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.


What is Blepharoplasty?

Blepharoplasty Eye Surgery

What is Blepharoplasty?Aging signs typically become more visible in the eye area. Puffiness in the lower eyelids and droopiness in the upper lids can make a person look tired, older, or angry.

Blepharoplasty or eyelid lift plastic surgery can be used to eliminate lax skin and excess fat deposits around the eyelids. This procedure can create a fresher, more youthful appearance for the eyes.

In addition to the aesthetic advantages, Blepharoplasty can also provide functional benefits such as correction of partial vision obstruction in the upper lids (which may occur due to droopy eyelids.) Experienced cosmetic surgeon Dr. Gary Motykie provides blepharoplasty to patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding locations.


Blepharoplasty offers both cosmetic and functional benefits. This type of surgery can effectively treat:

  • Surplus or lax skin in the upper eyelids that can lead to a hooded appearance and alter the eye contour. This can even lead to partial vision obstruction.
  • Fatty deposits on tissues can cause puffiness in the lower lids, under eye bags, and heaviness around the eyes.
  • Droopiness in the lower lids

High precision blepharoplasty plastic surgery procedures can address form as well as function of the upper and lower eyelids.

Upper Eyelid Surgery

Natural skin elasticity may be lost in the eyelids as the muscles become weaker and the eyelid tissue stretches because of aging and other reasons. Consequently, the eyelids may start looking puffy, making a person appear tired or angry. Blepharoplasty surgery can correct this issue successfully. This outpatient surgery procedure can provide the eyes with a more relaxed and youthful appearance.

During an upper eyelid blepharoplasty surgery, the surgeon places an incision along the eyelid contour so that the subsequent scarring remains discreet. Then the surgeon will remove surplus skin through the incision to make the upper eyelid appear smoother. The incision will be closed using fine sutures.

Lower Eyelid Surgery

In some instances, weak eyelid muscles and loose tissue can cause the lower eyelids to appear puffy and tired. The eyelid skin can look wrinkled and rough. This problem can be corrected with a lower eyelid blepharoplasty procedure.

During this surgery, the surgeon will place an incision either inside the eyelid or on the skin to eliminate the surplus skin. The objective is to remove the puffy bags under the eyes. The surgeon places incisions just beneath the eyelid margin to make any scarring inconspicuous.


The surgeon will provide the patient with comprehensive instructions for post-op care. The patient should get adequate rest, use cold compresses to reduce the swelling and bruising, ensure the head remains elevated, and use an ointment prescribed by the surgeon to decrease irritation. A majority of the patients can resume work after a week as the bruising improves. However, the swelling may require more time to subside.

In about two weeks, the patient will be able to notice vibrant and more youthful outcomes as the redness and swelling resolves. Dedicated cosmetic surgeon Dr. Gary Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and other cities and towns in this part of the southwest for eyelid surgery.

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What is Blepharoplasty?

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