AI Workforce
Updated October 9, 2026
Zenoti vs Aesthetic Record: one platform from first call to payroll
Aesthetic Record covers charting, photos, payments and memberships, and runs CRM, bulk campaigns and calling through LeadAR, a separately priced add-on. Zenoti builds lead management, marketing automation, AI Receptionist, a phone system and full-service US payroll into the same platform as your charts.
What is built in, and what is an add-on
Aesthetic Record
- LeadAR
- Mailchimp
- HubSpot
- ActiveCampaign
CRM, bulk campaigns and calling through the LeadAR add-on and connected CRMs
Zenoti
All built into one platform
Sources: Aesthetic Record pricing, Aesthetic Record integration hub, Zenoti medspa features. Checked October 1, 2026.
Medspa brands that run on Zenoti
Zenoti vs Aesthetic Record: the problems medspa teams switch to solve
Both platforms chart injectables, store before-and-after photos and take payments. The difference shows up around the chart: the leads, the calls, the campaigns, the payroll and the move itself.
Zenoti vs Aesthetic Record in brief
The short version, if you only read one thing on this page.
- The core difference: Zenoti builds lead management, marketing automation, AI Receptionist, a phone system and full-service US payroll into one platform. Aesthetic Record runs CRM, bulk campaigns and calling through LeadAR, a separately priced add-on, and connects CRMs such as Mailchimp and HubSpot.
- Both cover medspa charting, before-and-after photos, e-prescribing, payments, memberships and lot-level inventory, and both sell AI charting as a paid add-on.
- For payroll, Zenoti Integrated Payroll calculates paychecks from appointments, hours, commissions and tips and files federal and state taxes. Aesthetic Record lists commission reports and time tracking, and payroll tax filing is not stated publicly.
- On Capterra, Zenoti holds 4.4 out of 5 from 1,291 reviews, with 4.6 for customer service, as of October 2026.
The problem
Leads and campaigns live outside the chart
Inquiries arrive from Instagram, your website and the phone, and win-back campaigns go out from a different tool. Aesthetic Record runs CRM, bulk campaigns and calling through LeadAR, a separately priced add-on with its own app, or through connected CRMs such as Mailchimp and HubSpot.
How Zenoti fixes it
Zenoti captures inquiries from forms, website visits and inbound calls in one place, routes each one to the right person and follows up automatically. Campaigns build from the same patient record: treatment history, membership status, package balance, visit recency, spend and form answers, so you can reach Botox patients who have never tried filler from inside the platform.
The problem
Calls go unanswered while providers are with patients
Your front desk is checking someone out and your injectors are mid-treatment. A caller who wanted a consult tries the next medspa on the list.
How Zenoti fixes it
AI Receptionist answers the calls your team misses, around the clock. It books, reschedules and cancels appointments, hands over to a person when a caller asks, and calls unconfirmed patients before their visit. You can keep your phone provider and forward missed calls to AI Receptionist, or move your phones to HyperConnect, which puts calls, texts and web chats on the patient profile.
“It saves the phone call the front desk doesn't have time for.”Nichole Blatt, Global Communications Manager, Skin Laundry (more than 23 clinics), on Zenoti's two-way texting. Read the case study
The problem
Charting has to stay fast, complete and audit-ready
Your injectors chart chairside. A new system has to keep product, units, lots, photos and consents straight, and keep medical director review simple.
How Zenoti fixes it
Zenoti charts by procedure: an injectable note captures product, units per site, lot number, expiration date and provider as structured fields, and providers copy a previous session and adjust. Photos follow 200+ face and body maps with ghosting for consistent angles, consent forms are completed before the visit, prescriptions go out through Surescripts, including controlled substances, and medical directors review charts across locations from one login. AI Scribe, a paid add-on, drafts the note from the consultation for a 30-second review. Zenoti provides a signed Business Associate Agreement (BAA).
“With AI Scribe, we can reduce appointment lengths on our most popular service by nearly 50%...”Warren Danforth, Owner, Spa 35, on Zenoti's medspa features page. Read more
The problem
Payroll still starts with an export
Injector commissions, aesthetician tips and hourly front desk staff all land in one pay run. Aesthetic Record tracks commissions and time, and documents a sales export for payroll.
