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.

US News Reports: How to Choose the Best Plastic Surgeon

US News Reports: How to Choose the Best Plastic Surgeon

Patients often experience difficulties in identifying the appropriate cosmetic surgery expert for their needs.

Many types of doctors, including primary care physicians, podiatrists, dermatologists and gynecologists may be offering plastic surgery procedures after taking brief weekend courses.

These medical professionals begin performing surgeries on people, and at times, things may even work out well. They may be able to successfully perform such surgeries the first few times without any complications, but at some point a catastrophic consequence may occur.

An incorrect procedure may lead to a severe infection, scarring, disfigurement, or medical complications. The problems that arise could require costly revision procedures.

Therefore, it is vital to choose the right surgeon for any aesthetic or reconstructive surgical procedure. Board certified plastic surgeon Dr. Gary Motykie provides various procedures for the breast, body and face to patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding locations.

Choose an ABPS Board Certified Plastic Surgeon

If a person were to undergo surgery to remove a brain tumor, they would usually choose a board certified neurosurgeon after careful consideration. Similarly, it is essential to choose a plastic surgeon who is board certified by the American Board of Plastic surgery for any cosmetic surgery procedures.

According to ABPS, there are presently 6,800 plastic surgeons with board certification practicing in the US. The ABPS is the only specialty board for plastic surgery and cosmetic procedures that the American Board of Medical Specialties (ABMS) recognizes. The American Board of Medical Specialties is the leading body that offers certifications to specialty boards.  

In order to be certified by the ABPS, doctors must undergo a minimum of six years of training in surgery after finishing medical school. Additionally, they must receive at least three years of plastic surgery residency training.

Following this period of intense training, the surgeon must pass a detailed written and oral examination. The surgeon must also present the board with documentation on the cases that they complete after finishing training.

The board is even interested in understanding how these doctors bill their patients. They have to follow very detailed guidelines to submit their cases. The board wants to ensure that the doctor is charging ethically and understand their reasons behind undertaking various decisions.

Furthermore, the board reviews how these doctors follow up on cases and care for their patients following the procedures.  The doctor must take a renewal examination to remain certified by the ABPS.

Stay Away from Plastic Surgery Tourism

Experts often issue warnings to people against engaging in the current trend of plastic surgery tourism. This involves patients traveling abroad to undergo plastic surgery procedures which are less expensive in comparison to the cosmetic surgery costs in the US.

This fad brings to light the adage- You get what you pay for. Patients often return with unsatisfactory results and infections that may even cause disfigurement.

Ask Questions

According to experts, patients should go into a pre-operative consultation with their surgeon with a list of questions regarding the surgeon’s credentials and surgical facilities. It is essential to ensure that the surgery takes place at an accredited surgical center or a hospital.

ABPS board certified plastic surgeon Dr. Gary Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and nearby areas for various surgical and non-surgical cosmetic procedures.

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How much does Breast reconstruction plastic surgery cost?

Breast reconstruction is a plastic surgery procedure to restore the size and shape of the breasts after the patient has gone through a single or double mastectomy due to cancer, or suffered the loss of breast tissue due to an injury. Breast reconstruction surgery can be undertaken at the same time as the mastectomy or at a later stage.

During the initial consultation, the surgeon will inform the patient on various aspects of breast reconstruction and provide an estimate of the procedure costs.

Experienced cosmetic surgeon Dr. Gary Motykie provides breast reconstruction to patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding locations and neighborhoods in this part of the US.

Factors Affecting the Sticker Price

Various factors can impact breast reconstruction surgery costs. The price tag can differ between two practices and even between two patients at the same practice due to these factors.

Practice Location

The monetary amount of this procedure will usually be higher in metropolitan cities and main urban centers. On the other hand, smaller cities in interior regions may have lower surgery costs due to relatively lower overhead expenses.

