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Meet Our Staff at the Image Recovery Center

Our team provides individual attention and teaches cancer patients how to normalize their physical changes, which may result from the disease or treatment.

Knowing how to care for and prevent possible side effects will help our patients experience a healthier recovery. We want our patients to be active, informed participants and experience the transformative power of positive image.

Trish Tyl
Coordinator / Licensed Clinical Cosmetologist
Certified Mastectomy Fitter

Trish Tyl, Licensed Clinical Cosmetologist, came to St. Mary Mercy Hospital in 2007 when the Helen Palmer Image Recovery Center opened its doors.

Trish has a personal interest in helping others feel more positive about their self-image during and after their cancer treatments. While being treated for breast cancer herself, she found that there was a real need for image-enhancement services - personalized hair, skin, and cosmetic-related offerings for cancer patients.

This personal experience, combined with her intensive oncology training at Johns Hopkins University and cosmetology background, has provided her with the knowledge, expertise and compassion needed to help others. She hopes to instill the power of a positive image in patients throughout their treatment plan and beyond. Trish is also a certified bra and breast form fitter, and a certified compression garment fitter.


Trish Tyl
(Trish in 2013)


Trish Tyl in 2006
(Trish in 2006)

Mary Ann Brefka
Licensed Clinical Cosmetologist
Certified Mastectomy Fitter

Mary Ann Brefka has over 30 years experience as a licensed cosmetologist. Her experience includes cosmetology services to a variety of patients, including the home-bound, hospital in-patient, and hospice. Mary Ann also has many years of volunteer cosmetology services to the Felician Sisters.

Mary Ann volunteered in the Helen Palmer Image Recovery Center for one year prior to joining the team in 2010. She is a trained clinical cosmetologist, certified bra and breast fitter.

Mary Ann hopes to educate and empower each person as they go through their journey. She wants to instill the power of a positive image in patients throughout their treatment plan and beyond. Her caring, compassion and training help provide the individual attention needed by the patients.

  Mary Ann Brefka

Connie Ciszewski-Myler
Licensed Clinical Cosmetologist

Connie Ciszewski-Myler is a licensed cosmetologist with over 20 years of experience with hair, make-up and nails. She joined the Image Recovery Center team in 2014 and is dedicated to assisting patients with their self-image. Life experiences have taught Connie that we must live each day to the fullest while being strong and courageous . She is a clinical specialist who has a personal interest in bringing out natural beauty and a positive attitude in every patient.

  Connie Ciszewski-Myler

Jessica Saban
Medical/Oncology Massage Therapist
Nationally Certified and State Licensed

Jessica Saban is nationally certified and is licensed through the state of Michigan. She is also certified as a Medical/Oncology Massage Therapist and a member of the American Massage Therapy Association. Jessica has extensive training in various massage techniques and offers a variety of techniques that are helpful to individuals receiving cancer treatments or anyone wanting to improve their general health.

A Member of Trinity Health
© 2015 Trinity Health

St. Mary Mercy Livonia | 36475 Five Mile, Livonia, Michigan 48154 | 734-655-4800