Notice of Data Incident

August 1, 2023

Dear Patients:
We post this Notice pursuant to the United States Health Insurance Portability and Accountability Act (“HIPAA”) to inform you about a data incident involving an unauthorized release of patient Protected Health Information (“PHI”), as that is defined by HIPAA, at Gary Motykie, M.D., a Medical Corporation and Gary Motykie, M.D. (“Practice”), a covered entity under HIPAA.

PHI, as defined by HIPAA, is information that is “created, received, maintained, or transmitted by or on behalf of the health care component of the Covered Entity.” § 164.105 (a)(2)(i)(D). Information that is created or received by a Covered Entity and that relates to the past, present, or future physical or mental health or condition of an individual; or the past, present, or future payment for the provision of healthcare to an individual is considered PHI. PHI is required to be protected when transmitted or maintained in any form by a Covered Entity. Individual identifiers (including but not limited to name, address, telephone number, fax, email address, social security number, medical record number, etc.) maintained in a designated record set along with health information (including but not limited to x-rays, images, scans, physician notes, diagnoses, treatment, eligibility approvals, claims, remittances, etc.) are collectively considered PHI.

Event Description:
On or about June 6, 2023, an initial technical analysis of the Practice’s information technology network determined an unauthorized release of PHI occurred to an unknown third party. The initial analysis determined that the unknown third party accessed the Practice’s network. It was further determined that the unknown third party acquired some of the Practice’s patient’s unencrypted PHI and that party was not authorized to do so and did so in an unlawful manner.

The information that may have been accessed or acquired during this unauthorized access included:

First and last name 
Social Security Number (if provided)
Address
Driver’s license or identification card number
Financial account or payment card number, in combination with any required CVV code
Intake forms, which may include medical information and history
Images taken in connection with the services rendered at our office
Health insurance information (if provided)

Steps Taken to Address:
Upon discovery, the Practice took the following immediate steps to address the situation:

Computers and servers replaced
Network passwords changed
Endpoint detection, virus, and malware detection tools and software installed on workstations and server
Limitations concerning Internet access
Access controls put in place for users based on role and responsibility
Server policies in place
Device locking mechanisms
Multi factor authentication enabled
Network segregation efforts
Encryption of devices
Additional workforce training

Risk Assessment:

The Practice conducted a risk assessment to evaluate the potential harm to potentially impacted individuals. Based on that assessment, it is determined that there is a high risk of harm. It is essential for potentially impacted individuals to remain vigilant in monitoring their personal accounts and data and promptly report any suspicious activity to law enforcement or their financial institutions.

Assistance and Resources:
Starting on or about June 22, 2023, letters were mailed to patients providing the following resources to assist the potentially impacted individuals, offering at no cost:

two (2) years of no cost Triple Bureau Credit Monitoring/Triple Bureau Credit Report/Triple Bureau Credit Score/Cyber Monitoring services.
the services also include reviewing whether Information appears on the dark web and alert the individual if such Information is found online.
proactive fraud assistance to help with any questions in event a potentially impacted persons becomes a victim of fraud.

Steps to Prevent Future Incidents: We deeply regret any inconvenience or concern this Incident may cause. The Practice is taking numerous steps to help prevent similar Incidents in the future. We will continue to review and enhance our security measures, policies, and employee training.

If you failed to receive your letter in the mail, and/or if there is a concern your mailing address has changed since you were a patient at the Practice, please contact 1-800-405-6108 or call our office immediately at 310-246-2355 from 9:00 am to 5:00 pm Pacific time, Monday through Friday.

Preparing for Breast Implant Plastic Surgery

Preparing for Breast Implant Plastic Surgery | Beverly Hills The breast surgeon will provide detailed instructions to the patient for preparation of breast implant plastic surgery and closely engage with her during the consultation process. Patients in Beverly Hills, West Hollywood, Los Angeles, and other communities in this part of the state have an opportunity to receive breast implant surgery from dedicated cosmetic surgeon Dr. Gary Motykie.

Assessment of Cosmetic Goals

To begin with, the candidate for breast implant surgery should assess why she wants to receive this procedure, and what exactly about the size and shape of her breasts may be bothering her. Once the patient is clear about her goals, she will be able to express her thoughts to the surgeon, and help them create a customized surgery plan appropriate to her needs.

The patient should know that a procedure such as breast implant plastic surgery is her personal journey, and she should only choose it when she is deeply convinced about her need to enhance breast size. She should not merely seek it under peer pressure or under the influence of another person.

Online Forums and Websites

Once the candidate has made her mind to seek a breast implant consultation, she should preferably check out the official website of the surgeon to gain some familiarity about the surgeon and the surgical procedure. She may consider connecting with other patients through Internet forums and websites to learn from their experiences with this surgery.

