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.


Fat Grafting Can Reduce the Appearance of Breast Implant Rippling

Fat Grafting

Breast implant rippling is usually an aftereffect of breast implant. Breast implant is a kind of plastic surgery, wherein the natural breasts are implanted with silicone or saline filled sacks. The breast implant surface ripples or wrinkles. The effects can be seen and/or felt. Rippling can happen with saline and silicone implants as well. It is most likely to occur with saline implants due to the fluid nature of saline. There are less chances of rippling with silicone implant due to the fact that silicone gel is more cohesive in nature. But saline implants will definitely have ripple effects over time.



Areas affected by rippling

The areas of the breast which are affected mostly are the places where there are less or no muscle coverage. Especially along the outer edges and the cleavage area. It is mostly visible if you are bending over to pick up something from the floor.

Reasons for breast implant rippling

Rippling mainly happens due to the lack of breast tissues and under filling of the saline implants. Textured implants are also one of the reasons for rippling. The quality of a patient’s skin and tissues also play a major role in rippling.

How to reduce the appearance of breast implant rippling?

Fat grafting is an excellent option to reduce the appearance of breast implant rippling. It is a process which involves taking the extra fat from the fatty regions of your body, processing that fat and then re-injecting that fat in your breasts to make it look fuller and contoured. The rippling effect is visibly diminished after fat grafting.

The procedure of fat grafting can also be carried out along with the breast implant surgery depending upon the anatomy of the patient. It is a relatively new technique and has become more popular over the past few years. It also helps to slim down the fatty areas of the body while giving your breast beautiful and fuller shape, though this procedure is not advisable for very thin people.

A distinct advantage of fat grafting is that it avoids the need to do an open surgery. Simultaneously it does not require the patient to stay in hospital for a long period of time. According to some surgeons, it also improves your skin quality.

Fat grafting involves

  • Fat harvesting– Excess fat is extracted from the body via liposuction.
  • Fat purification– The extracted fat is processed for removal of impurities and concentrate stem cells.
  • Micro-grafting technique-The purified fat and stem cells are then re-injected back into the breasts.

It is a tedious surgical procedure and should only be carried out by surgeons who pay attention to minute and intricate details and are very thorough with the procedure. Dr. Gary Motykie is an expert cosmetic surgeon to carry out this surgical procedure. He is renowned for extending his medical services to residents of Los Angeles, West Hollywood and Beverly Hills. Dr. Gary Motykie has a certification from The American Board of Plastic Surgery and is a specialist to perform all kinds of breast surgery with expertise.

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

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