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.


Surgical or Liquid: Which Rhinoplasty Procedure is Right for You?

Surgical or Liquid: Which Rhinoplasty Procedure is Right for You?Rhinoplasty, more commonly known as a “nose job,” is a popular cosmetic procedure that can help improve the appearance of the nose. There are two main types of rhinoplasty: surgical and liquid. Each has its own benefits and drawbacks, so it’s important to weigh the options carefully before deciding which one is right for you. In this blog post, we’ll explore the differences between surgical rhinoplasty and liquid rhinoplasty so you can make an informed decision about the best procedure for your needs.  Board-certified plastic surgeon Dr. Gary Motykie performs rhinoplasty surgery for patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding locations.   

Consider Your Reasons For Getting Rhinoplasty

Before deciding on whether to undergo surgical or liquid rhinoplasty, it’s important to first consider your reasons for getting the procedure. Are you seeking to improve the appearance of your nose, correct breathing issues, or a combination of both?

If you’re primarily concerned with the appearance of your nose, a plastic surgeon may recommend a nose job, or cosmetic surgery. This type of procedure can reshape the nose to improve symmetry and balance, reduce a hump, refine the tip, or address any other cosmetic concerns.

On the other hand, if you’re experiencing breathing difficulties or other functional issues, a surgeon may recommend rhinoplasty as a means to correct the underlying problem. In such cases, the procedure may involve removing excess tissue, opening up airways, or reconstructing the nose to address any structural abnormalities.

Regardless of your reasons for seeking rhinoplasty, it’s important to discuss your concerns and goals with a qualified plastic surgeon to determine the best course of action. Only then can you make an informed decision on whether to opt for surgical or liquid rhinoplasty.

Determine If You’re A Candidate For Surgery

Before considering any type of rhinoplasty procedure, it’s important to determine if you’re a suitable candidate for surgery. This is especially true for cosmetic surgery, as the decision to undergo a surgical procedure should never be taken lightly.

Some of the factors that determine whether or not you’re a candidate for surgical rhinoplasty include the structure of your nose, your overall health, and your age. Generally, individuals who are in good health, over the age of 18, and have a nose that is fully developed are good candidates for surgical rhinoplasty.

However, if you have certain health conditions, such as high blood pressure or heart disease, you may not be a good candidate for surgery. Additionally, if you have a history of nasal trauma, it’s important to discuss your options with a qualified surgeon, as surgery may not be appropriate.

In some cases, a nonsurgical rhinoplasty may be a better option for individuals who are not suitable candidates for surgery. This type of procedure involves the use of injectable fillers to reshape the nose, and it can be an effective alternative for those who are not ready for or do not wish to undergo surgery.

Ultimately, the decision to undergo rhinoplasty, whether surgical or liquid, should be made after careful consideration of your unique needs and circumstances. Consulting with a qualified surgeon is essential in determining your eligibility and the best course of action for achieving your desired results.

Weigh The Pros And Cons Of Surgery

Undergoing cosmetic surgery is a big decision and one that should not be taken lightly. When it comes to rhinoplasty, also known as a nose job, it is important to weigh the pros and cons of surgery before making a final decision.

On the positive side, surgical rhinoplasty can permanently change the shape and size of the nose, creating a more balanced and attractive appearance. It can also correct breathing problems caused by a deviated septum or other structural issues.

However, surgery comes with risks and potential complications such as infection, bleeding, and adverse reactions to anesthesia. There is also a significant recovery time, during which the patient may experience discomfort, swelling, and bruising.

Another factor to consider is cost. Surgical rhinoplasty is often more expensive than liquid rhinoplasty, and may not be covered by insurance if it is considered purely cosmetic.

Overall, surgical rhinoplasty is a viable option for those who want a significant and permanent change to their nose shape and function, but it is important to carefully weigh the risks and costs before making a decision. It is also essential to choose a qualified and experienced surgeon to minimize the risks and ensure the best possible outcome.

Consider Nonsurgical Rhinoplasty If You’re Not A Candidate For Surgery

While surgical rhinoplasty is considered the gold standard for nose reshaping, not everyone is a good candidate for surgery. If you have medical conditions that can interfere with the healing process or have a history of severe nose trauma, you may not be a suitable candidate for surgical rhinoplasty.

However, that doesn’t mean you can’t achieve the nose you want. A nonsurgical rhinoplasty, also known as a liquid rhinoplasty, may be the perfect alternative for you. Unlike surgical rhinoplasty, this procedure involves using injectable fillers to reshape the nose. It’s a less invasive procedure that’s performed in a doctor’s office under local anesthesia.

One of the biggest benefits of nonsurgical rhinoplasty is that it’s relatively quick. The procedure typically takes around 30 minutes to an hour, and you can resume your regular activities right after. Additionally, it doesn’t require any downtime or lengthy recovery period, making it a more convenient option for people with busy schedules.

Another benefit of nonsurgical rhinoplasty is that it’s more affordable than surgical rhinoplasty. While surgical rhinoplasty can cost several thousand dollars, nonsurgical rhinoplasty typically costs a fraction of that.

However, there are also some downsides to consider. One is that the results of nonsurgical rhinoplasty are temporary and typically last only six months to two years, depending on the type of filler used. This means that you’ll need to schedule follow-up appointments to maintain your desired results.

Another potential drawback is that nonsurgical rhinoplasty is limited in the changes it can make to the nose. It’s most effective for filling in small depressions or improving the symmetry of the nose, but it can’t significantly reduce the size of the nose or reshape the tip.

Ultimately, the decision between surgical and nonsurgical rhinoplasty depends on your specific needs and preferences. If you’re not a candidate for surgery or prefer a less invasive option, nonsurgical rhinoplasty may be the perfect solution for you. Be sure to discuss your options with a qualified physician to determine the best course of action for your nose reshaping goals.

Know What To Expect After Nonsurgical Rhinoplasty

While liquid rhinoplasty can provide excellent results, it is important to understand what to expect after the procedure. Here are some things to keep in mind:

  1. Swelling and Bruising: As with any procedure, swelling and bruising are normal and to be expected. This typically lasts for a few days and can be managed with ice packs and over-the-counter pain medication.
  2. Results: The results of a liquid rhinoplasty are not permanent, but can last anywhere from 6 months to 2 years depending on the type of filler used and individual factors. Touch-up treatments may be needed to maintain the results.
  3. Activities: You can typically resume normal activities immediately after the procedure, but avoid heavy exercise or anything that could put pressure on the nose for at least 24 hours.
  4. Risks: While complications from nonsurgical rhinoplasty are rare, there is a small risk of infection, allergic reaction, or blood vessel occlusion. Be sure to follow your provider’s aftercare instructions and report any unusual symptoms or reactions.
  5. Follow-up: Schedule a follow-up appointment with your provider to ensure that the results are to your satisfaction and to discuss any further treatment options.

Overall, nonsurgical rhinoplasty can be a safe and effective way to enhance the appearance of the nose without undergoing surgery. Be sure to do your research, consult with a qualified provider, and know what to expect before and after the procedure.

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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