Is PixioDoc a Symplast photo alternative?

If you already have an EHR and only need capture, comparison, and sharing, PixioDoc Pro at €8.99/month avoids a Symplast migration. Symplast is the better choice when you are replacing charting, scheduling, payments, and media with one platform.

How much does Symplast cost compared to PixioDoc?

PixioDoc Pro is €8.99/month or €79.99/year, with a free tier of 10 patients and 5 sessions each. Symplast is priced by demo, with no public list, which is typical of an all-in-one EHR. For photos alone, PixioDoc is the smaller buy.

Who should choose Symplast over PixioDoc?

Choose Symplast if you are a plastic surgery or medspa practice consolidating charting, scheduling, payments, and media into one platform — and you want photos native to the patient chart with shareable sets and social export. Symplast fits EHR replacement decisions, not standalone documentation needs.

Can I use PixioDoc alongside Symplast?

PixioDoc works as a standalone documentation layer with any EHR, including Symplast. Some practices use a dedicated photo app for in-room comparison and PDF handoffs while keeping their EHR for charting — evaluate whether Symplast's built-in media module covers your comparison and reporting needs first.

Does PixioDoc support before-and-after comparison during consultations?

The progress slider and ghost overlay are on Free. Side-by-side view, multi-image comparison of 2–4 photos, and PDF reports are on Pro and Teams. The PDF contains selected individual photos, not the comparison layout. Symplast offers before-and-after inside its chart. PixioDoc is built for showing that comparison in the consult.

ComparisonLast updated September 2026

PixioDoc vs Symplast: Which Medical Documentation Tool Is Right for Your Practice?

Mobile-first EHR and practice OS for plastic surgery and medspas — Best in KLAS 2026, native media management in the patient chart, demo-led pricing

PixioDoc is a standalone medical photo app: free for up to 10 patients and 5 sessions each, Pro at €8.99/month, self-serve on iOS and Android. Symplast is a mobile-first EHR for plastic surgery and medspas (Best in KLAS 2026). Photos live in the patient chart, with tagging, shareable sets, and social export, sold by a 30-minute demo at a custom price. PixioDoc sits beside the EHR you already use. Symplast replaces it.

Feature-by-feature comparison

Product type
Tie
PixioDoc. Standalone photo documentation app
Symplast. All-in-one EHR and practice OS
Free tier
PixioDoc leads
PixioDoc. Up to 10 patients and 5 sessions per patient, no time limit
Symplast. No self-serve free tier
Starting price
PixioDoc leads
PixioDoc. €8.99/month Pro (public)
Symplast. Custom/demo pricing — not publicly listed
Self-serve signup
PixioDoc leads
PixioDoc. Yes — App Store and Google Play
Symplast. 30-minute demo required
EHR replacement required
PixioDoc leads
PixioDoc. No — works alongside existing systems
Symplast. Yes — Symplast is the EHR
In-chart media capture
Symplast leads
PixioDoc. Dedicated patient timeline app
Symplast. Native to Symplast patient chart
Patient shareable photo sets
Symplast leads
PixioDoc. PDF reports and role-based sharing (Pro and Teams)
Symplast. Patient-facing shareable sets built in
Social media export
Symplast leads
PixioDoc. Not included (clinical focus)
Symplast. One-click social export from chart
Ghost / overlay capture
Tie
PixioDoc. Adjustable ghost overlay (every plan)
Symplast. In-app capture with tagging
Progress slider
Tie
PixioDoc. Interactive before/after slider (Free)
Symplast. Before/after in media module
Patient PDF reports
PixioDoc leads
PixioDoc. PDFs of selected individual photos (Pro and Teams)
Symplast. Chart-integrated — not standalone PDF handoffs
Charting, scheduling, billing
Symplast leads
PixioDoc. Not included
Symplast. Full EHR/PM suite
Android support
Tie
PixioDoc. Full iOS and Android apps
Symplast. Mobile-first (iOS and Android)
Video capture
Tie
PixioDoc. Native video up to 60 seconds
Symplast. Video in media module
Specialty breadth
PixioDoc leads
PixioDoc. Dermatology, wound care, orthopedics, plastics, aesthetics
Symplast. Plastic surgery and medspas primarily
EU data hosting
PixioDoc leads
PixioDoc. Primary clinical data hosted in the EU/EEA
Symplast. US-focused platform

PixioDoc compared with Symplast
Feature	PixioDoc	Symplast
Product type. Tie	Standalone photo documentation app	All-in-one EHR and practice OS
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)	Custom/demo pricing — not publicly listed
Self-serve signup. PixioDoc leads	Yes — App Store and Google Play	30-minute demo required
EHR replacement required. PixioDoc leads	No — works alongside existing systems	Yes — Symplast is the EHR
In-chart media capture. Symplast leads	Dedicated patient timeline app	Native to Symplast patient chart
Patient shareable photo sets. Symplast leads	PDF reports and role-based sharing (Pro and Teams)	Patient-facing shareable sets built in
Social media export. Symplast leads	Not included (clinical focus)	One-click social export from chart
Ghost / overlay capture. Tie	Adjustable ghost overlay (every plan)	In-app capture with tagging
Progress slider. Tie	Interactive before/after slider (Free)	Before/after in media module
Patient PDF reports. PixioDoc leads	PDFs of selected individual photos (Pro and Teams)	Chart-integrated — not standalone PDF handoffs
Charting, scheduling, billing. Symplast leads	Not included	Full EHR/PM suite
Android support. Tie	Full iOS and Android apps	Mobile-first (iOS and Android)
Video capture. Tie	Native video up to 60 seconds	Video in media module
Specialty breadth. PixioDoc leads	Dermatology, wound care, orthopedics, plastics, aesthetics	Plastic surgery and medspas primarily
EU data hosting. PixioDoc leads	Primary clinical data hosted in the EU/EEA	US-focused platform

Photo workflow without replacing your EHR

Symplast is the right buy when you are replacing charting, scheduling, payments, and photos together. PixioDoc adds the photo record beside Epic, ModMed, or whatever EHR you already run. Ghost overlay and the progress slider are on Free. Side-by-side comparison, multi-image layouts, PDF reports, and sharing are on Pro and Teams. There is no demo and no platform migration.

Works alongside Epic, ModMed, or any EHR you already use
Self-serve free tier and €8.99/month Pro — no 30-minute demo required
Ghost overlay and the progress slider on Free. Side-by-side and multi-image layouts on Pro and Teams.

PixioDoc before-and-after comparison screen showing progress slider between two visits

Where PixioDoc excels

Works alongside Epic, ModMed, or any EHR — no Symplast migration required
Free for 10 patients and 5 sessions, and Pro at €8.99/month — no 30-minute Symplast demo
Public pricing vs Symplast's custom enterprise quotes
PDF progress reports on Pro and Teams, from selected individual photos
Ghost overlay and the progress slider on Free. Side-by-side and 2–4 photo layouts on Pro and Teams.
Wound care and orthopedics supported — not limited to plastic surgery and medspas
EU-hosted with encryption and in-app audit trails

Where Symplast excels

Media management native to the patient chart — photos, tags, and notes in one EHR workflow
Patient-facing shareable photo sets for post-procedure communication
One-click social media export for practice marketing
Best in KLAS 2026 for ambulatory plastic surgery — full practice OS, not just photos

Common questions about PixioDoc vs Symplast

Try PixioDoc free

Up to 10 patients and 5 sessions each, including ghost overlay and the progress slider. No demo call.