How Zenoti fixes it
Zenoti Integrated Payroll calculates pay from services, commissions, tips and retail, then handles federal and state tax calculations, filings and payments in all 50 states, with W-2s for employees and 1099s for contractors. Tips land in each employee's Zenoti Wallet at the end of every shift. Zenoti payroll is available in the US.
See payroll and tippingThe problem
A second location doubles the admin
Opening another location means more providers, more stock to track and members who expect their benefits at both.
How Zenoti fixes it
Zenoti keeps one patient profile across every location, so clinical records, forms, memberships, packages and gift cards travel with the patient. Services, pricing and protocols are managed centrally, injectable inventory updates as each chart is completed, and reports compare locations side by side. Single-location practices run on the same platform.
“We're able to treat our brand holistically, which helps us operate efficiently and consistently deliver exceptional customer experiences.”Denise Keeler, COO, OrangeTwist, with locations across four states. Read the case study
The problem
Switching feels risky with years of charts and photos
Charts, before-and-after photos, consents, memberships and patient wallet balances. Moving them can feel riskier than staying put.
How Zenoti fixes it
A Zenoti migration team maps your data, imports it into a staging environment so you can check records and balances against your own reports, sets up services and memberships with you, and trains your front desk and providers before go-live.
“The implementation and ongoing support have also made the transition much easier.”Michelle S., Therapist and Administration, Health, Wellness and Fitness. September 8, 2026. September 8, 2026. Read on Capterra
Zenoti vs Aesthetic Record: feature comparison
Checked against each vendor's public pages on October 1, 2026. "Not stated publicly" means we could not find it on Aesthetic Record's public pages, not that it is missing, so ask in your demo.
| Capability | Zenoti | Aesthetic Record |
|---|---|---|
| Clinical and charting | ||
| Procedure charting | BothStructured injectable notes: product, units per site, lot, expiry and provider | BothCustomizable templates; injection points and dosages marked on patient images |
| AI charting | BothAI Scribe (paid add-on) drafts the note from the consultation | BothChartSmart AI (paid add-on) records and transcribes the visit into a note |
| Before-and-after photos | Both200+ face and body maps, photo ghosting, side-by-side comparisons | BothSmartMatch alignment, before-and-after photos and videos |
| E-prescribing | BothSurescripts, for controlled and non-controlled medications | BothCloud ePrescribing on Surescripts, including controlled substances |
| Medical director review | BothReview dashboard across all locations from one login | BothChart sign-off and auditing for medical directors |
| Telehealth | BothHIPAA-compliant virtual appointments | BothTelehealth visits, with transcripts for ChartSmart AI |
| Front desk and communication | ||
| AI phone answering | Built inAI Receptionist answers missed and after-hours calls, books and confirms | Not stated publicly |
| Phone system | Built inHyperConnect replaces your phone system and connects calls, texts and web chats to the patient profile | Via partnersApp-based voice calling with the LeadAR Start Plan |
| Two-way texting | BothSMS, WhatsApp and in-app messaging with full history | Both2-Way Texting in the AR Inbox (Accelerator plan) |
| Online booking and reminders | BothOnline booking, reminders, waitlist and AI confirmation calls | BothOnline booking, automated reminders, service deposits and waitlist |
| Reviews and reputation | BothGoogle and Facebook reviews in one dashboard, with AI reply suggestions | BothReputation management and patient surveys |
| Marketing and growth | ||
| Lead capture and CRM | Built inInquiries from forms, website and calls captured, routed and followed up | Via partnersLeadAR, sold separately; external leads integration on Accelerator |
| Email and SMS campaigns | Built inSegments by treatment history, membership, package balance and visit recency | Via partnersMass SMS and email campaigns through LeadAR; patient lists to Mailchimp, HubSpot and other CRMs |
| Memberships and packages | BothRecurring billing, freeze, and benefits honored at every location | BothMultiple tiers, recurring billing, payments on hold and treatment subscriptions |
