Dermatology Operations

Best EHR for Med Spas and Cosmetic Dermatology (2026)

By FlowEHR · Published September 23, 2026 · 7 min read

Software for med spas and cosmetic dermatology splits into two categories that get compared as though they were one: spa platforms built around booking, memberships and payments, and medical records built around clinical documentation. They are priced completely differently — spa platforms typically per location, medical EHRs per provider — and that difference decides more of these purchases than any feature comparison.

For physician-led medical aesthetics and cosmetic dermatology, where the clinical record carries real weight, FlowEHR is our pick at a published $449 per provider per month on annual billing. For spa-led businesses with several injectors at one location, Boulevard, Aesthetic Record or AestheticsPro will almost certainly cost you less. We would rather tell you that here than waste your time on a demo.

The pricing difference nobody explains

Run the arithmetic before anything else, because it is often decisive.

Boulevard is reported at tiered pricing of roughly $158, $263 and $369 per month per location. Aesthetic Record starts around $150 per month. AestheticsPro is reported around $85 per month, Mangomint around $165, Vagaro around $24.

FlowEHR is $449 per provider per month.

For a single-location med spa with four injectors, a per-location platform can come in at a fraction of per-provider pricing. That is not a knock on per-provider pricing — it is what it costs to give every clinician a full medical record — but pretending the gap does not exist would be dishonest. The gap is the whole decision.

Per-location pricing wins when you have multiple providers at one site, your documentation needs are consent forms and photos, and your business is fundamentally retail aesthetics.

Per-provider medical pricing wins when your providers are documenting medical decision making, you are also running medical visits alongside cosmetic ones, you need the record to stand up to a medical board or a malpractice review, or your physician oversight requires real clinical documentation rather than a treatment log.

1. FlowEHR — our pick: best for physician-led medical aesthetics and cosmetic dermatology

Pricing: $449 per provider per month on annual billing, published on the pricing page.

Pros

• A genuine medical record underneath the aesthetic workflow — the difference that matters when a practice does both cosmetic and medical work in the same chart.
• Facial mapping, before-and-after photo tracking, and deposit protection with card on file.
• AI-native across intake, charting and coding, so documentation of a cosmetic consult does not become an evening task.
• Cash-pay revenue handled natively: packages, memberships, deposits.
• Published pricing, which is unusual on the medical side of this category.

Cons

• The most expensive option here for a multi-injector single location. See the arithmetic above — for many med spas that settles it.
• Priced per provider, so part-time injector headcount counts against you.
• Newer platform with a smaller installed base in aesthetics specifically than PatientNow or Aesthetic Record.
• Not a retail spa platform: if you need class bookings, retail inventory and staff commission tooling as your primary workflow, that is not what this is.

May not be the best fit if: you are a spa-led business with several injectors at one site and no medical-record depth requirement. A per-location platform will cost you less and do the job.

2. Aesthetic Record — best EMR-first aesthetic platform

Pricing: starts around $150 per month.

Pros

• Built from the ground up for aesthetic procedures — treatment notes, consent forms, before-and-after photos and injection mapping are native rather than bolted on.
• Aimed at practices that lean more "med" than "spa", which is the harder side to serve.
• Strong value for the clinical depth at that price point.

Cons

• Aesthetic-specific rather than a full medical record, so mixed medical and cosmetic practices may still need something broader.
• Feature depth on general practice management is lighter than the enterprise options.

3. PatientNow — best established aesthetic practice platform

Pricing: custom, not published.

Pros

• Long-established in aesthetics with core practice management: records, EMR charting, scheduling, document templates.
• Marketing and patient-retention tooling built for the aesthetic business model.
• Mature product with a substantial installed base.

Cons

• Custom pricing means no way to compare without a sales process.
• Heavier than a small med spa typically needs.

4. Boulevard — best booking and payments experience

Pricing: tiered, reported at roughly $158 (Essentials), $263 (Premier) and $369 (Prestige) per month per location.

Pros

• Best-in-class front-of-house: booking, client experience, payments and staff management.
• Per-location pricing is a major cost advantage for multi-provider single sites.
• Strong at the retail and membership side of the business.

Cons

• EMR depth is lighter than Aesthetic Record or PatientNow. If clinical documentation is a requirement rather than a checkbox, verify it carefully.
• Built for the spa business first and the medical record second.

5. AestheticsPro — best budget aesthetic platform

Pricing: reported around $85 per month.

Pros

• Very low cost for an aesthetics-specific platform with EMR, scheduling and marketing.
• Suitable for a new or small med spa controlling overhead.
• Covers consent forms and photo documentation.

Cons

• Depth and polish trail the higher-priced options.
• Less suitable as the practice scales into medical complexity.

6. Mangomint — best modern spa operations platform

Pricing: reported around $165 per month.

Pros

• Clean, modern operations tooling — scheduling, payments, staff workflows.
• Well regarded for usability by front-desk teams.

Cons

• Spa operations rather than medical records; thin for clinical documentation.
• Not built for practices doing medical visits alongside cosmetic ones.

7. Nextech — best for high-volume surgical and cosmetic practices

Pricing: not published; reported to frequently exceed $1,000 per provider per month.

Pros

• Deep cosmetic and surgical workflows with mature photo management.
• AI scribe plus photo assist.
• Handles the full plastic surgery and cosmetic dermatology range.

Cons

• The most expensive option here and an enterprise sales cycle with it.
• Considerably more platform than most med spas need.

Comparison table

Frequently asked questions

What is the best software for a med spa?

It depends on whether your business is medically led or spa led. For physician-led medical aesthetics and cosmetic dermatology where the clinical record matters, FlowEHR at a published $449 per provider per month on annual billing is our pick. For a spa-led business with several injectors at one location, Boulevard, Aesthetic Record or AestheticsPro will typically cost less and cover the workflow.

Why is med spa software so much cheaper than a medical EHR?

Mostly pricing model rather than quality. Spa platforms are commonly priced per location, so adding injectors does not raise the bill; medical EHRs are priced per provider because each clinician gets a full record, and the compliance and documentation surface is larger. A four-injector single site can therefore see a multiple-times difference between the two models.

Do med spas need a full EHR?

If you are administering injectables and prescription-strength treatments under physician oversight, you need documentation that holds up to a medical board or a malpractice review — a treatment log is not the same thing. If your services are primarily aesthetic and non-prescription, a spa platform with consent forms and photo documentation is generally sufficient. Practices that do both in the same chart are the clearest case for a medical EHR.

What should a cosmetic dermatology practice look for?

One chart that holds both the medical and the cosmetic encounter. Practices that split them across two systems end up reconciling records manually and lose the clinical history that makes a cosmetic consult safer. Also look for before-and-after photo tracking tied to the record, and deposit protection with card on file — no-shows are the quiet margin killer in cosmetics.

How much does med spa software cost per month?

Reported figures range from roughly $24 per month at the low end to over $1,000 per provider per month at the enterprise end. The wide range reflects genuinely different products: retail spa booking at the bottom, full medical records at the top. Compare per-location and per-provider pricing by converting both to an annual number using your actual provider count.

Can I run a med spa and a dermatology practice on one system?

Yes, and it is usually the better arrangement if you do both. A single record means a cosmetic consult can see the medical history and vice versa, and billing does not fork into two systems. This is the specific case where a medical EHR with native cosmetic workflow earns its per-provider price over a spa-first platform.