Lip-to-speech (L2S) synthesis for Mandarin is a significant challenge, hindered by complex viseme-to-phoneme mappings and the critical role of lexical tones in intelligibility. To address this issue, we propose Lexical Tone-Aware Lip-to-Speech (LTA-L2S). To tackle viseme-to-phoneme complexity, our model adapts an English pre-trained audio-visual self-supervised learning (SSL) model via a cross-lingual transfer learning strategy. This strategy not only transfers universal knowledge learned from extensive English data to the Mandarin domain but also circumvents the prohibitive cost of training such a model from scratch. To specifically model lexical tones and enhance intelligibility, we further employ a flow-matching model to generate the F0 contour. This generation process is guided by ASR-fine-tuned SSL speech units, which contain crucial suprasegmental information. The overall speech quality is then elevated through a two-stage training paradigm, where a flow-matching postnet refines the coarse spectrogram from the first stage. Extensive experiments demonstrate that LTA-L2S significantly outperforms existing methods in both speech intelligibility and tonal accuracy.