The first thing I did was take the smudge tool on 100% opacity and using the normal brush I just smudged very gently all over the face in tiny circles to create a smoothed look. I also used Filter/Blur/Smart Blur and masked out the areas I still wanted to be crisp and clear Finally I used Filter/Noise/Reduce Noise for the nostrils and finer areas Now that the skin is smooth it is ready for the next step (plastification)