An Ohio plastic surgeon lost her medical license Wednesday after she was investigated by the state medical board for live-streaming operations on TikTok and patient-reported surgical complications.

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

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

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

“These results were not normal complications like those that exist in the usual practice of medicine, but rather were caused by recklessness and disregard for the rules that govern 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 educate.

Dr. Grawe has not been allowed to practice medicine since the medical board suspended her license on November 18, according to The Columbus Shipment. The board said at the time that his 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. He said he had reflected on the board’s criticism over the past year and saw how he had “fallen short of the board’s ideal in multiple ways.”

She added that she made videos for social media because she loved teaching and wanted to explain cosmetic surgery to people outside of the medical field. “But as I’m here today, I see how many of those videos looked silly and unprofessional,” she said.

She said her husband had left her under the stress of the situation, her children had been bullied at school by media attention and she had to lay off 20 employees at her clinic, Roxy Plastic Surgery in Powell, a city north of Columbus. .

Dr. Grawe’s TikTok account is now private, and it’s unclear how many followers she had when she went public. On Instagramhe still has over 100,000 followers.

Dr. Grawe has 15 days after the board’s order is sent to appeal the decision, said Jerica Stewart, a spokeswoman for the medical board. A call to Dr. Grawe’s attorney on Wednesday was not immediately returned.

Many of the medical board’s concerns were outlined in a suspension notice sent to Dr. Grawe in November.

The board said it had advised Dr. Grawe of the need to maintain patient privacy on social media in letters sent in October 2018 and September 2021. In the second letter, the board secretary recommended Dr. Grawe take remedial education courses on plastic surgery and “professionalism/ethics.”

Dr. Grawe provided the board with documents showing she had completed remedial classes, including “ethical social media,” in December 2021, the board said, but continued to record video and live-stream medical procedures until Oct. 14, 2021. 2022.

These videos included patient interviews and photos before operations, live broadcasts of procedures, and photos taken in the operating room after surgery. During some videos, Dr. Grawe responded to online questions from viewers “while the surgical procedure is still active,” the board said.

At least three patients, who were not named, experienced complications after seeing Dr. Grawe for cosmetic surgery, and their problems were described in the suspension notice.

One patient, according to the board’s notice, received a Brazilian butt lift, tummy tuck, and liposuction from Dr. Grawe in July 2020. The patient saw Dr. Grawe again in March 2022 for further cosmetic procedures, and Dr. Grawe looked and spoke into a camera while was performing liposuction on the patient’s abdomen, the board said.

A few days after surgery, the patient was hospitalized and found to have a perforated small intestine and soft tissue infection.

In December 2020, Dr. Grawe performed several cosmetic procedures on another patient under anesthesia, including liposuction and a Brazilian butt lift. The next day, the patient went to the emergency room because she was experiencing severe abdominal pain and cramps and she had to undergo several surgeries on her stomach.

Dr. Grawe saw the third patient in December 2021 for a breast augmentation. A few days later, the patient reported nausea and bleeding from the breast and she was treated in the clinic. Subsequently, the patient reported pain, malaise, and nausea. She was then treated at the clinic by a nurse practitioner, but the patient had to be hospitalized with a faster than normal heart rate. At the hospital, it was discovered that she had an infection that required treatment and removal of the breast implants.

Mary Jenkins, another former patient, won a lawsuit against Dr. Grawe in 2016 over complications from breast reconstruction surgery, according to The Columbus Shipment.