When she has some insights into how other women perceive breast implant surgery and she gains some community support, it will improve her confidence and help her decide whether this surgery is the best option for her. A patient with some advance preparation will be able to have a more productive consultation with the surgeon.

Meeting Candidacy Requirements

At the time of consultation, the breast surgeon will determine whether the patient is fit to undergo breast implant surgery. Therefore, before the consultation, the candidate should make an effort to improve her fitness levels and diet as well as maintain a stable body weight. She should not have any plans for a pregnancy or a weight loss procedure around the time she is planning to have breast implant surgery.

She should also review as many breast implant ‘before and after’ photos as possible in order to develop reasonable expectations. She can access these images via the Internet or through the surgeon’s office. The patient should ideally prepare a list of questions in advance, which she wants to ask during the consultation.

Before the Surgery

Some of the simple preparatory steps to be taken prior to the surgery may include:

Stop smoking for a few weeks before the surgery as instructed by the surgeon.
Avoid the use of blood thinners, NSAIDs and certain vitamins and herbal supplements for a certain period as advised by the surgeon.
If the patient is working, she should apply for at least a week’s leave in advance for a safer recovery at home.
Arrange for transportation from the surgery center to home as well as arrange for aftercare for a few days, if required.

Experienced and judicious cosmetic surgeon Dr. Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and nearby areas for breast implant surgery.

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To see more services and treatments provided by Plastic Surgeon, Dr. Motykie in Beverly Hills | Los Angeles and his team please visit:

Your Breast Implant Plastic Surgery Consultation

Your Breast Implant Plastic Surgery Consultation | Beverly Hills Initial consultation creates a solid foundation for the success of any plastic surgery procedure such as breast implant surgery. Breast implant procedures are considered among the more customizable surgeries, which makes the role of a pre-op consultation more valuable.

The surgeon will closely involve the patient at the pre-operative stage to create a surgical plan that fits the patient’s unique aesthetic needs.

The patient will also get an opportunity to clear her concerns and doubts about breast implants, and ask pertinent questions before making a final decision. Patients in Beverly Hills, West Hollywood, Los Angeles, and other communities across the horizon have an opportunity to receive breast implant surgery from dedicated cosmetic surgeon Dr. Gary Motykie.

Determining Candidacy

During the pre-op consultation, the surgeon will review the past medical records as well as examine the present health condition of the patient. In a few cases, specialized mammograms may also be ordered. The patient’s skin type and amount of skin elasticity in the breast area will be assessed along with an evaluation of the overall breast anatomy.

Key Decisions

At the time of initial consultation, important decisions will be made with regard to the selection of the appropriate surgical technique, choice of implant type and size, placement of implants above or below the pectoral muscle, and whether the surgery may be performed independently or in conjunction with breast lift.

Implant Choice

The final results in breast implant surgery will be influenced by what type and size of breast implants the patient originally chose. The surgeon will help her in making this choice, and will explain the benefits and limitations of saline as well as silicone implants. Appropriate options in implant size, shape and profile will help to create a natural and proportionate figure.

Implant Placement

Breast implants can usually be placed either in front of the pectoral muscle and behind the breast tissue, or below the pectoral muscle. The pros and cons involved in each case will be discussed with the patient in advance so that she can make the best choice in accordance with her personal aesthetic goals and her natural breast anatomy.

Incision Location

The incisions in breast implant surgery may be placed along the areola border, or under the breast crease, or in the armpits. In rare cases, the incisions may be placed in the navel area. Experienced cosmetic surgeon Dr. Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and nearby areas for breast implants and various other cosmetic and reconstructive surgeries.

Developing Expectations

During the initial consultation, the surgeon may present breast implant before and after images before the patient. This will help the patient to develop reasonable expectations and be clear about what the procedure can or cannot do for her. Such patients will typically feel more satisfied with the final outcome of the surgery.

Instructions for Preparation

At the time of initial consultation, the surgeon will provide detailed instructions on how to prepare for the breast implant procedure. The patient should be committed to following the instructions to achieve desirable outcomes from the surgery.

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To see more services and treatments provided by Plastic Surgeon, Dr. Motykie in Beverly Hills | Los Angeles and his team please visit:

Breast Implant Plastic Surgery Risks and Safety

Breast Implant Plastic Surgery Risks and Safety | Beverly Hills Improvements in surgical techniques over the years have led to the breast implant plastic surgery procedure becoming relatively less invasive. This has also helped to mitigate the risks and complications involved in the procedure. However, some risks remain inherent to breast implant surgery, including some risks which are unique due to the involvement of implants.

At the time of pre-operative consultation, the surgeon will educate the patient about all aspects of breast implants, including its potential risks and safety. The first concern of a responsible surgeon will be to ensure that the patient is able to make well-considered decision. Experienced cosmetic surgeon Dr. Gary Motykie provides breast implant surgery to patients in Beverly Hills, West Hollywood, Los Angeles, and other communities across the landscape.

