Barry Keoghan Gets $3,500 Skin-Tightening Treatment On Camera

Barry Keoghan underwent a second Xerf skin-tightening treatment costing roughly $3,500 for a face and neck session, in a video posted this week by U.K. celebrity facial expert Nilam Holmes, founder of Dermaspa.

Holmes, who has treated the Oscar nominee for years, shared the behind-the-scenes clip on social media. Per Dermaspa's website, Xerf forgoes injections and uses radio-frequency technology to tighten the skin and renew collagen. Keoghan narrates the video himself.

"I've been hearing a lot about it, and Nilam is very excited about it, and she's great at what she does," Keoghan says. "I really mean that, and again, every time I come in, it's very relaxing and therapeutic. I feel better about myself, I look better. I think it's important to look after yourself inside and outside."

Why the video landed now

The footage arrives months after Keoghan spoke candidly about online abuse over his appearance. In an interview on SiriusXM's "The Morning Mash Up" earlier this year, the actor said the harassment had gotten so bad that he no longer wanted to leave his house.

"There's a lot of hate online," Keoghan said at the time. "There's a lot of abuse of how I look, and it's kind of past the point of — you know, everyone goes through that… but it's made me shy away. It's made me really go inside myself, not want to attend places, not want to go outside. I say this being absolute pure and honest to you. It's becoming a problem."

He told the hosts he had removed himself from social media to avoid nasty comments, though he occasionally checked online reaction after a premiere or event to see "how he's received." Most of the time, he said, the response is "not nice."

What Holmes said about the treatment

In her caption, Holmes framed the video as a matter of trust and convenience.

"I've been working with Barry for a while now, looking after his skin through different movies, campaigns and projects and the trust he places in me means a lot," she wrote. "His skin has really improved over the last few years and he looks great. Today we did his [second Xerf] skin-tightening treatment. I was running late filming some Xerf content, so rather than make me rush what I was doing, he offered to let me film him having it."

Holmes has posted regularly about treating Keoghan in the past, giving him facials before photo shoots. In March 2025, writing about his Wonderland magazine cover, she described the toll of his schedule.

"Working on multiple projects at a time; movies, campaigns, interviews, press and philanthropy projects means unstructured routine, travel, make up, and disrupted sleep patterns, which all take a toll on the skin," she wrote. "So we have regular skin sessions which consist of fixing up problematic skin, calming down inflammation, maintaining the skin when it's great and trying to get that healthy, rested look."

She added: "Barry is like a little student for me. Passionate about everything, he likes to know everything about everything which I love and he brings the fun when he visits."

Who else gets the treatment?

Holmes's other Xerf clients, as seen on her social media pages, include Chris Appleton, Rosie Huntington-Whiteley, Joe Alwyn and Nicole Scherzinger. She has also worked with Pink.

What does this change for Keoghan? Nothing he has stated. But an actor who once said online abuse made him afraid to go outside has now chosen to show his face, mid-treatment, to millions — a deliberate act of control over his own image.