Affirm
Affirm is a large general-purpose buy-now-pay-later and installment lender that pays merchants up front and assumes default risk, used by some med spas through Zenoti and Stripe-based POS rather than built for aesthetics.

Transparent embedded pay-over-time financing for in-person services
Wisetack offers some of the most transparent, lowest-cost installment financing in the category with excellent consumer sentiment, held back for med spas only by its lack of aesthetics-native focus and PM integrations.
Wisetack provides embedded pay-over-time financing for in-person service businesses, letting customers split the cost of a job or treatment into fixed monthly installments through a quick, soft-pull application. Its core verticals are home services, auto repair, and dental, but Wisetack also markets an elective-medical offering that explicitly names med spas, positioning it as a financing option for higher-ticket aesthetic treatments. Loans are true installment products originated through bank partners, with the practice paid up front and the consumer repaying the lender directly.
For med spas, Wisetack's strongest argument is pricing transparency. Its standard merchant fee is a flat 3.9%, among the lowest in patient financing, rising to as much as 9.9% only for extended 0%-APR promotional offers, with no subscription or monthly cost. Patients apply via a soft pull that does not affect their credit and receive a decision in under a minute, with APRs from 0% to 35.9% on amounts of $500 to $15,000 over 3 to 24 months. The main caveat is fit: Wisetack is not aesthetics-native, and its integration partners are concentrated in home services and dental rather than med-spa practice-management systems, so it lacks native connections to platforms like Aesthetic Record or Zenoti.
Ideal customer
Med spas that want transparent, low-cost installment financing with a strong consumer reputation and don't require native integration with med-spa practice-management software.
Wisetack is an embedded installment lender for in-person service businesses, and its appeal to med spas is pricing clarity rather than aesthetics specialization. The standard merchant fee is a flat 3.9%, among the lowest in patient financing, and the company is upfront that it climbs to as much as 9.9% only when a practice chooses to offer extended 0%-APR promotions. There is no subscription and no monthly cost. Patients apply via a soft pull that does not affect their credit, get a decision in under a minute, and can finance $500 to $15,000 over 3 to 24 months at APRs from 0% to 35.9%. The practice is paid up front, so the lending risk sits with Wisetack's bank partners.
Wisetack's roots are in home services, auto repair, and dental, and it markets an elective-medical offering that does name med spas. But aesthetics is clearly a secondary use case rather than its design center.
Choose Wisetack if transparent, low-cost financing and a strong consumer reputation matter more to you than deep aesthetics integration. It is an excellent fit for med spas that want to add a clean pay-over-time option at a predictable 3.9% and are comfortable running the financing flow separately from their practice-management software. If native integration with Aesthetic Record or Zenoti, very high approval breadth, or larger loan ceilings are priorities, weigh it against aesthetics-focused alternatives before deciding.
By Med Spa Vendor Hub Editorial Team. Last reviewed June 29, 2026. Independent editorial review — how we score.
No subscription or monthly fee. Standard merchant fee is a flat 3.9% per transaction, rising up to 9.9% for extended 0%-APR promotional offers. The practice is paid up front. Patient APR ranges from 0% to 35.9%, on loan amounts of $500 to $15,000 over terms of 3 to 24 months. Confirm current rates directly with Wisetack.
Standard financing
3.9% per transaction
per transaction
Flat merchant fee on standard installment plans with no subscription; practice paid up front.
Extended 0%-APR offers
up to 9.9% per transaction
per transaction
Higher merchant fee in exchange for offering patients promotional 0%-APR terms.
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 vendor-neutral guide to choosing patient financing for a med spa—covering why financing drives conversion, the six provider models, the deferred-interest trap, merchant economics, and how to match a provider to your patients.
Patient financing has no subscription - the practice pays a merchant discount fee (a % of each financed sale) and the patient pays APR or deferred interest. Here's a transparent 2026 breakdown of real merchant fees and patient rates by lender.
Affirm is a large general-purpose buy-now-pay-later and installment lender that pays merchants up front and assumes default risk, used by some med spas through Zenoti and Stripe-based POS rather than built for aesthetics.
Afterpay, owned by Block (Square), is a mainstream buy-now-pay-later provider offering interest-free Pay-in-4 on smaller purchases. Some beauty businesses and med spas use it for retail and lower-ticket services, but it is not a healthcare-built financing product for higher-ticket aesthetic procedures.
Alphaeon Credit is a purpose-built healthcare credit card for aesthetic, cosmetic, dermatology, and plastic surgery practices, offering deep aesthetics fit but carrying a deferred-interest model and strongly negative consumer sentiment.