Surgeon’s Fee

A highly experienced surgeon with excellent credentials may charge more in comparison to a newer surgeon working under a senior, more experienced surgeon.

Patients should ideally select surgeons with board certification in plastic surgery due to their emphasis on high care standards, latest surgical techniques, and continuing education which assure patients of optimal results.

Surgical Facility Costs

The surgeon can perform the breast reconstruction surgery at a hospital, an accredited surgical facility, or a private suite.

This depends on whether the surgeon has operating privileges at a nearby hospital or surgical center. Certified surgical centers are a preferable venue due to their safety protocols being similar to hospitals. The patient should assess all monetary concerns and benefit related aspects to make a well-considered decision.

Surgical Technique

A breast reconstruction procedure usually involves the placement of implants. In some cases, the surgeon will use only fat transfer augmentation or flap technique. Sometimes both these techniques are used simultaneously to accomplish more desirable outcomes.

The costs will also depend on if the reconstruction surgery is performed at the time of the mastectomy or a later date.


Breast reconstruction should be covered by the patient’s insurer, regardless of when the patient chooses to undergo this surgery after her lumpectomy or mastectomy. The coverage usually includes the surgeries required to make improvements in the reconstructed breast or to create symmetry between the breasts.

The Women’s Health and Cancer Right’s Act of 1998 stipulates that all group medical insurance plans covering mastectomy must also pay for prostheses and reconstructive procedures. This means that breast reconstruction surgery will typically be covered under the patient’s health insurance plan.


Professional medical care financing companies offer various competitive financing plans. For patients who do not have insurance coverage, these companies offer loans on low rates of interest. Patients may also consider other alternatives such as credit cards, private loans, and bank loans. Patients who do not have insurance should consider these alternatives.

Dedicated cosmetic surgeon Dr. Gary Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and other towns and cities in this region of the southwest for breast reconstruction.

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USA Today Study: The Kind of Plastic Surgery People Get Depends On Where They Live

Cosmetic surgery procedures are now increasingly sought-after by both women and men. A growing number of individuals now understand that cosmetic surgery is a science which can enhance a person’s beauty.

The main aim of this type of surgery is to improve a person’s appearance by making changes to various parts of the body.

Board certified plastic surgeon Dr. Gary Motykie provides various procedures for the breast, body and face to patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding communities in this region of SoCal.

Geographical Location Plays a Role in the Choice of Plastic Surgery

While beauty does lie in the eye of the beholder, the geographical location of a person in the country seems to have an impact on their choice of cosmetic surgery. The most popular cosmetic surgery procedures will usually vary in different regions on the country as a study by the American Society of Plastic Surgery (ABPS) indicates.

Buttock implants are very popular in the Southeast while lip reduction is a widely performed procedure in the Midwest according to the society’s report. Hair transplantation procedures are prominent in the south while male breast reduction dominates in the Northeast.

Culture, Weather and Technology

In the West, home to body-focused Hollywood, breast enhancement procedures are widely popular. However, as regional contrasts indicate, breast implant removal is sought-after by women in the South.

Why are these variations prevalent? The most dominating factors impacting people’s plastic surgery choices are culture, weather, and technologies according to doctors.

A case in point is the desire to have bigger breasts.

In warmer regions such as Southern California and Florida, people are more exposed. This causes significant pressure to look good in a more temperate, coastal climate.

However, in a place such as Ohio, there is no such exposure due to the cold weather. This leads to Midwesterners not being as conscious of their bodies as folks who want to be on the beach for a major part of the year.

This does not mean that people in Ohio don’t want to look great. However, they do not have the same kind of pressure to look good as someone in say, California or Florida.

Natural Looking Results are Preferred

Some cosmetic surgeons report that their female patients want a more natural appearance. Consequently, these surgeons will perform significantly more downsizing of breast implant procedures.

Patients commonly require something that looks more natural but is still comfortable enough to enable them to look desirable in swimwear or while undertaking outdoor activities.

