AestheticsPro vs Medesk

ZENOTI

Pabau

PatientNow

ZENOTI is an all-in-one, enterprise software that helps salons, spas and medspas to manage and grow their business. The solution disappears into the background while supporting every aspect of your business, so you can focus on what you love - giving your customers a great experience.

Pabau is an all-in-one practice management software designed for healthcare businesses. The system offers digital patient records, online booking capabilities, calendar management, and integrated payment processing to streamline administrative workflows. Pabau also includes marketing tools, inventory management, and reporting features that help medical practices operate efficiently while maintaining secure patient data.

PatientNow offers practice management software for aesthetic medicine providers, integrating electronic medical records, patient engagement, payment processing, and digital marketing. Designed for medical spas, plastic surgery centers, and wellness clinics, it streamlines workflows with HIPAA-compliant features and tools like before-and-after photography, automating tasks and providing business growth insights.

Supervisor

The support lacks when you need problems resolved.

Owner Esthetician

Also HORRIBLE support & customer service — they either never have answers for you, or they have the nerve to blame you and say “the information is in your contract so you should have known” - nice way to be spoken to as a loyal customer of 5 years, always paying my bill on time without issue.

Owner

It is a reliable, robust platform that supports the day-to-day operations of my business effectively.

Owner and Founder

What I like most about AestheticsPro is the intake forms that are made for you and the customer service.

AestheticsPro is the all-in-one software for medical spas to manage EMR, scheduling, marketing, CRM, POS, and inventory. Built for HIPAA compliance and business growth, it simplifies operations and enhances the client experience in one platform.

Access Controls/Permissions

Accounting Integration

Activity Dashboard

Alerts/Notifications

Appointment Management

Appointment Scheduling

Automated Scheduling

Barcode Recognition

Barcode/Ticket Scanning

Before & After Pictures

Billing & Invoicing

Calendar Management

Calendar Sync

Cancellation Tracking

Charting

Chat/Messaging

Client Management

Client Portal

Clinical Notes

Commission Management

Communication Management

Comparison View

Compliance Management

Confirmations/Reminders

Credit Card Processing

Customer Database

Customer History

Customer Surveys

Customizable Branding

Customizable Forms

Customizable Reports

Customizable Templates

Data Import/Export

Discount Management

Documentation Management

Document Management

Document Storage

Drag & Drop

Drug Reference Database

Electronic Payments

Electronic Signature

Email Marketing

Email Reminders

Employee Management

E-Prescribing

Event Scheduling

Faculty/Staff Management

File Sharing

For Medical Purposes

For Medical Spas

Forms Management

For Retail

For Salons and Spas

Gift Card Management

HIPAA Compliant

Inventory Management

Inventory Replenishment

Inventory Tracking

Invoice Management

Live Chat

Loyalty Program

Marketing Automation

Medical History Records

Mobile Access

Mobile Alerts

Multi-Location

Multi-Provider Practice

No-Show Tracking

On Call Scheduling

One-to-One Messaging

Online Booking

Online Forms

Patient Portal

Patient Records Management

Patient Scheduling

Payment Processing

Payroll & Commissions

Performance Metrics

Physician Management

Point of Sale (POS)

Practice Management

Price/Margin Management

Pricing Management

Promotions Management

Real-Time Data

Real-Time Reporting

Real-Time Updates

Receipt Management

Records Management

Recurring Appointments

Reminders

Remote Treatment Planning

Reporting & Statistics

Retail Inventory Management

Retail Management

Returns Management

Revenue Management

Sales Reports

Sales Tax Management

By industry, AestheticsPro reviewers are most commonly professionals in medical practice (49%). The most frequent use case for AestheticsPro cited by reviewers is medical spa (81% of reviewers).

Users and use cases

Some users report that AestheticsPro provides affordable pricing and a wide range of features compared to competitors. Reviewers appreciate the cost-effectiveness for small practices, but some users mention unexpected fees and costly higher-tier plans.

Value for money

The AestheticsPro integration most frequently cited by reviewers is Clover, a payment processing product rated 5.0 out of 5 for its integration with AestheticsPro.

Integrations

AestheticsPro is a medical spa program offering key features such as appointment management, HIPAA compliance, and client management, among others.

Proprietary

AestheticsPro

Web-based

Windows

iPhone

iPad

Linux

Chromebook

Android

Aesthetic Record

Mindbody

Boulevard

Jane

Tebra

DrChrono

Vagaro

Booker

Remedly

DaySmart Spa

Mangomint

Pro-Plus

Executive

Enterprise

Inconsistent messaging and marketing

Medical Esthetician

The client portal is clunky and not very customizable, and the unsubscribe notification for emails is so small that we continuously get clients telling us they aren't able to unsubscribe and that we're doing it on purpose.

owner, NP

No available text marketing that aligns with email marketing; non-editable text reminder; patient portal is not user friendly.  

54% of reviewers feel negative about Email and Text Messaging. Reviewers report that email and text reminders are unreliable, with messages sometimes not being sent or received. They say the system lacks robust marketing features, has limited customization, and charges extra for exceeding messaging limits. Users indicate that issues with unsubscribing, message formatting, and absence of two-way texting hinder their communication with clients. Some reviewers find that these limitations negatively impact their marketing and client engagement.

High and unpredictable costs

Medspa Director

I found it costly to add new documents for new services.

Co founder  spa development

For over a decade, I've been paying more than $70 more than their highest listed price for their service.

