowns and payment-processing issues.

Pricing

PatientNow quotes each practice on size, locations and features, and its pricing page lists free onboarding with no contract.

4. AestheticsPro — Best for med spas run under a medical director

AestheticsPro is best for med spas run under a medical director that want authorization, lot tracking and point of sale in one HIPAA-compliant system.

AestheticsPro is a US platform built for med spas, plastic surgery and laser practices. The Executive plan’s flat price for unlimited users suits growing teams.

Key features

• Medical Director Authorization: Listed as a core part of the E-Records module.
• Lot-level inventory: Products are tracked by SKU, lot number and expiration date.
• AP Photo: Comparison photos show the treatment journey, captured in the mobile app.
• Memberships, packages and loyalty: Tools to turn first visits into repeat patients.
• AP Payments: Checkout and payment processing inside the workflow, with invoices, quotes and gift cards.

Where AestheticsPro shines

• Flat pricing at scale: The Executive plan covers unlimited users for $285 a month.
• BAA included: AestheticsPro says it offers a BAA as a core part of the service, not an add-on.

Where AestheticsPro falls short

• Charting detail unclear: The website doesn’t list face charting or injection-site markup.
• Extra fees: E-Prescribe, AP Texting and AP Marketing Solutions carry additional fees.
• Per-user cost on Pro-Plus: Each user past three adds $85 a month.

Customer reviews

AestheticsPro holds 4.4 out of 5 on Capterra from 675 reviews. Reviewers praise ease of use and support, and some find payment processing restrictive.

Pricing

AestheticsPro offers savings on annual prepay, and some features, including texting and marketing, require an additional fee.

5. Mangomint — Best for front-desk automation

Mangomint is best for design-conscious single-site med spas that want front-desk automation, with forms and charting included and published pricing.

Mangomint started in salons and spas and has moved into med spas with HIPAA support and image markup. Its pricing is the easiest in this list to model.

Key features

• Forms and charting: Markup tools pinpoint injection sites on photos and face templates.
• Form collaboration: Owners assign team members who review and approve form submissions.
• Visit photos: Patient photos upload during the appointment to document each visit.
• Memberships and packages: Included, alongside gift cards and offers.
• Payments and retail: Integrated point of sale with retail and inventory.

Where Mangomint shines

• Transparent pricing: $120 per location plus $10 per user, with no contracts.
• Free switching: Onboarding and data transfer are free.

Where Mangomint falls short

• No listed lot tracking: Mangomint’s charts don’t list product lot numbers.
• Paid marketing: Campaigns start at $30 a month in credits.
• HIPAA on request: You contact support, sign Mangomint’s BAA and wait for confirmation before storing health data.
• No loyalty program listed: Mangomint lists offers, discounts and gift cards, but not a points-based loyalty program.

Customer reviews

Mangomint holds 5.0 out of 5 on Capterra from 346 reviews, the highest rating in this list. Reviewers single out the interface and fast, human support.

Pricing

Mangomint’s pricing page lists card processing at 2.45% + 15¢ in person and 2.90% + 30¢ online.

6. Aesthetic Record — Best for charting-first injectors

Aesthetic Record is best for charting-first injectors who want injection mapping, lot traceability and medical director sign-off at a low per-user price.

Aesthetic Record is an EMR first and a business system second. The chart is detailed, and its Chart-to-Cart workflow moves charted products into the invoice.

Key features

• Photo and treatment markings: Providers record injection points and dosages directly on patient images.
• Traceability: Lot numbers connect to each procedure, and a lot report lists every patient who received a batch.
• Medical Director and Provider rooms: Chart completion, requests for more information and full MD sign-off.
• Before-and-after photo and video: High-resolution capture, with dynamic before-and-after videos on Accelerator.
• Deposits: Service deposits and cancellation policies protect bookings.

Where Aesthetic Record shines

• Recall readiness: The lot report identifies every patient treated from a given batch.
• Low entry price: Essentials costs $15 per user per month.

Where Aesthetic Record falls short

• Extra costs: AR Pay and eGift cards cost extra, and mass campaigns need the LeadAR add-on, from $97.
• Onboarding fee: A $399 startup and onboarding investment applies on both self-serve plans.
• BAA not published: Aesthetic Record’s website states HIPAA compliance but doesn’t publish BAA terms.

Customer reviews

Aesthetic Record holds 3.5 out of 5 on Capterra from 76 reviews. Reviewers value the photo storage and HIPAA tools, and some criticize added fees for card processing and extra providers.

Pricing

Both self-serve plans carry a $399 startup and onboarding fee. E-prescribing with controlled substances costs $40–$45 per prescriber, depending on the billing term.

