An Ohio plastic surgeon lost her medical license on Wednesday after the state medical board investigated her for livestreaming operations on TikTok and surgical complications reported by patients.

The State Medical Board of Ohio voted at a hearing on Wednesday to permanently revoke Dr. Katharine Roxanne Grawe’s medical license and to fine her $4,500 “based on her failure to meet standard of care.”

At the hearing, doctors on the board said that Dr. Grawe, known online as “Dr. Roxy,” had previously been cautioned about protecting patient privacy on social media. They also spoke about her treatment of three unnamed patients who had reported complications from procedures, including one whose surgery Dr. Grawe had broadcast a part of on social media.

Dr. Jonathan B. Feibel, vice president of the medical board, recommended that Dr. Grawe’s license be revoked because of the “life altering, reckless treatment” provided to those patients.

“These outcomes were not normal complications like those that exist in the routine practice of medicine, but were rather caused by recklessness and disregard for the rules governing the practice of medicine in Ohio,” he said.

He said Dr. Grawe’s social media presence “amplified her reckless behavior” and accused her of using it to grow her brand, not to educate.

Dr. Grawe has not been allowed to practice medicine since the medical board suspended her license on Nov. 18, according to The Columbus Dispatch. The board said at the time that her continued practice presented “a danger of immediate and serious harm to the public.”

Dr. Grawe addressed the medical board at the hearing before the vote. She said she had reflected on the board’s critiques over the past year and saw how she had “fallen below the board’s ideal in multiple ways.”

She added that she made social media videos because she loved teaching and wanted to explain cosmetic s