Hi Dave,
A skilled job! This is done with some talent and perception of what makes a woman beautiful.
Wide open eyes is a sign of health that we react to so you widened the outer portions of the eyes but did so on an anatomical plane so it is not obviouslt distorted.
The cheekbones gives the girl class and elegance, these you have kept and enhhances but it's subtle.
The hair line has been brought down and this reduces an empty forehead. Pretty drastic but it look good.
All this without the girl looking like a different person!
I find that to my taste the sculpting around the upper lip and nose perhaps a little harsh, but newvertheless effective.
The skin texture is glamorous but I'd add back 25% of the origninal texture, faults and all. However, with the eyes altered and the hairline down, only you can do that.
I see that you believe a "cleavage" should be centered on her chest and you have corrected that accordingly and also the sweater's disorder.
All corrections have to be done with a goal in mind of where the final photograph will end up. Women like pictures they can send to their parents to show how they have blossomed and a picture different from holiday snapshots which anyone can take.
So fantasy is always something to be created. If she wants her bumps she can look in the mirror have another cup of coffee. Still, for family use, I think adding back a percentage of the untouched complexion always add some gentle aura to the picture and is appreciated. We don't want the girl to look to plastic.
Certainly you demonstrate a lot of skill and experience and your contribution is especially appreciated.
Asher