PixioDoc vs ImageAssist: Which Medical Photo App Is Right for Your Practice?
Vanderbilt-origin clinical photography platform — ASPS-aligned SmartGuides, EMR integrations, consent forms, from $150/month per site
PixioDoc is a self-serve medical photo app: free for up to 10 patients and 5 sessions each, Pro at €8.99/month on iOS and Android. ImageAssist is a clinical photography platform from $150/month per site, with ASPS-aligned SmartGuides, consent forms, and EMR integrations (4D EMR, Epic, Apollo, Symplast, Mindbody). Capture is iOS, iPad, and web only, with a 7-day trial and demo-led onboarding. PixioDoc fits a clinician who wants to start today. ImageAssist fits a practice standardizing surgical photography inside an EMR.
Feature-by-feature comparison
Free tier
PixioDoc leads
PixioDoc. Up to 10 patients and 5 sessions per patient, no time limit
ImageAssist. 7-day free trial only
Starting price
PixioDoc leads
PixioDoc. €8.99/month Pro
ImageAssist. From $150/month per site
Self-serve signup
PixioDoc leads
PixioDoc. Yes — App Store and Google Play
ImageAssist. Demo-led onboarding
Android support
PixioDoc leads
PixioDoc. Full iOS and Android apps
ImageAssist. iOS, iPad, and web only — no Android
SmartGuides / framing
ImageAssist leads
PixioDoc. Ghost overlay from prior photos (every plan)
ImageAssist. ASPS-aligned SmartGuides
Background removal
Tie
PixioDoc. On-device removal in the editor (Pro and Teams)
ImageAssist. Automatic background removal
Consent forms
ImageAssist leads
PixioDoc. Not included
ImageAssist. Built-in consent forms
EMR integration
ImageAssist leads
PixioDoc. Standalone — no EMR required
ImageAssist. 4D EMR, Epic, Apollo, Symplast, Mindbody
Marketing export
ImageAssist leads
PixioDoc. Not included (clinical focus)
ImageAssist. Canva export for marketing assets
Progress slider
Tie
PixioDoc. Interactive before/after slider (Free)
ImageAssist. Before/after comparison tools
Patient PDF reports
PixioDoc leads
PixioDoc. PDFs of selected individual photos (Pro and Teams)
ImageAssist. Export-oriented — not clinician-selected PDF handoffs
Video capture
PixioDoc leads
PixioDoc. Native video up to 60 seconds (Free and Pro)
ImageAssist. Photo-focused platform
Web app access
Tie
PixioDoc. Web app (Pro and Teams)
ImageAssist. Web dashboard available
Specialty breadth
PixioDoc leads
PixioDoc. Dermatology, wound care, orthopedics, plastics, aesthetics
ImageAssist. Aesthetic and surgical practices primarily
EU data hosting
PixioDoc leads
PixioDoc. Primary clinical data hosted in the EU/EEA
ImageAssist. US-oriented platform
| Feature | PixioDoc | ImageAssist |
|---|---|---|
| Free tier. PixioDoc leads | Up to 10 patients and 5 sessions per patient, no time limit | 7-day free trial only |
| Starting price. PixioDoc leads | €8.99/month Pro | From $150/month per site |
| Self-serve signup. PixioDoc leads | Yes — App Store and Google Play | Demo-led onboarding |
| Android support. PixioDoc leads | Full iOS and Android apps | iOS, iPad, and web only — no Android |
| SmartGuides / framing. ImageAssist leads | Ghost overlay from prior photos (every plan) | ASPS-aligned SmartGuides |
| Background removal. Tie | On-device removal in the editor (Pro and Teams) | Automatic background removal |
| Consent forms. ImageAssist leads | Not included | Built-in consent forms |
| EMR integration. ImageAssist leads | Standalone — no EMR required | 4D EMR, Epic, Apollo, Symplast, Mindbody |
| Marketing export. ImageAssist leads | Not included (clinical focus) | Canva export for marketing assets |
| Progress slider. Tie | Interactive before/after slider (Free) | Before/after comparison tools |
| Patient PDF reports. PixioDoc leads | PDFs of selected individual photos (Pro and Teams) | Export-oriented — not clinician-selected PDF handoffs |
| Video capture. PixioDoc leads | Native video up to 60 seconds (Free and Pro) | Photo-focused platform |
| Web app access. Tie | Web app (Pro and Teams) | Web dashboard available |
| Specialty breadth. PixioDoc leads | Dermatology, wound care, orthopedics, plastics, aesthetics | Aesthetic and surgical practices primarily |
| EU data hosting. PixioDoc leads | Primary clinical data hosted in the EU/EEA | US-oriented platform |
Self-serve documentation on iOS and Android
ImageAssist fits a practice that wants EMR-integrated, ASPS-standardized photography and consent forms, at $150/month per site after a demo. PixioDoc is the download-today alternative: Free includes 10 patients, 5 sessions each, ghost overlay, and the progress slider. Pro and Teams add side-by-side comparison, multi-image layouts, PDF reports, and sharing, on iPhone or Android.
- Download and start — no $150/month commitment or 7-day trial clock
- Full Android app alongside iOS — ImageAssist capture is iOS/iPad only
- Ghost overlay and the progress slider on Free. Side-by-side, multi-image, and PDF reports on Pro and Teams.
Where PixioDoc excels
- €8.99/month vs ImageAssist from $150/month per site — roughly 17× lower entry cost
- Free for 10 patients and 5 sessions — not ImageAssist's 7-day trial
- Full Android and iOS capture — ImageAssist is iOS, iPad, and web only
- Self-serve App Store and Google Play signup — no demo or per-site licensing
- PDF progress reports on Pro and Teams, from selected individual photos
- Standalone app — no EMR integration or 4D EMR/Epic contract required
- Dermatology, wound care, orthopedics, plastics, and aesthetics — not surgery-only
Where ImageAssist excels
- ASPS-aligned SmartGuides for standardized surgical photography framing
- Built-in consent forms integrated into the capture workflow
- Deep EMR integrations with 4D EMR, Epic, Apollo, Symplast, and Mindbody
- Canva export for turning clinical photos into marketing assets
Common questions about PixioDoc vs ImageAssist
Try PixioDoc free
Up to 10 patients and 5 sessions each, including ghost overlay and the progress slider. No demo call.