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.


Breast Implant Plastic Surgery Procedure Steps

Breast Implant Plastic Surgery Procedure StepsBreast 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.



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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Breast Implant Plastic Surgery Procedure Steps

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