Head-to-head · Updated 2026
AestheticsPro vs Zenoti for medical spas
Short answer
AestheticsPro and Zenoti sit at opposite ends of the market. AestheticsPro is a long-established, medical-aesthetics-specific EMR — charting, consents and marketing built around injectables — priced as a base tier with per-module add-ons, and generally aimed at single-location and small clinics. Zenoti is enterprise spa and salon software built for franchise networks, with the deepest multi-location and corporate reporting in the category, a paid implementation project and typically an annual or multi-year contract. AestheticsPro wins on clinical specificity and cost at small scale; Zenoti wins on scale, governance and cross-location reporting. Clinics that want both — medical-grade charting and multi-location rollups — without add-on tiering or an implementation project usually end up comparing both against MedAestheticsOS.
Choose AestheticsPro if…
Choose AestheticsPro if you are a single-location or small clinic that wants a proven, medical-aesthetics-specific EMR with familiar injectable charting and marketing workflows, and you are comfortable adding modules as you grow. It is a legitimate, long-standing platform in this category.
Choose Zenoti if…
Choose Zenoti if you operate a large franchise or multi-brand network. Corporate rollups, territory management, cross-location inventory governance and enterprise rollout support are its purpose, and no lighter platform matches it at that scale.
Choose MedAestheticsOS if…
Choose MedAestheticsOS if you sit in the gap between them — roughly one to twenty locations that need real clinical depth and real multi-location reporting. You get eight aesthetic charting modalities, a native AI ambient scribe, lot-and-expiry injectable inventory, e-signed consents with GFE and medical-director oversight, POS with a commission engine, memberships and gift cards, a payroll-grade time clock, parent-clinic rollups and a native BAA, at flat $299 / $699 / $1,900 per month with migration included and no implementation fee.
AestheticsPro vs Zenoti vs MedAestheticsOS
| Dimension | AestheticsPro | Zenoti | MedAestheticsOS |
|---|---|---|---|
| Built for | Single-location and small medical spas | Enterprise franchise and multi-brand chains | Medical aesthetic clinics, 1–20 locations |
| Pricing model | Base tier plus per-module add-ons and seats | Quoted per clinic, typically annual or multi-year | Flat $299 / $699 / $1,900 per month, all features |
| Implementation | Self-serve, light onboarding | Paid implementation project, weeks to months | Guided CSV migration included, live in days |
| Clinical charting | Medical-aesthetics-specific, injectables-led | Spa-first with medical add-ons | 8 modality-specific charting templates |
| AI ambient scribe | Third-party integration | Third-party integration | Native, included |
| Injectable lot tracking | Inventory module | Enterprise inventory governance | Lot and expiry tracked, deducted from the chart |
| Multi-location reporting | Limited | Strongest of the three | Parent-clinic rollups with tenant isolation |
| Marketing and SMS | Built-in marketing module | Enterprise campaign tooling | SMS offers, review requests and AI receptionist included |
| Payroll and commission | Usually external | Available at enterprise tiers | PIN time clock and commission engine on one ledger |
| Interface | Functional, dated in places | Deep but configuration-heavy | iPad-first clinical UI |
| Contract | Month-to-month common | Typically annual or multi-year | Month-to-month, cancel anytime |
AestheticsPro and Zenoti quote pricing per clinic, so figures above describe the pricing model rather than a published rate. Confirm current terms with each vendor.
Frequently asked questions
Is AestheticsPro or Zenoti better for a med spa?
AestheticsPro is generally better for a single-location or small medical spa: it is aesthetics-specific, cheaper to start and needs no implementation project. Zenoti is better once you run a large multi-location or franchise network and need corporate reporting, territory management and enterprise governance. The crossover point for most clinics is somewhere around five to six locations.
What is the best alternative to AestheticsPro and Zenoti?
MedAestheticsOS is the strongest all-in-one alternative for clinics that fall between the two. It combines medical-grade aesthetic charting across eight modalities with multi-location rollups, POS, lot-tracked inventory, memberships, payroll commission and a native BAA in one flat monthly price, with no add-on tiering and no paid implementation.
Does AestheticsPro support multiple locations?
AestheticsPro can be run across multiple locations, but consolidated cross-location reporting and governance are not its strength — that is where clinics typically start evaluating Zenoti or a platform with native parent-clinic rollups.
Can I move my data off AestheticsPro or Zenoti?
Yes. Both platforms let you export clients, appointment history, services and inventory as CSV. MedAestheticsOS includes a guided migration tool that maps those exports, de-duplicates client records and imports chart history, so most clinics go live in days rather than months. Migration and onboarding are included, not billed as an implementation project.
How much does MedAestheticsOS cost compared to these platforms?
MedAestheticsOS is flat month-to-month at $299 (Solo Suite), $699 (Growth Clinic) or $1,900 (White-Label Enterprise), with every feature included and no per-module add-on tiers. Both alternatives quote per clinic based on locations, seats and modules, so compare your all-in total — including any third-party AI scribe, SMS marketing or time-clock tool you currently pay for separately.
Do these platforms include a signed BAA?
All three can operate under HIPAA safeguards, but coverage varies by tier and contract. MedAestheticsOS includes a native Business Associate Agreement, role-based access control, row-level tenant isolation and an immutable audit trail on every plan at no extra cost.
Other head-to-head comparisons
Also see the best medical spa software buyer's guide, platform alternatives or the full comparison table.