California woman, known as the ‘Butt Lady’, has been sentenced to 15 years to life in prison for murder. Libby Adame performed silicone butt injections that resulted in the death of actress Cindyana Santangelo. Adame’s sentence comes after being convicted of second-degree murder last month. On Tuesday, November 5th, she received her sentencing following the tragic events that led to Santangelo’s passing.
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Santangelo, a Malibu resident who passed away at the age of 59, died shortly after receiving the unauthorized silicone injections administered by Adame. The actress, known for her roles in popular TV shows like Married … With Children, ER, and CSI: Miami, tragically lost her life due to complications from the procedure. Jurors made the decision to convict Adame after just over a day of deliberation on October 9th.
The Los Angeles County Superior Court Judge, Sam Ohta, ordered Adame to be held without bail after the jury’s decision. Prior to the sentencing, Adame’s legal defence claimed that she did not perform the procedure and only provided a consultation to Santangelo. However, prosecutors presented messages exchanged between the two as evidence that Adame did indeed carry out the silicone injections that led to the fatal embolism.

This is not the first time Adame has been involved in such incidents. In a previous case in 2024, she was convicted of involuntary manslaughter for administering a fatal silicone butt injection to 26-year-old Karissa Rajpaul in 2019. Adame’s daughter, Alicia Galaz, was also convicted in that case. While Adame was originally sentenced to three years in state prison for the 2024 conviction, she was released on time served.
The Food and Drug Administration (FDA) has previously warned against the dangers of silicone injections for body contouring. In 2017, the agency issued a statement cautioning against the use of injectable silicone or products falsely marketed as FDA-approved dermal fillers, particularly for procedures aimed at enhancing body parts like the buttocks and breasts. This warning comes in light of the severe injuries and disfigurement that can result from such procedures.
Adame’s sentencing serves as a reminder of the risks involved in undergoing cosmetic procedures from unauthorised and unlicensed individuals. The tragedy of Santangelo’s death highlights the importance of ensuring that medical treatments are carried out by qualified professionals in safe and regulated environments. The consequences of seeking unregulated cosmetic procedures can have devastating and irreversible outcomes, as seen in this heartbreaking case.
