At a Glance
- 37-year-old U.S. Navy administrator Lenia Watson-Burton died 3 days after an AirSculpt procedure at Elite Body Sculpture in San Diego.
- Her family sued the chain and surgeon Heidi Regenass for medical malpractice and false advertising.
- Elite Body Sculpture settled for $2 million with the family, and Regenass paid an additional $100 000.
Lenia Watson-Burton expected a quick, painless fat-removal treatment, but the AirSculpt procedure at the San Diego office of Elite Body Sculpture led to her death on Oct. 29, 2022. The chain, which operates more than 30 centers in the U.S. and Canada, had marketed the technique as “gentle on the body” and promising a 24-48-hour recovery.
Fatal Procedure and Allegations

The lawsuit alleges that surgeon Heidi Regenass used a thin cannula that perforated Watson-Burton’s small bowel, causing sepsis and death. The case also claims Elite Body Sculpture’s website falsely described an “automated technology” that would prevent deep penetration.
- Watson-Burton paid $12,000 for the operation.
- She called the clinic Oct. 27 with severe abdominal pain; staff did not evaluate her.
- Ambulance transport the next day revealed three bowel perforations and sepsis.
The autopsy cited complications of cosmetic surgery, noting septic shock after intra-operative bowel perforation.
Advertising Claims and Legal Action
Elite Body Sculpture’s ads proclaim “no scalpel, no stitches, and a freckle-sized scar,” while also stating patients can “walk out and return to routine within 24-48 hours.” The lawsuit contends these statements mislead patients about risk and recovery.
Mary Engle stated:
> “While consumers should be able to trust that ad claims are substantiated because the law requires them to be, the reality is that it pays for consumers to bring a skeptical eye.”
Settlement and Ongoing Cases
| Date | Event |
|---|---|
| Oct. 29, 2022 | Watson-Burton dies |
| Aug. 2024 | Settlement reached; Elite pays $2 M, Regenass pays $100 k |
The settlement capped Elite Body Sculpture’s liability at the maximum under its insurance policy. Regenass, who carries no liability insurance, agreed to pay an additional $100 000.
Other lawsuits remain pending. An Ohio woman’s family sued for a similar death, and Tamala Smith, a Toledo registered nurse, died after a procedure by Regenass at Pacific Liposculpture. These cases highlight ongoing concerns about misleading advertising and inadequate follow-up.
Industry and Regulatory Context
Cosmetic surgery chains rely heavily on advertising but lack federal mandates to substantiate claims. The FTC requires medical advertising to be truthful and evidence-backed, yet many clinics offer little documentation. State and federal agencies can prohibit false advertising, but enforcement is inconsistent.
Key Takeaways
- Lenia Watson-Burton’s death exposed serious gaps in patient safety and advertising transparency.
- Elite Body Sculpture settled for $2 million, underscoring potential financial risk for chains.
- Ongoing lawsuits illustrate the broader industry problem of misleading claims and inadequate post-op care.
The case serves as a stark reminder that cosmetic procedures can carry significant risks, and patients should scrutinize marketing promises before deciding on treatment.

