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 (Nose Job Surgery) Candidates

Rhinoplasty (Nose Job Surgery) Candidates

Rhinoplasty (Nose Job Surgery) CandidatesPeople who are unhappy with the appearance of their nose may discuss with a cosmetic surgeon for the possibility of rhinoplasty. Aesthetic concerns that are commonly corrected with rhinoplasty plastic surgery include wide nasal tip, crooked nose, bump on the nasal bridge, and disproportionately smaller or larger nose size.

Dr. Gary Motykie is a board certified plastic surgeon who will carefully evaluate whether the patient is a suitable candidate for nose surgery. Patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding communities who are seeking rhinoplasty may consult with Dr. Motykie to determine how suitable the procedure may be in their case.

A Personal Decision

An experienced cosmetic surgeon will always encourage the patient to take a decision on the basis of their very personal innermost needs when considering rhinoplasty or similar procedures. One of the most important aspects while determining the suitability of a patient for a plastic surgery procedure such as rhinoplasty is that it is something that the patient and only the patient is wanting to have. Rhinoplasty must be an independent choice, and not merely prompted or influenced by another individual or the image of a celebrity.

Realistic Expectations

Patients with a positive outlook, clear aesthetic goals, and realistic expectations usually make the best candidates for rhinoplasty cosmetic surgery. The challenges to a procedure may occur when the patient brings along a picture of a celebrity from a magazine and insists on achieving the specific nose appearance.

While such images can provide the cosmetic surgeon will an indication of the patient’s aesthetic needs, but achieving an identical nose may not be realistic, considering the current nasal anatomy and other facial features of the patient. Dr. Motykie will show rhinoplasty before and after pictures of other patients to provide an idea of what to expect from the surgery to his patients in Beverly Hills, West Hollywood, Los Angeles, and other areas.

Common Aesthetic Conditions

Rhinoplasty candidates can typically benefit from the procedure if they are bothered by one or more of the following conditions in the appearance of their nose:

  • The width of the nose is disproportionate to the face.
  • The nasal tip is wide, droopy, bulbous, or upturned.
  • The overall shape of the nose is uneven.
  • The nose profile is irregular.
  • The nasal bridge is thicker than required.
  • The overall size of the nose is larger than required.
  • The nose is flatter or less pronounced.

Medical Conditions

Some candidates may need rhinoplasty not just for aesthetic reasons, but also for medical reasons. If the patient suffers from nasal deformity by birth or acquires such condition following a traumatic facial injury, the surgeon may recommend a nose surgery. Faulty nose shape can cause obstruction in breathing, which can be corrected with nose surgery. Other nasal functions can also be improved with rhinoplasty procedure in some cases.

Age Factor

Candidates who are younger than 14 years of age may not be considered suitable for a rhinoplasty procedure. It is important that the nose structure should be fully developed before a rhinoplasty can be performed, particularly for aesthetic reasons.

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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