| Payments | BothIntegrated payments with deposits, no-show fees and payment plans for packages | BothAR Pay on Stripe, Text2Pay and patient financing |
| Patient app or portal | BothBranded mobile app for booking, forms, memberships and balances | BothPatient portal and wallet |
| Staff, payroll and operations | ||
| Commissions and time | BothCommissions calculated at checkout and split automatically; clock-in on the MyZen app | BothCommission reports and time tracking |
| Payroll tax filing | Built inFederal and state filings in all 50 US states, W-2s and 1099s | Not stated publicly |
| Inventory | BothLot and expiry tracking, updated as each chart is completed | BothLot and expiry tracking, deducted when charted, purchase orders and stock transfers |
| Reporting | BothDashboards, cross-location reports and answers from Zeenie, the AI assistant | BothBusiness Insights and KPI dashboards |
| Locations and scale | ||
| Multiple locations | BothOne patient profile across locations; memberships, packages and gift cards honored everywhere | BothMulti-location dashboards and account cloning on the Enterprise plan; stock transfers between clinics |
| Business types | Medspa, salon, spa, barbershop and fitness | Aesthetic and medical spa practices |
Zenoti vs Aesthetic Record reviews on Capterra and G2
Each rating comes with the number of reviews behind it. Zenoti's Capterra score is built on 1,291 reviews and its G2 score on 314, as both sites showed them on October 1, 2026. The split by support, ease of use and features follows.
Capterra
Scores out of 5, as published on each product's Capterra listing (both updated September 29, 2026). The top bars show each product's number of Capterra reviews; brackets show the number of reviews behind each sub-score. Zenoti on Capterra. Aesthetic Record on Capterra.
G2
Sub-scores out of 10, as shown on G2's Aesthetic Record vs Zenoti comparison page on October 1, 2026. The top bars show each product's number of G2 reviews. G2 also rates Zenoti's ease of admin at 8.3 and ease of setup at 7.6, which is why switches to Zenoti run with a Zenoti onboarding team; it shows not enough data for Aesthetic Record on either.
Medspa teams on Zenoti, in their own words
"More Than Just Appointment Management"
“As a med-spa, it has been a significant step up from the software we were previously using and has allowed us to do much more within one system.”
Michelle S.Therapist and Administration, Health, Wellness and Fitness. September 8, 2026. Capterra
A med spa team, on AI Receptionist and AI Scribe
“We recently added the AI Receptionist through Hyperconnect and AI Scribe, and both integrated seamlessly ...”
Ollien P.Executive Assistant, Health, Wellness and Fitness. August 21, 2026. Capterra
"Zenoti is an important part of our business"
“From managing our team and payroll to tracking expenses, monitoring income, and generating detailed business reports, Zenoti gives us the operational oversight we need to make informed decisions.”
Joanne L.Founder, Medical Practice. August 26, 2026. Capterra
Capterra reviews constitute the subjective opinions of individual end users based on their own experiences and do not represent the views of Capterra or its affiliates. Excerpts are verbatim; read each review in full on Capterra.
Case studies from top medspa businesses on Zenoti
From single-clinic practices to brands with more than 23 clinics, in their own words and numbers.
We've recovered 84 patients, generated thousands in revenue, and seen a boost in bookings thanks to campaigns that offer personalized discounts to patients.84 patients recovered with automated campaigns
Lead management helps us handle large volumes of inquiries, turning them into consultations and clients.Three disparate systems consolidated into one
The results we have already achieved with Zenoti SmartMarketing have been incredible.Returning guests spent 8% more on average
Moved clinic messaging onto Zenoti Connect, with check-ins and completed services visible to the whole team.
Read the case study
Smart Marketing re-engages prospects, regains lost customers and encourages cross-selling and up-selling.
Read the case study
Went 100% paperless with digital forms, online booking and online payment.
Read the case study
More than 70% of forms are completed on guests' own devices before their appointments.
Read the case study
Moved online booking, treatment forms and two-way texting onto Zenoti, with auto-replies out of hours.
