COLUMBUS, Ohio — Dr. Katharine Roxanne Grawe, a plastic surgeon accused of injuring patients while livestreaming some procedures on the social media app Tik Tok, will never again work as a doctor in Ohio.

The State Medical Board of Ohio on Wednesday voted to permanently revoke the medical license of Grawe, who also goes by “Dr. Roxy.” The board said Grawe, whose license has been suspended since Nov. 18, neglected her patients as she livestreamed parts of their procedures, spoke into a camera, and answered viewer questions — all while the surgeries were taking place.

The Ohio medical board reached a decision Wednesday.

“This case isn’t about some antiquated view of social media … These patients trusted Dr. Roxy because of what they saw on social media. She made major surgeries with potentially life-altering complications seem like one big party,” an attorney representing the state’s case against the doctor said while asking the board to revoke Grawe’s license.

Grawe addressed the board before the vote, pleading for members to have an open mind when considering the accusations against her.

Grawe claimed that the discipline she’s already faced was far more severe than she ever thought was possible. She also complained about the impact the accusations against her had on her life outside of the office as she said her kids have been attacked in school and her husband left her.

Grawe said she used social media in an attempt to break down the “stiff and scary wall between patients and practitioners.” She now understands, she said, that she fell short of the medical board’s ideals.

“As I stand here today, I see how many of those silly videos seemed unprofessional,” Grawe told the board. “I understand how my actions at times seemed careless and offended my patients and colleagues.”