The best before and after photo apps for med spas in 2026
Updated July 31, 2026. Prices checked against public listings on that date; sources at the end. Disclosure: we make Medspa Photos. Every claim about other products is cited, and we say when they are the better pick.
The short version: if you run an independent med spa and want aligned photos plus photo consent that actually gates exports, without touching your booking or payment software, Medspa Photos is built for exactly that: $99 a month flat, self-serve 14-day trial. It is our product, and it is also the only dedicated app in this category you can try today without a sales call.
If you are inside the Nextech or PatientNow ecosystem, RxPhoto is the established photo app. If you want a whole EMR where photos are one feature, look at Aesthetic Record or AestheticsPro. If you just need cheap general clinical photos, PixioDoc exists. Details and prices below.
All six at a glance
| App | Listed price | How you start | Best for |
|---|---|---|---|
| Medspa Photos | $99/mo per location, flat | Self-serve, 14-day trial | Independent med spas that want photos + enforced consent, standalone |
| RxPhoto | $175–210/mo on public listings [1] | Demo call; no trial listed [1] | Practices in the Nextech / PatientNow ecosystem |
| TouchMD | Not published; third-party estimates $250–450/mo plus setup [2] | Demo call | Established practices centered on in-room consults |
| Aesthetic Record | $15–19/user/mo + $399 onboarding [3] | 14-day trial, requested via demo [3] | Spas that want a budget full EMR |
| AestheticsPro | $160–350/mo by tier [4] | Booked appointment; GetApp lists a trial [4] | Spas that want all-in-one management with published pricing |
| PixioDoc | Free up to 10 patients; Pro about €7–9/mo, listings vary [5] | Self-serve, free tier | Budget general clinical photos, not med spa specific |
1. Medspa Photos: photos + consent for independent med spas
Our product, so judge this entry accordingly. It does three things: guided capture with a ghost overlay (the patient's previous photo at 35% opacity in the live camera, zoom locked, so every visit matches), photo consent signed on the same device and scoped per patient, and watermarked Instagram-ready exports that the server blocks unless the signed consent covers them. No booking, no charting, no EMR: it runs beside whatever you already use.
Pick it if photos and consent are the problem you are solving and you want to start today: $99 a month per location, unlimited staff, no contract, no export fees, 14-day self-serve trial. Skip it if you want photos inside a full practice management suite, or you need EMR sync.
2. RxPhoto: the established capture app
RxPhoto has defined this category for years: patented photo ghosting, positioning templates, background removal, HIPAA cloud storage, and sync with Nextech. It is now sold as part of the PatientNow platform [6]. Public listings show $175 to $210 a month, no free trial, demo call required [1].
Pick it if you run Nextech or PatientNow, have multiple locations, and want sales-assisted onboarding with training. Skip it if you want to try before you talk to sales, or the price is out of range. One honest caution from its own documentation: RxPhoto's knowledge base notes its social export "uses Apple's export tool, and therefore is not secure" [7].
3. TouchMD: the consult-room platform
TouchMD, owned by Nextech, is strongest at the presentation moment: interactive consults on a touchscreen, digital consent forms, patient education, and a patient portal. Photo capture exists but the product is built around the consult, not the camera. Pricing is not published; third-party estimates cluster around $250 to $450 a month plus setup fees and hardware [2].
Pick it if you are an established practice investing in the in-room consult experience. Skip it if you mainly need standardized photos and consent at a med spa price point.
4. Aesthetic Record: the budget full EMR
Aesthetic Record is a complete aesthetics EMR (charting, booking, POS, inventory) with before and after photos and consents as built-in features. Listed pricing is $15 to $19 per user per month plus a $399 one-time onboarding fee, with add-ons like e-prescribing priced separately [3]. Per-user pricing means the real monthly cost depends on your headcount.
Pick it if you want the cheapest path to a full EMR and photos are a secondary concern. Skip it if you want a focused photo and consent workflow, or flat pricing that does not grow with every hire.
