Howard Krein is widely recognized for his work as a facial plastic and reconstructive surgeon, educator, and advisor in healthcare innovation. His career spans the operating room, the classroom, and the strategic world of medical entrepreneurship. Over time, his public presence grew beyond medicine due to his long marriage to Ashley Biden, drawing greater attention to his professional accomplishments as well as aspects of his private life.
This article examines his background, clinical expertise, innovation leadership, and the measured public curiosity surrounding his identity, relationships, heritage, and financial profile. The goal is to present a detailed, accurate, and respectful portrait of a surgeon whose work stands on its own merit.
Early Life and Academic Path
Howard Krein was born in the mid-1960s and raised in New Jersey in a family that emphasized education, responsibility, and service. These early influences set the foundation for a rigorous academic journey that combined science, research, and hands-on patient care.
He pursued advanced education that would ultimately lead to both an MD and a PhD—an uncommon pairing in clinical practice. This academic background shaped his approach to surgery and healthcare strategy, allowing him to integrate scientific inquiry with practical medical experience.
His PhD-level training added depth to his understanding of complex biological systems, tissue behavior, and reconstructive techniques. It also equipped him to evaluate medical technologies, guide research initiatives, and collaborate with innovators seeking to improve clinical outcomes.
Medical Training and Surgical Expertise
Krein completed extensive residency and fellowship training in otolaryngology–head and neck surgery and later subspecialized in facial plastic and reconstructive surgery. This dual training allowed him to manage both functional and aesthetic concerns of the face, head, and neck, placing him within a select group of surgeons proficient in both areas.
His surgical focus includes:
- Nasal reconstruction and rhinoplasty
- Facial trauma repair
- Skin cancer reconstruction
- Facial rejuvenation procedures
- Complex functional surgery of the nose and facial structures
Throughout his career, he has been recognized for blending technical precision with a thoughtful, patient-centered approach. His ability to balance reconstructive needs with aesthetic goals is one of the reasons he built a strong reputation within his field.
Leadership in Facial Plastic and Reconstructive Surgery
At Thomas Jefferson University and its affiliated medical centers, Krein has served in multiple leadership and teaching roles. These roles include:
- Professor of Otolaryngology–Head and Neck Surgery
- Director and co-director of clinical programs involving facial aesthetics and reconstruction
- Mentor and instructor for surgical residents and fellows
His academic work extends into research collaborations and conference presentations where he contributes insights into evolving surgical techniques, patient outcomes, and innovations in reconstructive methodologies.
Students and colleagues frequently describe his approach as disciplined, methodical, and focused on long-term patient well-being. His work emphasizes evidence-based practice, careful technique, and continuous refinement of surgical skill.
Contributions to Healthcare Innovation
Krein’s influence extends beyond the clinical setting. His understanding of medicine, scientific research, and business positioned him as an early contributor to the digital health movement.
For many years, he served as Chief Medical Officer and strategic advisor at StartUp Health, a global health innovation platform that supports emerging companies working to improve health outcomes through technology and new-care models.
In this role, he provided:
- Clinical insight for product development
- Guidance for entrepreneurs entering the healthcare space
- Strategic evaluation of emerging innovations
- Advisory support for health-tech investment decisions
His combination of surgical experience and scientific training made him a bridge between clinicians and innovators—groups that often speak different professional languages. His influence helped shape how early-stage medical technologies could be vetted, refined, and positioned for real-world clinical use.
Public Visibility and the Role of a Modern Physician
Krein’s public profile expanded significantly through his marriage to Ashley Biden, which placed him in the broader national spotlight. This visibility increased further during major political cycles, when his advisory work within healthcare innovation drew attention from news outlets seeking to profile individuals connected to public officeholders.
Despite the increased public exposure, his career remained centered on medicine, research, and innovation. His work continued to reflect the responsibilities of a practicing surgeon and academic leader rather than that of a conventional public figure.
The discussion surrounding his public role often touches on questions of ethics, advisory boundaries, and how modern physicians navigate professional responsibilities while intersecting with civic life. Krein has maintained long-standing commitments to his patients, colleagues, and academic institutions, even as public narratives occasionally shift around him.
Personal Life, Background, and Identity
Cultural and Family Background
Krein comes from a Jewish family background, a detail reflected in public records and profiles. His heritage is part of his identity but not a focus of his public presence. He is known far more for his work in medicine than for any cultural or religious affiliation.
Relationships
Krein married Ashley Biden in 2012, and their relationship remained largely private despite media attention tied to political life. Reports in 2025 indicated that the couple had begun divorce proceedings, marking a significant personal transition.
Search interest often leads to questions about a “girlfriend,” but no verified public information confirms that Krein is in a new relationship. His private life remains largely undisclosed, and there are no reliable sources that identify a current partner.
Children
Public records do not indicate that Howard Krein has children. Media profiles and interviews over the years have not referenced parenthood, and no confirmed information suggests otherwise.
Throughout his career, Krein has maintained a distinction between his professional work and personal matters, choosing privacy where possible.
Professional Earnings and Financial Perspective
Krein’s long tenure as a surgeon, academic leader, and innovation advisor naturally raises curiosity about financial standing. While specific net worth figures are not publicly documented, his income likely derives from several sources:
- Surgical practice
- Academic and institutional leadership roles
- Clinical consulting
- Advisory work in healthcare innovation
- Occasional speaking or research-related engagements
Given the nature of these roles, his financial position is presumed to be strong, but any exact figure would be speculative without verified disclosure. His career reflects steady growth and diversification rather than public displays of wealth or financial promotion.
Enduring Influence in Medicine and Innovation
Krein’s influence comes from a combination of clinical experience, academic leadership, and contributions to the health-tech ecosystem. His ability to guide both patients and innovators has shaped how medical professionals engage with emerging technologies.
He stands out as a physician who understands the evolving relationship between medicine and digital transformation. His work demonstrates how clinicians can participate in innovation without losing focus on the precision and empathy required in direct patient care.
His ongoing contributions reflect a commitment to improving healthcare through multiple channels—surgery, education, mentorship, and strategic advisory work.
Conclusion
Howard Krein’s career represents a rare intersection of surgical expertise, scientific training, and engagement with healthcare innovation. His public identity, shaped partly through family connections, often draws attention, but his professional accomplishments define his lasting impact.
His work in facial plastic and reconstructive surgery, academic leadership, and innovation strategy continues to influence both medical practice and the broader health-tech landscape. As he moves through personal and professional transitions, his contributions remain grounded in a lifelong dedication to medicine, learning, and patient care.
FAQs
1. What is Howard Krein known for?
He is known for his work as a facial plastic and reconstructive surgeon, academic leader, and healthcare innovation advisor.
2. What is his medical background?
He holds both an MD and a PhD and is double board certified in otolaryngology and facial plastic and reconstructive surgery.
3. Is Howard Krein Jewish?
Yes, he comes from a Jewish family background.
4. Does he have children?
There is no verified public information indicating that he has children.
5. What is known about his net worth?
His net worth is not publicly documented, though his long medical and advisory career suggests substantial professional earnings.


