Most practices think switching is the disruption. But staying on the wrong system has a price too, and it compounds every month.
When every task takes 20 to 30 clicks instead of 4 or 5, your staff loses hours each week navigating software instead of caring for patients. That time has a real cost in payroll, productivity, and morale.
Per-user charges, per-device fees, storage overages, add-on modules. The monthly bill you were quoted at signing looks nothing like the one you're paying now. And it's only going up.
Separate systems for scheduling, charting, photos, quoting, and payments means you're paying multiple subscriptions for software that doesn't share data. Your staff re-enters the same information across 3 to 5 tools every day.
When your patient portal is too complicated, patients start filling out their information and give up halfway through. They arrive unprepared, your staff scrambles, and appointments run behind. It's a bad first impression that costs you referrals.
200+ plastic surgery and aesthetic practices already made the move. Here's what they found.
Dr. Robert Pollack, a board-certified plastic surgeon with 25 years in private practice, designed the workflow to mirror actual clinical processes. Our users tell us 4D knows what they are needing to do next.
Scheduling, charting, photos, quoting, POS, inventory, messaging, patient portal, telehealth, billing. Replace 3 to 5 disconnected tools with one system where everything talks to each other.
$750/month for your first provider. $325 each additional. Unlimited staff, unlimited locations, unlimited devices. No storage charges, no surprises on your invoice.
Not a legacy server in a data center that someone relabeled "cloud." 4D is cloud-native: browser-based, any device, automatic updates, redundant backups. No servers to maintain, no ransomware exposure.
Designed with an iPhone philosophy: powerful underneath, effortless on top. Your team will spend less time learning the software and more time using it. Most staff are comfortable within days, not weeks.
When you call 4D, a real person picks up. Not a ticket queue that takes three hours. Our team only supports aesthetic practices, so they know your workflows and can actually solve your problems.
Patient Portal Completion Rate
Aesthetic Practices Switched
Migration, Training & Startup Fees
Clicks to Complete Tasks
See the Difference
Most aesthetic EMRs were built for hospitals and retrofitted for cosmetic workflows.
4D was built the other way around.

How It Works
We handle the heavy lifting. Here's what the process looks like, start to finish.
We Get It

Ask them in the free demo!
We migrate it for you, for free. Your patient records, demographics, history, and documents transfer into 4D EMR. We verify the migration before you go live, so nothing gets lost in the move.
4D EMR was designed with the same philosophy as an iPhone: powerful underneath, but intuitive enough that you don't need a manual. Most staff are comfortable within days. And we provide live training, not just videos, at no charge.
Nothing beyond your first month's subscription. Data migration is free. Training is free. There are no implementation fees, no setup charges, and no startup costs. Your only expense is $750 for the first month.
4D EMR is month-to-month. No long-term contracts. No cancellation fees. And if you ever decide to leave, your data exports are free. We believe you should stay because the software works, not because a contract says you have to.
That's okay. Many practices start with a demo now and plan their transition for when the contract ends. We can set up your 4D environment ahead of time so you're ready to flip the switch the day you're free.
No. 4D EMR runs alongside your existing system during the transition. You set the go-live date. There's no forced cutover, no downtime, and no gap in your patient care or scheduling.
From Practices Who Switched