Ms. Spence is the second woman to be charged in recent years by the Manhattan district attorney with manslaughter in connection with a so-called back-alley plastic surgery operation. Plastic surgeons have seen a surge in requests for the procedure in recent years, with double-digit increases. “It’s a dicey area,” said Dr. Debra Johnson, president of the American Society of Plastic Surgeons. Ms. Gavagan said there was no evidence Ms. Spence had performed the injections. She said Ms. Spence worked with a man who held himself out as a doctor and went by Ally or Coach.

Source: New York Times September 29, 2017 23:26 UTC