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.


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Cosmetic Rhinoplasty ProceduresRhinoplasty plastic surgery procedure can be performed using customized techniques to match with the unique aesthetic or functional needs of a patient.

During the pre-operative consultation, the surgeon will determine the candidacy of the patient for a particular cosmetic rhinoplasty procedure.

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Augmentation rhinoplasty is another popular nose reshaping cosmetic procedure. In this rhinoplasty, the surgeon will graft tissue or bone to create a more substantive nasal tip or bridge. In many cases, the surgeon may use cartilage taken from other sites such as the nasal septum.

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A post-traumatic rhinoplasty procedure can help restore normal nose appearance and function for patients with nose injuries. Surgeons could use this procedure to correct a crooked nose or rectify problems in the nasal septum.

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Patients that have suffered a loss of their full or partial nose skin cancer, facial trauma, or another condition could benefit from reconstructive rhinoplasty.

The surgeon will use this procedure to rebuild the nose through flap technique, skin grafts, or other innovative techniques. Reconstructive nose surgery is a complicated procedure which may need multiple surgeries over several months.

Ethnic Rhinoplasty

In ethnic rhinoplasty, the surgeon will use the same techniques as other types of nose reshaping surgeries, but the focus will be on ethnic patients. This procedure is usually performed on people of Afro-American, Hispanic, Middle-Eastern or Asian descent.

People from these ethnic communities often have softer, broader or flatter nasal contours than their American counterparts. The surgeon will enhance the nose shape, while ensuring that the distinct features of these faces remain undisturbed.

Adolescent Rhinoplasty

Doctors usually recommend that a teen patient should wait till their nose is fully developed before choosing rhinoplasty. But if the patient experiences difficulty in breathing or has been through facial trauma, adolescent rhinoplasty may be performed. The surgeon will protect the fragile nasal features if a teen patient receives this surgery.


Prudent cosmetic surgeon Dr. Gary Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and other towns and suburbs in this area of the US for rhinoplasty.
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Cosmetic Rhinoplasty Procedures

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