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 Lift With Implants Surgery Procedure Steps 

Breast Lift With Implants

Breast Lift With Implants Surgery Procedure Steps Breast implants are an ideal cosmetic surgery procedure when you want to increase you breast size. Breast lift, on the other hand, is more suited when breast volume is not an issue but the breast skin is loose and sagging. However, when both these issues occur together, you may have to choose breast lift with implants surgery.  

At the time of your initial consultation, your surgeon will determine your candidacy for the combined procedure and will discuss the steps involved in it. Once you have a clear understanding what the surgery entails, you will feel more confident and will be able to make a better decision.  

Board certified plastic surgeon Dr. Gary Motykie provides breast lift with implants surgery to patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding locations.  

Procedure Steps 

Breast augmentation with lift is a more comprehensive plastic surgery procedure, which should ideally by performed by fully trained and experienced plastic surgeon. Your surgeon will perform it at an accredited surgery center or a hospital where all safety systems and emergency procedures are in place.  

Once you are in the operating room for your surgery, the anesthesia team will administer general anesthesia, which will put you in deep sleep for the time that you are in the surgery room. An anesthesiologist or a registered nurse anesthetist will be present in the room throughout to monitor your response to anesthesia.  

After anesthesia, your procedure will begin with the surgeon placing discreet incisions in your breast area in the marked locations. In many cases, the incision may be created around the areola edges along with a second incision going vertically down to the base of the breast. The incisions will be in accordance with your custom surgery plan decided in advance.  

Your surgeon will place the silicone or saline implants below or above your chest muscle through the incisions. Once the implants are adjusted into the surgical pockets created in the breast tissue, the surgeon will perform the breast lift. They will trim away the loose breast skin using the same incisions and tighten the weak tissue to provide a subtle lift to your breasts. 

When breast implants and lift are performed together, it is usually necessary to elevate the position of your nipples and areolas to a new level to create a natural look. The complete procedure may take anywhere from 90 to 150 minutes in the surgery room.  

Closing the Incisions and Next Steps 

Once the surgery is completed and the implants have been adjusted into the desired position, your surgeon will close the incisions with removable or dissolvable sutures. Temporary drain tubes will be placed underneath your incision sites to collect excess fluid.  

The breasts will be wrapped in bandages initially, and will eventually be replaced with a special surgical bra. You will have to wear this bra for a few weeks as per your surgeon’s instructions. Cosmetic surgeon Dr. Gary Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and nearby areas for breast lift with implants surgery. 

Contact Beverly Hills Board Certified Plastic Surgeon Dr. Gary Motykie to Schedule a Consultation

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

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