Table of Contents
For years, the medical spa industry was defined by injectables, lasers, and skModern med spas are no longer competing on artistry alone. The most Quick summary
Looking to increase patient engagement in 2026? This guide reviews the 10 best plastic surgery EMR systems, including PatientNow, ModMed, Nextech, AdvancedMD, and Symplast. We break down key features, strengths, and limitations to help you choose the right fit for your practice. You will also see why PatientNow continues to stand out for plastic surgery and aesthetic practices that value balance, clarity, and growth.
5 best plastic surgery EMR shortlist
After reviewing each platform against the real needs of plastic surgery and aesthetic practices, five solutions clearly stood out:
- PatientNow: Best all-in-one EMR, practice management, and marketing automation
- ModMed: Best for specialty-tailored clinical charting and mobile documentation
- Nextech: Best for advanced surgical billing and multi-location support
- AdvancedMD: Best for deep reporting analytics and scalable practice management
- Symplast: Best for modern, mobile-optimized patient engagement and telehealth
The best plastic surgery EMR: a growing demand
Electronic medical records reached the healthcare mainstream in the early 2000s, but adoption in plastic surgery lagged behind. As recently as 2010, nearly 60 percent of plastic surgeons had little to no EMR experience.
Today, EMRs are standard across U.S. aesthetic practices. Yet many plastic surgeons still report frustration with complex systems, rigid workflows, and inconsistent support.
Not all EMRs are built the same. One platform may excel in documentation, while another shines in billing or patient communication. This guide reviews the best plastic surgery EMR software and outlines how to choose a system that supports both clinical precision and sustainable practice growth.
Why listen to us?
PatientNow was built specifically for aesthetic medicine. Our platform brings together EMR, practice management, patient engagement, and marketing automation in one cohesive system designed for plastic surgery and medical aesthetics.
With a 90 percent client retention rate and thousands of active locations worldwide, our experience is grounded in real outcomes. Practices choose PatientNow to simplify workflows, strengthen patient relationships, and support long-term growth.
For example, Touch MedSpa adopted PatientNow to improve consultation-to-treatment conversion. By using integrated RxPhoto imaging tools, the practice strengthened patient trust and improved consultation outcomes.
Our perspective is shaped by years of supporting aesthetic practices. We evaluate EMRs through a practical lens, prioritizing workflow simplicity, patient engagement, and measurable business results.
Our experience supporting aesthetic practices informed our evaluation of the best plastic surgery EMRs. We prioritise solutions that simplify workflows, improve patient engagement, and drive business outcomes.
Features of the best plastic surgery EMR
A plastic surgery EMR should support both clinical excellence and operational clarity. These are the features that matter most:
1. Coding system
Accurate coding supports anesthesia tracking, post-operative care, follow-ups, and billing. A strong coding system reduces errors and shortens documentation time.
2. Photography tools
Photography is essential in plastic surgery. Look for built-in photo capture, editing, and secure storage that supports before-and-after comparisons and patient education.
3. Workflow management
Effective workflow tools help teams coordinate schedules, automate routine tasks, manage consent forms, and reduce manual errors across departments.
4. Patient engagement
Automated messaging, online scheduling, digital intake forms, and self-service tools create a smoother patient experience from first contact through follow-up.
5. Live dashboard
A centralized dashboard gives real-time visibility into schedules, charts, billing, and patient profiles, reducing friction and keeping teams aligned.
10 best plastic surgery EMR: comprehensive review
Below is a comparison of the best plastic surgery EMR systems for 2026, including pricing, strengths, ratings, and ideal use cases.
