The new development since the treatment video first surfaced is the reaction to it. HuffPost reports that the clip Keoghan appeared in, posted to Instagram by UK facialist Nilam Holmes, has drawn what the outlet calls a "startlingly divided response" from fans.

Variety notes the video itself showed the Oscar nominee narrating his session, calling the appointments "relaxing and therapeutic."

What makes the backlash notable, according to HuffPost, is its content: fans who urged Keoghan not to listen to Hollywood's beauty standards while simultaneously defending his right to do what makes him feel confident.

One commenter wrote, "Don't let people's harsh words affect you. Honestly I think you're pretty hot!" Others were openly envious, with one saying, "I'm definitely getting this treatment when I win the lottery," and another declaring, "His skin looks absolutely flawless & brand new."

That a self-improvement procedure could itself become a source of commentary is the tension driving coverage across outlets.

According to HuffPost and Variety, the footage came about almost by accident. Holmes wrote in her caption that she was running late filming Xerf promotional content, and rather than make her rush, Keoghan offered to let her film him having his second treatment.

In the clip, the 'Saltburn' and 'Eternals' star says, "I feel better about myself; I look better. I think it's important to look after yourself inside and outside."

Holmes, whose clients per Variety include Rosie Huntington-Whiteley, Joe Alwyn and Nicole Scherzinger, praised his improved skin over recent years.

Multiple outlets describe Xerf as a needle-free, non-invasive procedure using radio-frequency technology to tighten skin and renew collagen.

Prices vary by publisher: Variety cites around $3,500 for a face and neck session, HuffPost reports about $3,300 per visit with two treatments near $6,000, and Fashion Times UK, citing Entertainment Weekly, quotes a reported starting price of roughly £4,500 for two rounds.

Fashion Times UK also cautions that Holmes' praise reflects her own professional assessment rather than independently verified results, and that Keoghan has not disclosed what he paid.

The coverage matters because Keoghan has never said the abuse motivated the procedure. Fashion Times UK explicitly notes the actor "has not directly linked his decision to undergo XERF with the abuse he described," and argues keeping the two details separate matters.

That context looms large: in March he told SiriusXM's 'The Morning Mash Up' that online abuse over his looks had made him "go inside myself, not want to attend places, not want to go outside."

HuffPost also reports he later said on the 'Friends Keep Secrets' podcast that he had "stopped just socializing" amid a false rumor narrative.

Per HuffPost and the Times of India, Keoghan is set to play the Joker opposite Robert Pattinson in 'The Batman: Part II,' due in 2028, and has been spotted in costume as Ringo Starr for Sam Mendes' four-part Beatles films alongside Harris Dickinson, Paul Mescal and Joseph Quinn.

As publicity for those projects intensifies, scrutiny of his appearance is likely to grow with them.

Whether his openness about cosmetic care — coming the same cycle as Jennifer Lawrence's candid surgery comments, per the feed's earlier style coverage — signals a shift toward candor among male stars is the question the divided fan response leaves open.