Aesthetic Record
Aesthetic Record is an all-in-one aesthetics EMR and practice-management platform with charting, telehealth, payments and patient engagement built for med spas.

Budget-friendly booking and POS for spa and wellness
Vagaro delivers remarkable breadth at a low entry price, but its clinical depth is lighter than dedicated aesthetic EMRs and real costs climb with add-ons.
Vagaro is one of the most widely adopted business-management platforms in the beauty, fitness, and wellness space, known for an aggressive entry price and a sprawling feature set spanning online booking, point of sale, marketing, payroll, and a consumer marketplace. For med spas, Vagaro layers a HIPAA-compliant charting module on top of its scheduling core, adding customizable SOAP notes, treatment-protocol templates, intake and consent forms tied to client profiles, and secure before-and-after photo storage.
The platform's appeal is breadth at a price point that solo operators and single-location spas can stomach, with a per-bookable-calendar subscription that starts low and scales with staff. The trade-off is that Vagaro is a generalist first and an aesthetics tool second: its clinical depth is lighter than purpose-built med spa EMRs, and the real monthly cost climbs quickly once you add the payments, text marketing, branded app, and payroll modules most practices end up needing.
Ideal customer
Solo and single-location med spas, salons, and wellness businesses that want broad functionality at a low entry price and only moderate clinical-charting needs.
Vagaro is the value pick in the med spa software conversation. Built originally for salons, spas, and the broader wellness industry, it has grown into an all-in-one platform covering online booking, point of sale, marketing, payroll, and a large consumer marketplace. For a solo injector or single-location med spa that wants real software without a four-figure monthly bill, Vagaro is one of the few credible options that starts around $24-$30 per bookable calendar. It has since added a HIPAA-compliant charting module, so a clinic can run scheduling, payments, and basic clinical documentation in one place.
The headline is price relative to breadth. Few competitors give you booking, POS, memberships, email and text marketing, and reporting at this entry point. Vagaro's review volume is enormous, carrying a 4.7 rating across more than 3,600 Capterra reviews, which is a meaningful signal of day-to-day reliability and a large support community.
On the aesthetics side, Vagaro has genuinely invested in med spa capability: HIPAA-compliant charting, customizable SOAP notes and treatment-protocol templates, digital intake and consent forms tied to client profiles, and secure before-and-after photo storage. The consumer marketplace is a real differentiator, since listed businesses can pick up new-client bookings that a standalone scheduler never would. Membership and package tools support the recurring-revenue models most med spas rely on.
The biggest caveat is that Vagaro is a generalist first. Its clinical depth does not match purpose-built aesthetic EMRs, and independent comparisons note gaps such as a missing annotation pad and limited injectable tracking, which matters for injectable-heavy practices documenting units and lot numbers. Med spas with complex device protocols or multi-step treatment plans will feel the ceiling.
The second caveat is true cost. The advertised entry price is real but incomplete. Once you add payment processing (around 2.2% and up), text marketing, a branded app (about $100/mo), and payroll, the monthly total commonly lands in the $100-$200+ range. The modular, add-on-heavy structure makes it hard to predict spend, so pricing transparency is weaker than the low headline suggests. Verify current pricing directly with Vagaro before committing.
Choose Vagaro if you are a solo or single-location med spa that values a low entry price, broad functionality, and marketplace exposure over deep clinical tooling. It is a strong fit for blended beauty-and-aesthetics businesses where charting needs are moderate. Look elsewhere if you run an injectable- or device-heavy clinic that needs robust EMR depth, granular treatment tracking, and tighter compliance documentation, where a dedicated aesthetics platform will serve you better.
By Med Spa Vendor Hub Editorial Team. Last reviewed June 20, 2026. Independent editorial review — how we score.
Software starts from about $24-$30/mo for one bookable calendar and scales to roughly $84/mo for 7+; most practices add payments (approx. 2.2%+ processing), text marketing, branded app, and payroll, pushing real cost to $100-$200+/mo. Verify current pricing with Vagaro.
One bookable calendar
from ~$24-$30/mo
monthly
Single-practitioner subscription including booking, POS, and core tools; clinical charting and most marketing features are add-ons.
Multiple bookable calendars
up to ~$84/mo
monthly
Scales with staff up to 7+ bookable calendars; multi-location pricing is custom.
Add-on modules
varies
Payments processing, text marketing, branded app (~$100/mo), and payroll (~$34/mo + per-employee fees) are billed separately.
Pricing is researched from public sources and verified periodically; confirm current rates with the vendor.
Independent ratings from third-party review platforms, cited with sources. These are not our score.
A layer-by-layer map of the modern med spa software stack—practice management, booking and payments, CRM, AI, imaging, and reputation—plus the all-in-one vs best-of-breed decision, integration strategy, HIPAA requirements, and stacks by practice stage.
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