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"Butt Lady" Sentenced to 15 Years for Deadly Silicone Injections
6 Nov
Summary
- Libby Adame, known as the "Butt Lady," sentenced to 15 years to life for second-degree murder
- Adame administered fatal silicone injections to actress Cindyana Santangelo in 2025
- Adame previously convicted in 2024 for similar case involving Karisa Rajpaul's death
On November 6, 2025, Libby Adame, known as the "Butt Lady," was sentenced to 15 years to life in prison following a second-degree murder conviction for administering silicone injections that led to the death of actress Cindyana Santangelo.
Santangelo, 58, had appeared on shows such as CSI: Miami, ER, and Married...with Children. She died on March 24, 2025, from an embolism caused by the silicone injection Adame had administered at Santangelo's home in Malibu.
This was not Adame's first conviction related to illegal silicone injections. In 2024, she was found guilty of manslaughter in a similar case involving the 2019 death of Karisa Rajpaul, 26, who died after being injected at her home in Sherman Oaks, California. Adame was sentenced to four years and four months in prison for that incident.
Adame's attorneys had argued that she was not the one who gave the fatal shots to Santangelo, claiming she had only worked as a consultant to doctors legally practicing in Mexico. However, the court found Adame guilty of both the second-degree murder of Santangelo and practicing medicine without a certificate.