Read the case study
Sent 46,000 targeted emails in three months with Smart Marketing.
Read the case studySwitching from Aesthetic Record to Zenoti
Whichever Aesthetic Record plan you're on, the move follows the same five phases, with a Zenoti onboarding team alongside you.
Scope
A migration specialist maps your current data, services and setup.
Migrate
Patient profiles, history and balances move to a staging environment.
Configure
Services, charting templates, memberships and inventory are set up.
Validate
You check records and balances against your own reports before go-live.
Train and go live
Front desk, providers and managers learn on your own setup.
Leaving Aesthetic Record?
Start your exports early. Aesthetic Record's Learning Lab shows how to export each patient's procedures and photos, and your patient list to CSV or Excel. AR Pay runs on Stripe, so ask early how your cards on file can move. Aesthetic Record's export guide
See your medspa running on Zenoti
Book a demo built around your practice. A Zenoti specialist walks through your charting templates, photos, memberships and campaigns, and maps what a move from Aesthetic Record involves for your go-live date.
“As a med-spa, it has been a significant step up from the software we were previously using and has allowed us to do much more within one system.”Michelle S., switched from Timely. Capterra, September 8, 2026.
Book your demo
A Zenoti specialist will reach out to schedule your demo.
Zenoti vs Aesthetic Record: questions medspa owners ask
What is the difference between Zenoti and Aesthetic Record?
Zenoti builds lead management, marketing automation, AI Receptionist, a phone system and full-service US payroll into one platform. Aesthetic Record runs CRM, bulk campaigns and calling through LeadAR, a separately priced add-on, and connects CRMs such as Mailchimp and HubSpot. Both cover medspa charting, before-and-after photos, e-prescribing, payments, memberships and lot-level inventory.
Does Zenoti have AI for medspas?
Yes. AI Receptionist answers the calls your team misses, around the clock, and books, reschedules and confirms appointments. AI Scribe, a paid add-on, drafts the clinical note from the consultation for a 30-second review. AI Lead Manager follows up with new inquiries automatically.
Does Aesthetic Record have AI charting too?
Yes. Aesthetic Record sells ChartSmart AI as a paid add-on that records and transcribes the visit into a note. Zenoti's AI Scribe is also a paid add-on, and it fills your custom Zenoti eNotes for review and one-tap approval.
Is Zenoti HIPAA compliant, and will it sign a BAA?
Yes. Zenoti provides a signed Business Associate Agreement, encrypts all PHI at rest and in transit, and logs every access to a patient record with a timestamp and user identity.
Does Zenoti support e-prescribing?
Yes. Licensed prescribers send prescriptions from the patient's Zenoti record through Surescripts, for controlled and non-controlled medications, and each prescription is logged in the clinical history for medical director review.
Can Zenoti run payroll for my medspa?
Yes, in the US. Zenoti Integrated Payroll calculates pay from services, commissions, tips and retail, and handles federal and state tax calculations, filings and payments in all 50 states, with W-2s and 1099s.
How long does it take to switch from Aesthetic Record to Zenoti?
The move runs in five phases: scope, migrate, configure, validate, and train and go live.
Can I try Zenoti before committing?
Zenoti offers a live demo built around your practice. It does not offer a self-serve free trial.
How does Zenoti pricing compare with Aesthetic Record?
Aesthetic Record publishes per-user plans and sells some features separately, such as ChartSmart AI, ePrescribing and LeadAR. Zenoti quotes each practice based on its locations, providers and the capabilities it needs, so request a quote in your demo and include every add-on you pay for today when you compare.
Is Zenoti only for large medspa groups?
No. More than 30,000 businesses use Zenoti, from single-location shops to global brands.
Is there a learning curve with Zenoti?
Yes. Zenoti covers a lot, and setup is its lowest-scored area on G2. Medspas switching to Zenoti work with a Zenoti onboarding team through setup, training and go-live.
Sources and disclaimers
All sources checked October 1, 2026. Capterra reviews constitute the subjective opinions of individual end users based on their own experiences and do not represent the views of Capterra or its affiliates.