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Dr. Cassie Nghiem

Exceptionally Dedicated and Skilled Plastic Surgeon in Washington D.C.

Dr. Cassie Nghiem, MD is an Ivy League-educated, fellowship-trained plastic surgeon in Washington, D.C. who specializes in transgender surgery, particularly Chest Masculinization and Breast Augmentation. She believes in a shared vision and works closely with her patients to deliver the best quality care that is in line with their needs. Known for her surgical skill and artistry, Dr. Nghiem’s patients also love her kind and caring demeanor.

Dr. Nghiem practices in Washington, D.C. at District Plastic Surgery, where patients can expect a truly welcoming environment, complemented by gender-affirming intake forms and a highly trained staff that understands the importance of chosen names and correct pronouns. Approximately 50-75% of Dr. Nghiem’s patients are transgender.

5 Stars“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. The GW hospital team was also fantastic and made my surgery and recovery smooth and safe. Thank you District Plastic Surgery for a wonderful, life changing experience.” – Thuy N.

Training and Professional Memberships
Dr. Nghiem obtained her undergraduate honors degree at Dartmouth College, followed by a Master’s degree in Physiology at Georgetown University. She subsequently earned her medical degree at the University of Michigan, one of the most highly ranked medical schools in the United States. Dr. Nghiem completed six years of specialty training in plastic surgery through the Integrated Plastic Surgery Residency program at the University of Rochester, followed by a year of advanced fellowship training in aesthetic plastic surgery. She is licensed to practice in Washington, DC, Maryland, Virginia and California.

Dr. Nghiem is affiliated with George Washington University Hospital, Sibley Memorial Hospital, INOVA Fairfax Hospital and INOVA Fair Oaks Hospital. Surgeries are done at George Washington University Hospital and Glen Echo Surgery Center.

Dr. Nghiem performs the following gender-affirming procedures:

Masculinizing Surgery

Top Surgery in Washington DC: Dr. Nghiem is skilled at multiple methods of Top Surgery, including Double Incision, Peri-Areolar, Keyhole and Inverted-T. She is pleased to customize the procedure to meet your goals. During your consultation, Dr. Nghiem will offer her professional recommendation as to which method would best suit your preferences, chest size and skin elasticity.

Also available: Body Masculinization.

Feminizing Surgery

Breast Augmentation in Washington DC: Dr. Nghiem has a special interest in breast surgery. In Dr. Nghiem’s hands, Breast Augmentation takes one to two hours to complete and recovery is straightforward. Most patients are back to work in a week. Dr. Nghiem offers both saline and silicone implants and will discuss the pros and cons of each during your consultation. She also offers a periareolar lift to reposition the nipple in the ideal spot on the breast mound. In addition, she offers fat grafting with breast implants to enhance the cleavage lines.

Dr. Nghiem is also experienced with feminizing Rhinoplasty and Lip Lift procedures, as well as Body Feminization (sculpting/contouring).

Dr. Nghiem sees her patients regularly after surgery to ensure optimal results. For most procedures, follow-ups occur at the following intervals after surgery: 1 day, 1 week, 1 month, 3 months, 1 year. Out-of-town patients are advised to stay locally for the first 1 to 2 weeks after surgery.

5 Stars“Dr. Nghiem is amazing! She (and the staff at District Plastic Surgery) are so warm. 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 and District Plastic Surgery without reservation.” – Lyra M.

Consultations with Dr. Nghiem
Dr. Nghiem offers in-person, phone and virtual consultations, and can fit you in almost immediately. During your consultation, Dr. Nghiem will take the time to explain everything about your procedure and will answer all of your questions. Her warm and comforting nature will immediately put you at ease. Nói tiếng Việt. Se habla Español.

Costs, Insurance and Financing
Cost varies by procedure. Exact pricing for paying out-of-pocket can only be determined following a consultation. The price you’ll be quoted will include the cost of the procedure as well as anesthesia, operating room, and any needed post surgical garments.

Dr. Nghiem is currently accepting insurance from most commercial health insurance companies, including:

  • Aetna
  • Anthem
  • Blue Cross/Blue Shield
  • Blue Cross Federal
  • Cigna
  • United Health Care

Dr. Nghiem also accepts CareCredit and United Medical Credit, which are medical financing plans that work much like credit cards.

Dr. Nghiem does not accept Medicaid at this time.

Surgery Requirements

  • If using insurance, you will need to provide a letter of support from a mental health provider for insurance approval. Typically, the requirement is one letter.
  • Smoking cessation is required at least one month before and after surgery to ensure optimal healing.
  • Additional tests such as bloodwork and mammogram may be required based on age and medical history.

5 Stars“Dr. Nghiem will not only give you fantastic results but also will give you an experience you will never forget. She treated me like I was a friend, not just a patient, and I feel extremely grateful to her. If you don’t believe me, book a consult with her and find out for yourself! ” – Yuri L.