Procedures such as breast augmentation do not feature even in the top five most sought-after procedures in colder places in the Northeast. Contrarily, the most sought-after surgery in the Northeast is male breast reduction.

The Northeast has a more corporate mindset, especially among men. These professionals want to feel very confident at work, explain experts. The most popular procedure in the South is hair transplants while it does not even make it to the top five in other regions.

In totality, the Northeast, West, and South witness more cosmetic surgery procedures in comparison to the Southeast and Midwest. Judicious ABPS board certified plastic surgeon Dr. Gary Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and other communities and neighborhoods in this region of The Golden State for various surgical and non-surgical cosmetic procedures.

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Breast Reconstruction Plastic Surgery Before And After Photos

Breast reconstruction is a major plastic surgery procedure that is designed to restore breast appearance following a cancer related breast removal surgery.

During the initial consultation for this procedure, the surgeon will explain its potential benefits and limitations, and help the patient make an informed choice.

Some surgeons may also provide breast reconstruction surgery before and after photographs during the initial consultation. The surgeon will try to ensure that the patient has a clear idea about the effectiveness of the procedure, and makes a realistic decision.

Reliable cosmetic surgeon Dr. Gary Motykie provides breast reconstruction to patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding communities and towns in this region of the southwest.

What are Breast Reconstruction Before and After Images?

Before and after images in case of breast reconstruction surgery refer to a set of pictures belonging to a previous patient who has undergone the same surgery with successful results.

The set includes images taken prior to the surgery and after the surgery at a time when the post-operative swelling and bruising are resolved and full effects of the surgery are established.

The surgeon will take care to ensure that the photos are obtained with the consent of the patient and presented before new patients in a discreet way.

The patient’s identity is usually kept undisclosed as per the standard protocol. The only purpose of the surgeon here is to use breast reconstruction before and after photos as a visual aid to help new patients make the right decisions.


Breasts are a vital part of a woman’s anatomy and enhance her feminine figure. If a woman has to undergone reconstruction of one or both breasts, it is important that she has a fair understanding of how her reconstructed breast will appear after the surgery, and whether the procedure can meet her personal aesthetic needs.

If breast reconstruction plastic surgery will involve breast implants, the patient should be able to determine along with the surgeon which size of implants may be more appropriate for her. In each case, the patient will be better placed to make the correct decisions when she has access to breast reconstruction before and after photos.

Being open is the key and the plastic surgery industry has accepted this. There are many other industries that have the same philosophy. In this day and age, the public expects to know certain things. And in the era of digital technology and the Internet, there is no reason to keep vital information from the people.

Pictures illustrating this procedure are available on this fantastic website. Now anyone can determine how this procedure will look on them by simply comparing and contrasting. A potential patient can have lots of key questions answered for them before even attending a consultation.

Reasonable Expectations

In any major cosmetic procedure, the best satisfaction levels for a patient are typically achieved when she has a positive mindset, clear aesthetic priorities and reasonable expectations.

Therefore, proven surgeons sometimes choose to present breast reconstruction surgery before and after photos at the first appointment. Once the patient knows clearly what the procedure can or cannot do for her, she can make a more confident decision.

This effort mitigates the risk of any disappointment occurring for the patient at a later stage when it may be difficult to reverse the procedure.


The surgeon would also have the option to present breast reconstruction surgery before and after pictures on their practice website for free access to all which Dr. Motykie does. There are salient and clear pictures of related surgeries of this kind on his website. Transparency is paramount and building trust with a website is the goal here.

Now patients can see the pictures online and apply what they see to their own body. There are not too many surprises anymore. Doubt is pretty much pushed down the gutter. Patients can see these pictures from anywhere they can access the Internet and if they choose to sign up for breast reconstruction surgery they have a strong comprehension on what this entails.

Successful cosmetic surgeon Dr. Gary Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and nearby areas for breast reconstruction.

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