Not an easy one, Suzi. Not only it is a difficult skin (details, stains...) but you have also a mix of two sources of light, warm and cool. Luckily, this kind of character can stand a certain amount of roughness.
Softening by blurring changes this character. One trick to mask red veins is often to use hue/saturation on the reds, by increasing lightness and possibly moving very slightly towards yellows. If the color is not satisfactory, the tones might be, so a layer edited like this could be used in luminosity mode. Here, the result was not convicing for me. Various 'degrunge' techniques were not either. The following is the result of a mix of an edit in camera raw and an edit via CleanSkinFX, cited in one recent thread. Using the healing brush more and very patient dodging and burning would be the way to edit it according to your taste.
http://www.prestophoto.com/photos/image/1035592/21411
Softening by blurring changes this character. One trick to mask red veins is often to use hue/saturation on the reds, by increasing lightness and possibly moving very slightly towards yellows. If the color is not satisfactory, the tones might be, so a layer edited like this could be used in luminosity mode. Here, the result was not convicing for me. Various 'degrunge' techniques were not either. The following is the result of a mix of an edit in camera raw and an edit via CleanSkinFX, cited in one recent thread. Using the healing brush more and very patient dodging and burning would be the way to edit it according to your taste.
http://www.prestophoto.com/photos/image/1035592/21411