Illegal plastic surgery can not only lead to terrible results, it can also be fatal—as one young man tragically discovered last year. But is that the fault of the "doctor?" Earlier today 35-year-old Kasia Rivera pleaded not guilty in the 2011 death of 22-year-old Justin Street. According to the medical examiner, Street died of a silicone embolism after Rivera performed a penis enlargement procedure on him in her home.

On May 5, 2011, Rivera—who has no medical training but seems to have been injected a few times herself—allegedly shot silicone directly into Street's bloodstream in an effort to make the young father of two's sex organ bigger. The procedure, performed in Rivera's home, didn't work. Instead it shut down the young man's organs, quickly killing him. In December his death was ruled a homicide and now Rivera, who is out on $75,000 bail, faces up to 10 years in prison if found guilty of second-degree reckless manslaughter.

"The state is not alleging at all that she purposely caused his death, but that her behavior, her acting with no training, no preparation led to his death." Essex County Assistant Prosecutor William Neafsey explained after the hearing today. "Performing this type of procedure, basically a surgical procedure on him without any proper training or certificates, that’s why it’s reckless."

One of the many morals of this story? Don't get plastic surgery in somebody's home. Also, if you've already fathered two children maybe you don't need a bigger dong.