A Queens woman who allegedly performed a fatal butt lift procedure and fled the country to England four years ago has been brought home to face justice after a years-long extradition battle.

Donna Francis, 38, injected silicone she bought on Ebay into a Maryland woman’s buttocks in 2015, prosecutors allege.

When the client, 34-year-old Kelly Mayhew, went into cardiac arrest, Francis high-tailed it, leaving the woman alone with her frantic mother.

Emergency responders transported Mayhew to St. John’s Episcopal Hospital, where she was pronounced dead.

The next day, Francis was on a plane to London, where she remained for over four years.

“The victim in this case traveled from Maryland with her mother and $1600 cash and the hope of returning home with the perfect figure,” acting District Attorney Ryan said in a statement issued Friday. “Sadly, she never returned home.”

Francis was extradited this week and arraigned Friday in Queens Criminal Court on an indictment charging her with criminally negligent homicide and unauthorized practice of a profession.

She was remanded until her next court hearing on September 27.

She faces a year behind bars if convicted.

Mayhew’s aunt told the Post the family is “thrilled” that Francis is in custody.

“She doesn’t get to just walk away,” said Ellen Brads, 55. “Let it be public notice: she’s a murderer, and she knew that she was in trouble and she ran. She got on a plane and left the country because she was not planning on facing anything.”