‘Butt lady’ gets prison for deadly injection on Cindyana Santangelo

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A California woman was sentenced to 15 years to life in prison for an unauthorized buttock injection that killed an actress.

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Libby Adame, 55, of Riverside County. convicted last month second degree murder and practicing medicine without a death certificate for Cindiana Santangelo in March 2025.

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Santangelo, 59, has appeared on TV shows including Crime Scene: Miami, IS And Married with childrenreceived the injection at her Malibu home, where she died from a silicone embolism.

Adams was still there when Santangelo began having trouble breathing.

“Unbeknownst to the victim, the silicone oil migrated from the injection site into the bloodstream,” Judge Sam Ota said in court, according to the report. CABS.

“The victim’s circulatory system then moved the silicone oil into her lungs, which prevented her lungs from supplying oxygen to her body, leading to her death.”

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According to the publication, the jury deliberated for more than a day before voting to convict Adame.

Ohta ordered Adame held without bail after sentencing and denied her a new trial pending sentencing.

Adame's defense team argued that it did not actually perform the procedure and that Adame only advised Santangelo.

However, prosecutors presented messages exchanged between the two women as evidence that Adame actually performed the procedure, the newspaper reported.

Convicted in a previous case that resulted in death

In 2024, Adame and her daughter Alicia Galaz were convicted of manslaughter for illegally administering a silicone injection to the buttock of 26-year-old Karissa Rajpaul in 2019.

Rajpaul died after developing an embolism.

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In this case, Adame was sentenced to three years in prison, but was released with time served, the publication reported.

Silicone injections into the buttocks are not approved by the US Food and Drug Administration.

The agency has previously warned of serious injuries and deformities that can result from the use of injectable silicone or products to increase the size of the buttocks, breasts and other body parts.

“Consumers should be aware that injectable silicone used for body contouring is not FDA approved and may cause serious side effects that may be permanent or even cause death,” the agency said in a 2017 statement.

“Side effects may include persistent pain and serious injuries such as scarring, tissue death and permanent disfigurement; if the silicone leaks beyond the injection site, it can cause embolism (blockage of a blood vessel), stroke, infection and death.”

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