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Dr. Cassie Nghiem
Fellowship-Trained Top Surgery Specialist in Northern Virginia
Dr. Cassie Nghiem, MD is a fellowship-trained plastic surgeon at Austin-Weston, The Center for Cosmetic Surgery in Reston, Virginia, where she focuses extensively on masculinizing and chest-affirming procedures. With an Ivy League background and advanced specialty training, she brings a precise, artistic, and deeply patient-centered approach to every Top Surgery she performs.
Over the last several years, Dr. Nghiem has established herself as one of Northern Virginia's most experienced Top Surgery surgeons, performing an average of five procedures per week, with the majority of her patients identifying as transgender. Her practice is built on respect, compassion, and a commitment to creating results that feel natural, empowering, and aligned with each patient's goals.
Approach to Care
From the first consultation through every post-op visit, Dr. Nghiem is known for her warm bedside manner and clear communication. Patients describe her as attentive, encouraging, and exceptionally thorough. Her consultations emphasize:
- Collaborative goal-setting
- Realistic expectations
- Detailed explanations of technique options
- Individualized surgical planning
- Supportive, judgment-free care
Austin-Weston incorporates inclusive, gender-affirming practices throughout the patient experience, including preferred name/pronoun fields, culturally competent staff training, and a zero-tolerance policy for discrimination.
Top Surgery Options Offered
Dr. Nghiem is experienced in multiple masculinizing chest surgery techniques and customizes each procedure to the patient's anatomy, skin quality, chest size, and desired appearance.
- Double Incision Top Surgery
- Keyhole Top Surgery
- Peri-Areolar Top Surgery
- Inverted-T Technique
- Buttonhole Technique
She also offers masculinizing body contouring for patients seeking a more sculpted, masculine torso in combination with chest surgery.
All gender-affirming procedures are performed at Austin-Weston's accredited surgical facility in Reston, VA.
"Dr. Nghiem was so gentle and thorough and my surgery came out to be a masterpiece! Her bed side manner is so caring and gentle and I felt super confident I was going to be taken care of with little to no mistakes. Thank you for a wonderful, life changing experience." - Thuy N.
Pricing & What's Included
Top Surgery: Starting at $12,050 (as of September 2025)
Fee includes:
- Surgeon's fee
- Anesthesia
- Operating room costs
- Postoperative garments
- All pre- and post-surgical visits
Payment options: cash, credit card, check, and CareCredit financing. Insurance, Medicaid, and Medicare are not accepted at this time.
Consultation Details
Dr. Nghiem offers multiple consultation formats to accommodate patient needs:
- In-person, phone, or virtual consultations
- $100 fee, applied to the cost of surgery
- Consultation availability: 1-2 weeks
- Typical surgery scheduling: 3-6 weeks after consultation
- Languages available: English, Spanish, Vietnamese
Surgery Requirements
Pre-surgical requirements may include:
- Medical clearance, depending on health history
- Smoking cessation at least 1 month prior
- Not currently pregnant
Dr. Nghiem follows WPATH guidelines. A referral letter from a qualified mental health professional is required.
Have questions about Top Surgery or want to learn more about your options? Contact Dr. Nghiem's office.