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.


Dermal Fillers To Decrease Or Remove The Shadow Of The Lower Lids

Fillers Can Reduce Under Eye Bags

Dermal Fillers To Decrease Or Remove The Shadow Of The Lower LidsDermal eye fillers may be a poignant option for you if you think your eyes appear worn out and tired, even when you are well-rested. Eye fillers can be used in the under-eye area or for lightening tear troughs. They can make the area appear brighter and plumper. You can look well-rested by reducing under-eye shadows.

Board certified plastic surgeon Dr. Gary Motykie provides dermal filler injections for the reduction or removal of the shadow of the lower eyelids to patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding locations.

Under-Eye Fillers Containing Hyaluronic Acid

Hyaluronic acid is a naturally occurring compound in the body. The under-eye filler is made from synthetic gel which mimics the functions of natural substance. Restylane, Juvederm, and Belotero are a few popular brand names. HA based eye rejuvenation dermal fillers have been known to increase the production of collagen in the skin.

Lidocaine is a type of anesthetic that is added to certain hyaluronic fillers. It helps in numbing the area. Hyaluronic acid fillers are the most popular types of under-eye fillers since they are smooth, transparent, and less likely to cause bumps and lumps. Hyaluronic acid provides short-term results as compared to all dermal fillers. But, it does provide the most natural appearance.

Under-Eye Filler with Poly-L-lactic Acid

Poly-L-lactic acid is a synthetic, biocompatible material which can be injected using linear threading. The substance invigorates collagen production significantly. It is available as Sculptra Aesthetic.

Under-Eye Filler with Calcium Hydroxylapatite

This biocompatible dermal filler consists of calcium and phosphate. It stimulates collagen production within the skin and helps in supporting connective tissue. The filler adds volume to the under-eye area. Calcium hydroxylapatite is thicker as compared to hyaluronic acid and needs to be diluted with an anesthetic.

Many practitioners don’t recommend using this in the under-eye area for concerns that it may turn the area overly white. Other cite nodule formation as a concern. The eye filler is available under the brand name Radiesse.

Steps Involved in a Dermal Filler Eye Rejuvenation Injectable Procedure

This is a general breakdown of injecting dermal fillers in the under-eye area:

  1. The treatment provider will sterilize the injection area and apply a numbing cream.
  2. Small needle will be used for piercing the skin. The filler may be injected through the needle. Or, a blunt-edged cannula may be used for injecting the dermal filler.
  3. You may need one or more injections under each eye. The doctor will inject a filler tunnel at the treatment site if linear threading is done. This will be done as the needle is removed slowly.
  4. The doctor will smooth the dermal filler in the treated area.

Majority of patients don’t feel any pain during the procedure while others report a slight prick sensation. There is a feeling of inflation or pressure as the dermal filler gets injected. While the injection needle is not inserted right next to the eye, it can be uncomfortable feeling it come close.

The entire procedure can be completed in just 5 to 20 minutes. Cosmetic surgeon Dr. Gary Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and nearby areas for dermal fillers to decrease or remove the shadow of the lower lids.

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

Click Here for Virtual 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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