42% of reviewers feel negative about Pricing. Reviewers say the software is expensive, with frequent price increases and additional fees for features or early termination. They report that costs can be unexpectedly high, especially for small businesses or when adding new services. Users indicate that some features require extra payment and that the value does not always match the price. Some reviewers feel that the pricing structure is not transparent and that ongoing costs are a significant concern.

Frequent glitches and downtime

Medspa owner

My main issue is constant glitches: eblasts not being sent when scheduled or come out crooked, by the time the clients receive monthly eblast promo it is end of month, and why so long?- because their support is not resolving issues but only dragging time to seemingly look they are trying to help.

Medical Director

They did a major update, we thought this was going to make it better, unfortunately this didn't fix any of the issues we were consistently had and made for more issues with the functionality of what was previously working.

73% of reviewers feel negative about Bugs and Issues. Reviewers report frequent glitches, crashes, and system outages that disrupt their workflow and cause frustration. They say issues like display errors, buggy updates, and slow performance make the software unreliable. Users indicate that problems are often not resolved quickly, and recurring bugs lead to wasted time and operational delays. Some reviewers feel that ongoing technical issues undermine their confidence in the platform and make daily use challenging.

Limited and confusing payment tools

Practice Manager

Also, tracking packages can be confusing. If a client is checking out with one prepaid service but adding another service, it doesn't zero out the prepaid service on the invoice and you need to double check to make sure that clients are not overcharged

It does not integrate with Canadian systems in terms of choice for payment processing , text messaging, connectivity to e-commerce and better inventory management system.

61% of reviewers feel negative about Payment and Invoicing. Reviewers say the payment system lacks integration with many credit card processors and e-commerce platforms, making transactions cumbersome. They report confusion with invoicing, difficulties tracking prepaids and packages, and a lack of flexibility with gift cards and discounts. Users indicate that the limited options for payment processing and frequent technical issues create extra work and increase the risk of errors. Some reviewers find that support for payment-related problems is inadequate.

Prompt and helpful responses

She was able to answer my quesitions and taught me things about the dashboard that I didn't know.

84% of reviewers feel positive about Question and Answer. Reviewers appreciate the promptness and thoroughness of support when they have questions, whether simple or complex. They say staff respond quickly and provide clear, actionable solutions. Users value that they can easily reach out for help and consistently receive timely, accurate answers. Some reviewers find that the support team goes above and beyond to ensure all their questions are addressed, which reassures them and supports their business operations.

Versatile and evolving features

Medical director

The platform has many many uses for my business and they are always updating with more and better features

Marketing Coordinator 

The features for our marketing purposes are fabulous and we greatly appreciate having this option tied into the program and direct software

86% of reviewers feel positive about Features. Reviewers appreciate the wide range of features that support their business operations, from marketing tools to appointment management. They say the platform is versatile and regularly updated with new functionalities, allowing it to adapt as their needs change. Users value that many features are designed specifically for their industry, and they like that suggestions for improvements are often considered. Some reviewers find that having multiple robust features in one place makes their workflow more seamless.

Responsive and knowledgeable support

Patient Coordinator

Overall I really enjoy utilizing the software and am happy with the overall experience, especially the knowledge and accessibility of the support team.  

93% of reviewers feel positive about Staff Support. Reviewers appreciate the support team's responsiveness, professionalism, and deep knowledge of the platform. They say staff are patient, friendly, and quick to resolve questions, making onboarding and ongoing use much smoother. Users indicate that training sessions are thorough and helpful, and they value being able to reach out for guidance at any time. Some reviewers find that the support staff can explain complex features clearly, which helps them and their teams feel more confident using the software.

User-friendly platform experience

Nurse Practitioner

MD Owner

86% of reviewers feel positive about User Interface. Reviewers indicate that the interface is user-friendly and easy to navigate, making daily tasks less time-consuming. They appreciate that the layout is clear and that the system is approachable for new users. Users say the platform feels modern and reliable, with most finding it simple to operate after a short adjustment period. Some reviewers feel that the user interface contributes to a positive overall experience and helps them work more efficiently.

Intuitive for all users

NURSE PRACTITIONER

Less complicated, easy to use and everything I need is included.

87% of reviewers feel positive about Ease of Use. Reviewers say the software is straightforward and easy to learn, even for those with limited technical skills. They find that most functions are simple to access and that the platform streamlines daily tasks. Users appreciate that it reduces the complexity of running their business and that new staff can be trained quickly. Some reviewers mention that the intuitive design helps them find what they need without frustration, making their workflow more efficient.

Patient Care Coordinator

What I liked least is the structure of the online booking system. When a campaign includes a service that requires a deposit, it prompts all patients to enter their card information even if they are not selecting that particular service with the deposit requirement.

Clinic Director

It combines scheduling, charting, consents, memberships, and client management in one system, which helps keep daily operations organized and efficient.

Nurse Practitioner and Practice Owner

Scheduling, charting, consent forms, and payment processing are all integrated in one system, saving us time and reducing errors.

It has helped streamline our daily operations by keeping scheduling, client records, consents, and memberships all in one place.

We especially love the photo management feature for tracking before and after results, as well as the customizable treatment notes.

Consultant,Manager

So far I don't have a feature that I don't like the "least" however being able to add a tag to patient photos to then be able to be searched based on service type for marketing purposes would be amazing.

OWNER

We use AP as our foundational platform at multiple med spas because it makes it simple to toggle from one to the other to view calendars, revenue, etc.  

AestheticsPro vs Medesk Comparison (2026)

AestheticsPro

Medesk

Overview

Video & Screenshots

Pricing

User reviews

Key features

Integrations

Alternatives