| EMRs | Best For | Pricing | Key Strength | Rating (G2) |
| PatientNow | Plastic surgery & aesthetic practices that need a comprehensive solution | Custom quote | Comprehensive EMR + practice management and growth tools | 4.0/5 |
| ModMed | Growing practices that need scalable workflows | Custom quote | Surgery specialty workflows | 4.5/5 |
| AdvancedMD | Plastic surgeons seeking full practice management | Custom quote | Robust practice management + streamlined billing | 4.5/5 |
| Symplast | Patient-focused scheduling & communications | Starts at $300/user/month | Patient engagement and satisfaction | 4.0/5 |
| Nextech | Dermatology clinics needing specialty EMR | Custom pricing | Specialised EMR | 4.3/5 |
| Praxis EMR | Practices that want customizable templates | Ownership model starts at $219 per user per month | AI-driven, flexible charting and recording | 4.5/5 |
| 4D EMR | Built-in photo management at plastic surgery clinics | Starts at $650 per user per month | Visual patient charts | 3.5/5on tekpon |
| CosmetiSuite | Medical spas that want a unified EMR + marketing tool | Custom pricing | Marketing + patient engagement | 3.3/5 |
| emilyEMR | Med spas, plastic surgery & aesthetic practices of all sizes | Custom pricing | Fast, cloud-based performance | – |
| Ambula Health | Small practices, ASCs, & PI clinics needing affordable EMR + billing | $300/provider, $750/OR & custom quote for enterprise | Personal injury–focused EMR with built-in billing | 4.8/5 |
1. PatientNow
PatientNow is an all-in-one EMR and practice management platform built exclusively for plastic surgery, med spas, and aesthetic practices. Clinical documentation, scheduling, patient engagement, marketing, and payments work together in one system, creating balance across the entire patient journey.
Founded in 2001, PatientNow supports thousands of locations globally and processes millions of appointments and invoices each month. Its depth, stability, and aesthetic-specific focus make it a strong choice for both growing practices and high-volume clinics.
Key features
- Aesthetic medicine EMR tailored to cosmetic and wellness workflows
- Practice management with streamlined scheduling and billing
- Patient engagement through automated messaging and loyalty programs
- Secure photo management for before-and-after documentation
- Integrated payments and invoicing
- AI-powered marketing automation with 24/7 booking
Pros
- Enterprise-grade security and compliance
- True all-in-one platform
- Strong retention and usage metrics
- Purpose-built for aesthetic practices
Cons
- Learning curve for new users
- May feel robust for very small practices
Pricing
Custom pricing based on practice type and size.
2. ModMed
ModMed is a specialty-specific EHR and practice management system with AI-assisted tools designed to support clinical efficiency.
Best for: Specialty-focused charting and mobile documentation
Strengths: AI-powered scribing and suggested coding
Limitations: Steeper learning curve, higher cost for smaller practices
Pricing is available by custom quote.
3. AdvancedMD
AdvancedMD is a unified, cloud-based medical office software platform built to streamline clinical, financial, and patient workflows. It uses AI-powered automation, including tools for ambient listening, patient intake, prior authorisation, and computer-assisted coding.
Key Features
- Practice Management: Streamlines office workflows with automation tools and intuitive UI
- EHR Function: Unifies all patient data in one place to improve clinical accuracy
- Patient Engagement: Offers self-service features to increase convenience
Pros
- Unified cloud platform (AWS)
- AI tools reduce staff workload
- Complete suite for all practice roles
Cons
- AI tools are still in development
- Advanced features may require training
- Pricing is not transparent
Pricing
No official listing; request a price quote
4. Symplast
Symplast is a mobile-first EHR and practice management platform built specifically for medical aesthetics practices, such as plastic surgery and med spas, offering charting, scheduling, billing, patient engagement, marketing analytics, and more in a single HIPAA-secure cloud-based ecosystem.
Key Features
- Full EHR: Offers customisable templates to speed up charting and documentation
- Marketing and Analytics: Tracks, analyses, and reports lead performance
- Practice Management: Automates day-to-day reminders, scheduling & follow-ups.
- Patient App: Gives patients a secure, intuitive platform to communicate with the practice
Pros
- Built for aesthetics practices
- Mobile cloud access
- Unified tools in one platform
Cons
- Pricing isn’t publicly listed on the official site
- Some advanced features may need external tools
- Mixed user feedback on usability
Pricing
Symplast EHR software’s price starts at $300/user/month, depending on the practice’s size and requirements.
