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.

Revision Rhinoplasty Surgery

Dr Motykie is a board certified plastic surgeon, providing you with the highest level of training and expertise. He understands that good communication is essential in the planning of your rhinoplasty. There is often an attitude among the public that rhinoplasty surgery is simple, thus the common moniker “nose job.” Unfortunately, this can lead to some patients not doing enough homework/research before having the procedure performed by a surgeon that is not as experienced as they thought prior to surgery. This combination of events can have disastrous consequences on an otherwise healthy patient that originally wanted to have an elective procedure to feel better about themselves.

Some of my most rewarding surgeries come from helping patients that have been disappointed by another surgeons work and wish to have a more realistic and beautiful result from surgery. Before a revision rhinoplasty can be performed however, it must first be determined what went wrong with the prior surgery and what can be done to prevent a similar outcome from revision surgery. An undesired outcome can be due to a poor technique performed elsewhere, inadequate commination between patient and surgeon and/or scar tissue formation in the nose. Some patients are simply underwhelmed by their original rhinoplasty surgery while others may feel that too much was done to their nose which has made it look strange or appear unnatural. If you desire a possible revision rhinoplasty, you should not rush in to another surgery following your initial operation since the appearance of your nose will continue to change for up to one year after your initial surgery.

In revision rhinoplasty work, many of the pieces of the puzzle needed to construct the perfect nose are already missing. A great deal of improvement can usually be achieved by moving remaining cartilages around inside the nose and borrowing cartilage from other places such as behind the ear. Also, scar tissue may have developed inside of the nose and normal nasal anatomy may have become distorted so be careful to find a surgeon skilled in revision rhinoplasty because each subsequent procedure performed on your nose can become more difficult than the one before.

To find out more about nose surgery please contact us at 310-246-2355

For more information on nose surgery please visit

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