7. Boulevard — Best for a luxury patient experience

Boulevard is best for booking-led luxury med spas that compete on patient experience and can add the Forms add-on for clinical charting.

Boulevard grew up in salons and spas and markets itself as a client experience platform. Its med spa charting arrived in 2023 as part of an aesthetics bundle.

Key features

• Advanced charting: Providers mark up photos to show injection sites and chart the products and quantities used.
• Medical director review: Providers submit documentation to medical directors, who add comments, signatures and approvals.
• Before-and-after comparison: Photo pairs track progress and guide follow-ups.
• Memberships and packages: Included on every plan.
• Automated campaigns: Email blasts and text marketing, with 250 texts and 1,000 emails included on Essentials.
• Payments: Integrated payments, Buy Now Pay Later and cardless point of sale.

Where Boulevard shines

• Patient-facing polish: Booking, checkout and messaging are Boulevard’s core strength.
• Offset program: Patients pay a 3% card fee and the business pays 1%, outside Massachusetts, Connecticut, Maine and Oklahoma.

Where Boulevard falls short

• Charting costs extra: Forms runs $65 a month per location unless you’re on Prestige.
• No listed lot tracking: Boulevard charts product and quantity but doesn’t list lot numbers.
• ePrescribe add-on: Boulevard charges $45 per prescriber.

Customer reviews

Boulevard holds 4.6 out of 5 on Capterra from 390 reviews. Reviewers praise support and onboarding, and some report glitches that disrupt the day.

Pricing

Boulevard’s pricing page showed limited-time fall pricing of $234 for Premier and $328 for Prestige when we checked in September 2026.

8. Vagaro — Best budget med spa software

Vagaro is best for new or budget-conscious med spas that need booking, payments and basic SOAP charting for the lowest monthly fee in this list.

Vagaro serves salons, spas and fitness studios as well as med spas, and its marketplace can bring in new bookings. The low base price rises as you add clinical features.

Key features

• SOAP Notes Face: Treatment plans reference areas on a facial anatomy chart.
• Markup Editor: Providers draw on photos and face templates, with Vagaro Drive.
• HIPAA notifications: Turning them on requires signing Vagaro’s BAA.
• Memberships and packages: Sold in person or online through the shopping cart.
• Vagaro Marketplace: A free listing where patients find and book you.

Where Vagaro shines

• Entry price: $23.99 a month for one calendar, currently a limited-time rate.
• Self-service booking: Vagaro’s listing page works as a spa patient portal, where patients book, buy packages and pay online.

Where Vagaro falls short

• Add-ons stack up: Forms ($10), Vagaro Drive (from $10) and text marketing (from $20) all cost extra each month.
• Clinical limits: Vagaro’s help center lists no lot tracking and no medical director sign-off.
• Marketplace trade-off: Your listing sits beside other local businesses, so a patient searching for you may book elsewhere.

Customer reviews

Vagaro holds 4.7 out of 5 on Capterra from 3,659 reviews. Reviewers like the automated notifications, and some report technical disruptions and payment-processing issues.

Pricing

Vagaro’s help center lists card processing at 2.6% + $0.10 in person and 3.5% + $0.19 keyed in, for merchants under $4,000 a month.

How we ranked these platforms: The chart-to-checkout test

The chart-to-checkout test scores each med spa software platform on eight native capabilities, five on the clinical chart and three on the retail checkout.

Medical spa software is practice management software that pairs an EMR for regulated treatments with the booking, payments and marketing tools of a spa. Buyers also call it medical aesthetics software. That chart half is where software built for med spas differs from salon software.

Med spas are half clinic and half retail business. Most platforms started on one side and added the other, so any software for medical spa work should be judged on both. The test asks which half each vendor includes on the core plan.

The five chart-side checks:

• Face and injection charting: Marking sites and units on a face chart or photo.
• Lot or batch tracking: Recording the product lot against the treatment, for recalls.
• Prescriber or medical director sign-off: A second clinician approves the chart or the order.
• HIPAA BAA offered: The vendor signs a business associate agreement.
• Before-and-after photos: Stored in the patient record, not on a phone.

The three checkout-side checks:

• Memberships and packages: Recurring plans and prepaid sessions.
• Retail POS and integrated payments: Products and treatments on one invoice.
• Automated marketing: SMS and email campaigns built from patient history.

Each cell reads Yes, Add-on or Not listed. Yes means the core subscription includes the capability, and Add-on means it costs extra or needs a higher tier. Not listed means we couldn’t find it on the vendor’s website or help center in September 2026, which doesn’t prove it’s missing.

The same results as a chart, with the chart side and checkout side grouped:

Three patterns stand out. Aesthetic Record, AestheticsPro and PatientNow are chart-first. All three list lot tracking, and their misses sit on the checkout side or in a single clinical check.

