Photography

Raw image untouched, send it. Seriously though she's paying the bills the post work is getting done.

Edit out the blemishes. As someone with acne, I would not want to immortalize my acne. Make up and money can remove blemishes from a film she might act in, so remove the acne in her headshots.

This might be an unpopular opinion, but I let my clients know they can go to a professional retoucher to do things that either I don’t have a lot of experience in, or just can’t do. I would give the retouched photo and a less retouched photo, so if she’s not happy, she can send it to another retoucher

I had this same issue with one of my first photoshoots. It is a delicate balance between pleasing your client and doing work you are personally proud of. In this case, I think she might get offended if you send her both versions. If it was me, I would remove her most prominent blemishes but not leave her with baby screen. Still leave some texture and stuff. There's not much else I can tell you to do since it seems you are pretty deep now.
But do keep this in mind for future clients, especially women. Make sure you write your "boundaries" in your contract, or say them to the clients since the begining. "There will often be some edits done to the pictures in order to enhance the image as a whole, but within reason." and then go on to explain a little of what you are willing and not willing to do.
Sorry I cant give you a better answer, good luck friend.

Do what the client requested, but also send some shots edited the way you originally wanted.