Overview

• Jurors also found Adame guilty of practicing medicine without a license in connection with the fatal procedure.
• Santangelo, 58, died on March 24, 2025 at her Malibu home from a silicone embolism following buttock injections.
• California law sets a 15-year minimum for second-degree murder, with up to three years for unlicensed practice and an additional three to six years for great bodily injury.
• Adame was on probation from an involuntary manslaughter conviction tied to a 2019 fatal injection of Karissa Rajpaul, and prosecutors had previously warned she could face murder charges if another client died.
• The defense argued Adame did not administer the injections and said she only consulted for doctors in Tijuana, while Santangelo’s husband has filed a wrongful-death lawsuit and testified about her distress during the procedure.