AestheticsPro vs PatientNow: how they compare as your medspa grows

Both run charting, online booking, payments, memberships, marketing, e-prescribing and before-and-after photos for aesthetic practices, and both describe tools for more than one location. AestheticsPro's Kai AI Suite helps staff complete documentation, draft client communications and build custom forms. PatientNow includes AI Scribe in all plans. Its Recura AI answers calls and texts 24/7. Neither states payroll tax filing, franchisor royalties or benchmarks from other businesses publicly. Zenoti Integrated Payroll files federal and state payroll taxes in the US, Zenoti calculates franchisor royalties on actual revenue, and its benchmarks come from 30,000+ businesses, and Zenoti adds an AI Workforce across the platform, from AI Scribe in the treatment room to AI Receptionist on the phone line.

AestheticsPro E-Records include ready-to-use and custom forms, digital signatures and medical director authorization, and Kai Content Assistant turns a provider's typed or dictated summary of units, zones and product into a clinical note. PatientNow offers aesthetic charting templates for injectables, surgery, weight loss and wellness visits, PatientNow Essentials records the product lot number and expiration date on each injection and has signature fields for medical director sign-off, and AI Scribe drafts structured visit notes for the provider to review, edit and sign off. Zenoti's injectable records capture product, units per injection zone, lot number, expiry date and administering provider, and AI Scribe, a paid add-on, drafts notes from the provider and patient conversation for the provider to review. AestheticsPro describes its EMR and e-records as HIPAA-compliant, PatientNow says it is HIPAA compliant, and Zenoti provides a signed Business Associate Agreement.

PatientNow's Recura AI answers calls and texts 24/7 and syncs bookings with the PatientNow calendar. AestheticsPro's AI Suite page lists AI reception tools as coming soon. Zenoti AI Receptionist answers missed and after-hours calls 24/7, then books, reschedules and confirms appointments by voice or text. It is one agent in Zenoti's AI Workforce, alongside AI Scribe for clinical notes, AI Concierge on HyperConnect, which analyzes every call and text for missed bookings and upsells, Zeenie, an assistant that answers questions about your business inside Zenoti, and Smart Marketing campaigns. AI agents are available on Zenoti's AI Plus package.

AestheticsPro tracks hours with time cards and an integrated time clock, tracks commissions and exports the information you need for payroll. PatientNow Essentials applies commission plans on a straight scale, sliding scale or average sales amount, and calculates pay for employees on hourly pay or a commission plan when you run payroll. Neither states payroll tax filing publicly. Zenoti Integrated Payroll handles federal and state tax calculations, filings and payments across all 50 U.S. states.

Yes. AestheticsPro describes centralized scheduling, shared client records and location-aware reporting for multi-location practices. PatientNow's Command Center applies one setup to each new location, and PatientNow shares charts across locations and reports across clinics, locations and regions. Zenoti keeps one guest profile across centers, tracks payables and receivables when a guest buys at one center and redeems at another, and calculates franchisor royalties on actual revenue.

AestheticsPro has built-in memberships, packages and loyalty programs, and AP Payments automates recurring membership billing and expiration tracking. PatientNow memberships and packages bill on schedule and track member benefits, and in PatientNow Essentials a membership can be frozen until a future date. Zenoti bills memberships automatically, lets guests freeze or skip payments, shares benefits with family and friends, sends failed payments through your retry and dunning rules, and redeems memberships across centers unless you restrict one to its home center.

Zenoti's onboarding team scopes the migration with you, moves patient details and the balances you can provide, sets up your services and memberships, and helps you validate the migrated data before you sign off. Most single locations are live in about four weeks, and your implementation team scopes the exact timeline with you.

Zenoti offers a live demo built around your practice. It does not offer a self-serve free trial.

AestheticsPro's pricing page lists Pro-Plus at $160 a month for two users ($85 a month per additional user, up to three), Executive at $285 a month with unlimited users and multi-location support, and Enterprise at $350 a month, with a note that some features carry an additional fee. PatientNow offers three plans and gives pricing in a demo. Both as shown on November 11, 2026. Zenoti pricing is by quote, so ask for one in your demo and include the add-ons you pay for today when you compare. A single location runs on the same platform as large groups, and for more than one location pricing is customized to your footprint and needs.

No. Zenoti is built for growing salons, spas, medspas, fitness centers and barbershops of all sizes, from single locations to enterprise franchises. A single location uses the same platform as large groups, so adding locations does not require re-platforming.

Less than you would expect for a platform that runs charting, booking and payroll together. Zenoti University gives each role its own short online courses: providers learn charting, photos and AI Scribe, the front desk learns booking, forms and checkout, and the medical director learns the review dashboard, so nobody sits through training they will not use. Zenoti's onboarding team handles the migration and configuration with you, and the Professional Services team stays with you after go-live. By the second week most practices are charting and billing without looking anything up.

Yes. Ask when you book your demo and your Zenoti specialist will set it up. Until then, the case studies and reviews on this page come from medspa owners and managers who made the move.