please critique my photoshop developing of my nephew

[TurboRaddo]

picture was taken with a canon rebel xt, kit lense with built in flash
i think the flash really killed the colors
changes made
-cropped
-used the healing tool on some spots on his face (he had scratched his nose)
-saturated the shirt and jeans
-saturated his eyes
-burned in his face and hand
-stamped out the hair dryer that was right by his head
-dodged the darkness in the upper stairs
-smoothed out his skin a bit
here is the before and after

and here is a larger version of just the final picture

Let me know what you would have done differently (taking the photo or in photoshop) or what i could do to improve the photo (other than not use the on camera flash... haha)