The colortone on this seems off. Did you desat a channel or something? How would this look in B/W? Just curious. I hope it didn't hurt getting those "spots" off! :D As for the photo quality, the lighting could stand to be diffused some, unless you wanted those glare "spots" to show up on your big "spots". The focus is nice and sharp on her nose and mouth, but seems to get soft around her eyes.
It looks like the sharpness is a bit down. Could either be a DOF issue or just the lens. I'm guessing I'm going to see a number of shots like this. It doesn't really work for me. Other than for a "spots" challenge, would you ever do this shot? Probably not. 4