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Yes, there is fairly general consensus that one or more of the Topaz plugins were likely used.Its TOPAZ and Fractalius.
Really ! ? ! ? Are you absolutely sure of this? LOL.Cartoon effect
I used Topaz Clean.....and a levels tweak, as Tom did....cloned in less than 5....I did the levels as to get the way too blacks....I followed the 3 buttons on the sleeve until the shadows matchedYou know, rather than continue endless hypothesizing, the most definitive way to answer how-was-it-done type of questions is almost always to actually demonstrate that the method you propose can indeed emulate the major characteristics of the image in question. Anything less than such a demo is, IMHO, little more than hot air.
In this case, I used nothing more than Topaz Clean + some native PS tools such as the blend-IF sliders. Once I got decent settings in "Clean", I put it's output on it's own layer and set the blending mode to soft light. A final touch with a "Levels" adjustment layer, and I produced the image attached below. Total time invested (other than writing this message) < 5 minutes.
If I really wanted to get an exact match, I would soften it a bit further, smudge the skin around a bit, cool down the dark tones, etc.
One can almost always get a similar look by other methods, and I would love to see them demonstrated, discuss them, etc.
T