Calif. 'Butt Lady' Sentenced to 15 Years to Life in Prison for Botched Silicone Injections By Madison E. Goldberg

A California woman was sentenced to 15 years to life in prison for performing botched butt injections.

Libby Adame was sentenced on Tuesday, Nov. 5, following her conviction on a second-degree murder charge in October. Adame was convicted in the death of actress Cindyana Santangelo, who died shortly after receiving the silicone injections from Adame, The Los Angeles Times reports. The actress had appeared on Married … With Children, ER and CSI: Miami.

Santangelo, who was a Malibu resident, died at 59 in March.

Jurors voted to convict Adame after deliberating for a little more than a day on Oct. 9, NBC Los Angeles reports. Los Angeles County Superior Court Judge Sam Ohta ordered Adame to be held without bail after the jury’s verdict, and denied her a new trial prior to her sentencing.

PEOPLE has reached out to Adame’s attorney for comment on the sentence.

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Adame, 55, was also convicted of practicing medicine without a certification, the LA Times reports. Prosecutors said Adame injected silicone oil into Santangelo’s buttocks, which later led to a fatal embolism.

Adame’s legal defense claimed that she did not actually perform the procedure, and that Adame only provided Santangelo a consultation. However, prosecutors pointed to messages sent between the two women as evidence that Adame did perform the procedure, ABC 7 reports.

Adame was previously convicted of involuntary manslaughter in 2024 for giving an ultimately fatal silicone butt injection to 26-year-old Karissa Rajpaul in 2019, according to the LA Times. Adame’s daughter, Alicia Galaz, was also convicted.

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Adame was sentenced to three years in state prison in the 2024 case, but was released on time served, per the outlet.

The FDA has previously issued warnings regarding silicone injections for body contouring. In 2017, the agency issued a statement warning “consumers and health care practitioners about the serious injuries and disfigurement that can result from using injectable silicone or products being falsely marketed as FDA-approved dermal fillers for the purpose of enhancing the size of their buttocks, breasts and other body parts.”