5. Nextech
Trusted by 16,000+ medical practices, Nextech is a cloud-based specialty-specific EHR and practice management platform designed to simplify patient care delivery and help practices thrive.
Key Features
- Intuitive EHR: Streamlines workflow with easy and seamless collaborations
- Integrated Payment Processing: Accepts all forms of payments; supports recurring transactions
- Workflow Automation: Reduces manual tasks with native two-way AI scribe, Cora Scribe
- Marketing & Lead Management: Automates follow-up to convert and retain patients
Pros
- Simple, user-friendly interface
- Strong implementation & support focus
- Built for specialty workflows
Cons
- Pricing not publicly listed
- Some users report workflow complexity
- It can be expensive for smaller practices
Pricing
Request for a custom quote
6. Praxis
Built around a template-free, AI-driven system, Praxis is a speciality-focused EHR designed to improve care quality, reduce documentation time, and support plastic surgery and other speciality practices. It learns a physician’s unique style to make charting faster, smarter, and more personalised.
Key Features
- AI-driven Learning System: Adapts to each surgeon’s charting style over time to reduce documentation effort.
- Template-free Documentation: Track quality during the visit and report instantly without relying on templates.
- Billing Integration: Superbills auto-generate as you chart, so coding stays accurate.
- Patient-provider Portal: Shares only relevant visit records and tasks automatically
Pros
- Customizable care plans
- Automated quality reporting
- Reflective Ambient Intelligence for safer charting
Cons
- No clear pricing details
- Limited public user reviews
- AI learning curve
Pricing
Praxis offers an ownership model at a starting price of $219 per user per month on a 60-month contract. Custom quotes and more pricing information are available upon request.
7. 4D EMR
4D EMR is a cloud-based, HIPAA-compliant EMR and practice management platform built by a practicing plastic surgeon. It is designed for plastic surgery, cosmetic surgery, medical spas, and other specialty practices, with easy onboarding and data migration to help practices transition smoothly from their previous systems.
Key Features
- Easy Documentation: Chart from the scheduler with dictation, diagrams, and custom templates.
- Insurance Billing: Generate charges fast with CPT search and ICD matching.
- Photo Management: Unlimited photos, editing, & before/after composites.
- Appointment Scheduler: Drag-and-drop booking with reminders, real-time room status and wait times
Pros
- Built by a practicing plastic surgeon.
- Free data migration
- Unlimited users and locations
Cons
- No pricing breakdown shown
- Limited to browser access only
- Limited public user reviews
Pricing
4D EMR offers a starting price of $650 per month, customizable based on practice needs
8. CosmetiSuite
CosmetiSuite is a specialty-specific EHR, practice management, and billing software built for cosmetic and aesthetic practices to streamline workflows, improve patient care, and increase revenue.
Key Features
- Photo Management: Store, edit, and compare patient photos inside the EHR without needing external drives.
- Surgical Quoting: Create and send custom surgery quotes in the EHR.
- Point of Sale & Inventory: Sell in-EHR, auto-track stock, and turn quotes into invoices instantly.
- Integrated Marketing: Track referrals, target patient groups, and send follow-up messages—all from your EHR.
Pros
- Unified EHR, billing, marketing, and practice tools
- Automation tools to reduce workflow errors
- Built for cosmetic and aesthetic practices
Cons
- No pricing details
- Low public review ratings
Pricing
Custom quote available on request.
9. Ambula Health
Founded in 2019, Ambula Health is a modern, cloud-based, HIPAA-compliant EMR and practice management platform built for small practices, personal injury clinics, and ambulatory surgery centers. It combines charting, scheduling, billing, and practice operations in one system, with transparent pricing and flexible plans.
Key Features
- Patient Engagement: Automate tasks, create custom workflows, and generate reports to run your practice smoothly.
- Cloud-based, Custom EMR: Build your own charts, forms, and workflows using Ambula’s customizable form builder.
- Revenue Cycle Management: Outsource billing, credentialing, denial management, & financial reporting.
