Botox Side Hustle, Full Practice, or Expansion? How to Start in Aesthetic Medicine

You’ve been thinking about adding aesthetic medicine to your life, but there’s one big question holding you back—where do you even start?

Should you quit your job and dive in full-time? Start a Botox side hustle on the weekends? Or add it to your current practice and grow from there?

The choices can feel overwhelming, and the fear of making the wrong move can leave you stuck in analysis paralysis.

The good news? You don’t have to figure it out alone. Whether you want a flexible way to earn extra income, a major change, or a way to attract new patients, there’s a path that fits your goals—and the best part? You can start small and scale up. Let’s break down the three most common ways to get started in aesthetic medicine, so you can confidently take the first step.

Which Path is Right for You?

Aesthetic medicine is unique because it allows multiple entry points depending on your lifestyle, goals, and resources.

Unlike traditional healthcare, it eliminates the hassle of insurance companies, meaning you set your own prices and get paid on the spot—no chasing down reimbursements.

It’s a field where you can help patients look and feel their best, build genuine relationships, and enjoy a more positive, uplifting work environment.

Instead of seeing patients who are sick or in pain, you’ll spend your time with people who leave your office smiling, excited about their results, and grateful for your expertise.

Plus, with so many ways to get started, you can choose the path that fits your lifestyle and scale at your own pace.

The Botox® Side Hustle Approach

Many providers start part-time—seeing patients in the evenings or weekends, renting space in a medical spa, or offering mobile Botox parties. This allows you to build experience and earn extra income without giving up your primary job.

Pros

Cons

Getting Started

Check regulations in your state – Some states don’t allow mobile Botox® businesses, while others require medical director oversight for injectables. Look up state-specific aesthetic medicine laws.
Find a compliant location – If mobile isn’t an option, consider renting a room in a medspa, physician’s office, or wellness center.
Start with online training – Build confidence and knowledge through the Botox® Side Hustle Online Training Bundle before moving to hands-on.
Get malpractice insurance – Aesthetic procedures require specialized coverage, so look for policies tailored to injectors.

Starting a Full Aesthetic Medicine Practice

If you’re ready to go all in, opening your own practice allows full control over branding, pricing, and patient experience. While this requires a greater upfront investment, it offers higher long-term rewards and independence.

Pros

Cons

Getting Started

Decide on a business model – Will you open a medspa, operate under a medical director, or partner with a clinic?
Check licensing and supervision requirements – Some states require nurse practitioners and PAs to have physician oversight, while others allow independent practice.
Find a location with the right zoning – Some areas have strict regulations for medical aesthetics—check zoning laws before signing a lease.
Get hands-on training ASAP – The best way to hit the ground running is by attending the Aesthetic Medicine Symposium to learn from experts and get real-world practice.

Expanding Your Current Practice

Already running a medical or wellness clinic? Adding Botox, fillers, and other aesthetic treatments is a smart way to boost revenue without starting from scratch.

Pros

Cons

Getting Started

Understand scope of practice laws – If you have NPs or PAs, check whether state laws require physician supervision for injectables.
Train your staff – Even if you’re the primary injector, your front desk and support staff need to understand aesthetic procedures to promote them.
Start marketing early – Educate existing patients about your new services before launching to build excitement and pre-book appointments.
Use blended learning for flexibility – If you’re too busy to travel, start with online training and upgrade to hands-on later.

Scaling at Your Own Pace

The key is to start where you are. Many successful aesthetic providers began as a Botox side hustle before expanding into full-time practice. Others found that integrating aesthetic services into their existing practice was the easiest way to grow. The beauty of this field is that you can move at your own pace and scale when you’re ready.

What will dominate the aesthetic medicine industry in 2025?

Ready For Next Steps?

Whether you’re ready to get started today or still exploring your options, there’s no rush—you can move at your own pace. The most important thing is gaining the right knowledge and training so you can step into aesthetic medicine with confidence when the time is right. If you’re ready to take action now, here are three great ways to start:

Botox® Side Hustle Online Training Bundle – Learn at your own pace, start small, and upgrade later
Aesthetic Medicine Symposium (In-Person Training) – Get hands-on experience and expert guidance to start treating patients confidently
Blended Learning (Online + Hands-On) – Perfect for those who want flexibility while gaining practical skills

Not sure which option fits best? Keep reading, keep learning, and when you’re ready, we’ll be here to help you take the next step.

With funding cuts, shrinking reimbursements, and rising burnout rates, many physicians are looking for a more stable, flexible income stream. Aesthetic medicine offers a cash-based, high-profit alternative without the stress of insurance billing or long hospital shifts. In just a few days of training, providers can start offering in-demand, non-invasive treatments and take back control of their lives.