Nextech has served plastic surgeons and cosmetic dermatologists for decades — surgical templates, advanced imaging workflows, revenue cycle management, and iPad-first clinical charting built specifically for the aesthetics and dermatology specialties. Your MedSpa surgeon trusts Nextech for documentation. But Nextech was built in an era when physician referrals filled surgical calendars. Today, 70% of cosmetic surgery patients research procedures online before booking a consultation. The Google era demands a marketing engine that Nextech was never designed to provide.
TL;DR
Nextech documents the referral era. The Webevo platform markets in the Google era. Use Nextech for clinical excellence — charting, imaging, billing. Use the Webevo platform for everything that fills the consultation calendar: SEO, content, voice AI, ads, and reputation.
What Nextech Actually Does Well
Nextech is not a generic EMR awkwardly adapted for aesthetics. It was purpose-built for surgical and dermatological specialties. Understanding its real strengths matters.
Specialty-Specific Clinical Templates: Nextech's surgical templates are designed for plastic surgery, dermatology, and cosmetic procedures. Procedure-specific charting for rhinoplasty, blepharoplasty, breast augmentation, Mohs surgery, and laser treatments — with built-in consent forms, pre-op checklists, and post-op documentation workflows that meet specialty-specific compliance requirements.
Advanced Photo Management: This is Nextech's standout clinical feature. High-resolution photo capture with body mapping, annotation tools, injection site overlays, and before-and-after comparison views — all accessible from iOS and Android mobile apps. For a practice performing 200+ procedures annually, photo documentation is both a legal requirement and a quality standard. Nextech's 3D smart stamping and tagging system makes photo retrieval instant.
iPad-First Mobile Experience: Nextech's mobile platform lets providers chart, photograph, annotate, and sign off from an iPad in the treatment room. This workflow efficiency is genuine — no carrying laptops between operatories, no returning to a desktop workstation after each patient.
Revenue Cycle + E-Commerce: Beyond standard billing and claims, Nextech supports aesthetic-specific revenue tools: treatment quotes, package pricing, gift cards, inventory management with lot tracking, and e-commerce for retail product sales. Multi-provider, multi-location scheduling accommodates complex surgical practices.
The Referral Era vs The Google Era
Nextech's architecture reflects the era it was built in:
The Referral Era (1990s-2015): A dermatologist builds relationships with primary care physicians. PCPs refer patients with suspicious lesions. The surgical calendar fills through physician-to-physician networks. Marketing means hosting dinner events for referring doctors. The clinical tool — Nextech — is the center of the practice.
The Google Era (2016-present): A woman in Scottsdale searches "best rhinoplasty near me." She reads three surgeon's websites, watches before-and-after videos, reads 40 Google reviews, and books a consultation with the practice that appeared most trustworthy and competent online. She never asked a referring physician. She never opened a Yellow Pages.
Nextech was architected for the first era. The Webevo platform was built for the second.
Compare: ModMed, 4D EMR, Symplast, Aesthetic Record.
| Function | Nextech | Webevo Platform |
|---|---|---|
| Surgical charting + templates | ✅ Specialty-built | ❌ Not our lane |
| Photo management + body mapping | ✅ Advanced with 3D stamping | ❌ Not our lane |
| Insurance + billing | ✅ Revenue cycle management | ❌ Not our lane |
| E-commerce + retail | ✅ Gift cards, packages, inventory | ❌ Not our lane |
| Patient portal | ✅ Telehealth + forms + scheduling | ✅ AI-powered intake |
| SEO for procedure keywords | ❌ | ✅ 9-module AI audit |
| Content marketing | ❌ | ✅ Procedure-specific AI content |
| Voice AI for consultations | ❌ | ✅ 24/7 with qualification |
| Ad campaign management | ❌ | ✅ Google + Meta AI-managed |
| Reputation management | ❌ | ✅ AI-timed reviews + responses |
| CRM pipeline tracking | ⚠️ Basic analytics | ✅ Consultation-to-surgery pipeline |
The Consultation Funnel That Nextech Cannot Build
Cosmetic surgery is the highest-consideration purchase in healthcare. A patient researching rhinoplasty typically:
- Searches Google for "best rhinoplasty surgeon [city]" — requires SEO
- Reads 3-5 surgeon websites comparing credentials and before-and-afters — requires optimized website content
- Reads 20-40 Google reviews looking for surgical trust indicators — requires active reputation management
- Calls the office with questions about pricing, recovery, and financing — requires competent phone handling
- Books a consultation — requires frictionless scheduling
- Receives nurture messaging before the consultation — requires CRM automation
- Arrives for consultation — now Nextech's clinical tools activate
Nextech participates in step 7. Steps 1-6 determine whether a patient ever reaches step 7. The Webevo platform owns steps 1-6.
The $15,000 Rhinoplasty That Never Happened: A prospective rhinoplasty patient called your practice at 5:45 PM. The front desk had left. The call went to voicemail. The patient called the next surgeon on Google — who had a voice AI that answered, discussed pricing ranges, and booked a consultation for Thursday. Your practice lost a $15,000 surgical case because nobody answered the phone. Nextech cannot answer phones. The Webevo platform can.
The Real Cost of a Nextech-Centric Stack
Nextech pricing is custom, but practices consistently report premium pricing with $3,000-$15,000 in implementation costs. To build a complete growth system around Nextech:
| Tool | Purpose | Monthly Cost |
|---|---|---|
| Nextech EMR + PM | Clinical + billing + scheduling | $500-$1,500/mo (estimated) |
| RealPatientRatings or RealSelf | Surgical reputation | $200-$500/mo |
| SEO agency | Procedure keyword targeting | $1,000-$3,000/mo |
| Website platform | Surgeon showcase site | $200-$500/mo |
| Google/Meta ads | Procedure-specific campaigns | $500-$2,000/mo + ad spend |
| Virtual receptionist | Phone handling | $300-$800/mo |
| Total fragmented stack | $2,700-$8,300/mo |
Surgical and aesthetic practices pay the highest niche premium in healthcare marketing. The Webevo platform consolidates everything except the clinical EMR into one platform — eliminating 4-5 vendor relationships and the coordination overhead that comes with them.
Who Should Use What
Keep Nextech alone if:
- Your consultation calendar fills through physician referrals and established reputation
- You do not need additional online visibility — your brand sells itself
- Your front desk reliably handles all phone inquiries during business hours
- You are not competing for procedure-specific Google keywords
Add the Webevo platform if:
- You need more consultation bookings in a competitive aesthetic market
- You are losing phone calls after hours — and losing $10,000+ surgical cases as a result
- Your competitors outrank you for "facelift [city]" and "botox near me"
- You are paying $2,500+/month across 5+ disconnected marketing tools
- You want consultation-to-surgery pipeline tracking that connects marketing spend to surgery revenue
The Verdict: Nextech for Clinical, Webevo for Growth
Nextech earned its place as a specialty EMR for plastic surgery and dermatology. Its photo management, surgical templates, and specialty-specific workflows are genuinely differentiated. We do not compete with Nextech — we complement it.
The growth gap is real: 70% of cosmetic patients now start their journey on Google, not in a PCP's referral. Nextech does not rank your website, answer your phone, manage your reputation, or run your ad campaigns. The Webevo platform does all of this — and the integration means patient data flows seamlessly between growth and clinical systems.
Run your free WebEvo audit now →
For related reading, see how ModMed faces the same clinical-vs-growth gap, how Aesthetic Record handles charting for MedSpas, and our complete aesthetics industry guide.