Boulevard, Vagaro and Mangomint are checkout-first. Their booking, memberships and payments are strong, and lot tracking is the one check none of them lists.

Lot tracking matters more than it looks. If a manufacturer recalls a filler batch, a platform with lot data lists every patient treated from it. Without that data, the front desk searches paper logs.

Pabau and Zenoti tie on the score. Pabau ranks first because it publishes an entry price and includes every feature on every plan, while Zenoti prices every tier by quote.

Which medical spa software fits your practice?

The right medical spa software depends on stage: groups need central control, new med spas need low fixed costs, and director-led practices need chart sign-off.

Best med spa software for multi-location clinics

The best med spa software for multi-location clinics is Pabau or Zenoti, which both centralize booking, stock and reporting across sites.

Pabau’s Enterprise plan covers multiple locations under one subscription, and availability stays aligned across clinicians, rooms and sites. Zenoti adds a medical director view of charts across every location, which suits franchises with one director covering several sites.

Check three details on the demo. Ask whether a patient can book at any site from one profile, whether stock moves between locations, and whether revenue per provider compares across sites.

Best medspa software for new or solo med spas

The best medspa software for a new or solo med spa is low-cost but still signs a BAA and holds charts and photos.

Vagaro is the cheapest start at $23.99 a month, but Forms and Vagaro Drive take a charting setup to about $43.99 before texting. Aesthetic Record costs $15 per user plus $399 once, and Pabau starts at $62 a month for one user on the full platform.

Whatever you pick, insist on three safeguards from day one. Get the BAA signed, chart lot numbers from your first injection, and confirm you can export records if you switch later.

Best software for a medical-director-led med spa

The best software for medical spa teams under a medical director records the good faith exam and routes charts for sign-off.

A good faith exam, often shortened to GFE, is the assessment a qualified provider completes before a medical treatment. Supervision rules vary by state, and our guide to the good faith exam covers what to document.

Aesthetic Record’s Medical Director rooms and Zenoti’s review dashboard are the most explicit sign-off workflows here. AestheticsPro lists Medical Director Authorization, and Pabau routes prescription requests to the prescriber for approval inside the record.

What to look for in med spa management software

Good med spa management software covers what salon tools skip: injection charts with lot numbers, a signed BAA, booking deposits and automatic membership billing.

The sections below cover only the features where med spas differ from salons. Each one is a question that separates a shortlist.

Medical spa EMR software with injection charting

Medical spa EMR software should record each injection on a face chart with product, units, lot and expiry, linked to the consent and photos.

Look for SOAP notes, meaning subjective, objective, assessment and plan, with aesthetic templates rather than blank text boxes. Structured fields let you report on units per area and find every patient treated from one lot.

The best medspa EMR also keeps before-and-after photos in the record with consistent angles, instead of on a practitioner’s phone. Photos used in marketing need separate consent, and our guide to photo consent requirements explains what that form must say.

Medical spa scheduling software that protects your calendar

Medical spa scheduling software should take a deposit at booking, hold a card for no-show fees and book the provider, room and device together.

When you compare the top medical spa scheduling tools, test laser and device booking first. A double-booked machine loses the slot even when the provider is free.

Medical spa booking software should also time rebooking reminders to the treatment, so toxin and filler patients get prompted at the right interval. Deposit rules per service, such as a deposit on filler but not on a consultation, stop no-shows where they cost most.

How to confirm you’re buying HIPAA compliant medical spa software

To confirm you’re buying HIPAA compliant medical spa software, get the vendor’s signed business associate agreement before any patient data goes into the system.

The BAA is the contract that makes the vendor responsible for safeguarding protected health information, known as PHI. A “HIPAA compliant” badge on a website is not a BAA.

Some vendors need you to switch HIPAA on. Mangomint enables it only after you contact support and sign its BAA, and Vagaro asks you to sign one before HIPAA-compliant notifications turn on.

On the demo, ask to see these safeguards working:

• Role-based access, so front-desk staff can’t open clinical notes.
• An audit trail that shows who viewed or changed a chart.
• Encryption in transit and at rest, including photos and forms.
• HIPAA settings for texts and emails, not just the chart.

Payments, memberships, and retail

Card processing often costs a busy med spa more than its software subscription, so compare rates and membership billing alongside the plan price.

At $30,000 a month in card payments, every 0.1% of processing rate adds $30 a month. Memberships usually bill from a card on file, which Vagaro, for example, charges at its keyed-in rate of 3.5% + $0.19.

PCI DSS, the Payment Card Industry Data Security Standard, governs how card data is stored. Integrated payments keep cards in the vendor’s system, so your front desk never writes card numbers down.

