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.


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Your Arm Lift Surgery ConsultationOnce a person has chosen a surgeon for arm lift, the next step will be to schedule a consultation with the surgeon. Consultation will form a vital component of the entire process and lay the foundation for a successful plastic surgery. The patient should actively engage with the surgeon during the consultation, and freely ask questions to address their doubts and concerns.

The surgeon will make use of the consultation opportunity to determine whether an arm lift is an appropriate procedure for the patient or it may have to be combined or replaced with another surgery. Patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding communities have an opportunity to receive arm lift surgery with dedicated cosmetic surgeon Dr. Gary Motykie.


Determining Candidacy

At the time of initial consultation, the surgeon will determine whether the patient is suitable candidate for arm lift. They will review the past medical records of the patient, and examine their current health condition. To save time, the patient should ideally bring a complete list of current medications and supplements that they may be using.

The patient should be forthcoming about any existing health concerns or specific lifestyle issues such as smoking or drug use. Certain types of medications and tobacco smoke and increase the risk of complications and inhibit healing. The surgeon will be in a position to anticipate the risks and make appropriate recommendations to the patient for preparation and recovery once they have clear information in all relevant areas.


Surgery Planning

During the first appointment, the unique plastic surgery plan for the patient will be developed, which will be tailored to meet their specific needs. The surgeon will examine the patient’s natural shape of the arms, overall body type, skin quality and the degree of skin laxity in the arms. The surgeon may also take photographs and observe the arm as the patient moves it.  

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The patient will learn about the type of arm lift they will receive, the type of anesthesia that will be used, the estimated recovery process and the expected results of the procedure. The surgeon may present arm lift before and after photos to help the patient develop reasonable expectations.

Testimonials and reviews of the patients who have received arm lift may also be shown to let the patient learn about the procedure from the perspective of another patient. Accomplished cosmetic surgeon Dr. Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and other cities across the horizon for arm lift surgery.


Costs, Payment, and Financing

The patient should feel free to discuss the cost aspects during the initial consultation, and get a clear idea about the estimated costs, including pre- and post-operative expenses. The surgeon or their staff will discuss the payment methods, and may also offer guidance with regard to financing options.

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Your Arm Lift Surgery Consultation

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