Thanks for writing this up. You can save yourself some time just by copying the entire photograph on a new layer. Gaussian blurring the whole thing, layer masking the layer and painting in the softer skin. You'll notice in your example you've missed several blackheads around the eyebrow and nose. Those, especially the larger ones, need to be zapped (the spot healing brush works OK)
I usually zap all major zits first with spot healing brush since you don't care about saving any part of them.
Then remove crow's feet and wrinkles you are going to permanently delete.
Then do the under eye's on a separate layer with patch tool because you are going to want to blend some of them back in using layer opacity.
Then smooth skin on a separate layer (use copy merge to create the new layer).
I've found skipping the noise step is OK if you adjust the opacity. Also, a lot of folks have invested in GEM digital airbrush and use it instead.
Finally, using a large diffused light source when shooting models like this in the first place will also greatly reduce the amount of touching up you have to do.
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