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A transgender hip-hop performer who called herself “the Michelangelo of buttocks injections” testified at her murder trial Thursday she has been haunted since the 2011 death of a client she injected with low-grade silicone.

Padge-Victoria Windslowe, who also rapped under the name “Black Madam,” said she thought the 20-year-old London break-dancer was in distress after the procedure in Philadelphia because she had been drinking alcohol.

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