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Unlicensed 'Butt Lady' Sentenced to 15 Years to Life for Actress's Fatal Silicone Injection

The case followed a prior manslaughter conviction that prosecutors said put Libby Adame on notice about the deadly risks.

Overview

  • A Los Angeles jury on Oct. 9 convicted Libby Adame of second-degree murder and practicing medicine without certification in the March 24 death of Cindyana Santangelo, and found a great-bodily-injury enhancement true.
  • Judge Sam Ohta denied a new-trial motion and said he did not find Adame’s testimony credible before imposing the indeterminate term.
  • Authorities determined Santangelo died of a silicone embolism following an injection administered at her Malibu home.
  • Adame was arrested May 12 and remains in custody; her attorney says she will appeal, and Santangelo’s husband has filed a wrongful-death lawsuit.
  • Prosecutors cited Adame’s 2024 involuntary manslaughter conviction in a 2019 injection death to show she knew the danger, as the FDA warns silicone buttocks injections are unapproved and can be deadly.