There are various ways to touch up skin in Photoshop. Some seem more adept at specific areas of the face than others. I have tried various filters to show these various effects. I found that some of the filters do a much better job than others. Younger skin is much easier to touch up than skin that has weathered the years. The subject in my example image is a middle-aged female. Most ladies at this age want to have their skin look like it is 20 years old. That is a big order, but getting close to it is the challenge that may be met using a combination of the following filters with layers and the eraser tool.

Original image of portion of the face unretouched
The original image shows signs of natural aging. The pores are very visible. There are wrinkles around the mouth and below the eyes. In a senior person, wrinkles can be dimished, but should not be completely taken away. Should the wrinkles be completely taken away, the image does not look realistic at all. So, smoothing the areas where pores show can be done. The wrinkles can be diminished but not taken away entirely.

Skin Surface Blur Filter Applied
with a Radius of 36 pixels
and a Threshold of 32 Levels
The Skin Surface Blur Filter seems to smooth out skin pores very well; however, the shadows areas around the nose begin to pixelate and look unrealistic. When using the Surface Blur Filter, it is important to note that the radius controls the blur intensity while the threshold controls the sharpness. This filter can be appled and used with the following steps:
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Duplicate the background layer
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Make the duplicate layer invisible
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Select the background layer
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Filter -> BLur -> Surface Blur (change the Radius and Levels to suit your image skin requirements)
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Make the duplicate layer visible
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Select the duplicate layer
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Set the eraser tool to about 30-35%
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Begin erasing the porous areas of the skin until the desired smoothing is achieved
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Merge the layers

Reduce Noise Filter Applied to Original Image 3 Times
The Reduce Noise Filter seems to work very well at preserving facial details. In this image example, the area around the nose has been nicely smoothed while the detail has not be overly diminished. Here are the steps that achieved this result when applied to the original image:
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Create a duplicate layer from the background
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Make the layer invisible
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Select the background layer
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Filter -> Noise -> Reduce Noise
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Settings for this example: Strength=10, Preserve Details 0%, Reduce Color Noise 0%, Sharpen Details 0%
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Run the filter 3 times total for the effect

Noise Median Filter with a Radius of 8 pixels
The Median Noise Filter also works well for retouching the skin. If the eraser tool has the opacity set very low, this filter can work very well on all areas of the skin. However, this filter has to be used carefully as the final image may look too much like a cartoon with many important details getting lost in the smoothing.
My first attempt at re-touching skin in portraits was using the gaussian blur filter. I found that using the Gaussian blur filter works but it loses a lot of detail much too quickly. In addition, if the radius is set low enough to preserve important details, the skin does not get smoothed enough for the results that I am attempting to get. Here is the original image with the Gaussian Blur applied with a radius of 7:

Gaussian Blur Filter Applied to Original Image
with a Radius of 7
The great strength of Photoshop is using layers. Time is always of the essence, so choosing the most time/cost effective way to touch-up photos is key. Use the comparisons above to make your own decision on which filter works best for you. Using several of these filters with layers, erasing the “rough spots” will help make a very nice image. Since no single filter seems to do it all, using several of the filters on duplicate layers of the background/original layer may make a big difference in how you post process your portraits. Here is the “final mix” image:

The “final mix” image is a a combination of
the Median Noise Filter and the Surface Blur Filter
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