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.


Asian Rhinoplasty Plastic Surgery

Asian Rhinoplasty Plastic SurgeryRhinoplasty is one of the top five plastic surgery procedures in the US today. Many ethnic patients, including Asians, seek rhinoplasty to improve their nose shape and function. Asian rhinoplasty requires a careful understanding of the facial anatomy of an average person of Asian origin, and nasal characteristics that are unique to Asians.

Dr. Gary Motykie is a leading cosmetic surgeon for Asian rhinoplasty. Dr. Motykie will evaluate the specific anatomical and aesthetic needs of the patient and prepare a customized surgical plan. His approach is to create results that are holistic and aesthetically superior at the same time. Dr. Motykie provides Asian rhinplasty to patients of Asian origin in Beverly Hills, West Hollywood, Los Angeles, and surrounding communities.


Differentiating from Caucasian Rhinoplasty

Asian nose reshaping plastic surgery will usually involve building up of the nasal bridge and nasal tip to make them appear larger or more proportionate to the rest of the nose. At the same time, it is important to ensure that the Asian face is not mismatched with a larger Caucasian nose. This is a common mistake that a surgeon may make, if they do not have sufficient experience in Asian rhinoplasty.

Furthermore, the surgeon should be aware of the distinctive features of the Asian nasal structure, and choose the appropriate surgical techniques. Many of the techniques commonly used in Caucasian rhinoplasty will not work in case of Asian nose surgery.


Use of Nasal Implants

Asian patients may commonly need enlargement of the nasal bridge. This should ideally be done with a silicone implant, which is laid on the top of the nasal bone. The implant will be custom-shaped to match with the patient’s unique bone structure. Implantation will usually have the effect of narrowing the nose, and the surgeon can avoid reshaping of the nasal bones.

While customizing the silicone implant, the Asian nasal bridge should begin around the level of the eyelashes or a little lower, giving a tiny break between the forehead and the starting point of the bridge. If the break is missed, the nose may appear more “Greek” in look, which will be incompatible with an Asian face. Donor bone should not be used for Asian rhinoplasty because it is bulky and difficult to shape perfectly.


Building the Nasal Tip

Asians typically have a weaker cartilage in the nasal tip area. Therefore, it may not be a good idea to refine or project the tip as in case of Caucasian rhinoplasty. Dr. Motykie recommends that the tip structure should be supported with additional cartilage from the septum or the ear.

This cartilage can be used to reinforce and project the nasal tip upward.


Narrowing the Nostrils

Patients of Northern Asian origin usually do not require narrowing of the nostrils. However, many Southern Asians are likely to need this procedure. When the surgeon performs the narrowing, they should maintain the outside curvature of the nostrils in order to avoid a ‘plastered-on’ appearance.

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Asian Rhinoplasty Plastic Surgery

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

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