PixioDoc vs Aesthetic Record: Which Documentation Tool Is Right for Your Medspa?
Medspa EMR and practice-management platform — before/after photos, SmartMatch alignment, charting, POS, and inventory, from $15 per user per month
PixioDoc is a medical photo app: free for up to 10 patients and 5 sessions each, including ghost overlay and the progress slider. Pro at €8.99/month adds side-by-side comparison, multi-image layouts, PDF reports, and sharing, on iOS and Android. Aesthetic Record is a medspa EMR: before-and-after photos, SmartMatch alignment, video, charting, POS, inventory, and telehealth. Published prices start at $15 per user per month plus a $399 startup fee. PixioDoc fixes the photo record. Aesthetic Record replaces the practice stack.
Feature-by-feature comparison
Product type
Tie
PixioDoc. Standalone photo documentation app
Aesthetic Record. Full medspa EMR and practice management
Free tier
PixioDoc leads
PixioDoc. Up to 10 patients and 5 sessions per patient, no time limit
Aesthetic Record. No self-serve free tier
Starting price
PixioDoc leads
PixioDoc. €8.99/month Pro (public)
Aesthetic Record. Essentials $15/user/month or Accelerator $19/user/month, plus $399 startup
Self-serve signup
PixioDoc leads
PixioDoc. Yes — App Store and Google Play
Aesthetic Record. Public plan prices; Enterprise is custom
Before/after alignment
Tie
PixioDoc. Ghost overlay from prior photos (every plan)
Aesthetic Record. SmartMatch alignment tools
Progress slider
Tie
PixioDoc. Interactive before/after slider (Free)
Aesthetic Record. Before/after comparison in EMR
Patient PDF reports
PixioDoc leads
PixioDoc. PDFs of selected individual photos (Pro and Teams)
Aesthetic Record. Chart-integrated documentation
Charting and clinical notes
Aesthetic Record leads
PixioDoc. Patient notes only — not full charting
Aesthetic Record. Full EMR charting
POS and inventory
Aesthetic Record leads
PixioDoc. Not included
Aesthetic Record. Built-in POS and inventory management
Telehealth
Aesthetic Record leads
PixioDoc. Not included
Aesthetic Record. Telehealth module available
Video capture
Tie
PixioDoc. Native video up to 60 seconds (Free and Pro)
Aesthetic Record. Video in photo module
Android support
PixioDoc leads
PixioDoc. Full iOS and Android apps
Aesthetic Record. iOS app active (v8.48+, April 2025)
Web app access
Tie
PixioDoc. Web app (Pro and Teams)
Aesthetic Record. Web-based EMR dashboard
Specialty breadth
PixioDoc leads
PixioDoc. Dermatology, wound care, orthopedics, plastics, aesthetics
Aesthetic Record. Medspas and aesthetic clinics primarily
EU data hosting
PixioDoc leads
PixioDoc. Primary clinical data hosted in the EU/EEA
Aesthetic Record. US-oriented platform
| Feature | PixioDoc | Aesthetic Record |
|---|---|---|
| Product type. Tie | Standalone photo documentation app | Full medspa EMR and practice management |
| Free tier. PixioDoc leads | Up to 10 patients and 5 sessions per patient, no time limit | No self-serve free tier |
| Starting price. PixioDoc leads | €8.99/month Pro (public) | Essentials $15/user/month or Accelerator $19/user/month, plus $399 startup |
| Self-serve signup. PixioDoc leads | Yes — App Store and Google Play | Public plan prices; Enterprise is custom |
| Before/after alignment. Tie | Ghost overlay from prior photos (every plan) | SmartMatch alignment tools |
| Progress slider. Tie | Interactive before/after slider (Free) | Before/after comparison in EMR |
| Patient PDF reports. PixioDoc leads | PDFs of selected individual photos (Pro and Teams) | Chart-integrated documentation |
| Charting and clinical notes. Aesthetic Record leads | Patient notes only — not full charting | Full EMR charting |
| POS and inventory. Aesthetic Record leads | Not included | Built-in POS and inventory management |
| Telehealth. Aesthetic Record leads | Not included | Telehealth module available |
| Video capture. Tie | Native video up to 60 seconds (Free and Pro) | Video in photo module |
| Android support. PixioDoc leads | Full iOS and Android apps | iOS app active (v8.48+, April 2025) |
| Web app access. Tie | Web app (Pro and Teams) | Web-based EMR dashboard |
| Specialty breadth. PixioDoc leads | Dermatology, wound care, orthopedics, plastics, aesthetics | Medspas and aesthetic clinics primarily |
| EU data hosting. PixioDoc leads | Primary clinical data hosted in the EU/EEA | US-oriented platform |
Photo documentation when you already have an EMR
Aesthetic Record fits a medspa buying charting, POS, inventory, and telehealth together. PixioDoc is the photo alternative: start free with 10 patients and 5 sessions, including ghost overlay and the progress slider, and use Pro or Teams for side-by-side comparison, PDF reports, and sharing. There is no EMR contract.
- Free for 10 patients and 5 sessions, with no time limit
- €8.99/month Pro. Aesthetic Record publishes from $15 per user per month, plus a $399 startup fee.
- Ghost overlay and the progress slider on every plan, without charting or POS
Where PixioDoc excels
- Free for 10 patients and 5 sessions — no EMR contract
- €8.99/month Pro. Aesthetic Record publishes from $15 per user per month, plus a $399 startup fee.
- Photos only — no charting, POS, inventory, or telehealth
- Ghost overlay and the progress slider on Free. Side-by-side and multi-image layouts on Pro and Teams.
- PDF progress reports on Pro and Teams, from selected individual photos
- Full Android and iOS with self-serve App Store and Google Play signup
- EU-hosted storage with AES-256 at rest and TLS 1.3 in transit
Where Aesthetic Record excels
- Full medspa EMR — charting, consent, and treatment notes in one platform
- SmartMatch alignment for consistent before/after positioning
- POS and inventory management for retail and product sales
- Telehealth module for virtual consultations
Common questions about PixioDoc vs Aesthetic Record
Try PixioDoc free
Up to 10 patients and 5 sessions each, including ghost overlay and the progress slider. No demo call.