This retouch had a few steps to it:
Cloned out bags and wrinkles using the patch tool, cloned out the electrical conduit, fixed skin imperfections using the spot healing tool and clone stamp, used Topaz Clean on a new layer to clean the skin using the skin fix preset and then masked and painted in the required area and adjusted the layer opacity to about 30%, Shrunk the nose and puffed up her lips using liquify.
Sorry I can't figure out how to do a scroll over image. If anyone knows how to code that please help me out.

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