Cindyana Santangelo died March 24.

‘Butt Lady’ sentenced to prison in death of CSI: Miami and ER actress after botched injection

Cindyana Santangelo died March 24.

By Raechal Shewfelt

Raechal Shewfelt

Raechal Shewfelt is a writer at **. She has been working at EW since 2024. Her work has previously appeared on Yahoo and in American *Journalism Review* and *The Shreveport Times*.

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November 5, 2025 11:40 p.m. ET

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Libby Adame pictured in her mugshot. Credit:

A California woman, Libby Adame, known as the "Butt Lady," on Wednesday was sentenced to 15 years to life behind bars, following a second-degree murder conviction for having administered silicone injections that led to the death of Cindyana Santangelo.

The actress, 58, appeared on shows such as *CSI: Miami*, *ER*, *Married...with Children.* Her work also included the 1989 music video for Young MC's "Bust a Move" and the 1990 movie *The Adventures of Ford Fairlane*.

She died March 24 from an embolism caused by silicone injection administered at her home in Malibu, according to City News Service via NBC 4 Los Angeles.

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Adame, who was also convicted of practicing medicine without a certificate, was found guilty of manslaughter in a similar case in 2024. In that case, Karisa Rajpaul, 26, died in 2019 after being injected at her home in Sherman Oaks, Calif. Adame was sentenced to four years and four months in prison.**

Cindyana Santangelo appears on 'CSI: Miami' in 2004.

In that case, Adame's daughter, Alicia Galaz, was also convicted.

Online jail records show that the elder Adame remains in prison.

This time around, Adame's attorneys had argued that Adame was not the one who gave the shots to Santangelo, as she had only worked as a consultant to doctors legally practicing in Mexico, the newspaper reported, citing City News Service.**

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Per NBC 4, Santangelo’s husband, Frank Santangelo, said at trial that his wife had wanted a "butt enhancement" to help smooth lumps that had appeared there after hormone treatment, although she didn't want to enlarge them.

He then saw his wife was "struggling to breathe" and "had blood coming from each butt cheek."**

He has filed a civil lawsuit against Adame.

Court documents state that his wife was "killed in the prime of her life in her own home after being unlawfully injected with unsafe and unapproved substances by Libby Adame, an unlicensed individual falsely holding herself out as qualified to perform cosmetic procedures," the *Los Angeles Times* reported. “Tragically, her death not only could have, but should have been prevented."**

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