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.


How Old Do I Have to Be for Rhinoplasty?

How Old Do I Have to Be for Rhinoplasty?Rhinoplasty is the most popular procedure available to address aesthetic concerns with the nose. In some cases, a rhinoplasty may be performed to correct functional issues with the nose, such as difficulty breathing. This procedure is not recommended for patients who have not reached full facial maturity, commonly around 15-17 years of age. The best way to determine if you are a candidate for rhinoplasty is to schedule a consultation to be assessed by your potential surgeon. Board certified plastic surgeon Dr. Gary Motykie provides rhinoplasty to patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding locations.

Youngest Age for Rhinoplasty

Aesthetic rhinoplasty should only be performed for patients that have reached full facial maturity; when the nose has stopped growing and changing. For females, this is typically around the age of 15 or 16, and for males around 17 or 18. If rhinoplasty is performed before the face is fully matured, the results may not be proportionate as the patient ages. Surgery at this minimum of an age will also help ensure the patient mentally, physically, and emotionally mature enough to make sound decisions and handle the surgical and recovery process. The patient will also need to be in good health to undergo surgery. During your consultation, your surgeon will help assess whether you are a good candidate for rhinoplasty.

Exceptions for Young Rhinoplasty

There may be exceptions for patients to undergo rhinoplasty at a young age if they have severe functional issues with the nose, have suffered an injury or have a birth defect that requires surgery.

Oldest Age for Rhinoplasty

There is no age limit for rhinoplasty once the face has reached full maturity. The patient will need to be in good mental and physical health to undergo surgery, with conditions such as high blood pressure and diabetes making some patients ineligible.

The Best Age for a Nose Job

The best time for you to undergo a nose job is when you feel prepared enough to undergo surgery, are in good physical health, and are able to take some time off work for recovery. The most common age for rhinoplasty is between 20-50 years old. If you’re unsure if you’re a candidate for rhinoplasty, schedule a consultation with your provider to discuss your goals and start working on a personalized surgical plan. Your surgeon will be able to give you an estimate of your recovery time, your costs and a walkthrough of your entire procedure. Board certified plastic surgeon Dr. Gary Motykie provides rhinoplasty to patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding locations.

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