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The Pulse of Southern California

Woman gets 15 years to life for silicone injection that killed Hollywood actress

BySoCal Chronicle

Nov 5, 2025


A Southern California woman who was convicted of killing a Hollywood actress with a botched silicone injection into her buttocks was sentenced to 15 years to life in prison on Wednesday.

Libby Adame, 55, was convicted earlier this month in Riverside County of second-degree murder and practicing medicine without a certification for the March 2025 death of Cindyana Santangelo, who received the injection at her Malibu home.

Santangelo, 58, appeared in television programs including “CSI: Miami,” “ER” and “Married with Children,” and the music video for Young MC’s 1989 hit “Bust a Move.”

During the trial, Santangelo’s husband, Frank Santangelo, testified that Adame fled their home as his wife began convulsing after the injection.

Libby Adame, a Riverside County woman convicted of second-degree murder for administering a fatal silicone butt injection to actress Cindyana Santangelo. (KTLA)
Libby Adame, a Riverside County woman convicted of second-degree murder for administering a fatal silicone butt injection to actress Cindyana Santangelo. (KTLA)

Adame had a prior history of performing unauthorized silicone butt injections.

In 2024, she was convicted of involuntary manslaughter for the 2019 death of 26-year-old Karissa Rajpaul in Sherman Oaks. She was sentenced to four years and four months in prison, while her daughter, Alicia Galaz, who assisted with the procedure, received three years and eight months.

Both received credit for time already served and electronic monitoring, allowing Adame to resume cosmetic procedures within a year.

Prosecutors also presented evidence suggesting that Adame was aware of the risks associated with silicone injections well before these deaths.

Cindyana Santangelo, a Malibu-based actress known for appearances on "ER" and "Married with Children," who died after receiving a silicone butt injection from unlicensed practitioner Libby Adame. (KTLA)
Cindyana Santangelo, a Malibu-based actress known for appearances on “ER” and “Married with Children,” who died after receiving a silicone butt injection from unlicensed practitioner Libby Adame. (KTLA)

According to the Los Angeles Times, security camera footage from 2018 captured her fleeing a South Gate salon as paramedics treated another woman who later died – an incident predating both Rajpaul’s and Santangelo’s fatalities.

Angelique Brenes contributed to this report.



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