Truthfully one shouldn't use the burn, blur and sponge tool on photoghop. They tend to eat and creat pixelization if you ask me. The gradient tool isnt a bad way to escape the over contrasts, it actually can make it look more natural, yet in this picture its ok for bleached spots. You can only get so far with white. Where did you take this picture? In a hospital? It scared me at first how white everything is but now I actually like it. Something to keep me awake.