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I create two background copies
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Then on the first layer I use the lasso tool around the larger blemishes
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Dragging the outline to a ‘clean’ area of the picture, I simply copied and pasted over the blemish, automatically creating it’s own layer. Now at this point you’ll end up creating quite a few layers so hide all you other layers after you have finished and simply merge visable. I took the erase tool and set it to about 50% and ran around the edges of the pasted areas to soften them
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On the second of the two background copies I used the spot healing brush set to Darken (drop down at the top of the screen) this takes example pixels from nearby so dont use a large brush, just one large enought ot cover the spot and click away!
So I have three layers, and finally I add a little viginette but thats a personal preference! Here’s a shot with the layers included! Give me a shout if I can help with your photographs!