Again I like this - I think you have a good formula here.
For me ... even though it is blurred the ear is still distracting.
Secondly - and this is more controversial in photographic ethical terms I think ......if the image is intended as a 'work of art' that could hang on anybody's wall then I think the small ?pimple on the bridge of the nose should be cloned out, as it distracts.
If it is intended as a portrait shot for the person photographed then I think I would discuss it with them. And if it is a temporary skin blemish (eg a pimple) then I would suggest removing it - but only if they agreed.