Implant-related Risks

Breast implant surgery involves placement of saline or silicone gel implants in the breast tissue. Certain risks arising due to implants may include:

Capsular Contracture

The implantation of a foreign body in the breast tissue will trigger the natural defense mechanism of the body. This will lead to the scar tissue formation around the implants. In certain cases, the scar tissue may become excessively hard or may contract, placing the implants under extra pressure.

The implant will be squeezed due to the tightening of scar tissue, causing it to move from its position, become misshaped, or getting damaged. The patient may also experience pain or discomfort as the breast capsule becomes harder. In these conditions, the surgeon may recommend breast implant revision plastic surgery.

Implant Rippling

If the patient has chosen large sized breast implants, but the available breast skin is insufficient to properly cover the implant, it may cause the implant to develop wrinkles or folds. This can lead to a rippling effect on the surface of the breast skin, creating an unsightly breast appearance.

An experienced surgeon will ensure that the patient chooses an implant size and shape that is appropriate to her breast anatomy and poses minimal risk of implant rippling. Committed cosmetic surgeon Dr. Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and nearby areas for breast implants.

Implant Shifting or Rupture

In exceptional situations, the implant may move from its original position soon after the breast implant surgery. The risk of implant displacement increases in case of larger implants, but implant rupture risk is inherent to all types of implants.

If the rupture occurs in saline implants, it will cause quick deflation of the implant and the problem will be identified. But in case of silicone implants, sometimes the rupture may not be noticed without an x-ray. To correct these conditions, the surgeon may recommend breast implant replacement or removal surgery.

Surgery-related Risks

Infection

Infection risks are unavoidable in any surgical procedure, but they can be minimized by choosing an accredited surgical facility with stringent quality standards.

Numbness in Nipples

Numbness, sensitivity and altered sensation in the nipple area may sometimes occur after breast implant surgery. In most cases, the condition will resolve in two to three months.

Unfavorable Scarring

This risk can be minimized when the surgeon places incisions in discreet locations around the breasts.

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To see more services and treatments provided by Plastic Surgeon, Dr. Motykie in Beverly Hills | Los Angeles and his team please visit:

Breast Implant Plastic Surgery Procedure Steps

Breast Implant Plastic Surgery Procedure Steps | Beverly Hills Breast implant is a major plastic surgery procedure involving multiple steps. A number of surgical techniques are available today to perform breast implant surgery, but in each case the overall procedure steps usually remain unchanged. The surgeon will tailor the procedure to meet the specific aesthetic needs and goals of the patient.

At the time of initial consultation, the patient will learn about the different steps involved in breast implant surgery. She will gain more familiarity with the procedure, which is necessary to have more confidence in the surgery. Patients in Beverly Hills, West Hollywood, Los Angeles, and other cities in Southern, California have an opportunity to receive breast implant surgery from experienced cosmetic surgeon Dr. Gary Motykie.

Anesthesia

The first step in the breast implant procedure will be to place the patient under anesthesia. In most cases, the surgeon will use general anesthesia for this procedure. A qualified anesthesiologist or a certified anesthetist nurse will administer anesthesia. Following the procedure, the patient will be brought out of anesthesia.

For a few hours after anesthesia, the patient may experience mild side effects of anesthesia, such as nausea and grogginess. She should have some to drive her home once the surgeon allows her to leave. Someone should ideally stay with the patient for the first one or two days to assist with household activities.

Incision Placement

Once the patient is placed under anesthesia, the incision placement will be done in pre-determined sites. The surgeon may make the incisions under the breast crease, in the underarm, around the areolar border, or in a few cases, around the navel. These sites will successfully hide the subsequent scars to a significant extent.

At the time of pre-op surgical planning, the decision about the incision location will be taken in consultation with the surgeon. The surgeon will take into account the patient’s unique breast anatomy, the type and size of implants chosen, and her personal cosmetic goals. The surgeon’s goal will be to make the implant plastic surgery less invasive.

Placement of Breast Implants

The surgeon will place the breast implants in front of the pectoral muscle behind the breast tissue or below the pectoral muscle. The placement position will be determined after considering the patient’s breast anatomy, the size of the implants, and the amount of breast skin available. The advantages and limitations of each option will be explained to the patient to help her make a well-considered decision.

Incision Closure

When the breast implants are placed and adjusted into the desired position, the incisions will be closed with traditional or absorbable sutures. The surgeon will place temporary drainage tubes under the skin in the incision areas. The patient will be required to keep the incision area clean and dry to mitigate the risk of infection.

Surgical Bra

The incisions will be initially wrapped in bandages, and then replaced with a special surgical bra. The patient is required to wear this bra at all times for a few weeks. Dedicated cosmetic surgeon Dr. Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and nearby areas for
.

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To see more services and treatments provided by Plastic Surgeon, Dr. Motykie in Beverly Hills | Los Angeles and his team please visit: