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.


Rhinoplasty Before and After Photos

See Rhinoplasty Before and After Photos

Rhinoplasty Before and After Photos


One of the key plastic surgery procedures that Dr. Gary Motykie performs for his patients in Beverly Hills, West Hollywood, Los Angeles, and other areas is rhinoplasty. As an experienced cosmetic surgeon of repute, Dr. Motykie likes to educate his patients about all aspects of a procedure during the initial consultation. His goal is to help them make an informed decision in accordance with their personal aesthetic hopes and desires.

What are Rhinoplasty Before and After Images?

Before and after photographs in case of rhinoplasty cosmetic surgery refer to a pair or a group of photos belonging to a previous patient who has received rhinoplasty treatment successfully. The photos are taken discreetly and with the consent of the patient. The goal of the plastic surgeon is to use these pictures solely to educate new patients about various aspects of nose surgery.

Patient education is an important part of any surgical procedure, and experienced surgeons like to ensure that their patients know what a rhinoplasty or another procedure can or cannot do for them. Before and after images can play a crucial role in this regard, and surgeons use them as a visual aid during the initial consultation.


When a patient decides to visit the office of a cosmetic surgeon, they may have only a vague idea of what kind of surgical procedures might help enhance their facial profile or appearance. Some patients may need only a small correction in the nose, while a major correction in the chin or another area of the face may be necessary to achieve the desired goals. Some other patients may need to undergo a major rhinoplasty plastic surgery, implants or nose reconstruction to meet their aesthetic needs.

Two or more facial procedures may have to be combined in some cases. In all these instances, the surgeon can make effective use of rhinoplasty before and after photographs to explain various treatment approaches to the patient and help them make a well-informed choice. Dr. Motykie makes use of the before and after pictures during the initial consultation for his patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding communities.

Having Realistic Expectations

Patients with clear aesthetic goals, positive outlook and realistic expectations will usually achieve the best satisfaction levels in any cosmetic surgery procedure, including rhinoplasty. With the help of before and after photos, the surgeon can ensure that the patient knows exactly what to expect in terms of results.

If a patient forms wrong or unreasonable expectations, it can lead to disappointing results later on, even though the procedure may have been performed very successfully. Such unsavory scenarios can be avoided for all parties with before and after pictures.

Digital Photos

Plastic surgeons have a choice to present the rhinoplasty before and after photographs on their website in a separate ‘Photo Gallery’ section. New patients can simply access these pictures online even before they have made up their mind to visit the surgeon for a personal consultation. This is an effective way to educate patients and help them make better decisions about plastic surgery.

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

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