What led to the death of actress Cindyana Santangelo?

Cindyana Santangelo died from a silicone-induced embolism after receiving a butt injection from an unlicensed practitioner, Libby Adame.

Who was Libby Adame, the practitioner in the actress's death?

Libby Adame, known as the 'Butt Lady,' was an unlicensed practitioner convicted of murder for Cindyana Santangelo's death and had prior convictions related to patient fatalities.

What was the outcome for the unlicensed practitioner after the actress's death?

Libby Adame was found guilty of second-degree murder and sentenced to 14 years to life in prison.

Home / Crime and Justice / Actress's Deadly Butt Injection Tragedy

Actress's Deadly Butt Injection Tragedy

9 Feb

•

Summary

Actress died after butt injection by unlicensed practitioner.
Unlicensed injector fled after the fatal procedure.
Practitioner had prior convictions for similar offenses.

Actress Cindyana Santangelo, 58, tragically died on March 2025 after receiving a silicone butt injection from an unlicensed practitioner, Libby Adame, also known as the 'Butt Lady.' The procedure took place in Santangelo's Malibu mansion. Santangelo, who sought to correct 'lumpy' buttocks from hormone treatments, paid $3,500 for the injection.

Santangelo experienced excruciating pain and struggled to breathe following the injection. Adame fled the scene, taking Santangelo's phone, while paramedics attempted to save the actress. She was rushed to the hospital but pronounced dead shortly after, with the cause of death being a silicone-induced embolism.

Adame was arrested in May 2025 and subsequently charged with second-degree murder. In October 2025, she was found guilty and sentenced to 14 years to life in prison. This incident marked Santangelo as Adame's second fatality, following the 2019 death of Karissa Rajpaul, for which Adame and her daughter were convicted of involuntary manslaughter in March 2024.