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 Reconstruction Plastic Surgery Before And After Photos

Breast reconstruction is a major plastic surgery procedure that is designed to restore breast appearance following a cancer related breast removal surgery.Breast Reconstruction Plastic Surgery Before And After Photos

During the initial consultation for this procedure, the surgeon will explain its potential benefits and limitations, and help the patient make an informed choice.

Some surgeons may also provide breast reconstruction surgery before and after photographs during the initial consultation. The surgeon will try to ensure that the patient has a clear idea about the effectiveness of the procedure, and makes a realistic decision.

Reliable cosmetic surgeon Dr. Gary Motykie provides breast reconstruction to patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding communities and towns in this region of the southwest.

What are Breast Reconstruction Before and After Images?

Before and after images in case of breast reconstruction surgery refer to a set of pictures belonging to a previous patient who has undergone the same surgery with successful results.

The set includes images taken prior to the surgery and after the surgery at a time when the post-operative swelling and bruising are resolved and full effects of the surgery are established.

The surgeon will take care to ensure that the photos are obtained with the consent of the patient and presented before new patients in a discreet way.

The patient’s identity is usually kept undisclosed as per the standard protocol. The only purpose of the surgeon here is to use breast reconstruction before and after photos as a visual aid to help new patients make the right decisions.


Breasts are a vital part of a woman’s anatomy and enhance her feminine figure. If a woman has to undergone reconstruction of one or both breasts, it is important that she has a fair understanding of how her reconstructed breast will appear after the surgery, and whether the procedure can meet her personal aesthetic needs.

If breast reconstruction plastic surgery will involve breast implants, the patient should be able to determine along with the surgeon which size of implants may be more appropriate for her. In each case, the patient will be better placed to make the correct decisions when she has access to breast reconstruction before and after photos.

Being open is the key and the plastic surgery industry has accepted this. There are many other industries that have the same philosophy. In this day and age, the public expects to know certain things. And in the era of digital technology and the Internet, there is no reason to keep vital information from the people.

Pictures illustrating this procedure are available on this fantastic website. Now anyone can determine how this procedure will look on them by simply comparing and contrasting. A potential patient can have lots of key questions answered for them before even attending a consultation.

Reasonable Expectations

In any major cosmetic procedure, the best satisfaction levels for a patient are typically achieved when she has a positive mindset, clear aesthetic priorities and reasonable expectations.

Therefore, proven surgeons sometimes choose to present breast reconstruction surgery before and after photos at the first appointment. Once the patient knows clearly what the procedure can or cannot do for her, she can make a more confident decision.

This effort mitigates the risk of any disappointment occurring for the patient at a later stage when it may be difficult to reverse the procedure.


The surgeon would also have the option to present breast reconstruction surgery before and after pictures on their practice website for free access to all which Dr. Motykie does. There are salient and clear pictures of related surgeries of this kind on his website. Transparency is paramount and building trust with a website is the goal here.

Now patients can see the pictures online and apply what they see to their own body. There are not too many surprises anymore. Doubt is pretty much pushed down the gutter. Patients can see these pictures from anywhere they can access the Internet and if they choose to sign up for breast reconstruction surgery they have a strong comprehension on what this entails.

Successful cosmetic surgeon Dr. Gary Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and nearby areas for breast reconstruction.

Click here for Virtual Consultation

Breast Reconstruction Plastic Surgery Before And After Photos

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