Former Med Spa Owner and Physician Assistant Sentenced to 45 Years in Florida Surgery Case

CBS12 reported that a former physician assistant in Port St. Lucie, Florida, was convicted of eleven felonies tied to procedures at Cosmetica Plastic Surgery and Anti-Aging, including practicing medicine without a license and aggravated battery.

Florida Sentencing Followed Convictions Tied to Cosmetic Surgery Procedures

On June 19, 2026, CBS12 reported that Adley Dasilva, a former physician assistant associated with Cosmetica Plastic Surgery and Anti-Aging in Port St. Lucie, Florida, was sentenced to 45 years in prison after convictions tied to cosmetic procedures performed at the now-closed business. The case involved a combined cosmetic surgery and aesthetic services setting and raises Med Spa considerations around provider credentials, procedure scope, licensure, and clinical role boundaries.

Timeline Shows Investigation, Arrests, and Sentencing in Florida Cosmetic Surgery Case

The timeline included several key events:

• Investigation: The reporting stated that investigators began looking into Cosmetica Plastic Surgery and Anti-Aging in 2022.
• Registration revocation: CBS12 stated that the state health department suspended the business’s license in 2022. The outlet also stated that the company’s business registration was revoked in 2023, and it was no longer allowed to operate.
• Scope allegations: The news report stated that Port St. Lucie police accused Dasilva, identified as a physician assistant and owner of the practice, of performing surgeries without the required license. The procedures discussed in the reporting included liposuction, fat injections, Brazilian butt lifts, and breast augmentations.
• Patient complaints: CBS12 stated that the investigation began after the doctor associated with the practice came forward, along with four patients who had procedures performed at the business and later reported severe health-related issues.

For Med Spa operators, the timeline situates the case within the context of licensure, scope of procedures, and clinical supervision in a business that offered cosmetic surgery and aesthetic services.

Source: CBS12 News Reports

According to CBS12, Dasilva was sentenced on June 19, 2026, after being convicted of 11 felonies tied to procedures performed at Cosmetica Plastic Surgery and Anti-Aging. CBS12 also reported the June 2024 arrest and investigation timeline involving the Port St. Lucie Police Department.

Compliance Context for Scope, Licensure, and Supervision in Med Spa Operations

CBS12’s June 2024 reporting cited Port St. Lucie Police Department Assistant Chief Leo Niemczyk as saying Cosmetica Plastic Surgery and Anti-Aging began as a legitimate operation with a doctor. He also said staff later took over operations and performed procedures without the doctor’s knowledge.

The reporting identifies several compliance-related points:

• Clinical authority: Police described a shift from a doctor-associated operation to procedures allegedly performed by staff without the doctor’s knowledge.
• Licensure: CBS12 reported that police accused Dasilva, identified as a physician assistant and owner, of performing surgeries without the required license.
• Procedure scope: Reported procedures included cosmetic surgeries, which may involve different licensing and supervision considerations than non-surgical aesthetic services.
• Convictions: In its June 19, 2026 update, CBS12 stated that Dasilva was found guilty of 11 felonies, including four counts of aggravated battery causing great bodily harm, four counts of practicing medicine without a license, felony theft, organized fraud, and racketeering.

Florida Statute 458.348 references aesthetic skin-care services other than plastic surgery in certain physician-supervised office settings involving APRNs or PAs. For Med Spa and aesthetic operators using a combined cosmetic surgery and aesthetic services model, the reporting provides context for distinguishing among business operations, provider licensure, supervision, and procedure scope.

For Med Spa and aesthetic operators using a combined cosmetic surgery and aesthetic services model, the reporting provides context for distinguishing among business operations, physician involvement, provider licensure, and the scope of procedures. Other Med Spa enforcement reporting has addressed clinical roles and unlicensed activity, including Texas IV-therapy charges, an Arizona arrest for unlicensed cosmetic injections, and a Connecticut board action involving unlicensed staff performing laser treatments.

Practical Implications for Med Spa and Aesthetic Operators

• Verify active license status and scope of practice for each provider before assigning cosmetic, surgical-adjacent, or aesthetic services.
• Confirm which procedures require physician involvement, surgical training, facility registration, or specific supervision under state law.
• Document patient evaluation, procedure performance, and clinical oversight responsibilities.
• Separate cosmetic surgery workflows from non-surgical aesthetic services in service menus, consent forms, staffing plans, and patient records.
• Review staff titles, advertising language, and patient-facing materials to ensure credentials and clinical roles are accurately described.

What to Watch Next in the Florida Cosmetic Surgery Case

CBS12 reported that the defense attorney said the sentence will be appealed. The outlet also reported that two co-conspirators had not yet gone to trial as of the June 19 sentencing report. Future court filings or reporting may provide additional updates on the appeal and remaining criminal cases, with continued relevance for Med Spa and aesthetic operators following scope, licensure, and supervision developments.

About Spakinect

Spakinect provides compliance infrastructure and telehealth-supported supervision solutions for medical aesthetic practices. For additional information, see our website.

Image Attribution: “Courtroom of the Supreme Court of Florida in 2017” by Rochambeau1783, via Wikimedia Commons, licensed under CC BY 4.0.