Retail matters too. A platform that puts skincare and treatments on one invoice lets you report retail revenue per provider. Our guide to medical spa POS software covers the hardware side.

Marketing and patient retention

Retention tools should rebook patients automatically from their treatment history and send campaigns to the right segment without exporting a list.

Check what marketing costs. Mangomint’s marketing starts at $30 a month in credits, Vagaro’s text marketing at $20, and Boulevard charges per text past its allowance.

A spa patient portal also cuts front-desk calls. Pabau’s Client Portal lets patients view appointments, pay invoices, see treatment history and reschedule themselves.

Staff, commissions and reporting

Staff tools should calculate commissions on treatments and retail, track timesheets and report revenue by provider, so payroll doesn’t start in a spreadsheet.

Pabau includes commissions, timesheets and dashboards on every plan. Mangomint sells payroll at $50 a month plus $8 per worker, and Vagaro’s payroll costs $34 a month plus $5 per employee.

How to compare the total cost of medical spa software

Compare total cost by adding four numbers: the subscription at your team size, card processing on your volume, add-ons, and one-off onboarding fees.

• Subscription: Per user (Aesthetic Record), per location (Boulevard), per location plus user (Mangomint) or by team size (Pabau).
• Card processing: The rate on in-person, online and card-on-file payments.
• Add-ons: Forms, texting, marketing, e-prescribing, extra locations and storage.
• Onboarding and migration: Aesthetic Record charges $399, while Mangomint and PatientNow list free onboarding.

Only Mangomint and Vagaro publish full card rates. The others quote them, so ask on the demo.

Five questions to ask every vendor on the demo:

1. Will you sign a BAA before we import patient data, and on which plan?
2. What rate applies to in-person, online and card-on-file membership payments?
3. Which features in this demo cost extra, including forms, texting, marketing and extra locations?
4. Does migration include patient records, photos, consents and membership balances?
5. How long is the contract, and how much notice do you need to cancel?

How Pabau runs the chart and the checkout in one med spa system

Many med spas run a booking tool, a separate EMR and a card terminal that don’t share a patient record. Pabau replaces that patchwork with one record, so a visit runs from booking to rebooking without re-keying.

Here’s how one filler appointment moves through Pabau:

1. Booking with a deposit: The patient books through Pabau’s online booking and pays a deposit, so a no-show still covers the slot.
2. Consent and medical questionnaire: Pabau sends the forms before the visit, and signed copies file to the patient record.
3. Injection chart with lot number: The injector plots each point, the units and the batch number, and stock updates automatically.
4. Before-and-after photos: Pabau GO, our iOS app for practitioners, captures photos straight into the same record.
5. Checkout with a membership: The front desk takes payment on Pabau Pay, our card terminals, and applies the patient’s membership or package.
6. Automated rebooking: A reminder goes out when the next treatment is due, with a link to book.

Every Pabau subscription includes every feature, so a solo injector and a 10-site group use the same chart and the same checkout. Each new practice gets structured onboarding with a dedicated Client Coordinator, and our team migrates patient records, appointment history and stock.

In the med spas we onboard, consent forms and treatment notes are the first records owners ask about, because those records carry the liability.

Dr. Charlotte Woodward and Dr. Victoria Manning, owners of River Aesthetics, describe how leads flow into Pabau:

Ever since we implemented the lead integration, all of our leads are going into the software and they have a meeting created there automatically. This feature makes Pabau really pragmatic in comparison to other software solutions.

Dr. Charlotte Woodward and Dr. Victoria Manning, River Aesthetics

Run the chart and the checkout together

Pabau puts the deposit, consent, injection chart, photos and membership checkout on one patient record. Your team stops re-keying visits, and every plan includes every feature.

Book a demo

Conclusion

Choose by the half of your business that causes more trouble today. If charting worries you, weight lot tracking and sign-off first. If revenue does, weight memberships, deposits and card rates.

The best med spa software is the one you don’t outgrow when you add a provider, a laser or a second site. Switching later means migrating consents, charts and membership balances, which costs more than choosing carefully now.

Run the chart-to-checkout test on your own shortlist, and ask each vendor to demo the cells marked Not listed. Book a demo to see how Pabau runs the chart and the checkout for your med spa in one system.

Continue your research

Pricing your membership tiers? Tiered med spa memberships shows how to structure and price each level.

Writing a deposit policy? Aesthetic clinic deposit policies covers wording that patients accept.

Tracking injectables by lot? Best med spa inventory management software compares stock tools built for injectables.

Checking your compliance basics? The medical spa requirements checklist lists what to have in place before you open.

Building a photo library? Med spa before and after photos covers capture and consent in practice.

Frequently asked questions