The Pennsylvania Superior Court has upheld a $20 million award, including $15 million in punitive damages, given by a Philadelphia jury that found a plastic surgeon and a nurse anesthetist liable for an 18-year-old college student’s death after an elective liposuction procedure.

In a non-precedential decision issued by a three-judge panel Friday, Judges Mary Jane Bowes and Susan Peikes Gantman and Senior Judge John T.J. Kelly Jr. ruled in favor of almost all of the plaintiffs’ claims. Gantman concurred in the result only, according to the opinion in Fledderman v. Glunk.