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) Recovery

Rhinoplasty (Nose Job Surgery) RecoveryRhinoplasty (Nose Job Surgery) Recovery

Rhinoplasty is an intricate cosmetic surgery procedure, which can have a significant impact on the facial appearance. Recovery in case of rhinoplasty will vary from one patient to another, depending on several factors.

Dr. Gary Motykie is a board certified plastic surgeon providing rhinoplasty and other procedures to patients in Beverly Hills, West Hollywood, Los Angeles, and other areas. During the initial consultation, Dr. Motykie will discuss various aspects of rhinoplasty plastic surgery including the estimated recovery process.

Duration of Recovery

Working people and mothers with little babies are usually more concerned about the downtime and the total recovery period involved in a procedure performed by a cosmetic surgeon such as rhinoplasty. The precise amount of downtime will typically vary from patient to patient, depending on the extent of cosmetic surgery involved, the surgical technique employed, and the intrinsic healing ability of the patient.

In most cases, the patient will be able to go back to work or resume the normal activities at home in about one week. If the patient has received a major surgery, which may include nose reconstruction or implants, the total downtime may extend up to two weeks. Dr. Motykie is an experienced plastic surgeon who tries to ensure safer and faster recovery for his patients in Beverly Hills, West Hollywood, Los Angeles, and nearby areas.

Initial Recovery

For the first few days, a majority of patients will experience mild pain and discomfort in the treated areas. Minor, intermittent headaches are also a common issue during the initial recovery phase. These concerns will resolve in a few days. However, if the pain becomes severe or does not subside, it could be an indication of an infection, and the patient should contact the cosmetic surgeon. Pain medications can help ensure patient comfort in the initial days.

Nasal congestion is commonly reported following rhinoplasty during the first few days. This condition will start getting better from the second week onwards as the internal swelling reduces. Patients who had a complaint of breathing obstructions in the nose will be able to experience immediate relief following the procedure.

Condition of Swelling and Bruising

Mild bruising and swelling is expected after a rhinoplasty. Swelling is more noticeable in the external parts of the nose and cheeks. If more invasive surgery has been performed, the condition will take more time to resolve. How far the surgeon can preserve the surrounding tissue against damage will also impact the condition.

Swelling and bruising will be more pronounced in a situation where nose reconstruction or nasal bone displacement is involved. The bruises will fade after about two weeks in such cases, but the swelling will take a longer time to resolve completely.

Nose Cast

In most cases, the surgeon will place a cast over the nose for about five to seven days. The cast as well as the sutures may be removed together during the first post-surgery visit to the surgeon. Once the full effects of the surgery begin to settle in, the patient will start feeling much better with the results.

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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