5. AestheticsPro: all-in-one with published pricing
AestheticsPro covers the whole front office and, unusually for this category, publishes its prices: $160 a month (Pro-Plus, 2 users), $285 (Executive), $350 (Enterprise) [4]. Its photo feature includes alignment guides and comparison tools, and it has e-consent forms. Its Capterra rating is 4.4 out of 5 across more than 600 reviews [4].
Pick it if you want one platform for everything and value knowing the price before the call. Skip it if you only need the photo and consent piece. We wrote a full comparison on the AestheticsPro alternative page.
6. PixioDoc: the budget general clinical option
PixioDoc is a self-serve clinical photography app with a free tier (up to 10 patients) and a Pro plan listed between €6.99 and €8.99 a month depending on the listing [5]. It is general clinical photography, not built for med spas: no med spa consent workflow, no Instagram export pipeline.
Pick it if you want the cheapest possible structured photo storage and consent enforcement is not a requirement. Skip it if you need med spa specific consent, watermarking, or US-focused support.
The option we left off: staff phones and Canva
About 64% of aesthetic practices still manage before and after photos manually, per a 2025 survey cited in industry reporting [8]. It is free, and it is also how photos end up on a departed injector's personal phone with no consent trail. Whichever app you choose, choose one.
The only one on this list you can try today. 14 days free, set up the same day, no sales call.
Start your 14-day free trial$99 per month per location after the trial. Card required, cancel anytime. Or read more on the product page.
Common questions
What is the best photo app for a med spa?
Depends on scope. Photos and enforced consent, standalone: Medspa Photos. Inside the Nextech or PatientNow ecosystem: RxPhoto. A full EMR where photos are one feature: Aesthetic Record or AestheticsPro.
Which of these have a trial without a demo call?
Among dedicated med spa photo and consent apps, only Medspa Photos as of July 2026. PixioDoc, a general clinical app, is also self-serve. Aesthetic Record advertises a 14-day trial requested through a demo.
Why not just keep using staff phones?
The photos sync to personal clouds, leave with departing staff, rarely match between visits, and carry no consent trail. Roughly 64% of practices still work this way, and it is the riskiest option on the page.
Do these apps handle consent too?
Most store a signed form. Medspa Photos additionally enforces it: the server checks each patient's scoped consent before any export. We could not find an equivalent export gate in the other apps' public documentation.
Is this list biased?
We make Medspa Photos, so read the ranking with that in mind. Every price is cited with the date checked, and each entry names the cases where that product is the better choice.
Sources
- RxPhoto pricing on Capterra (~$210/mo, "free trial: not available") and GetApp (from $175/mo), accessed July 31, 2026.
- TouchMD demo-request flow (touchmd.com); third-party price estimates ($250–450/mo plus $300–1,500 setup) via facetouchup.com pricing comparison, accessed July 31, 2026. TouchMD does not publish pricing; treat estimates as unconfirmed.
- aestheticrecord.com/pricing (Essentials $15/user/mo, Accelerator $19/user/mo, $399 onboarding); trial-via-demo noted in a 2026 third-party review (thesalonbusiness.com), accessed July 31, 2026.
- aestheticspro.com/Software-Pricing ($160/$285/$350 tiers); Capterra listing (4.4/5, 635 reviews, photo and e-consent features); GetApp listing ("Free Trial: Available"), accessed July 31, 2026.
- PixioDoc pricing: pixiodoc.com and Med Spa Vendor Hub list Pro at €8.99/mo; the Google Play listing shows €6.99/mo. Accessed July 31, 2026.
- patientnow.com/platform/rxphoto, accessed July 31, 2026.
- RxPhoto knowledge base, "Share Before & After Photos on Social Media" (kb.rxphoto.com), accessed July 31, 2026.
- Manual photo management (~64% of aesthetic practices), 2025 Dermatology Times survey as cited in industry reporting, accessed July 31, 2026.
If any of this is out of date, tell us at hello@consentshot.com and we will correct it.