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.


Nipple And Areola Reduction Surgery 

Nipple Plastic Surgery 

Nipple And Areola Reduction Surgery The overall appearance of your breasts depends greatly on the size and shape of the nipples, and the areolas, which are the pigmented areas surrounding the nipples.  

In some women (or even men), the nipples and areolas are disproportionately large. In others, the nipples are long or droopy or the areolas are puffy or enlarged. These problems that arise from genetic factors or due to aging, or breastfeeding or trauma can be treated by surgery. 

Board certified plastic surgeon Dr. Gary Motykie provides nipple and areola reduction surgery to patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding locations. 

Nipple and Areola Reduction 

Prominent or enlarged nipples are common in women, especially those who have breastfed their babies. They can compromise the woman’s appearance in certain clothing. Sometimes, they may even cause discomfort when the nipple rubs or chafes against the bra or bathing suit.  

Nipple reduction is a procedure to decrease the size of nipples that are exceptionally prominent or large or disproportionate to the breast size. It can help to not merely improve the nipple appearance, but also to resolve the irritation caused when the nipples rub against the clothes. It is possible for surgeons to reduce the width and/or length of nipples or puffed or enlarged areolas with a view to balance their size to suit the breast size.  

Areola reduction surgery involves removal of tissue in a circle around the areola’s outer brown region. The surgeon then brings the skin surrounding this area inwards in the manner of a purse string. Absorbable stitches are placed within the areola to decrease the diameter.  

The area is covered with a dressing and the cosmetic surgeon may recommend wearing a special bra to ensure the breasts stay in position during the healing process. 

Nipple Lift 

Nipple lift is a procedure on nipples that point downwards or are positioned low on the breasts. It may be performed on one or both breasts as required. Nipple lift is generally a part of both breast reduction and breast lift surgery that help to correct oversized and sagging breasts, respectively. 

Inverted Nipple Correction 

Nipples that retract below the skin surface instead of protruding outward are called inverted nipples. Shortening of the milk ducts or scarring around them can lead to this problem. In some cases, this condition may correct after stimulation; however, in others, the nipples continue to stay inverted, and require surgical correction.  

Inverted nipple correction surgery is a procedure in which the milk ducts are divided, or the underlying tissue is released to get the nipples to protrude outward. 

Correction of Irregular and Asymmetrical Areola  

Some women have asymmetric breasts, while some others may also have asymmetric areolas. Women who have differently shaped or differently sized areolas can benefit from surgical correction to reduce the asymmetry. Such procedures involve removal of the skin within the areola or adjacent to it, to improve its appearance. 

Cosmetic surgeon Dr. Gary Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and nearby areas for nipple and areola reduction surgery. 

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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