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Her face still looks like mush. Did you locally noise reduce on her face?

Why not post one with no noise reduction?

I can do that. I did do some work on the face in photoshop, but not as strong as the first time. I followed a process in Scott Kelby's PSE 9 book for smoothing out skin (still new to photoshop, so I'm still learning how to do stuff). I'll post the image as it comes out of ACR and include 0 noise and the level of noise I used for the above image before any other work, hopefully later today.
 
Here are two versions of the RAW as it came out of Adobe Camera Raw. One is with no noise reduction applied. The other is with a 30 in Luminance to get it to what I consider an acceptable noise reduction in ACR. No other processing was done in Photoshop other than saving the jpg.

No noise reduction



Luminance 30 reduction

 
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