Dr. Cassie Nghiem

Feminizing Breast & Body Contouring Surgery in Virginia

Dr. Cassie Nghiem, MD is a fellowship-trained plastic surgeon at Austin-Weston, The Center for Cosmetic Surgery, where she provides affirming surgical care for trans women seeking breast augmentation and body contouring. Known for her gentle communication style and meticulous technique, she has become a trusted surgeon for transfeminine patients across Northern Virginia, Maryland, and Washington DC.

Dr. Nghiem brings an Ivy-League foundation, elite aesthetic training, and a deeply compassionate approach to every patient she cares for. Her philosophy is simple and patient-centered: to help you feel more at home in your body with results that look natural, feminine, and genuinely aligned with your vision.

She completed her education and surgical training at some of the nation’s top institutions:

Dartmouth College – Undergraduate
Georgetown University – MS in Physiology & Biophysics
University of Michigan Medical School – MD
University of Rochester – Integrated Plastic Surgery Residency
Aesthetic Plastic Surgery Fellowship, Northern Virginia

Her advanced fellowship training placed significant emphasis on breast aesthetics and body contouring, giving her a nuanced understanding of the techniques and proportions that matter most to transfeminine patients seeking soft, feminine, and harmonious results.

Why Choose Dr. Nghiem

Experience with gender-affirming breast augmentation and body contouring
Warm, validating bedside manner
Patient-centered consultations with clear, honest expectations
A clinic environment committed to LGBTQ+ inclusion and safety

Over the past several years, Dr. Nghiem has developed a trans-focused practice with the majority of her patients identifying as transgender. Her work combines surgical artistry with an understanding of the emotional, social, and physical dimensions of gender transition.

MTF Breast Augmentation

Breast augmentation is the most popular feminizing procedure Dr. Nghiem performs. She offers multiple breast implant and shaping options to help you achieve soft, balanced, feminine curves:

Silicone or saline implants
Round or anatomical (“teardrop”) implants
Subfascial, submuscular, or dual-plane placement
Fat grafting (optional) for added softness or cleavage
Periareolar lift (for improving nipple-areola placement or reducing sag)

During your consultation, Dr. Nghiem will assess chest width, skin elasticity, and your goals to help you choose the implant type and profile that matches your desired look, whether that’s subtle augmentation or full and glamorous.

Breast augmentation pricing starts at $6,700. Exact quotes are provided after consultation. Pricing includes surgeon’s fee, anesthesia, OR costs, garments, and all pre/post-op appointments. Payment can be made with cash, credit card, check, or medical financing through CareCredit.

“Dr. Nghiem is amazing! She really takes the time to listen and has a great bedside manner. She listened to my goals for my breast augmentation and lift; working with me to set my expectations and goals realistically. Post surgery care has been really thorough and Dr. Nghiem has been so helpful in making sure recovery is going well as well as giving me guidance on what to expect. I cannot sing her praises high enough, and I recommend Dr. Nghiem without reservation.” – Lyra M.

Feminizing Body Contouring

Body contouring can do wonders for enhancing the overall silhouette, especially for those looking for more waist definition or a curvier lower body. Dr. Nghiem offers:

Liposuction to create a narrower waist
Fat grafting to hips or buttocks for a more rounded, feminine shape
Abdominal and flank contouring for improved symmetry

Her approach focuses on proportion, balance, and subtle shaping for a naturally feminine figure.

Dr. Nghiem performs all gender-affirming surgeries at Austin-Weston’s private, accredited ambulatory operating facility in Reston, Virginia to ensure a private and supportive environment.

Austin-Weston maintains strong gender-affirming policies to ensure every patient feels safe, respected, and welcomed. The practice uses inclusive intake forms with dedicated fields for preferred names and pronouns, requires ongoing staff cultural competency training, and upholds a strict zero-tolerance policy for discrimination. Patients can expect consistent, correct use of their names and pronouns from all team members. Austin-Weston is pleased to be an annual sponsor of Reston Pride.

Surgery Requirements

Medical clearance as needed
No smoking for at least 1 month pre-op
Meets WPATH criteria, including:
- Hormone therapy when required
- One mental health referral letter with documentation of gender dysphoria and informed consent

Dr. Nghiem’s team can guide you through each step of the requirements.

Contact Dr. Nghiem

Have questions or ready to consult with Dr. Nghiem? Dr. Nghiem offers in-person, phone, and virtual consultations, allowing patients to connect in whatever way feels most comfortable. The consultation fee is $100, which is applied directly toward the cost of surgery. Most patients are able to schedule a consultation within 1–2 weeks, with surgery dates typically available 3–6 weeks afterward. Her practice provides support in English, Spanish, and Vietnamese. To begin the scheduling process or ask questions about availability, contact Dr. Nghiem's office today.