- Practice Management: Automate tasks, create custom workflows, and generate reports to run your practice smoothly.
Pros
- Cloud-based and customizable
- Designed for personal injury & ASCs
- Transparent & detailed pricing information
Cons
- Pricing may be high for very small practices
- Learning the custom setup can take time.
- Not ideal for non-personal injury practices
Pricing
$300 per month per provider for independent practices, $750 per month per operating room for ambulatory surgery centers, and custom pricing for the enterprise plan.
10. emilyMR
Founded in 2017, EmilyEMR is a modern, all-in-one aesthetic clinic software that combines charting, scheduling, photography, automated patient engagement, and integrated payments into a single cloud-based platform designed to boost efficiency and revenue. It is specifically built for plastic surgeons, med spas, and aesthetic practices.
Key Features
- Reporting & Analytics: AI dashboards that show revenue, staff performance, and treatment trends.
- Integrated Photography: Auto-uploaded before-and-after photos with filters, watermarking, and cloud storage.
- Injectables Documentation: Fast tracking of neurotoxin/filler lots with templates and duplication.
- Patient Portal: Patients book appointments, get automated reminders, and complete forms before their visit
Pros
- Automates marketing & patient retention
- All-in-one solution purpose-built for aesthetic clinics
- Modern and smooth interface
Cons
- Only for aesthetics, not general practices
- Pricing not listed on the site
- Low public reviews and ratings
Pricing
Available upon request
How to Choose the Best Plastic Surgery EMR
1. Consider Your Medical Speciality
Healthcare providers and medical practices have different workflows, depending on their specialties. This is why the best plastic surgery EMR supports plastic surgeons’ unique objectives and needs across reporting, documentation, patient management, and compliance.
For example, plastic surgery practices benefit more from EMR tools that include photo galleries, image annotation tools, 3D imaging, and documentation templates.
2. Prioritise Adaptability and Scalability
Young practices must make space for expansion.
If you do not want the hassle of switching EMRs, consider one that can scale to support an increasing number of users and records. Choose one that you can customize to fit your practice’s evolving workflows and preferences.
3. Consider the Cost
Some EMR systems charge a one-time fee, while others offer monthly or annual subscription services. But, there are extra costs tied to add-on services like setup, data migration, and user training — and these side quest expenses can add up!
Estimate the total cost of implementation for each EMR provider you’re considering and compare the cost against the benefits. A good EMR may cost more upfront, but it should give you your money’s worth through seamless service and benefits such as reduced overhead and fewer billing errors.
4. Pick a User-friendly Interface
The best plastic surgery EMR for you is one with an intuitive interface that reduces training time and makes navigation easy for staff. It should also provide support for users during and after implementation to ensure a smooth adoption.
Take advantage of trials and demos to see how easy a system is to use before adoption.
5. Confirm Security and Compliance
Choose an EMR that is HIPAA-compliant and meets local data protection regulations and standards. It should offer strong encryption, secure login controls, and regular security updates to protect patient data.
What to Look Out for in Demos and Trials
The trial periods many EMR providers offer are hands-on experiences that let you see how easy the system is to use. Include staff from across administrations in your decision-making; their feedback will indicate whether the system works well for everyone.
Pay attention to the following details:
- How quickly you do everyday tasks like charting and scheduling
- The quality of the provider’s training materials and support
- If you can customize the system to fit your practice’s needs and workflow
- Smooth integration with third-party systems for billing, scheduling, or data sharing
Final thoughts: improve outcomes with PatientNow
Many plastic surgeons continue to struggle with EMRs that feel disconnected from the realities of aesthetic practice. The platforms reviewed here aim to close that gap through better documentation, communication, and operational clarity.
PatientNow stands apart as a balanced, all-in-one solution designed specifically for plastic surgery and aesthetic practices. By bringing together EMR, photography, payments, performance tracking, and automation, PatientNow supports care that feels intentional, efficient, and patient-focused.
Designed for beauty. Built for growth.
See how PatientNow can level up your practice.
