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.

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What is a Brow Lift (Forehead Lift)?

What is a Brow Lift (Forehead Lift)?Brow lift is a facial plastic surgery procedure that aims to mitigate lines and wrinkles that develop naturally on the forehead due to aging or other reasons. 

A person can appear angry, older, or stressed due to the presence of horizontal lines on the forehead and tiny vertical lines between the brows. 

A brow lift enables the surgeon to eliminate deep creases and wrinkles between the brows and on the forehead as well as reposition the brow line. Board certified plastic surgeon Dr. Gary Motykie provides brow lift (forehead lift) to patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding communities. 

 

Ideal Candidates

Brow lift plastic surgery may be appropriate for people who are unhappy about the appearance of droopy brows, an angry or tired look on the face, deep furrows between the brows, conspicuous horizontal lines across the forehead, or heavy upper lids. 

The candidates should not have an eye infection or another medical condition that could compromise the surgery or healing. 

 

Customized Brow Lift Plan

The surgeon will use the feedback from the patient acquired during the consultation process to create a customized surgical plan that addresses the patient’s unique needs. They will also evaluate the patient’s medical condition and previous upper face procedures if any. 

 

Surgical Procedure

Brow lift cosmetic surgery may be undertaken using a traditional approach or as a less invasive endoscopic procedure. The time taken to complete the procedure is usually between one to two hours. 

Traditional Brow Lift

A traditional brow lift may be undertaken using general anesthesia or intravenous sedation with local anesthesia. The surgeon will make an incision across the forehead beneath the hairline. 

They will use this incision to lift and reposition the brows and smooth wrinkles. Any excess skin will be removed to create a tauter upper face appearance. The surgeon will seal the incision with sutures when the procedure is complete. 

Endoscopic Brow Lift 

This procedure involves the placement of multiple tiny incisions along the scalp. The surgeon will insert an endoscope through these incisions to allow the surgeon to view the treatment area beneath the skin on a monitor.

Subsequently, the surgeon will lift the forehead skin to eliminate excess muscle tissue that is causing the wrinkles as well as reposition the brows. They will excise the loose skin and close the incisions with sutures. 

 

Benefits 

 

  • Rejuvenated  eye and facial appearance
  • Reduction in the tension of the forehead muscles
  • Enhanced position and definition of the brows
  • Improved outcomes when the procedure is performed in combination with a facelift or eyelid lift.
  • Natural looking outcomes, low scarring, fewer risks, faster recovery with an endoscopic brow lift

 

 

Recovery 

For a day or two after the surgery, the patient may have to wear bandages. They can use ice packs to help minimize the initial inflammation, and the surgeon may prescribe pain drugs for the initial few days. 

Vigorous activities should not be undertaken for around two to four weeks. A majority of patients can resume their normal routine in around one week. Cosmetic surgeon Dr. Gary Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and nearby areas for brow lift (forehead lift).

 

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